Evidence map›Paper›PMID 40426108›Full record

ArticleBMC public health2025

Predictors affecting vaccine hesitancy towards annual COVID-19 booster shots among populations from different countries.

Sylvana Nady Gaber, Wafaa Y Abdel Wahed, Bismark Jampim Abrokwah, Mohammed Ibrahim Al Hawamdeh, Lubna Abdelwahab Elsidigg, Ahmed A Wegdan, Rasha H Bassyouni

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 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

7 authors.

Sylvana Nady GaberDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Fayoum, Egypt. sng00@fayoum.edu.eg.
Wafaa Y Abdel WahedDepartment of Public health & Community medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Bismark Jampim AbrokwahGhana Health Service/Ministry of Health, Accra, Ghana.
Mohammed Ibrahim Al HawamdehGeneral director of Jordanian Experts for training, Amman, Jordan.
Lubna Abdelwahab ElsidiggDirectorate of Quality, Development and Accreditation, Federal Ministry of Health, Khartoum, Sudan.
Ahmed A WegdanDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Rasha H BassyouniDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus Disease-19 (COVID-19) is reported to cause significant mortalities. Vaccination has the probability to reduce the burden of COVID-19. Annual vaccination is better to be established, but vaccine reluctance has been observed among different populations.

objectivesTo recognize the associated factors and the predictors affecting vaccine hesitancy towards annual COVID-19 vaccine shots among African and Asian populations.

methodA cross-sectional study was conducted on a population from diverse nationalities using a structured, self-administered questionnaire. Adjusted odds ratios (ORs) and their 95% confidence intervals (CIs) were estimated using multiple logistic regression to identify predictors of vaccine hesitancy.

resultsA total of 502 participants from four countries: 152 Jordanians (30.3%), 145 Egyptians (28.9%), 103 Ghanaians (20.5%), and 102 Sudanese (20.3%) were included in the study. The majority were females (307, 61.2%). Egyptians show the highest willingness to receive annual COVID-19 vaccine shots (99, 68.3%), while Jordanians (68, 44.7%), Ghanaians (42, 40.8%), and Sudanese (60, 58.8%) exhibit more hesitancy or refusal. Hesitancy is higher among the younger age group (56.5%, P = 0.003) and lower education levels (55.6%, P = 0.008). Higher knowledge (OR = 0.843, p = 0.002), and a positive attitude toward vaccine administration (OR = 0.878, P < 0.001) significantly predict lower hesitancy. The fear of severe side effects (42%) was the most common cause of COVID-19 vaccine hesitancy.

conclusionsYoung age and low education levels are linked with increased hesitancy toward annual COVID-19 vaccination shots. Higher knowledge, and positive attitude, and previous influenza vaccination predict annual vaccine hesitance. Public health actions in the form of awareness campaigns are needed to promote the importance of COVID-19 booster shots vaccination and address worries about safety, and side effects to efficiently reach the target young and low education group with heighten vaccine service quality on the way to build vaccine assurance and lessen hesitancy.

Indexed as

COVID-19COVID-19 VaccinesImmunization, SecondaryVaccination HesitancyAdolescentAdultCross-Sectional StudiesEgyptFemaleGhanaHealth Knowledge, Attitudes, PracticeHumansJordanMaleMiddle AgedSudanCOVID-19 VaccinesAnnual COVID-19Booster shotsVaccine hesitancy

Identifiers

PMID40426108
PMCPMC12107994

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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.