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Evaluating the Psychometric Properties of the 7C Vaccination Readiness Scale: Evidence from Slovenia Cover

Evaluating the Psychometric Properties of the 7C Vaccination Readiness Scale: Evidence from Slovenia

Open Access
|Mar 2026

Figures & Tables

Table 1.

Sample characteristics.

f%
GenderMale69651.5
Female65448.5
EducationIncomplete primary education30.2
Primary education513.8
Lower or secondary vocational education20315.0
Secondary professional education47635.2
General secondary education20815.4
Higher vocational education, post-secondary education (previous higher education, 2 years + diploma)836.2
Higher vocational education, post-secondary education (former VS - 3 years, 1st Bologna degree)1077.9
University degree (4-can be 6 years + diploma)1239.1
Bologna Master's degree423.1
Specialisation20.2
Master's degree251.9
Doctorate191.4
Economic situationVery difficult533.9
Quite difficult17513.0
Neither difficult nor easy52338.8
Quite easy36527.0
Very easy22016.3
AgeMSD
47.4815.44

[i] Note: Economic situation was assessed using the following question: “Considering the total income of your household (including all income sources of all household members), how difficult or easy was it for your household to cover all essential expenses during the past two months?” Responses were recorded on a 5-point scale ranging from very difficult to very easy, with higher values indicating a more favourable perceived economic situation.

Table 2.

Measuring items for 7C vaccination readiness scale.

ComponentsItem
Confidence1. Vaccination side effects occur rarely and are not severe for me.
2. Political decisions about vaccinations are scientifically grounded.
3. I am convinced that appropriate authorities do only allow effective and safe vaccines.
Complacency4. I do not need vaccinations because infectious diseases do not hit me hard. (R)
5. Vaccination is unnecessary for me because I rarely get ill anyway. (R)
6. I get vaccinated because it is too risky to get infected.
Constraints7. I make sure to receive the most important vaccinations in good time.
8. Vaccinations are so important to me that I prioritise getting vaccinated over other things.
9. I sometimes miss out on vaccinations because vaccinations are bothersome. (R)
Calculation10. I get vaccinated when I do not see any disadvantages for me. (R)
11. I only get vaccinated when the benefits clearly outweigh the risks. (R)
12. For each vaccine, I carefully consider whether I need it. (R)
Collective responsibility13. I also get vaccinated because protecting vulnerable risk groups is important to me.
14. I see vaccination as a collective task against the spread of diseases.
15. I also get vaccinated because I am thereby protecting other people.
Compliance16. It should be possible to exclude people from public activities (e.g., concerts) when they are not vaccinated against a specific disease.
17. The health authorities should use all possible means to achieve high vaccination rates.
18. It should be possible to sanction people who do not follow the vaccination recommendations by health authorities.
Conspiracy19. Vaccinations cause diseases and allergies that are more serious than the diseases they are supposed to protect from. (R)
20. Health authorities knuckle under to the power and influence of pharmaceutical companies. (R)
21. Vaccinations contain chemicals in toxic doses. (R)

[i] Note: Geiger et al. (8).

Table 3.

Convergent validity of the 7C vaccination readiness scale.

Conspiratorial thinking
G−0.364**
Complacency1.602
Constraints1.486
Calculation−0.076*
Collective responsibility0.190**
Compliance0.026
Conspiracy−0.240**

Legend:

* p < 0.05,

** p < 0.01, G = general vaccination readiness component. Correlation coefficients for Complacency and Constraints exceed the typical −1 to +1 range, indicating instability in these specific factors within the bifactor model structure.

Table 4.

Criterion validity of the 7C and 5C vaccination readiness scales.

7C5C
Modelβpβp
G0.662< 0.0010.654< 0.001
Complacency0.0690.9600.0560.046
Constraints0.5200.566−0.2300.001
Calculation0.128< 0.0010.174< 0.001
Collective responsibility0.0030.9140.0340.325
Compliance0.124< 0.001
Conspiracy0.0070.819
R20.7450.515

[i] Legend: G = general vaccination readiness component, β = standardized beta coefficient, p = probability value, R2 = coefficient of determination

DOI: https://doi.org/10.2478/sjph-2026-0004 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 25 - 33
Submitted on: Jul 30, 2025
Accepted on: Jan 15, 2026
Published on: Mar 1, 2026
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2026 Mitja Vrdelja, Stefani Branilović, Monika Lamot, Andrej Kirbiš, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution 4.0 License.