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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.59598/ME-2305-6053-2025-114-1-17-29</article-id><article-id custom-type="elpub" pub-id-type="custom">medecol-916</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Навигационная и вакцинационная грамотность в отношении здоровья</article-title><trans-title-group xml:lang="en"><trans-title>Navigational and vaccination health literacy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Избасаров</surname><given-names>М. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Izbassarov</surname><given-names>M. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Медет Шинибекович Избасаров  </p><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>Medet Shinybekovich Izbassarov </p><p>100000, Karaganda, Gogol st., 40</p></bio><email xlink:type="simple">medet_95_95_ru@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Даулеткалиева</surname><given-names>Ж. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dauletkaliyeva</surname><given-names>Sh. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маханбетчин</surname><given-names>Е. Ж.</given-names></name><name name-style="western" xml:lang="en"><surname>Makhanbetchin</surname><given-names>E. Zh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра общественного здоровья и социальных наук</p><p>50060, г. Алматы, ул. Утепова 19а</p></bio><bio xml:lang="en"><p>Department of Public Health and Social Sciences</p><p>50060, Almaty, Utepova st., 19a</p></bio><email xlink:type="simple">ksph@ksph.kz</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>ДеЛеллис</surname><given-names>Н.</given-names></name><name name-style="western" xml:lang="en"><surname>DeLellis</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Школа по управлению здравоохранением</p><p>48859, штат Мичиган, Маунт-Плезант, Южная Франклин-стрит, 1200</p></bio><bio xml:lang="en"><p>School of Health Sciences</p><p>48859, Michigan, Mount Pleasant, South Franklin st., 120</p></bio><email xlink:type="simple">onecentral@cmich.edu</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Болатова</surname><given-names>Ж. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Bolatova</surname><given-names>Zh. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ердесов</surname><given-names>Н. Ж.</given-names></name><name name-style="western" xml:lang="en"><surname>Yerdessov</surname><given-names>N. Zh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жамантаев</surname><given-names>О. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhamantayev</surname><given-names>O. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каюпова</surname><given-names>Г. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kayupova</surname><given-names>G. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нукештаева</surname><given-names>К. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Nukeshtayeva</surname><given-names>K. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мақұлбек</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Маkulbek</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Такуадина</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Таkaudinа</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 100000, г. Караганда, ул. Гоголя, 40</p></bio><bio xml:lang="en"><p>100000, Karaganda, Gogol st., 40</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Школа общественного здоровья НАО «Медицинский университет Караганды»<country>Казахстан</country></aff><aff xml:lang="en">School of Public Health Karaganda Medical University NC JSC<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Казахстанский медицинский университет «Высшая школа общественного здравоохранения»<country>Казахстан</country></aff><aff xml:lang="en">Kazakhstan’s Medical University «KSPH»<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Центральный Мичиганский Университет<country>Соединённые Штаты Америки</country></aff><aff xml:lang="en">Central Michigan University<country>United States</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>16</day><month>05</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>17</fpage><lpage>29</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Избасаров М.Ш., Даулеткалиева Ж.А., Маханбетчин Е.Ж., ДеЛеллис Н., Болатова Ж.Е., Ердесов Н.Ж., Жамантаев О.К., Каюпова Г.С., Нукештаева К.Е., Мақұлбек А.С., Такуадина А.И., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Избасаров М.Ш., Даулеткалиева Ж.А., Маханбетчин Е.Ж., ДеЛеллис Н., Болатова Ж.Е., Ердесов Н.Ж., Жамантаев О.К., Каюпова Г.С., Нукештаева К.Е., Мақұлбек А.С., Такуадина А.И.</copyright-holder><copyright-holder xml:lang="en">Izbassarov M.S., Dauletkaliyeva S.A., Makhanbetchin E.Z., DeLellis N., Bolatova Z.E., Yerdessov N.Z., Zhamantayev O.K., Kayupova G.S., Nukeshtayeva K.E., Маkulbek A.S., Таkaudinа A.