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Article

Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy

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School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan
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Department of Radio, Television & Film, Shih Hsin University, Taipei 116-42, Taiwan
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Master’s Program of Digital Content and Technologies, College of Communication, National Chengchi University, Taipei 116-05, Taiwan
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Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807-08, Taiwan
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Interdisciplinary Centre for Health Literacy Research, Faculty of Educational Science, Bielefeld University, 33615 Bielefeld, Germany
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Public Health Centre Fulda, Fulda University of Applied Sciences, 36037 Fulda, Germany
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Center for Applied Health Science, Leuphana University Lueneburg, 21335 Lueneburg, Germany
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Department of Education, National Taichung University of Education, Taichung 403-06, Taiwan
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Author to whom correspondence should be addressed.
Academic Editors: Efrat Neter and Karen Morgan
Vaccines 2021, 9(9), 985; https://doi.org/10.3390/vaccines9090985
Received: 6 August 2021 / Revised: 19 August 2021 / Accepted: 30 August 2021 / Published: 3 September 2021
Purposes: To explore the associated factors of COVID-19 vaccine hesitancy and examine psychometric properties of the coronavirus-related health literacy questionnaire (HLS-COVID-Q22) and Oxford COVID-19 Vaccine Hesitancy questionnaire. Methods: An online survey was conducted from 23 June to 16 July 2021 on 387 school principals across Taiwan. Data collection included socio-demographic characteristics, information related to work, physical and mental health, COVID-19 related perceptions, sense of coherence, coronavirus-related health literacy, and vaccine hesitancy. Principal component analysis, correlation analysis, linear regression models were used for validating HLS-COVID-Q22, Oxford COVID-19 Vaccine Hesitancy, and examining the associations. Results: HLS-COVID-Q22 and Oxford COVID-19 Vaccine Hesitancy were found with satisfactory construct validity (items loaded on one component with factor loading values range 0.57 to 0.81, and 0.51 to 0.78), satisfactory convergent validity (item-scale correlations range 0.60 to 0.79, and 0.65 to 0.74), high internal consistency (Cronbach’s alpha = 0.96 and 0.90), and without floor or ceiling effects (percentages of possibly lowest score and highest score <15%), respectively. Low scores of vaccine hesitancy were found in male principals (regression coefficient, B, −0.69; 95% confidence interval, 95%CI, −1.29, −0.10; p = 0.023), principals with better well-being (B, −0.25; 95%CI, −0.47, −0.03; p = 0.029), and higher HLS-COVID-Q22 (B, −1.22; 95%CI, −1.89, −0.54; p < 0.001). Conclusions: HLS-COVID-Q22 and Oxford COVID-19 Vaccine Hesitancy were valid and reliable tools. Male principals and those with better well-being, and higher health literacy had a lower level of vaccine hesitancy. Improving principals’ health literacy and well-being is suggested to be a strategic approach to increase vaccine acceptance for themselves, their staff, and students. View Full-Text
Keywords: COVID-19; coronavirus-related health literacy; Oxford COVID-19 vaccine hesitancy; gender; well-being; depression; school principal; employer; Taiwan COVID-19; coronavirus-related health literacy; Oxford COVID-19 vaccine hesitancy; gender; well-being; depression; school principal; employer; Taiwan
MDPI and ACS Style

Duong, T.V.; Lin, C.-Y.; Chen, S.-C.; Huang, Y.-K.; Okan, O.; Dadaczynski, K.; Lai, C.-F. Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy. Vaccines 2021, 9, 985. https://doi.org/10.3390/vaccines9090985

AMA Style

Duong TV, Lin C-Y, Chen S-C, Huang Y-K, Okan O, Dadaczynski K, Lai C-F. Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy. Vaccines. 2021; 9(9):985. https://doi.org/10.3390/vaccines9090985

Chicago/Turabian Style

Duong, Tuyen V., Cheng-Yu Lin, Sheng-Chih Chen, Yung-Kai Huang, Orkan Okan, Kevin Dadaczynski, and Chih-Feng Lai. 2021. "Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy" Vaccines 9, no. 9: 985. https://doi.org/10.3390/vaccines9090985

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