Chen, XueweiWinterowd, CarrieLi, MingKreps, Gary L.2024-02-152024-03-202024-03-202023-11-30Chen, X., Winterowd, C., Li, M., Kreps, G.L. (2023). Identifying mental health literacy as a key predictor of COVID-19 vaccination acceptance among American Indian/Alaska Native/Native American people. Vaccines, 11(12), pp. 1793-. https://doi.org/10.3390/vaccines111217932076-393Xhttps://hdl.handle.net/20.500.14446/340166This study examines how health literacy and mental health literacy associate with the willingness to receive a COVID-19 vaccination among American Indian/Alaska Native/Native American (AI/AN) people. Methods: The data were collected with an online Qualtrics survey in February 2021 (n = 563). A purposive snowball sampling strategy was used by sending recruitment flyers to colleagues and organizations who work with AI/AN communities to share with appropriate potential respondents. We performed linear regression analyses examining the relationships between the willingness to receive a COVID-19 vaccination and socio-demographic characteristics such as age, gender, education, health literacy, mental health literacy, self-rated physical and mental health status, worry about getting COVID-19, perceived COVID-19 susceptibility, and perceived COVID-19 severity. Results: Mental health literacy and health literacy predicted 30.90% and 4.65% of the variance (R² adjusted) in the willingness to receive a COVID-19 vaccine, respectively. After holding the self-rated physical/mental health status, worry about getting COVID-19, perceived susceptibility, perceived severity, health literacy, and socio-demographics constant, mental health literacy was still a strong predictor (b = 0.03, p < 0.001) for the willingness to receive a COVID-19 vaccine (model R² adjusted = 40.14%). Conclusions: We identified mental health literacy as a substantial factor associated with the willingness to receive a COVID-19 vaccination among AI/AN respondents.application/pdfThis material has been previously published. In the Oklahoma State University Library's institutional repository this version is made available through the open access principles and the terms of agreement/consent between the author(s) and the publisher. The permission policy on the use, reproduction or distribution of the material falls under fair use for educational, scholarship, and research purposes. Contact Digital Resources and Discovery Services at lib-dls@okstate.edu or 405-744-9161 for further information.10.3390/vaccines11121793Articlemedical microbiologybiomedical and clinical sciencesclinical sciencesimmunologyimmunizationpreventionvaccine relatedAmerican Indian or Alaska Nativegood health and well beingCOVID-19health literacymental healthvaccine hesitancyORCID: 0000-0001-6391-1459 (Chen, X)ScopusID: 56937495300 (Chen, X)ORCID: 0000-0002-4932-9929 (Winterowd, C)ScopusID: 6602869840 | 57216959421 (Winterowd, C)ORCID: 0000-0001-6665-8559 (Li, M)ScopusID: 56061700700 (Li, M)ORCID: 0000-0001-5980-129X (Kreps, GL)ScopusID: 6701514201 (Kreps, GL)2076-393X