Evidence map›Paper›PMID 40266242›Full record

ArticleVaccines2025

Determinants of Ukrainian Mothers' Intentions to Vaccinate Their Children in Poland: A Cross-Sectional Study.

Katarzyna Lewtak, Joanna Mazur, Harriet Dwyer, Agnieszka Sochoń-Latuszek, Anastasiya Atif, Tomasz Maciejewski, Dorota Kleszczewska

Abstract read
In one paragraph

Article in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Katarzyna LewtakDepartment of Social Medicine and Public Health, Medical University of Warsaw, 02-106 Warsaw, Poland.ORCID 0000-0002-2996-583X
Joanna MazurDepartment of Humanization of Medicine and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland.ORCID 0000-0002-3937-7230
Harriet DwyerDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0009-0006-5984-2589
Agnieszka Sochoń-LatuszekUNICEF Refugee Response Office in Poland, 00-869 Warsaw, Poland.
Anastasiya AtifUNICEF Refugee Response Office in Poland, 00-869 Warsaw, Poland.ORCID 0000-0001-9663-649X
Tomasz MaciejewskiClinic of Obstetrics and Gynaecology, Institute of Mother and Child, 01-211 Warsaw, Poland.
Dorota KleszczewskaInstitute of Mother and Child Foundation, 01-211 Warsaw, Poland.ORCID 0000-0001-7523-8628

Funding

CANGive Funds SH220017
6 · The paper itself

Abstract

BACKGROUND/

objectivesIn 2022, the full-scale invasion in Ukraine forced over 6 million Ukrainians, primarily mothers and children, to seek safety outside of the country. This massive influx has posed a significant challenge to the Polish healthcare system, particularly regarding routine vaccination for children. This study aims to examine the vaccination intentions of displaced Ukrainian mothers, their compliance with the Polish National Immunisation Programme (PNIP), and the factors that influence these intentions.

methodsA web-based survey (June-July 2023) was conducted among Ukrainian mothers in Poland. The questionnaire assessed the importance placed on vaccination, knowledge of PNIP, and concerns related to displacement and vaccination. Hierarchical logistic regression identified key determinants.

resultsAmong 2572 respondents, 64.5% reported that their children had received only some or none of the recommended vaccines. Key barriers included unfamiliarity with PNIP, limited knowledge of vaccines, and concerns about vaccine side effects. Of mothers whose children had not followed PNIP, 41.7% intended to vaccinate, 33.1% refused, and 25.2% were undecided. Regression analysis identified perception of vaccination importance as the strongest predictor. Partial adherence to PNIP doubled vaccination likelihood, while a firm plan to return to Ukraine reduced it 2.4 times. Mistrust in vaccines increased refusal risk tenfold. The final model confirmed mothers' attitudes towards vaccination and future plans (return to Ukraine) as dominant factors.

conclusionsThis study underscores the complex determinants shaping vaccination decisions in conflict-displaced communities. It provides insights for public health strategies to enhance vaccine uptake by reducing access barriers, restoring trust, and strengthening vaccine literacy.

Indexed as

national immunisation programmePolandrefugeesUkrainevaccination intentionvaccine hesitancyvaccine uptake

Identifiers

PMID40266242
PMCPMC11945471

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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.