IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i11p6925-d832301.html
   My bibliography  Save this article

Health Literacy, Socioeconomic Status and Vaccination Uptake: A Study on Influenza Vaccination in a Population-Based Sample

Author

Listed:
  • Patrizio Zanobini

    (Department of Health Sciences, University of Florence, 50134 Florence, Italy)

  • Chiara Lorini

    (Department of Health Sciences, University of Florence, 50134 Florence, Italy)

  • Saverio Caini

    (Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute For Cancer Research, Prevention and Clincal Network (ISPRO), 50139 Florence, Italy)

  • Vieri Lastrucci

    (Epidemiology Unit, Meyer Children’s University Hospital, 50139 Florence, Italy)

  • Maria Masocco

    (Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Valentina Minardi

    (Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Valentina Possenti

    (Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Giovanna Mereu

    (Department of Prevention, Azienda Unità Sanitaria Locale (AUSL) Toscana Centro, 50122 Florence, Italy)

  • Rossella Cecconi

    (Department of Prevention, Azienda Unità Sanitaria Locale (AUSL) Toscana Centro, 50122 Florence, Italy)

  • Guglielmo Bonaccorsi

    (Department of Health Sciences, University of Florence, 50134 Florence, Italy)

Abstract

Background: Health Literacy (HL) has been recently hypothesized to affect the relationship between socio-economic status (SES) and health conditions. However, to date no study has yet assessed the potential contribution of HL in the pathway through which SES affects influenza vaccination status. We aim to examine the relationships among HL, SES factors, and influenza vaccination uptake in Tuscan (Italy) residents belonging to different high-risk groups (HRGs) for influenza. Methods: The study was performed within the Tuscan population sample selected in the Italian Behavioral Risk Factor Surveillance System in 2017–2018. HL was assessed using the Italian version of the 6-items European Health Literacy Survey Questionnaire (HLS-EU-Q6). Mediation analyses were conducted using SES variables as independent variables, influenza vaccination status as dependent variable and HL as mediator variable. Results: A total of 3278 people belonged to HRGs for influenza. In the whole sample, 19.4% of the participants were vaccinated against influenza. Participants who were not employed or had a poor financial status were more likely to be vaccinated against influenza (OR 1.56, 95%CI 1.26–1.94, p < 0.001, and OR 1.21, 95%CI 1.00–1.48, p = 0.047 respectively). HL did not mediate the relationship of any of the independent variables with influenza vaccination status. Conclusions: Some SES determinants resulted to influence influenza vaccination uptake, while HL did not affect the likelihood of influenza vaccination uptake among HRGs. Universal health care systems, as in the case of Italy, offering influenza vaccination free of charge to HRGs help in reducing inequalities and mitigating HL demands.

