Evidence map›Paper›PMID 41920935›Full record

ArticlePloS one2026

Social determinants of vaccine hesitancy among the Lebanese parents: A cross-sectional Study.

Reem Awad, Mohamad Rahal, Anna-Maria Henieneh, Pascale Salameh, Robin Farah, Michele Cherfane, Reham Kotb, Diana Nakhoul, Rêve Khadaj, Nayla Habib and 1 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Reem AwadDepartment of pharmaceutical sciences, School of Pharmacy, Lebanese International University, Beirut, Lebanon.ORCID https://orcid.org/0000-0001-5894-1725
Mohamad RahalDepartment of pharmaceutical sciences, School of Pharmacy, Lebanese International University, Beirut, Lebanon.
Anna-Maria HenienehSchool of Pharmacy, Lebanese University, Beirut, Lebanon.
Pascale SalamehSchool of Pharmacy, Lebanese University, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-4780-0772
Robin FarahGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.
Michele CherfaneINSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon.
Reham KotbEnvironmental and Public Health Department, College of Health Sciences, Abu Dhabi University, Abu Dhabi, United Arab Emirates.
Diana NakhoulSchool of Pharmacy, Lebanese University, Beirut, Lebanon.
Rêve KhadajSchool of Pharmacy, Lebanese University, Beirut, Lebanon.
Nayla HabibLebanese order of Pharmacy, Beirut, Lebanon.
Katia IskandarDepartment of pharmaceutical sciences, School of Pharmacy, Lebanese International University, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccines are vital in preventing infectious diseases and saving millions of lives globally. However, the rise of vaccine hesitancy has hindered adequate vaccination coverage, particularly among children. This study explores the social determinants influencing childhood vaccine hesitancy among a sample of Lebanese parents, focusing on how individuals are born, grow, live, and work.

methodsA cross-sectional study was conducted using a self-administered questionnaire that gathered socio-demographic characteristics, factors influencing childhood vaccination, and social determinants of health (SDOH). Vaccine hesitancy was measured using a 23-item scale with two subscales (hesitancy and acceptance/trust) rated on a 5-point Likert scale. SDOH included socioeconomic status), Vaccine Health Literacy, Daily Spiritual Experience Scale, and Discrimination in Medical Settings Scale. Data were analyzed using bivariate tests and multivariable linear regression with vaccine hesitancy as the dependent variable.

resultsA total of 251 participants completed the survey. The mean parental age was 34.94 ± 8.69 years, with 55.8% being female, and the mean child age was 21.35 ± 11.53 months (range: 0-36 months). Higher vaccine hesitancy was observed among individuals reporting higher discrimination in medical settings (Beta = 0.752, p < 0.001), stronger religious beliefs (Beta = 0.866, p < 0.001), and lower SES (Beta = 0.265, p < 0.001). Conversely, higher vaccine literacy (Beta = 0.216, p = 0.035) and a health education background (Beta = 6.262, p = 0.011) were associated with lower hesitancy.

conclusionThis study highlights key social determinants of vaccine hesitancy among a sample of Lebanese parents, emphasizing the role of medical discrimination, religious beliefs, and socioeconomic status. Improving vaccine literacy and health education, particularly in vulnerable populations, is crucial to reducing hesitancy. Addressing discrimination in healthcare settings and fostering trust in the medical system are also essential.

Indexed as

ParentsSocial Determinants of HealthVaccinationVaccination HesitancyAdultChild, PreschoolCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansInfantLebanonMaleSocioeconomic FactorsSurveys and Questionnaires

Identifiers

PMID41920935
PMCPMC13042773

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.