Department of Anatomy, Histology and Pharmacology, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, 56000, Malaysia.
F1000Res. 2022 Nov 11;11:1296. doi: 10.12688/f1000research.125551.2. eCollection 2022.
Health literacy on the coronavirus disease 2019 (COVID-19) affects people's capability to ascertain their health and health care quality during the pandemic. The objective of this study was to determine the levels of health literacy about COVID-19 vaccines and vaccinations (Vaccines and Vaccinations literacy-VL) in the Indonesian adult general population, assessing the perceptions of the respondents about current adult immunization and beliefs about vaccinations in general, and analyzing correlations of these variables with the VL levels. A cross-sectional study using a rapid survey was administered via the Internet. Data were analyzed using descriptive and inferential statistics; the internal consistency of the VL scales was evaluated using Cronbach's alpha coefficient; the inter-correlation between the functional and interactive-critical VL questions, the underlying components (factors) and each question's load on the components were identified using a Principal Component Analysis (PCA). An alpha level lesser than 0.05 was considered significant. Responses to functional- and interactive/ critical- VL questions were acceptable and showed internal consistency (Cronbach's alpha = 0.817 and 0.699, respectively), lowest values observed were 0.806 for functional scale and 0.640 for the interactive-critical scale. The PCA demonstrated that there were two components accounting for 52.45% of the total variability. Approximately 60% of respondents were females (n=686). Almost all respondents used the internet to seek information regarding COVID-19 and COVID-19 vaccinations. Many used at least one social media actively with 74.4% of respondents sometimes believing the validity of this information. High scores were observed in both functional- and interactive/ critical-VL, and were quite in a balance between sexes in the prior VL and higher in females for the latter; these were also closely related to the educational level and age group. It is crucial to increase public health literacy in managing the pandemic.
健康素养对 2019 年冠状病毒病（COVID-19）有影响，它影响着人们在大流行期间确定自身健康和医疗质量的能力。本研究的目的是确定印度尼西亚成年人群对 COVID-19 疫苗和接种（疫苗和接种知识-VL）的健康素养水平，评估受访者对当前成人免疫接种的看法和对一般接种的信念，并分析这些变量与 VL 水平的相关性。采用快速调查的横断面研究通过互联网进行。使用描述性和推断性统计方法分析数据；使用 Cronbach's alpha 系数评估 VL 量表的内部一致性；使用主成分分析（PCA）确定功能和互动关键 VL 问题、潜在成分（因素）之间的相互关系，以及每个问题在成分上的负荷。p 值小于 0.05 被认为有统计学意义。对功能和互动/关键-VL 问题的回答是可以接受的，并且表现出内部一致性（Cronbach's alpha 分别为 0.817 和 0.699），最低值分别为功能量表的 0.806 和互动关键量表的 0.640。PCA 表明有两个成分占总变异的 52.45%。约 60%的受访者为女性（n=686）。几乎所有的受访者都使用互联网来获取有关 COVID-19 和 COVID-19 疫苗的信息。许多人积极使用至少一种社交媒体，74.4%的受访者有时会相信这些信息的有效性。在功能和互动/关键-VL 中都观察到了高分，并且在性别之间VL 水平相当，在女性中VL 水平更高；这些也与教育程度和年龄组密切相关。在管理大流行方面，提高公众健康素养至关重要。
