Associations of Mental Health Issues with Health Literacy and Vaccination Readiness against COVID-19 in Long-Term Care Facilities—A Cross-Sectional Analysis

Sanftenberg L, Gschwendner M, Grass A, Rottenkolber M, Zöllinger I, Sebastiao M, Kühlein T, Hindenburg D, Gágyor I, Wildgruber D, Hausen A, Janke C, Hoelscher M, Teupser D, Dreischulte T, Gensichen J (2024)

Publication Type: Journal article

Publication year: 2024

Journal

European Journal of Investigation in Health, Psychology and Education MDPI

Book Volume: 14

Pages Range: 432-446

Journal Issue: 3

DOI: 10.3390/ejihpe14030029

Abstract

Vaccinations against COVID-19 are of the utmost importance in long-term care facilities. During the pandemic, mental health issues increased significantly. This cross-sectional analysis aimed to assess the associations of depression and anxiety with health literacy in people in need of care and the association of depression and burnout with vaccination readiness against COVID-19 in health care workers (HCWs). Within our cross-sectional study, people in need of care were assessed for symptoms of depression (PHQ-9), anxiety (GAD-7), and health literacy (HLS-EU-Q16). Among HCWs, we assessed symptoms of depression (PHQ-9) and burnout (MBI-HSS), as well as psychological antecedents of vaccination (5C) to measure vaccination readiness against COVID-19. A multivariate regression analysis was performed. Symptoms of a major depression were significantly associated with reduced health literacy (p = 0.010) in people in need of care. Among HCWs, symptoms of depression and burnout reduced vaccination readiness against COVID-19 significantly. In particular, collective responsibility was reduced in HCWs suffering from burnout symptoms (p = 0.001). People in need of care and their HCWs could benefit from intensified target group-specific vaccination counseling. Additionally, more attention should be paid to the protection of mental health in long-term care facilities.

Authors with CRIS profile

Maria Sebastiao Institute of General Practice Thomas Kühlein Lehrstuhl für Allgemeinmedizin

Related research project(s)

Bavarian outpatient COVID-19 monitor in long-term care (BACOM) April 1, 2021 - Dec. 31, 2023

Involved external institutions

Klinikum der Universität München DE Germany (DE) Universitätsklinikum Würzburg DE Germany (DE) Fachhochschule Münster DE Germany (DE)

How to cite

APA:

Sanftenberg, L., Gschwendner, M., Grass, A., Rottenkolber, M., Zöllinger, I., Sebastiao, M.,... Gensichen, J. (2024). Associations of Mental Health Issues with Health Literacy and Vaccination Readiness against COVID-19 in Long-Term Care Facilities—A Cross-Sectional Analysis. European Journal of Investigation in Health, Psychology and Education, 14(3), 432-446. https://doi.org/10.3390/ejihpe14030029

MLA:

Sanftenberg, Linda, et al. "Associations of Mental Health Issues with Health Literacy and Vaccination Readiness against COVID-19 in Long-Term Care Facilities—A Cross-Sectional Analysis." European Journal of Investigation in Health, Psychology and Education 14.3 (2024): 432-446.

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