Acceptance of a Covid-19 vaccine is associated with ability to detect fake news and health literacy

ABSTRACT Background During the Covid-19 pandemic fake news has been circulating impacting on the general population’s opinion about a vaccine against the SARS-CoV-2 Health literacy measures the capacity of navigating health information Methods We used data from a prospective national online cohort of 1647 participants Descriptive statistics, Chi2 and ANOVA independence tests and two multivariable multinomial regression models were performed Interactions between each variable were tested Results Detection of fake news and health literacy scores were associated with intention to get vaccinated against SARS-CoV-2 (p < 0 01) The risk of being “anti-vaccination” or “hesitant”, rather than “pro-vaccination”, was higher among individuals reporting bad detection of fake news, respectively OR = 1 93 (95%CI = [1 30;2 87]) and OR = 1 80 (95%CI = [1 29;2 52]) The risk of being in “hesitant”, rather than “pro-vaccination” was higher among individuals having a bad health literacy score (OR = 1 44;95%CI = [1 04;2 00]) No interaction was found between detection of fake news and health literacy Conclusions To promote acceptance of a vaccine against SARS-CoV-2, it is recommended to increase individuals’ ability to detect fake news and health literacy through education and communication programs