ArticlePLOS global public health2023
Validation of the Vaccination Trust Indicator (VTI) in a multi-country survey of adult vaccination attitudes.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global epidemiology, viral evolution, and public health responses: a systematic review on Mpox (1958-2024).Journal of global health · 2025Pooled it
- Effectiveness of an online vaccine misinformation game for Arabic-speaking Australians: a randomized controlled trial.Frontiers in public health · 2026Trial
- Debunking COVID-19 vaccine misinformation with an audio drama in Ghana, a randomized control trial.Scientific reports · 2025Trial
- Increasing trust in science through a "Do Your Own Research" intervention.Scientific reports · 2026Article
- Predictors of Willingness to Receive Monkeypox Vaccine in Palestine: A Cross-Sectional Study.Vaccines · 2025Article
- Characteristics of the First Italian Older Adults Vaccinated with an Adjuvanted Respiratory Syncytial Virus (RSV) Vaccine.Medicina (Kaunas, Lithuania) · 2025Article
- [Determinants of trust and acceptance of vaccines in the Dominican RepublicDeterminantes da confiança nas vacinas e sua aceitação na República Dominicana].Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Co-designing and pilot testing a digital game to improve vaccine attitudes and misinformation resistance in Ghana.Human vaccines & immunotherapeutics · 2024Article
- Moral foundations messaging to improve vaccine attitudes: An online randomized experiment from Argentina.PLOS global public health · 2024Article
- Persuasive COVID-19 vaccination campaigns on Facebook and nationwide vaccination coverage in Ukraine, India, and Pakistan.PLOS global public health · 2023Article
- Why Vaccinate Against COVID-19? A Population-Based Survey in Switzerland.International journal of public health · 2022Article
- Attitudes towards Monkeypox vaccination and predictors of vaccination intentions among the US general public.PloS one · 2022Article
- Determinants of COVID-19 Vaccine Hesitancy During the Pandemic: A Cross-Sectional Survey in the Canton of Vaud, Switzerland.International journal of public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Improved uptake of adult vaccinations could substantially reduce the burden of infectious disease worldwide, however very few countries achieve high coverage of recommended adult vaccinations. Vaccine hesitancy is an important driver of low vaccine uptake among adults but no measure currently exists to capture general vaccination attitudes in this population accurately and efficiently. We utilize data from two surveys of adult vaccine attitudes and uptake conducted in fifteen countries to evaluate the Vaccination Trust Indicator (VTI). The VTI is a six-item measure intended to capture general vaccine attitudes. We utilized multivariable logistic regression to examine the association between VTI scores and self-reported receipt of the seasonal influenza vaccine, receipt of a tetanus toxoid-containing vaccine and intent to receive the flu vaccine in the next season. In the five countries with self-reported vaccine receipt data, we found that a ten-point increase in VTI score was associated with a 50% increase in odds of influenza vaccine receipt (OR = 1.55, 95% CI = 1.48, 1.62) and 25% increase in the odds of tetanus vaccine receipt (OR = 1.26, 95% CI = 1.21, 1.30). Strong associations between VTI score and vaccine receipt were found in each country except China. A strong association between VTI score and intent to receive the influenza vaccine was found in all fifteen countries. The VTI is a promising tool for assessing adult immunization attitudes with clear and immediate uses for immunization programs globally.
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Registered trials
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.