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Association between Covid-19 sources of information, beliefs, and vaccination rates: an EU-wide survey.

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dc.contributor.authorDe la Cruz Sánchez, Ernesto
dc.contributor.authorMoreno Llamas, Antonio
dc.contributor.authorMendiola Olivares, Jaime
dc.contributor.authorGarcía Mayor, Jesús
dc.contributor.authorTorres Cantero, Alberto
dc.contributor.authorDevine, Emily Beth
dc.contributor.departmentCiencias Sociosanitarias
dc.date.accessioned2024-07-11T11:13:40Z
dc.date.available2024-07-11T11:13:40Z
dc.date.issued2023-07-14
dc.description© The Author(s) 2023. This manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/ This document is the Published version of a Published Work that appeared in final form in European Journal of Public Health. To access the final edited and published work see https://doi.org/10.1093/eurpub/ckad115
dc.description.abstractBackground: Misinformation hampers vaccine uptake. The European Union (EU) employed a coordinated effort to curb misinformation during the Covid-19 pandemic. In this context, we investigated relationships between sources of information, vaccine safety/effectiveness, satisfaction with government vaccination strategy, and vaccination intent. Methods: We used cross-sectional survey data (May 2021) from Flash Eurobarometer 494, a populationadjusted dataset comprised of a representative sample of those  15 years from 27 EU nations. We employed a latent class analysis to create clusters of information sources as the independent variable and beliefs in vaccine safety/efficacy, satisfaction with government vaccination strategy, and vaccine intent as four outcome variables. We first estimated the association between source clusters and each of the first three outcomes separately. Then, using these three as intermediate variables, we employed structural equation modeling to estimate the relationship between sources and vaccine intent. We adjusted for individual and country-level variables. Results: Among 23 012 respondents, four clusters of information sources emerged: (1) national authorities/health professionals (n¼9602; 42%), (2) mostly health professionals (6184; 27%), (3) mixed (n¼1705; 17%) and (4) social media/family/ friends (n¼5524; 24%). Using cluster (3) as the referent, we found decreasing odds of beliefs in vaccine safety/effectiveness, satisfaction and vaccine intent across clusters (1), (2) and (4), respectively. Demographics played a role. Conclusion: In the context of the Covid pandemic, these results provide the first EU-wide estimates of the association between sources of information about vaccine safety/effectiveness, satisfaction and vaccine intent. The coordinated approach promulgated by the EU to minimize misinformation provides a model for managing future pandemics.es
dc.formatapplication/pdfes
dc.identifier.doihttps://doi.org/10.1093/eurpub/ckad115
dc.identifier.eisbnEuropean Journal of Public Health, 2023, Vol. 33, Issue 5, pp. 897–904
dc.identifier.issnElectronic: 1464-360X
dc.identifier.issnPrint: 1101-1262
dc.identifier.urihttp://hdl.handle.net/10201/143013
dc.languageenges
dc.publisherOxford University Press
dc.relationThis research was supported in part by the Fulbright Program, sponsored by the Bureau of Educational and Cultural Affairs of the United States Department of State, administered by the Institute of International Education. The funding source played no role in study design, data collection, analysis, interpretation of data, writing the report or the decision to submit the paper for publication.es
dc.relation.publisherversionhttps://academic.oup.com/eurpub/article/33/5/897/7225337
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectGovernment
dc.subjectHealth personnel
dc.subjectVaccination
dc.subjectVaccines
dc.subjectPandemics
dc.subjectMisinformation
dc.subjectSocial media
dc.subjectVaccine safety
dc.subjectDatasets
dc.subjectCovid-19
dc.subjectCoronavirus pandemic
dc.subjectInformation sources
dc.titleAssociation between Covid-19 sources of information, beliefs, and vaccination rates: an EU-wide survey.es
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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