Evidence map›Paper›PMID 39627491›Full record

ArticleThe Journal of the Egyptian Public Health Association2024

Psychological antecedents of vaccine inequity: keys to improve the rates of vaccination.

Mohamed F Hussein, Sarah A Ibrahim, Suzan Abdel-Rahman, Abdelhamid Elshabrawy, Haqema A A Nasr, Saja Yazbek, Abdul Jabbar, Cinaria T Albadri, Mariam Alsanafi, Narjiss Aji and 8 more

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Article in The Journal of the Egyptian Public Health Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

18 authors.

Mohamed F HusseinOccupational Health and Industrial Medicine Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt. hiph-mohamedfakhry@alexu.edu.eg.
Sarah A IbrahimBiostatistics and Demography Department, Faculty of Graduate Studies for Statistical Research, Cairo University, Cairo, Egypt.
Suzan Abdel-RahmanBiostatistics and Demography Department, Faculty of Graduate Studies for Statistical Research, Cairo University, Cairo, Egypt.
Abdelhamid ElshabrawyBiostatistics and Demography Department, Faculty of Graduate Studies for Statistical Research, Cairo University, Cairo, Egypt.
Haqema A A NasrParasitology and Immunity Department, Faculty of Medicine and Health Sciences, Amran University, Sanaa, Yemen.
Saja YazbekFaculty of Public Health, Lebanese University, Beirut, Lebanon.
Abdul JabbarDepartment of Veterinary Medicine, Faculty of Veterinary Science, University of Veterinary and Animal Sciences, Lahore (Punjab), 54600, Pakistan.
Cinaria T AlbadriDnipro Medical Institute of Traditional and Non-Traditional Medicine, Dublin, Ireland.
Mariam AlsanafiDepartment of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait City, Kuwait.
Narjiss AjiFaculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.
Naglaa YoussefDepartment of Medical-Surgical Nursing, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Hammad M HammadAl-Mana General Hospital, Khartoum, Sudan.
Fatimah S A AbdullahInternal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ehab ElrewanyTropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Mohamed M TahounDepartment of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Mahmoud TolbaClinical Research Department, Ministry of Health and Population, Faiyum, Egypt.
Mohamed K Abo SalamaFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ramy M GhazyTropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization (WHO) stresses the importance of worldwide vaccine coverage of coronavirus-19 (COVID-19) vaccination. This study fills a critical gap in the literature by providing empirical evidence on the factors influencing COVID-19 vaccine hesitancy and inequity in the Middle East and North Africa (MENA) region. This study investigated the determinants of psychological antecedents and other factors behind COVID-19 vaccination and their role in vaccine coverage in MENA.

methodsAn anonymous online cross-sectional survey was conducted in 11 MENA countries (Egypt, Sudan, Kuwait, Saudi Arabia, Morocco, Iraq, Yemen, Lebanon, Libya, Afghanistan, and Pakistan). The minimum required sample size from each country was 307, which was increased to 330 to accommodate a non-response rate of 7%. A multilevel logistic regression model was used to capture the clustering of observations in each country and estimate the explanatory variables' effects on each item of the 5C components of the psychological antecedents scale namely (confidence, constraints, complacency, calculation, and collective responsibility).

resultsThe total number of respondents was 3630, 40.5% of them were between the ages of 18 and 25 years, 61.1% were females, 54.0% completed university education, 55.8% were unmarried, 19.5% had chronic diseases, 43.7% reported a previous COVID-19 and 42.4% had relatives who died from COVID-19. Much of the variation in the log of the odds in each item of the 5Cs was due to heterogeneity between different countries (intraclass correlation > 0.05). Therefore, this variability confirms the various effects of psychological antecedents on vaccination coverage, stimulating vaccination inequity among them. Increasing confidence in vaccines and collective responsibility towards relatives and the community is related to increasing acceptance of the COVID-19 vaccine. The reduction in complacency, calculations, and constraints was found to be associated with acceptance of the COVID-19 vaccine.

conclusionsThis study is novel in shedding light on the importance of psychological determinants as hidden causes of vaccine inequities by using a multilevel logistic regression model for COVID-19 vaccination intention. The findings suggest that targeted interventions addressing socio-demographic factors, psychological antecedents, and accessibility barriers are essential to mitigate vaccine inequity and improve vaccination rates.

Indexed as

5C scaleCOVID-19 vaccineInequity of vaccinesSocial determinants of healthThe Middle East and North AfricaUniversal health coverage

Identifiers

PMID39627491
PMCPMC11615162

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.