Willingness to receive a COVID-19 booster vaccine: the role of health literacy and the 7Cs model.

Vaccination is a modifiable behaviour resulting from a complex decision-making process influenced by a wide range of factors, including the '7Cs' model (confidence, complacency, constraints, calculation, collective responsibility, compliance, and conspiracy) and the ability to find, understand, eval...

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Publicado en:European Journal of Public Health Vol. 36; no. 2; pp. 1 - 6
Autores principales: Falcon, María, Rodríguez-Blázquez, Carmen, Fernández-Gutiérrez, Martina, Forjaz, Maria João, Bas-Sarmiento, Pilar, Romay-Barja, María
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Willingness to receive a COVID-19 booster vaccine: the role of health literacy and the 7Cs model.
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          Falcon, María
          Rodríguez-Blázquez, Carmen
          Fernández-Gutiérrez, Martina
          Forjaz, Maria João
          Bas-Sarmiento, Pilar
          Romay-Barja, María
        affil: Department of Legal and Forensic Medicine, University of Murcia, Murcia, SpainBiomedical Research Institute (IMIB), Murcia, Spain
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          COVID-19 Vaccines
          Immunization, Secondary Psychosocial Factors
          Attitude to Vaccines
          Health Literacy
          Human
          Funding Source
          Spain
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          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          Analysis of Variance
          Multivariate Analysis
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Confidence
          Intention
          Medication Compliance
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      ab: Vaccination is a modifiable behaviour resulting from a complex decision-making process influenced by a wide range of factors, including the '7Cs' model (confidence, complacency, constraints, calculation, collective responsibility, compliance, and conspiracy) and the ability to find, understand, evaluate and use vaccine information. This work aimed to analyse the intention to receive a booster dose of the COVID-19 vaccine in Spain in the subsequent rollout of the COVID-19 vaccination campaign and how it was influenced by COVID-19 vaccination health literacy and the '7Cs' determinants of vaccine hesitancy. A descriptive cross-sectional study was conducted in February 2022 using an online survey. The sample comprised 1067 participants aged 18 or older, representative of the Spanish general population. Willingness to receive an additional booster dose of the COVID-19 vaccine was assessed using a single yes/no answer question. Determinants of vaccine readiness were evaluated through seven statements aligned with the 7Cs model, adapted to the COVID-19 context. A multivariable logistic regression showed that vaccination intention was influenced by Confidence (OR = 3.79; 95% CI = 2.58–5.58), Calculation (OR = 0.63; 95% CI = 0.45–0.90), Collective Responsibility (OR = 0.52; 95% CI = 0.32–0.86), Compliance (OR = 2.10; 95% CI = 1.42–3.09), Conspiracy (OR = 0.46; 95% CI = 0.29–0.74), and vaccine related HL (OR = 1.03; 95% CI = 1.02–1.06). Fostering vaccination health literacy, strengthening trust in science and health professionals, fighting misinformation and enhancing collective responsibility are relevant aspects for designing effective vaccination campaigns.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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