Suggested Citation

  • Patrizio Zanobini & Chiara Lorini & Saverio Caini & Vieri Lastrucci & Maria Masocco & Valentina Minardi & Valentina Possenti & Giovanna Mereu & Rossella Cecconi & Guglielmo Bonaccorsi, 2022. "Health Literacy, Socioeconomic Status and Vaccination Uptake: A Study on Influenza Vaccination in a Population-Based Sample," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6925-:d:832301
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/11/6925/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/11/6925/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.
    2. Tingley, Dustin & Yamamoto, Teppei & Hirose, Kentaro & Keele, Luke & Imai, Kosuke, 2014. "mediation: R Package for Causal Mediation Analysis," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 59(i05).
    3. Angela Bechini & Patrizio Zanobini & Beatrice Zanella & Leonardo Ancillotti & Andrea Moscadelli & Paolo Bonanni & Sara Boccalini, 2021. "Travelers’ Attitudes, Behaviors, and Practices on the Prevention of Infectious Diseases: A Study for Non-European Destinations," IJERPH, MDPI, vol. 18(6), pages 1-10, March.
    4. Patrizio Zanobini & Chiara Lorini & Vieri Lastrucci & Valentina Minardi & Valentina Possenti & Maria Masocco & Giorgio Garofalo & Giovanna Mereu & Guglielmo Bonaccorsi, 2021. "Health Literacy, Socio-Economic Determinants, and Healthy Behaviours: Results from a Large Representative Sample of Tuscany Region, Italy," IJERPH, MDPI, vol. 18(23), pages 1-11, November.
    5. Vieri Lastrucci & Chiara Lorini & Marco Del Riccio & Eleonora Gori & Fabrizio Chiesi & Andrea Moscadelli & Beatrice Zanella & Sara Boccalini & Angela Bechini & Francesco Puggelli & Renzo Berti & Paolo, 2021. "The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province o," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Aldo Rosano & Chiara Lorini & Brigid Unim & Robert Griebler & Chiara Cadeddu & Luca Regazzi & Daniela Galeone & Luigi Palmieri, 2022. "Coronavirus-Related Health Literacy: A Cross-Sectional Study during the COVID-19 Pandemic in Italy," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    2. Atanasov, Pavel & Witkowski, Jens & Ungar, Lyle & Mellers, Barbara & Tetlock, Philip, 2020. "Small steps to accuracy: Incremental belief updaters are better forecasters," Organizational Behavior and Human Decision Processes, Elsevier, vol. 160(C), pages 19-35.
    3. Shengkui Zhang & Yongbin Wang & Ying Zhu & Xiaoming Li & Yang Song & Juxiang Yuan, 2020. "Rotating Night Shift Work, Exposure to Light at Night, and Glomerular Filtration Rate: Baseline Results from a Chinese Occupational Cohort," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    4. Raquel Simões de Almeida & Maria João Trigueiro & Paula Portugal & Sara de Sousa & Vítor Simões-Silva & Filipa Campos & Maria Silva & António Marques, 2023. "Mental Health Literacy and Stigma in a Municipality in the North of Portugal: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    5. Antonio R. Linero, 2022. "Simulation‐based estimators of analytically intractable causal effects," Biometrics, The International Biometric Society, vol. 78(3), pages 1001-1017, September.
    6. Shengkui Zhang & Han Wang & Yongbin Wang & Miao Yu & Juxiang Yuan, 2021. "Association of Rotating Night Shift Work with Body Fat Percentage and Fat Mass Index among Female Steelworkers in North China," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    7. Martin Huber & Yu‐Chin Hsu & Ying‐Ying Lee & Layal Lettry, 2020. "Direct and indirect effects of continuous treatments based on generalized propensity score weighting," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 35(7), pages 814-840, November.
    8. Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2020. "Educational inequalities in self-rated health and social relationships – analyses based on the European Social Survey 2002-2016," Social Science & Medicine, Elsevier, vol. 267(C).
    9. Erin Percival Carter & Stephanie Welcomer, 2021. "Designing and Distinguishing Meaningful Artisan Food Experiences," Sustainability, MDPI, vol. 13(15), pages 1-13, July.
    10. Sato, Yukihiro & Aida, Jun & Tsuboya, Toru & Shirai, Kokoro & Koyama, Shihoko & Matsuyama, Yusuke & Kondo, Katsunori & Osaka, Ken, 2018. "Generalized and particularized trust for health between urban and rural residents in Japan: A cohort study from the JAGES project," Social Science & Medicine, Elsevier, vol. 202(C), pages 43-53.
    11. Lara Lopez & Fernando L. Vázquez & Ángela J. Torres & Patricia Otero & Vanessa Blanco & Olga Díaz & Mario Páramo, 2020. "Long-Term Effects of a Cognitive Behavioral Conference Call Intervention on Depression in Non-Professional Caregivers," IJERPH, MDPI, vol. 17(22), pages 1-24, November.
    12. Liesbeth de Wit & Pania Karnaki & Archontoula Dalma & Peter Csizmadia & Charlotte Salter & Andrea de Winter & Louise Meijering, 2020. "Health Literacy in the Everyday Lives of Older Adults in Greece, Hungary, and the Netherlands," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    13. Francesco Sartor & Jonathan P. Moore & Hans-Peter Kubis, 2021. "Plasma Interleukin-10 and Cholesterol Levels May Inform about Interdependences between Fitness and Fatness in Healthy Individuals," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    14. Lee, Anthony J. & Hibbs, Courtney & Wright, Margaret J. & Martin, Nicholas G. & Keller, Matthew C. & Zietsch, Brendan P., 2017. "Assessing the accuracy of perceptions of intelligence based on heritable facial features," Intelligence, Elsevier, vol. 64(C), pages 1-8.
    15. Josef Ringqvist, 2022. "Union membership and the willingness to prioritize environmental protection above growth and jobs: A multi‐level analysis covering 22 European countries," British Journal of Industrial Relations, London School of Economics, vol. 60(3), pages 662-682, September.
    16. Petros Andrikopoulos & Judith Aron-Wisnewsky & Rima Chakaroun & Antonis Myridakis & Sofia K. Forslund & Trine Nielsen & Solia Adriouch & Bridget Holmes & Julien Chilloux & Sara Vieira-Silva & Gwen Fal, 2023. "Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide," Nature Communications, Nature, vol. 14(1), pages 1-18, December.
    17. Vennis Hong & Sage K Iwamoto & Rei Goto & Sean Young & Sukhawadee Chomduangthip & Natirath Weeranakin & Akihiro Nishi, 2020. "Socio-demographic determinants of motorcycle speeding in Maha Sarakham, Thailand," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-11, December.
    18. Fijnanda van Klingeren & Nan Dirk de Graaf, 2021. "Heterogeneity, trust and common-pool resource management," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 11(1), pages 37-64, March.
    19. He, Jiaxiu & Wang, Xin (Shane) & Curry, David J., 2017. "Mediation analysis: A new test when all or some variables are categorical," International Journal of Research in Marketing, Elsevier, vol. 34(4), pages 780-798.
    20. Michaelis, Timothy L. & Scheaf, David J. & Carr, Jon C. & Pollack, Jeffrey M., 2022. "An agentic perspective of resourcefulness: Self-reliant and joint resourcefulness behaviors within the entrepreneurship process," Journal of Business Venturing, Elsevier, vol. 37(1).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6925-:d:832301. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.