Evidence map›Paper›PMID 41701926›Full record

ArticleJMIR public health and surveillance2026

COVID-19 Information Sources and Vaccination Status Among Californian Adults by Generation Using the 2022 California Health Interview Survey: Cross-Sectional Study.

Julia Forest Zabala, Melissa Sablik, Gina R Finical, Victoria F Keeton, Janice F Bell

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Julia Forest ZabalaBetty Irene Moore School of Nursing, University of California, Davis, 2570 48th Street, Sacramento, CA, 95817, United States, 1 (916) 734-2145.ORCID http://orcid.org/0009-0000-3824-9088
Melissa SablikBetty Irene Moore School of Nursing, University of California, Davis, 2570 48th Street, Sacramento, CA, 95817, United States, 1 (916) 734-2145.ORCID http://orcid.org/0009-0004-9074-6355
Gina R FinicalBetty Irene Moore School of Nursing, University of California, Davis, 2570 48th Street, Sacramento, CA, 95817, United States, 1 (916) 734-2145.ORCID http://orcid.org/0009-0001-6483-0383
Victoria F KeetonBetty Irene Moore School of Nursing, University of California, Davis, 2570 48th Street, Sacramento, CA, 95817, United States, 1 (916) 734-2145.ORCID http://orcid.org/0000-0002-6707-6611
Janice F BellBetty Irene Moore School of Nursing, University of California, Davis, 2570 48th Street, Sacramento, CA, 95817, United States, 1 (916) 734-2145.ORCID http://orcid.org/0000-0002-6528-0686

Funding

Research to Advance Connected and Community Health Equity (ReACH Equity)T32NR021294 · NINR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI COURTNEY REES LYLES, Leigh Ann Simmons · 2024 to 2026
$597k
NINR NIH HHS T32 NR021294
6 · The paper itself

Abstract

Background: As communication technology advances and the digital divide grows, a deeper understanding of the influence of different information sources on vaccine uptake by generations can inform targeted public health interventions in times of future crisis. While the COVID-19 pandemic highlighted the role of media sources on the decision to receive vaccines, no studies have focused on the impact of the type and number of information sources in a population-based sample in California. Objective: In this study, we examined associations between Californians' self-reported most relied upon COVID-19 information sources, categorized by type and measured as a count, and their COVID-19 vaccination status using data collected from the 2022 California Health Interview Survey. To address differences in information preferences and vaccine uptake by age, we also tested for potential effect modification of the relationship between relied upon COVID-19 information sources and vaccination status by generational membership (eg, Generation Z, millennials, Generation X, baby boomers, and Silent Generation). Methods: We conducted a secondary analysis of cross-sectional data from the 2022 California Health Interview Survey. Vaccine status (any or none) was modeled as a function of information sources (or count) controlling for important sociodemographic and health confounding variables. Interaction terms of information sources (or count) by generational status were added to the models to test effect modification, and if significant, the models were stratified by generation. All analysis was survey-weighted to account for the complex survey sampling design. Results: Compared to relying on traditional news media for COVID-19 information, relying on word of mouth (odds ratio [OR] 0.6), social media (OR 0.62), and doctors (OR 0.41) for COVID-19 information was associated with lower odds of being vaccinated for COVID-19. A dose-response relationship was identified, with each additional information source associated with 9% higher odds of being vaccinated for COVID-19. In stratified models, social media, compared to traditional news media, was associated with lower odds of vaccination for Generation X, baby boomers, and the Silent Generation. Conclusions: Health information preferences, especially for traditional news media, are associated with COVID-19 vaccine uptake, and the information sources differ by generation. These findings provide information for stakeholders interested in vaccine hesitancy, health informatics, messaging strategies, health literacy, and future health information outreach programs during epidemics or pandemics. Dissemination of public health information should include multiple information sources to reach all individual preferences across different generations.

Indexed as

COVID-19COVID-19 VaccinesVaccinationAdolescentAdultAgedCaliforniaCross-Sectional StudiesFemaleHealth SurveysHumansMaleMedia ExposureMiddle AgedSARS-CoV-2Young AdultCOVID-19 VaccinesCOVID-19COVID-19 vaccinesgenerational membershiphealth literacyinformation sourcesmediapandemicsself-reportsocial mediavaccination hesitancy

Identifiers

PMID41701926
PMCPMC12912651

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.