In super-ageing Japan, COVID-19 vaccinations were starting to reach older people as of June 2021, which raises the issue of vaccine literacy. This study focuses on family members who work and also care for their older parents, as they are at risk of COVID-19 and also risk transmitting COVID-19 to the parents they care for and potentially influencing their parents’ vaccine uptake. Such family carers are central to the approach in Japan to achieving a sustainable and resilient society in response to ageing. Contrasting family carers’ COVID-19 vaccine literacy with their overall health literacy provides insights into their preparedness for COVID-19 vaccinations. The purpose of this study is to understand how vaccine literacy, compared to health literacy, varies across family carers and the sources of information they use. Through a cross-sectional online survey, family carers’ vaccine literacy, health literacy and their sources of information, including mass media, social media, health and care professionals, family, colleagues, friends, and others, were assessed. The participants’ (n = 292) mean age was 53, with 44% women, and an average of 8.3 h per week caring for their parents. Notwithstanding the increased risks from COVID-19 with age, COVID-19 vaccine literacy relative to health literacy for older family carers is lower on average, higher with increased provision of care, and more variable, resulting in a substantial proportion of older family carers with relatively low vaccine literacy. At this stage of vaccine rollout in Japan, family carers’ sources of information to inform COVID-19 vaccine literacy is distinct, including more national and local mass media versus less health and care professionals and informal networks, which indicates the importance of tailored health communication strategies to enhance vaccine literacy

Accentuated by the ongoing coronavirus disease (COVID-19) pandemic, the change in Japan to community-based health and care services for older adults indicates an urgent need to enhance and spread citizens’ understanding of care. This is a broader notion of care that incorporates conditions within the community to support the inclusion of older adults, involving not only those older adults receiving care and their direct providers of care, but also others in the community who are involved in the daily lives of these older adults. To underpin such a broader notion of care across citizens, this paper proposes ‘care literacy’ as a novel analytical concept, defined as the knowledge and capabilities that enable people in need of care to live their daily lives in the community and facilitate potential health and care solutions. Reflecting the interconnection of health and care and rooted in the local context, care literacy underpins aging by enabling this involvement of the broader community, and is disseminated through media and grassroot activities.

To address the COVID-19 pandemic, as with other infectious diseases, a key intervention is vaccination. Health communications are thus of vital importance for informing the public on the benefits and risks of vaccines. This in turn makes the readability of media content fundamental. Previous studies of COVID-19-related information have found the readability of online information considerably more difficult than recommended. However, studies on the readability of information related to COVID-19 vaccination in Asian contexts have yet to be carried out. Furthermore, especially in the case of the current pandemic, health information is communicated by a variety of information channels, including the internet and mass media. This paper investigates the readability of textual information on COVID-19 vaccination found online and in newspaper articles in parts of Asia where English is one of the main languages, namely Singapore, Hong Kong, and the Philippines. Readability was assessed using a set of readability tests (Flesch–Kincaid Reading Ease, Flesch–Kincaid Grade Level, Gunning Fog Index, Coleman–Liau Index, and Simple Measure of Gobbledygook Grade level). It was found that a low proportion of URLs scored within recommended readability thresholds, and did so consistently across locations and types of sources. Furthermore, a relatively low proportion of web searches returned information from local sources; most URLs linked to sources outside of Singapore, Hong Kong, or the Philippines. Further, local online and newspaper sources scored similarly poorly on readability on average compared to non-local sources. Understanding of fast-evolving health communications concerning COVID-19 vaccination encompasses information about vaccine development and deployment from other locations, as well as locally. Nevertheless, these findings indicated a fairly low proportion of local sources among the top search results, and relatively low (i.e., difficult-to-read) readability scores for top search results and for local newspapers. An important issue for health communications strategies addressing COVID-19 vaccination will therefore be to consider different types of media sources in order to achieve the right mix of local and non-local sources while also ensuring appropriate readability.

Addressing how employment impacts older adults, including their psychological well-being, we contribute to the study of this topic by examining the association between paid work in community-dwelling older adults and their depressive mood, while considering the extent of their financial pressure. Methods: The data are from the Kashiwa longitudinal cohort study, with a 2014 baseline and a 2016 follow-up. Of the 1308 participants in the 2014 survey, 781 people were included. We conducted binary logistic regression analyses stratified by economic status with regard to the extent of the financial pressure experienced. The independent variable of interest was paid work in 2014, and the dependent variable was the extent of depressive mood (a score of 5 or more on the Geriatric Depression Scale 15) in 2016. Results: Paid work was associated with lower odds of depressive mood among those under financial pressure (odds ratio [OR] 0.46, 95% confidence interval [95%CI] 0.26, 0.81), whereas for those financially stable, we did not find an association between paid work and odds of depressive mood (OR 0.99, [95%CI] 0.26, 2.63). Discussion: We evidence that for older adults under financial pressure, employment supports the maintenance of their psychological well-being. We contribute to the literature by understanding when employment is beneficial for older adults, which is important in developing appropriate older adult employment social policies.

While tolerance is recognised as important, especially to diverse societies, understanding tolerance poses complexities, both theoretically and in practical application. Tolerance is relevant in different social contexts, yet these pose distinct challenges to measurement. Thus, understanding the measurement of tolerance is important. This study provides a systematic review of tolerance scales, with the procedure based on the PRISMA statement. The initial collection of over 1600 papers through the systematic review process yielded a set of 11 papers. These papers trace the development of tolerance scales to encompass distinct social contexts over time, including political, cultural, ethnic and racial, racial and religious, gender and sexual, and social. Correspondingly, the approaches reflect particular challenges relevant to these domains for understanding and measuring tolerance. In contrast, some recent contributions aim to develop broader, less context-specific means to assess tolerance. Notwithstanding the breadth of articles included, this systematic review yielded articles that covered only selected Western-centric geographies: this indicates the opportunity for further research to access and integrate non-English-language articles to broaden the geographical and cultural perspectives on tolerance.

The informational domain related to COVID-19 reflects the degree of uncertainty and pace of evolution of the pandemic. This places a burden on peoples’ searches for information to guide their choices, importantly including for COVID-19 vaccines. Thus, it is important for health communications that support vaccination campaigns to attenuate vaccine hesitancy to be accessible, including in terms of readability, and adapted to the evolving pandemic. This paper aims to understand internet searches on COVID-19 vaccination, specifically the mix of sources and readability of the sources over a two-year period (2021–2023) in Singapore, Hong Kong, and the Philippines, for search results in English, as English is a main language for each of these locations. The sources accessed through online searches in June 2021 and May 2023 were categorized by type of source and whether they were from one of the focal locations or elsewhere. The readability of information from web-search results was assessed using a set of readability tests (Flesch–Kincaid Reading Ease, Flesch–Kincaid Grade Level, Gunning Fog Index, Coleman–Liau Index, and Simple Measure of Gobbledygook Grade level). Over the two-year period there was an increase in government sources and reduction in mass media sources with distinct local patterns. Local government sources increased in Singapore whereas foreign government and multi-lateral organization sources increased in Hong Kong, with the Philippines being an intermediate pattern. In contrast to the changing mix of sources, the readability tests indicate a low proportion of URLs scoring within recommended readability thresholds across locations and types of sources over the two years. Information on COVID-19 vaccine development and deployment is an important part of health communications that includes internet search. The paper contributes to understanding health communications during a pandemic, including mix of local and non-local sources and contingency on local social and health context.