ArticleJournal of primary care & community health
Determining the Cutoff Points of the 5C Scale for Assessment of COVID-19 Vaccines Psychological Antecedents among the Arab Population: A Multinational Study.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Perceived risk and time costs as correlates of hepatitis vaccine hesitancy among Chinese university students: A ten‑university cross‑sectional study.Human vaccines & immunotherapeutics · 2026Article
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- Psychological determinants of vaccine hesitancy among Syrian refugees in Türkiye: a cross-sectional study.BMC public health · 2026Article
- Discriminative Cut-Offs, Concurrent Criterion Validity, and Test-Retest Reliability of the Oxford Vaccine Hesitancy Scale.Vaccines · 2025Article
- Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers.Vaccine: X · 2025Article
- Psychological antecedents of vaccine inequity: keys to improve the rates of vaccination.The Journal of the Egyptian Public Health Association · 2024Article
- The intention of Egyptian healthcare workers to take the monkeypox vaccine: is urgent action required?BMC health services research · 2024Article
- Extracting factors associated with vaccination from Twitter data and mapping to behavioral models.Human vaccines & immunotherapeutics · 2023Article
- Vaccine Hesitancy among Medical Students at a Tertiary Hospital-Affiliated Medical School.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Psychological Antecedents of Healthcare Workers towards Monkeypox Vaccination in Nigeria.Vaccines · 2022Article
- Exploring enablers and barriers toward COVID-19 vaccine acceptance among Arabs: A qualitative study.International journal of disaster risk reduction : IJDRR · 2022Article
- Article
- COVID-19 Vaccine Acceptance among Social Media Users: A Content Analysis, Multi-Continent Study.International journal of environmental research and public health · 2022Article
- COVID-19 vaccine acceptance and hesitancy among primary healthcare workers in Singapore.BMC primary care · 2022Article
- Review
- Willingness and uptake of the COVID-19 testing and vaccination in urban China during the low-risk period: a cross-sectional study.BMC public health · 2022Article
- Vaccine Hesitancy Drives Low Human Papillomavirus Vaccination Coverage in Girls Attending Public Schools in South Africa.Frontiers in public health · 2022Article
- Quality of life among health care workers in Arab countries 2 years after COVID-19 pandemic.Frontiers in public health · 2022Article
- Psychological determinants of COVID-19 vaccine acceptance among urban slum dwellers of Bangladesh.Frontiers in public health · 2022Article
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7 authors.
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Abstract
backgroundOne of the newly faced challenges during the COVID-19 is vaccine hesitancy (VH). The validated 5C scale, that assesses 5 psychological antecedents of vaccination, could be effective in exploring COVID-19 VH. This study aimed to determine a statistically valid cutoff points for the 5C sub-scales among the Arab population.
methodsA cross-sectional study was conducted among 446 subjects from 3 Arab countries (Egypt, United Arab Emirates (UAE), and Jordan). Information regarding sociodemographics, clinical history, COVID-19 infection and vaccination history, and 5C scale were collected online. The 5C scores were analyzed to define the cutoff points using the receiver operating characteristic curve (ROC) and to verify the capability of the questionnaire to differentiate whether responders are hesitant or non-hesitant to accept vaccination. ROC curve analysis was conducted for previous vaccine administration as a response, with the predictors being the main 5 domains of the 5C questionnaire. The mean score of each sub-scale was compared with COVID-19 vaccine intake.
resultsThe mean age of the studied population was 37 ± 11, 42.9% were males, 44.8% from Egypt, 21.1% from Jordan, and 33.6% from the UAE. Statistically significant differences between vaccinated and unvaccinated participants, respectively, were detected in the median score of confidence [6.0(1.3) versus 4.7(2.0)], complacency [(2.7(2.0) versus 3.0(2.0)], constraints [1.7(1.7) versus 3.7(2.3)], and collective responsibility [6.7(1.7) versus 5.7(1.7)]. The area under the curve of the 5 scales was 0.72, 0.60, 0.76, 0.66, 0.66 for confidence, complacency, constraints, calculation, and collective responsibility at cutoff values of 5.7, 4.7, 6.0, 6.3, and 6.2, respectively.
conclusionThe Arabic validated version of the 5C scale has a good discriminatory power to predict COVID-19 vaccines antecedent.
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