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medecol.qmu.kz/jour/article/view/916">https://medecol.qmu.kz/jour/article/view/916</self-uri><abstract><p>Изучен международный опыт и провести анализ литературы по навигационной и вакцинационной грамотности в вопросах здоровья. Проведен обзорный анализ научных публикаций, посвященных навигационной и вакцинационной грамотности в вопросах здоровья. Для сбора данных были использованы базы данных PubMed, Web of Science, Cochrane database of systematic reviews, Scopus, также некоторые медицинские журналы. Критериями отбора были: использование ключевых слов (navigational health literacy, vaccination health literacy, health literacy, навигационная грамотность, вакцинационная грамотность, медицинская грамотность), бесплатный доступ к полному тексту, временной промежуток с 2000 по 2023 года. Всего было проанализировано 176 работ, из них отобраны 83.</p><p>Навигационная и вакцинационная грамотность формируются под влиянием социально-демографических и экономических факторов, уровня образования, доступности информации и организации медицинских услуг. Навигационная грамотность зависит от структуры медицинских учреждений, удобства записи на прием и цифровых навыков. Вакцинационная грамотность определяется пониманием принципов вакцинации, доверием к медицинским провайдерам и критическим мышлением в оценке информации. Основные барьеры включают дезинформацию, страх осложнений и антивакцинальные настроения. Восприятие риска играет ключевую роль в принятии решений о вакцинации, особенно среди родителей и пожилых людей.</p><p>Навигационная и вакцинационная грамотность играют ключевую роль в доступности медицинских услуг и успешной иммунизации. Анализ исследований показал, что организация медицинского пространства, доступность информации и доверие к вакцинации влияют на удовлетворенность пациентов и их поведение. Основные барьеры включают информационные и технологические препятствия, а также антивакцинальные настроения. Улучшение медицинской грамотности и оптимизация сервисов могут повысить уровень вакцинации и укрепить общественное здоровье.</p></abstract><trans-abstract xml:lang="en"><p>The aim of this review is to study international experience and conduct a literature review on navigational and vaccination literacy in health. A review analysis of scientific publications dedicated to navigational and vaccination health literacy was conducted. Data collection was carried out using the PubMed, Web of Science, Cochrane Database of Systematic Reviews, and Scopus databases, as well as some medical journals. The selection criteria included the use of keywords (navigational health literacy, vaccination health literacy, health literacy), free access to the full text, and a time frame from 2000 to 2023. A total of 176 studies were analyzed, of which 83 were selected.</p><p>Navigational and vaccination health literacy are shaped by socio-demographic and economic factors, education level, information accessibility, and the organization of healthcare services. Navigational health literacy depends on the structure of medical institutions, the convenience of appointment scheduling, and digital skills. Vaccination health literacy is determined by an understanding of vaccination principles, trust in healthcare providers, and the ability to critically evaluate information. Key barriers include misinformation, fear of complications, and anti-vaccination attitudes. Risk perception plays a crucial role in vaccination decision-making, especially among parents and older adults.</p><p>Navigational and vaccination health literacy play a crucial role in the accessibility of medical services and successful immunization. Analysis of studies has shown that the organization of medical spaces, accessibility of information, and trust in vaccination influence patient satisfaction and behavior. The main barriers include informational and technological challenges, as well as anti-vaccination sentiments. Enhancing health literacy and optimizing services can improve vaccination rates and strengthen public health.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>медицинская грамотность</kwd><kwd>навигационная грамотность</kwd><kwd>вакцинационная грамотность</kwd><kwd>грамотность в вопросах здоровья</kwd><kwd>здоровье</kwd><kwd>профилактика</kwd><kwd>вакцинация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>health literacy</kwd><kwd>navigation literacy</kwd><kwd>vaccination literacy</kwd><kwd>health</kwd><kwd>prevention</kwd><kwd>immunization</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Амлаев К.Р., Муравьева В.Н., Койчуев А.А., Уткина Г.Ю. Медицинская грамотность (компетентность): состояние проблемы, способы оценки, методики повышения грамотности пациентов в вопросах здоровья. 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