hemar-g Hemşirelikte Araştırma Geliştirme Dergisi 1307-9557 1307-9549 Hemşirelikte Araştırma Geliştirme Derneği 10.69487/hemarge.1798131 Public Health Nursing Nurse Education Halk Sağlığı Hemşireliği Hemşirelik Eğitimi Sağlık Bilimleri Fakültesi Öğrencilerinde COVID-19 Aşı Okuryazarlığı, Aşıya Yönelik Tutumlar ve İlgili Faktörler COVID-19 Vaccine Literacy, Attitudes Towards Vaccine, and Related Factors Among Health Sciences Faculty Students https://orcid.org/0000-0001-7752-605X Erol Saime MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HALK SAĞLIĞI HEMŞİRELİĞİ ANABİLİM DALI Çın Dilara MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HALK SAĞLIĞI HEMŞİRELİĞİ ANABİLİM DALI Davarcı Kerime MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR. Yılmaz Akbıyık Edanur MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR. Çınar Esma MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR. Cengiz Halim MARMARA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, HEMŞİRELİK PR. 04 28 2026 28 1 34 46 10 09 2025 02 23 2026 Copyright © 1999, Hemşirelikte Araştırma Geliştirme Dergisi 1999 Hemşirelikte Araştırma Geliştirme Dergisi

Amaç: Bu çalışmada sağlık bilimleri öğrencileri arasında COVID-19 aşı okuryazarlığı, tutumları ve ilişkili faktörlerin belirlenmesi amaçlanmıştır.Yöntem: Bu tanımlayıcı kesitsel çalışma, Şubat-Nisan 2022 tarihleri arasında Sağlık Bilimleri Fakültesi’nden 608 öğrenci ile yürütülmüştür. Veriler çevrimiçi olarak, Sosyodemografik Özellikler Anketi, COVID-19 Aşı Okuryazarlığı Ölçeği ve COVID-19 Aşısına Yönelik Tutumlar Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Bağımsız Örneklem t-testi, tek yönlü ANOVA ve pearson korelasyon testi kullanılmış, istatistiksel anlamlılık düzeyi p

Aim: This study aimed to determine COVID-19 vaccine literacy, attitudes, and related factors among health sciences students. Method: This descriptive cross-sectional study was conducted with 608 students from the Faculty of Health Sciences between February-April 2022. Data were collected online using the Sociodemographic Characteristics Questionnaire, the COVID-19 Vaccine Literacy Scale, and the Attitudes Towards the COVID-19 Vaccine Scale. Descriptive statistics, Independent Samples t-test, one-way ANOVA, and pearson correlation were used, with statistical significance set at p

 COVID-19 health sciences students vaccine literacy vaccine attitudes COVID-19 sağlık bilimleri öğrencileri aşı okuryazarlığı aşı tutumları Abuhammad, S., Khabour, O. F., Alzoubi, K. H., Hamaideh, S., Alzoubi, B. A., Telfah, W. S., & El-zubi, F. K. (2022). The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan. PLoS ONE, 17(7), 1-12. https://doi.org/10.1371/journal.pone.0271625 Akman Dömbekci, H. A., & Güzel, Ş. (2023). Sağlık bilimleri fakültesi öğrencilerinin aşı okuryazarlık düzeylerinin aşı tereddütüne etkisi. EKEV Akademi Dergisi, 93(1), 272-282. https://doi.org/10.17753/sosekev.1226955 Alshehry, A. S., Cruz, J. P., Alquwez, N., Alsharari, A. F., Tork, H. M. M., Almazan, J. U., … Balay-Odao, E. (2022). Predictors of nursing students’ intention to receive COVID-19 vaccination: A multi-university study in Saudi Arabia. Journal of Advanced Nursing, 78(2), 446-457. https://doi.org/10.1111/jan.15002 Arabacı, Z., & Ulaş Karaahmetoğlu, G. (2024). COVID-19 perceptions, avoidance and vaccine attitudes of nursing students: Case of Türkiye. Etkili Hemşirelik Dergisi, 17(1), 111-122. https://doi.org/10.46483/deuhfed.1104030 Badua, A. R., Caraquel, K. J., Cruz, M., & Narvaez, R. A. (2022). Vaccine literacy: A concept analysis. International Journal of Mental Health Nursing, 31(4), 857-867. https://doi.org/10.1111/inm.12988 Bai, W., Cai, H., Liu, S., Liu, H., Qi, H., Chen, X., … Xiang, Y. (2021). Attitudes toward COVID-19 vaccines in Chinese college students. International Journal of Biological Sciences, 17(6), 1469-1475. https://doi.org/10.7150/ijbs.58835 Başkaya, E., & Kaya, Ç. (2023). Bireylerin aşılara yönelik tutumları üzerine COVID-19 korkusunun etkisi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 16(1), 27-38. https://doi.org/10.46483/deuhfed.1013479 Biasio, L. R., Bonaccorsi, G., Lorini, C., & Pecorelli, S. (2021). Assessing COVID-19 vaccine literacy: