Evidence map›Paper›PMID 41353117›Full record

ArticleBMC public health2025

Measurement of COVID-19 vaccination acceptance and associated factors among Afghan refugees in Iran: insights from a cross-sectional study.

Mehrdad Askarian, Ehsan Taherifard, Erfan Taherifard, Zahra Shayan, Yves Longtin, Gary Groot, Ebrahim Ranjbar, Ardalan Askarian, Mohammad Hossein Taghrir, Nahid Hatam

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Article in BMC public health, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Mehrdad AskarianDepartment of Community Medicine, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Ehsan TaherifardStudent Research Committee, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Etaherim123@gmail.com.
Erfan TaherifardMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra ShayanDepartment of Biostatistics, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Yves LongtinDepartment of Medicine, McGill University, Montréal, Canada.
Gary GrootDepartment of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
Ebrahim RanjbarStudent Research Committee, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Ardalan AskarianCollege of Arts & Science, University of Saskatchewan, Saskatoon, Canada.
Mohammad Hossein TaghrirAlumnus of Shiraz University of Medical Sciences, Shiraz, Iran.
Nahid HatamDepartment of Community Medicine, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Commed46@gmail.com.

Funding

Vice-Chancellor for Research, Shiraz University of Medical Sciences SG-01-113
6 · The paper itself

Abstract

backgroundAfghan refugees in Iran, estimated at over 5 million, represent a large vulnerable population whose attitudes towards COVID-19 vaccination are crucial to understand.

methodsThis cross-sectional study was conducted in Shiraz, Iran, in 2023. Adult Afghan refugees with children aged 5–17 were recruited using a snowball sampling method. A previously validated survey tool was adapted for the Afghan population in this study to assess underlying sociodemographic and psychosocial factors influencing the COVID-19 vaccine acceptance.

resultsAmong 400 participants, 79% had received at least one dose, 57% were fully vaccinated, and 12% had received booster doses. Female gender (aOR: 2.070, 95% CI: 1.118–3.831), a history of COVID-19 in family or friends (aOR: 2.541, 95% CI: 1.393–4.636), adherence to routine childhood vaccinations for their children (aOR: 3.287, 95% CI: 1.738–6.215), trust in healthcare providers and media (aOR: 1.929, 95% CI: 1.287–2.889), and confidence in vaccine safety (aOR: 3.058, 95% CI: 2.155–4.329) were significantly associated with increased vaccine acceptance. Additionally, 59.8% of the participants vaccinated their children against COVID-19. A history of chronic diseases in participants (aOR: 2.470, 95% CI: 1.290–4.731), their own acceptance of the COVID-19 vaccine (aOR: 18.055, 95% CI: 8.206–39.724), a history of routine childhood vaccinations in children (aOR: 2.050, 95% CI: 1.103–3.810), and confidence in vaccine safety (aOR: 1.457, 95% CI: 1.04–2.032) were significantly associated with children vaccination.

conclusionsTrust in healthcare providers/media and confidence in vaccine safety, were associated with higher vaccine uptake among Afghan refugees. Targeted communication and trust-building strategies are vital to address vaccine hesitancy, especially among vulnerable populations.

Indexed as

COVID-19COVID-19 VaccinesPatient Acceptance of Health CareRefugeesVaccinationVaccination HesitancyAdolescentAdultAfghanistanChildChild, PreschoolCross-Sectional StudiesFemaleHumansIranMaleCOVID-19 VaccinesAfghan refugeesCOVID‑19 vaccine acceptanceHealth behaviorsPsychometric evaluationVaccination hesitancy in migrantsVaccination refusal

Identifiers

PMID41353117
PMCPMC12797733

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LicenceCC BY-NC-ND
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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.