AUTHOR=Riad Abanoub , Truksová Veronika , Koščík Michal 

TITLE=Seasonal Influenza Vaccine Literacy and Hesitancy of Elderly Czechs: An Analysis Using the 5C Model of Psychological Antecedents

JOURNAL=International Journal of Public Health

VOLUME=Volume 69 - 2024

YEAR=2024

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1607626

DOI=10.3389/ijph.2024.1607626

ISSN=1661-8564

ABSTRACT=Seasonal influenza vaccination rates among the elderly in the Czech Republic are very low, making it one of the least vaccinated countries in Europe. This study explored the role of vaccine literacy and insurance coverage on vaccination status. An analytical cross-sectional study was conducted in Summer 2023 using a self-administered questionnaire covering vaccine literacy (functional, interactive, and critical skills), negative perceptions towards influenza vaccination, and the 5C model (confidence, complacency, constraints, calculation, and collective responsibility). Individuals aged 55 and older were recruited. Mediation analyses assessed the indirect effects of insurance coverage on vaccination status. Significant differences in vaccination rates were found based on insurance coverage, chronic diseases, regular medication use, and previous COVID-19 and pneumococcal vaccinations. Vaccine literacy, especially interactive and critical skills, was higher among vaccinated individuals. Confidence and collective responsibility were significant promoters, while complacency and constraints were barriers. Mediation analyses showed that negative perceptions, confidence, and collective responsibility significantly mediated the relationship between insurance coverage and vaccination status. Policy measures should focus on enhancing vaccine literacy, building public confidence, and addressing negative perceptions.