A preliminary online survey. Human Vaccines & Immunotherapeutics, 17(5), 1304-1312. https://doi.org/10.1080/21645515.2020.1829315 Biasio, L. R., Zanobini, P., Lorini, C., & Bonaccorsi, G. (2024). Perspectives in the development of tools to assess vaccine literacy. Vaccines, 12(4), 1-29. https://doi.org/10.3390/vaccines12040422 Callaway, E. (2020). The race for coronavirus vaccines: A graphical guide. Nature, 580(7805), 576-577. https://doi.org/10.1038/d41586-020-01221-y Centers for Disease Control and Prevention (CDC). (2025). Benefits of getting vaccinated. CDC. https://www.cdc.gov/covid/vaccines/benefits.html Durmuş, A., Akbolat, M., & Amarat, M. (2021). COVID-19 Aşı Okuryazarlığı Ölçeği’nin Türkçe geçerlilik ve güvenirliliği. Çukurova Tıp Dergisi, 46(2), 732-741. https://doi.org/10.17826/cumj.870432 Durmuş Iskender, M., Eren, H., & Durmuş, A. (2023). The effect of COVID-19 vaccine literacy on attitudes towards COVID-19 vaccine among university students. Health Information and Libraries Journal, 40(3), 307-318. https://doi.org/10.1111/hir.12489 Elmaoğlu, E., Sungur, M., Çelik, M., & Öztürk Çopur, E. (2021). Bireylerde COVID-19 aşısına yönelik tutum ile COVID-19 kontrolü algısı arasındaki ilişki. Toplum ve Sosyal Hizmet, 1(COVID-19 Special Issue), 337-353. https://doi.org/10.33417/tsh.978616 Geniş, B., Gürhan, N., Koç, M., Geniş, Ç., Şirin, B., Çırakoğlu, O. C., & Coşar, B. (2020). Development of perception and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences & Humanities, 5(7), 306-328. https://doi.org/10.46872/pj.127 Goodyear, V. A., Armour, K. M., & Wood, H. (2019). Young people and their engagement with health-related social media: New perspectives. Sport, Education and Society, 24(7), 673-688. https://doi.org/10.1080/13573322.2017.1423464 Gürbüz, S., & Aydın, B. O. (2023). The mediating role of social media news confirmation/trust in the effect of COVID-19 vaccine literacy on attitudes towards vaccination. Gümüşhane Üniversitesi İletişim Fakültesi Elektronik Dergisi, 11(2), 1286-1316. Hurley, L. P., Kurlandsky, K., Breslin, K., Stein, A., Hambidge, S. J., Shoup, J. A., … Williams, J. T. B. (2025). Attitudes and beliefs regarding COVID-19 and COVID-19 Omicron booster vaccine among adults in the Vaccine Safety Datalink, 2022-2023. Human Vaccines & Immunotherapeutics, 21(1), 1-10. https://doi.org/10.1080/21645515.2025.2467548 Ishikawa, H., Takeuchi, T., & Yano, E. (2008). Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care, 31(5), 874-879. https://doi.org/10.2337/dc07-1932 Jayawardana, S., Esquivel, M., Orešković, T., & Mossialos, E. (2024). Gender differences in COVID-19 preventative measures and vaccination rates in the United States: A longitudinal survey analysis. Vaccine, 42(23), 4012-4018. https://doi.org/10.1016/j.vaccine.2024.06.012 Karagöz, Y., Yalman, F., & Karaşin, Y. (2022). Covid-19’a yönelik komplo teorilerinin aşı tereddüdüne etkisi: Aşı tutumunun aracı rolü. Çağ Üniversitesi Sosyal Bilimler Dergisi, 19(2), 19-31. Kawuki, J., Chen, S., Fang, Y., Liang, X., Chan, P. S.-f., & Wang, Z. (2023). COVID-19 vaccine acceptance, attitude and perception among slum and underserved communities: A systematic review and meta-analysis. Vaccines, 11(5), 1-22. https://doi.org/10.3390/vaccines11050886 Korkut, S., Ülker, T., & Çidem, A. (2022). COVID-19 aşı okuryazarlığı ve COVID-19 aşısına yönelik tutumları etkileyen faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 1041-1050. https://doi.org/10.37989/gumussagbil.1051425 Kranzler, E. C., Luchman, J. N., Margolis, K. A., Ihongbe, T. O., Kim, J.-E. C., Denison, B., … Hoffman, L. (2024). Association between vaccination beliefs and COVID-19 vaccine uptake in a longitudinal panel survey of adults in the United States, 2021-2022. Vaccine X, 17(1), 1-9. https://doi.org/10.1016/j.jvacx.2024.100458 Lacob, C. I., Ionescu, D., Avram, E., & Cojocaru, D. (2021). COVID-19 pandemic worry and vaccination intention: The mediating role of the health belief model components. Frontiers in Psychology, 12(1), 1-8. https://doi.org/10.3389/fpsyg.2021.674018 Leelacharas, S., Maneesriwongul, W., Butsing, N., Kittipimpanon, K., & Visudtibhan, P. J. (2024). Acceptance of COVID-19 vaccination and vaccine hesitancy among people with chronic diseases in Thailand: Role of attitudes and vaccine literacy towards future implications. Patient Preference and Adherence, 18(1), 1815-1828. https://doi.org/10.2147/PPA.S462014 Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K., & Larson, H. J. (2021). Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nature Human Behaviour, 5(3), 337-348. https://doi.org/10.1038/s41562-021-01056-1 Mondal, P., Sinharoy, A., & Su, L. (2021). Sociodemographic predictors of COVID-19 vaccine acceptance: A nationwide US-based survey study. Public Health, 198(1), 252-259. https://doi.org/10.1016/j.puhe.2021.07.028 Ramot, S., & Tal, O. (2022). Attitudes of healthcare workers and members of the public toward the COVID-19 vaccine: A cross-sectional survey. Human Vaccines & Immunotherapeutics, 18(6), 1-12. https://doi.org/10.1080/21645515.2022.2124782 Riad, A., Bahavan, B., & Koščik, M. (2025). From institutional trust to digital literacy: Socioeconomic and political determinants of COVID-19 vaccine hesitancy among Czech adults based on a national panel survey. Human Vaccines & Immunotherapeutics, 21(1), 1-24. https://doi.org/10.1080/21645515.2025.2533639 Skafle, I., Nordahl-Hansen, A., Quintana, D. S., Wynn, R., & Gabarron, E. (2022). Misinformation about COVID-19 vaccines on social media: Rapid review. Journal of Medical Internet Research, 24(8), 1-20. https://doi.org/10.2196/37367 Sönmez Sarı, E., & Kırbaş, Z. Ö. (2023). Üniversite öğrencilerinde COVID-19 aşı okuryazarlığı ve aşı karşıtlığı. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, 5(2), 141-150. https://doi.org/10.46413/boneyusbad.1274199 Torun, G., Ar, I., Akgenç, F., & Karahan, A. (2025). The mediating effect of e-health literacy on health belief model-based vaccine attitudes among parents in Türkiye: A cross-sectional study. BMC Public Health, 25(1), 1-11. https://doi.org/10.1186/s12889-025-23135-y Venkataraman, R., Yadav, U., Shrestha, Y., Narayanaswamy, S., & Basavaraju, S. H. P. (2023). Knowledge and attitudes toward the COVID-19 vaccine among India's general rural population. Vacunas, 24(2), 128-134. https://doi.org/10.1016/j.vacun.2022.11.002 World Health Organization (WHO). (2019). Ten threats to global health in 2019. WHO. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 World Health Organization (WHO). (2020). WHO issues its first emergency use validation for a COVID-19 vaccine and emphasizes need for equitable global access. WHO. https://www.who.int/news/item/31-12-2020-who-issues-its-first-emergency-use-validation-for-a-covid-19-vaccine-and-emphasizes-need-for-equitable-global-access World Health Organization (WHO). (2021). Coronavirus disease (COVID-19): How is it transmitted? WHO. https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-covid-19-how-is-it-transmitted World Health Organization (WHO). (2024). Vaccines and immunization: What is vaccination? WHO. https://www.who.int/news-room/questions-and-answers/item/vaccines-and-immunization-what-is-vaccination World Health Organization (WHO). (2025a). Coronavirus disease (COVID-19). WHO. https://www.who.int/health-topics/coronavirus#tab=tab_1 World Health Organization. (2025b). COVID-19 cases, world. WHO. https://data.who.int/dashboards/covid19/cases?n=o Xie, Z., Qalati, S. A., Limón, M. L. S., Sulaiman, M. A. B. A., & Qureshi, N. A. (2023). Understanding factors influencing healthcare workers' intention towards the COVID-19 vaccine. PLoS One, 18(7), 1-15. https://doi.org/10.1371/journal.pone.0286794 Yıldırım Gökşen, D. F., Uludağ, E., & Özkan, S. (2023). Türkiye’de hemşirelik öğrencilerinde COVID-19 aşı okuryazarlığı ile sosyodemografik özelliklerin aşı tutumlarına etkisi. Etkili Hemşirelik Dergisi, 16(3), 373-382. https://doi.org/10.46483/jnef.1327413 Zhang, E., Dai, Z., Wang, S., Wang, X., Zhang, X., & Fang, Q. (2023). Vaccine literacy and vaccination: A systematic review. International Journal of Public Health, 68(1), 1-7. https://doi.org/10.3389/ijph.2023.1605606 Zhang, Q., Zhang, R., Wu, W., Liu, Y., & Zhou, Y. (2023). Impact of social media news on COVID-19 vaccine hesitancy and vaccination behavior. Telematics and Informatics, 80(1), 1-17. https://doi.org/10.1016/j.tele.2023.101983