Evidence map›Paper›PMID 41295455›Full record

ArticleVaccines2025

Assessing Vaccine Confidence Using the Vaccine Hesitancy Scale Among Adolescent Girls and Young Women at Risk of HIV Acquisition Living in Uganda, Zambia, and South Africa.

Nasimu Kyakuwa, Ali Ssetaala, Matt A Price, Annet Nanvubya, Joel M Abyesiza, Geofrey Basalirwa, Brenda Okech, Juliet Mpendo, Mubiana Inambao, Kawela Mumba-Mwangelwa and 7 more

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. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Nasimu KyakuwaUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.ORCID 0000-0002-9671-1282
Ali SsetaalaUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.ORCID 0000-0003-2156-3024
Matt A PriceDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94122, USA.
Annet NanvubyaUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.
Joel M AbyesizaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit on AIDS, Entebbe P.O. Box 49, Uganda.
Geofrey BasalirwaUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.ORCID 0009-0002-3325-2477
Brenda OkechUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.
Juliet MpendoUganda Virus Research Institute-International AIDS Vaccine Initiative (UVRI-IAVI) HIV Vaccine Program Ltd., Entebbe P.O. Box 49, Uganda.
Mubiana InambaoCenter for Family Health Research in Zambia (CFHRZ), Ndola 10101, Zambia.
Kawela Mumba-MwangelwaCenter for Family Health Research in Zambia (CFHRZ), Ndola 10101, Zambia.
Chishiba KabengeleCenter for Family Health Research in Zambia (CFHRZ), Lusaka 10100, Zambia.ORCID 0000-0003-0087-8596
Suzanna C FrancisInternational AIDS Vaccine Initiative (IAVI), New York, NY 10004, USA.
Pholo MaenetjeThe Aurum Institute, Johannesburg 2001, South Africa.
Ken Ondeng'eInternational AIDS Vaccine Initiative (IAVI), New York, NY 10004, USA.
Vinodh EdwardThe Aurum Institute, Johannesburg 2001, South Africa.ORCID 0000-0003-3952-4760
William KilembeCenter for Family Health Research in Zambia (CFHRZ), Lusaka 10100, Zambia.ORCID 0000-0002-9012-7325
Monica O KuteesaUganda Virus Research Institute, Entebbe P.O. Box 49, Uganda.

Funding

International Traineeships in AIDS Prevention Studies (ITAPS)R25MH123256 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTINA P LINDAN · 2020 to 2026
$1.8M
NIH HHS 1R25MH123256-05NIMH NIH HHS R25 MH123256
6 · The paper itself

Abstract

backgroundVaccine hesitancy (VH) remains a major threat to global health that can reverse the progress in tackling vaccine-preventable diseases. Vaccine uptake among adolescent Girls and young women (AGYW) is often low. We assessed VH using a validated scale among AGYW in Uganda, Zambia, and South Africa.

methodsFrom June 2023 to February 2024, we recruited AGYW from fishing communities in Uganda, urban and peri-urban locations in Lusaka and Ndola, Zambia, and mining communities in Rustenburg, South Africa. Eligible participants were aged 15-24 years, sexually active, and HIV-negative but at risk for HIV acquisition. We collected demographic, HIV-related behavioral data, and vaccine hesitancy data using a structured questionnaire. Vaccine confidence was assessed using the 10-question Vaccine Hesitancy Scale that describes two factors, i.e., "vaccine confidence" and "risk tolerance". Exploratory and Confirmatory Factor Analyses were performed to assess scale validity and internal consistency. Logistic regression was used to determine associations between demographics and vaccine confidence.

resultsA total of 1213 AGYW participated in the study, with a mean age of 19.4 (SD ± 2.6) years. More than half (54%) were aged between 15 and 19 years. The majority of AGYW (94%) strongly believed that vaccines were important for their health and the community and that vaccination is a good way to protect them from diseases. About two-thirds of the AGYW (66%) indicated that they were concerned about the adverse effects of vaccines, while 30% responded that they did not need vaccines for diseases that were not common. We observed that 951 (78%) of the AGYW reported high vaccine confidence, while 494 (41%) reported low concerns over risks. Vaccine confidence varied across countries, with Zambia and Uganda showing lower vaccine confidence (adjusted odds ratios of 0.28 and 0.45, respectively,

conclusionsA high level of vaccine confidence was observed among AGYW. Vaccine confidence among AGYW was driven more by the trust in vaccine safety and the need to protect communities against diseases. These findings suggest the potential for acceptance of vaccines, including future HIV vaccines, among AGYW. Despite high levels of vaccine confidence, concerns over vaccine risks remain substantial and must be addressed.

Indexed as

adolescent girlsAGYWvaccine confidencevaccine hesitancyvaccine hesitancy scalevaccine uptake

Identifiers

PMID41295455
PMCPMC12656744

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.