Evidence map›Paper›PMID 41506752›Full record

ReviewBMJ global health2026

Characterising concerns and misinformation shaping global HIV vaccine confidence and demand: a structured literature search and content analysis.

Simamkele Bokolo, Megan Rabin, Sarah Penuela-Wermers, Candice Maylene Chetty-Makkan, Teniola I Egbe, Harsha Thirumurthy, Brendan Maughan-Brown, Alison Buttenheim

Abstract readReview
In one paragraph

Review in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

8 authors.

Simamkele BokoloHealth Economics and Epidemiology Research Office, Wits Health Consortium, University of the Witwatersrand Johannesburg Faculty of Health Sciences, Johannesburg, South Africa sbokolo@heroza.org.ORCID 0000-0003-4372-5266
Megan RabinCenter for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sarah Penuela-WermersDepartment of Family and Community Health, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Candice Maylene Chetty-MakkanHealth Economics and Epidemiology Research Office, Wits Health Consortium, University of the Witwatersrand Johannesburg Faculty of Health Sciences, Johannesburg, South Africa.ORCID 0000-0001-9292-9586
Teniola I EgbeCenter for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Harsha ThirumurthyCenter for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Brendan Maughan-BrownSouthern Africa Labour and Development Research Unit, University of Cape Town, Cape Town, South Africa.
Alison ButtenheimCenter for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

Inoculating and boosting against HIV vaccine misinformation among adolescent girls and young women in South AfricaR01MH132401 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BUTTENHEIM, ALISON MEREDITH, MAUGHAN-BROWN, BRENDAN GEOFFREY · 2023 to 2024
$1.2M
NIMH NIH HHS R01 MH132401
6 · The paper itself

Abstract

backgroundDemand for a future HIV vaccine, similar to other vaccines, is vulnerable to misinformation. A number of studies have examined HIV vaccine acceptability and demand, but few have systematically explored the specific concerns and misinformation that shape these attitudes. This structured review and content analysis of published and grey literature identifies concerns about the HIV vaccine that might fuel misinformation about the vaccine when it is available.

methodsA literature search was conducted across multiple publication databases and Google Scholar with a search strategy that used a combination of keywords. A web search was also conducted to identify other unpublished sources. Articles, including published and grey literature such as reports, were included if they were published in English and contained HIV vaccine concerns or misinformation. There was no defined timeline for article inclusion. HIV vaccine concerns extracted from the literature were documented in an Excel database and coded using NVivo V.12. Content analysis revealed several distinct topics.

resultsFrom a total of 78 articles and 9 reports, 333 concerns were extracted and included in the analysis. Seven topics emerged: (1) HIV vaccine safety, including concerns about side effects; (2) HIV vaccine causing HIV infection; (3) vaccine-related stigma and social concerns; (4) behavioural implications of the HIV vaccine, including concerns that the vaccine promotes risky behaviours; (5) conspiracy theories about the vaccine fuelled by distrust in governments and scientists; (6) concerns about partial efficacy of the vaccine and (7) HIV vaccine access, including eligibility for and availability of the vaccine.

conclusionsThis review highlights key concerns about an HIV vaccine, many of which are both influenced by misinformation and could seed future misinformation campaigns. The findings can inform targeted interventions to counter misinformation and communicate the vaccine's preventive benefits to populations at highest risk of HIV.

Indexed as

AIDS VaccinesCommunicationHIV InfectionsPatient Acceptance of Health CareGlobal HealthHealth Knowledge, Attitudes, PracticeHumansAIDS VaccinesHIVPrevention strategiesPublic HealthReview

Identifiers

PMID41506752
PMCPMC13059847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.