Kittipimpanon Kamonrat, Maneesriwongul Wantana, Butsing Nipaporn, Janepanish Visudtibhan Poolsuk, Leelacharas Sirirat
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Patient Prefer Adherence. 2022 Aug 30;16:2365-2374. doi: 10.2147/PPA.S376311. eCollection 2022.
Unvaccinated older adults with COVID-19 are at higher risk for severe illness and complications compared with those have been vaccinated. Vaccine literacy and attitudes are important factors that enhance healthy behaviors and choices, including vaccination intention.
To explore vaccine literacy, attitudes, and vaccination intention toward COVID-19 among Thai older adults and examine associations between vaccine literacy, attitudes, and vaccination intention.
This study used a cross-sectional online design. We surveyed 408 older adults who met our inclusion criteria. Participants were recruited online via social media and websites. The survey covered demographic data, vaccine literacy, attitudes, and intention to get the COVID-19 vaccine.
COVID-19 vaccination intention among Thai older adults was high (81.3%). Females and those aged 60-69 years had higher COVID-19 vaccine literacy scores than males (t = -2.120, p < 0.05) and those aged ≥70 years (t = 2.438, p < 0.05). Participants with postgraduate education and those who were health professionals scored higher for vaccine literacy than less educated (t = -3.501, p < 0.01) and non-health professional (t = 5.437, p < 0.001) participants. Those with an adequate income or that had been vaccinated against COVID-19 scored significantly higher for vaccine literacy and attitudes toward the COVID-19 vaccine than participants with an inadequate income (t = 4.626, p < 0.001) or that had not been vaccinated (t = 2.842, p < 0.01). Vaccine literacy (r = 0.219, p < 0.001) and attitudes (r = 0.459, p < 0.001) were significantly associated with vaccination intention.
COVID-19 vaccine literacy and attitudes are significant factors related to vaccination intention. Health professionals could play an important role in enhancing vaccine literacy among older adults. Positive attitudes and COVID-19 vaccine literacy may enhance vaccination uptake in older adults.
与接种过新冠疫苗的老年人相比，未接种疫苗的新冠老年患者患重症和并发症的风险更高。疫苗知识素养和态度是促进健康行为和选择（包括接种疫苗意愿）的重要因素。
探讨泰国老年人对新冠疫苗的知识素养、态度和接种意愿，并研究疫苗知识素养、态度与接种意愿之间的关联。
本研究采用横断面在线设计。我们对408名符合纳入标准的老年人进行了调查。参与者通过社交媒体和网站在线招募。调查涵盖人口统计学数据、疫苗知识素养、态度以及接种新冠疫苗的意愿。
泰国老年人的新冠疫苗接种意愿较高（81.3%）。女性和60 - 69岁的老年人在新冠疫苗知识素养得分上高于男性（t = -2.120，p < 0.05）以及70岁及以上的老年人（t = 2.438，p < 0.05）。受过研究生教育的参与者和卫生专业人员在疫苗知识素养方面的得分高于受教育程度较低的参与者（t = -3.501，p < 0.01）以及非卫生专业人员（t = 5.437，p < 0.001）。收入充足或已接种新冠疫苗的参与者在疫苗知识素养和对新冠疫苗的态度方面得分显著高于收入不足的参与者（t = 4.626，p < 0.001）或未接种疫苗的参与者（t = 2.842，p < 0.01）。疫苗知识素养（r = 0.219，p < 0.001）和态度（r = 0.459，p < 0.001）与接种意愿显著相关。
新冠疫苗知识素养和态度是与接种意愿相关的重要因素。卫生专业人员在提高老年人的疫苗知识素养方面可以发挥重要作用。积极的态度和新冠疫苗知识素养可能会提高老年人的疫苗接种率。
