ArticleInternational journal for equity in health2025
Heterogeneity in vaccination attitudes and behavior within an outwardly homogenous religious group: a cross-sectional study of the Ultra-Orthodox Jewish population in Safed, Israel.
Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Henipavirus evidence gaps: a Rapid Research Needs Appraisal.BMJ public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUltra-Orthodox Jewish (UO) communities often show suboptimal and delayed vaccine uptake, leading to recurrent outbreaks. Health equity efforts often treat minorities as uniform, overlooking internal diversity. The UO population comprises distinct subgroups with varying social norms; how this impact on vaccination is not described. We use Safed, a UO-majority city with low vaccination coverage as a case study to examine subgroup differences in vaccination behavior and attitudes.
methodsIn 2023-24, a cross-sectional survey was conducted among parents of children aged 0-10. Respondents were categorized as Litvish, Hasidic, Sephardic, non-mainstream UO, or non-UO. The survey assessed DTP and MMR vaccination status, vaccination attitudes using a validated hesitancy index, sources of information and trust. subgroups were compared using chi-square tests, t-tests, and ANOVA.
results318 parents participated (201 UO). MMR coverage ranged from 100% (Litvish) to 60% (non-mainstream, p < 0.001); DTP showed a similar gap (100% vs. 65.9%, p < 0.01). Significant differences in vaccine attitudes were found among UO subgroups (p < 0.001), with the Litvish showing the least hesitancy and non-mainstream groups the most. Information from healthcare professionals was sought by 36.8% of Litvish vs. 24.6% of non-mainstream. Religious authorities were the primary source of information for 68.8% of Litvish vs. 36.2% of non-mainstream respondents (p = 0.007). Trust in rabbis and healthcare professionals varied significantly between UO subgroups.
conclusionsSignificant intra-UO variation in vaccination attitudes and behavior challenges the assumption of community uniformity. Local health services should identify and consider the particulars of their population to deliver equitable and effective vaccine programmes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.