Evidence map›Paper›PMID 40773127›Full record

ArticleJournal of epidemiology and global health2025

Immunization Coverage and Barriers among Hajj and Umrah Pilgrims: Insights into Vaccine Uptake and Compliance.

Adeeb A Bulkhi, Hani M Almoallim, Majed S Obaid, Nahla H Hariri, Hamsah S Alqashqri, Ismail A Alghamdi, Amar Mohammad A Alkhotani, Muhammad Irfanullah Siddiqui, Heba M Adly, Mohammed A Garout and 8 more

Abstract read
In one paragraph

Article in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

18 authors.

Adeeb A BulkhiInternal Medicine Department, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia. aabulkhi@uqu.edu.sa.ORCID http://orcid.org/0000-0001-5857-7097
Hani M AlmoallimInternal Medicine Department, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0003-2582-8317
Majed S ObaidDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0003-0719-5632
Nahla H HaririDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0003-0098-0187
Hamsah S AlqashqriDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0009-0009-7904-7795
Ismail A AlghamdiDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.
Amar Mohammad A AlkhotaniDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0009-0005-8376-7059
Muhammad Irfanullah SiddiquiDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0001-8610-5388
Heba M AdlyDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0002-9222-9149
Mohammed A GaroutDepartment of Community Medicine and Pilgrims Health care, College of Medicine, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.ORCID http://orcid.org/0000-0003-1317-1186
Elbagir A ElfakiSurgery Department, King Faisal Hospital, Makkah, Saudi Arabia.ORCID http://orcid.org/0009-0008-7387-3271
Saleh A K SalehDirectorate of Institutional Excellence, Batterjee Medical College, Jeddah, 21442, Saudi Arabia.ORCID http://orcid.org/0000-0001-9522-9198
Noura Mohammed BakhshAjyad Emergency Hospital, Ministry of Health, Makkah, Saudi Arabia.
Raghda Sami Hassan H AlhazmiDiabetology and endocrine Centre, Hera'a Hospital, Makkah, Saudi Arabia.
Aous S AlhazmiOccupational Medicine specialist, Makkah, Saudi Arabia.
Jaffar A Al-TawfiqSpecialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.ORCID http://orcid.org/0000-0002-5752-2235
Fahad A AlamriGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-7336-162X
Anas A KhanDepartment of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0001-5075-7392

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Hajj pilgrimage poses significant public health challenges due to the risk of infectious disease transmission. Despite mandatory vaccination policies, barriers such as hesitancy, logistical issues, and vaccine availability persist.

objectiveThis study assesses vaccine uptake, reasons for compliance or non-compliance, and barriers among Hajj pilgrims.

methodsA cross-sectional study was conducted during the 2024 Hajj season, with data collected via structured interviews from 5,355 participants. Descriptive statistics and logistic regression analyzed vaccination status and influencing factors.

resultsOf the participants, 4298 (80.3%) reported receiving mandatory or recommended vaccines, including influenza, COVID-19, and meningococcal. Primary motivators for vaccination were compliance to mandatory requirements 2240 (52.1%) and healthcare provider recommendations 2018 (46.9%). Among non-vaccinated respondents, the main reasons included belief in vaccine ineffectiveness 250(23.7%), reliance on natural immunity 243(23%), and lack of awareness 174(16.5%). Common barriers included long wait times 721(13.5%) and limited access to vaccination centers 543(10.1%). Women and individuals with higher education demonstrated greater vaccine uptake, while logistical barriers were more prevalent among self-employed and less-educated participants.

conclusionDespite high vaccine uptake, barriers remain. Addressing hesitancy, improving access, and aligning vaccine availability with Hajj timing are essential to enhance coverage and reduce disease transmission risks. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

IslamMass GatheringsTravelVaccinationVaccination CoverageVaccination HesitancyAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMandatory VaccinationMiddle AgedSaudi ArabiaUnvaccinated PersonsHajjInfectious disease preventionMass gatheringsPublic healthVaccine barriersVaccine uptake

Identifiers

PMID40773127
PMCPMC12331563

What OpenQuestion holds

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LicenceCC BY
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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.