Evidence map›Paper›PMID 35039193›Full record

Observational studyVaccine2022

COVID-19 and missed or delayed vaccination in 26 middle- and high-income countries: An observational survey.

Gilla K Shapiro, Nisha Gottfredson, Julie Leask, Kerrie Wiley, Francine E Ganter-Restrepo, Sarah P Jones, Lisa Menning, Noel T Brewer

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 6% of its field
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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  8. Evidence gaps and challenges in maintaining and increasing vaccine uptake: A Delphi survey with Australian stakeholders.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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  20. An Overview of Strategies to Improve Vaccination Compliance before and during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
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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

8 authors at 5 institutions in 5 countries.

Gilla K ShapiroDepartment of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. Electronic address: gilla.shapiro@uhnresearch.ca.
Nisha GottfredsonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Julie LeaskSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Kerrie WileySchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Francine E Ganter-RestrepoDepartment of Immunization, Vaccines and Biologicals, World Health Organization, Geneva, Switzerland.
Sarah P JonesInstitute of Global Health Innovation, Imperial College London, St Mary's Hospital, London, United Kingdom.
Lisa MenningDepartment of Immunization, Vaccines and Biologicals, World Health Organization, Geneva, Switzerland.
Noel T BrewerDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, United States.
University of North Carolina at Chapel Hill · USUniversity of Sydney · AUWorld Health Organization · CHImperial College London · GBUniversity Health Network · CA

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has disrupted vaccination services and raised the risk of a global resurgence of preventable diseases. We assessed the extent of and reasons for missed or delayed vaccinations (hereafter 'missed') in middle- and high-income countries in the early months of the pandemic.

methodsFrom May to June 2020, participants completed an online survey on missed vaccination. Analyses separated missed childhood and adult vaccination in middle-and high-income countries.

resultsRespondents were 28,429 adults from 26 middle- and high-income countries. Overall, 9% of households had missed a vaccine, and 13% were unsure. More households in middle- than high-income countries reported missed childhood vaccination (7.6% vs. 3.0%) and missed adult vaccination (9.6% vs. 3.4%, both p < .05). Correlates of missed childhood vaccination in middle-income countries included COVID-19 risk factors (respiratory and cardiovascular diseases), younger age, male sex, employment, psychological distress, larger household size, and more children. In high-income countries, correlates of missed childhood vaccination also included immunosuppressive conditions, but did not include sex or household size. Fewer correlates were associated with missed adult vaccination other than COVID-19 risk factors and psychological distress. Common reasons for missed vaccinations were worry about getting COVID-19 at the vaccination clinic (15%) or when leaving the house (11%). Other reasons included no healthcare provider recommendation, clinic closure, and wanting to save services for others.

interpretationMissed vaccination was common and more prevalent in middle- than high-income countries. Missed vaccination could be mitigated by emphasizing COVID-19 safety measures in vaccination clinics, ensuring free and accessible immunization, and clear healthcare provider recommendations.

Indexed as

COVID-19AdultChildDeveloped CountriesHumansMalePandemicsSARS-CoV-2Surveys and QuestionnairesVaccinationCOVID-19Cross-country analysisImmunizationUnder-vaccination

Identifiers

PMID35039193
PMCPMC8687753
OpenAlexW4200305643

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.