45 results match your criteria greatest hesitancy

Risk, Trust, and Flawed Assumptions: Vaccine Hesitancy During the COVID-19 Pandemic.

Front Public Health 2021;9:700213. Epub 2021 Jul 1.

Department of Psychology, University of Oslo, Oslo, Norway.

The pace at which the present pandemic and future public health crises involving viral infections are eradicated heavily depends on the availability and routine implementation of vaccines. This process is further affected by a willingness to vaccinate, embedded in the phenomenon of vaccine hesitancy. The World Health Organization has listed vaccine hesitancy among the greatest threats to global health, calling for research to identify the factors associated with this phenomenon. Read More

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Vaccine hesitancy: the greatest threat to COVID-19 vaccination programs.

Samia A Nossier

J Egypt Public Health Assoc 2021 Jul 5;96(1):18. Epub 2021 Jul 5.

Family Health Department, High Institute of Public Health, University of Alexandria, Alexandria, Egypt.

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A Comparison of Vaccine Hesitancy of COVID-19 Vaccination in China and the United States.

Vaccines (Basel) 2021 Jun 14;9(6). Epub 2021 Jun 14.

Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, China.

Objectives: To investigate the differences in vaccine hesitancy and preference of the currently available COVID-19 vaccines between two countries, namely, China and the United States (U.S.). Read More

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Alteration in vaccination rates and an evaluation of physicians' perceptions of the possible impact of the SARS-CoV-2 pandemic on childhood vaccinations in Ankara, Turkey.

Hum Vaccin Immunother 2021 May 20:1-6. Epub 2021 May 20.

Ankara District Health Office, Turkish Ministry of Health, Ankara, Turkey.

Vaccination is the most effective and cost-efficient approach to protect both individual and community health. Decreased vaccination rates have been reported in many countries during the COVID-19 pandemic. In this study, we compared the vaccination rates of the current year with those of the same period of 2019 in Ankara and presented the physicians' thoughts about effects of COVID-19 pandemic on vaccinations in Turkey. Read More

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Hesitancy to Return to the Pre-pandemic Routine.

J Ration Emot Cogn Behav Ther 2021 May 4:1-17. Epub 2021 May 4.

1St Department of Psychiatry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "Papageorgiou", Ring Road Thessaloniki, N. Efkarpia, 54603 Thessaloníki, Greece.

The goal of the present study was to explore COVID-19 related hesitancy, which represents the inability of people to return to previous levels of functioning after a major medical crisis like the current pandemic. A new questionnaire was developed to evaluate participants' hesitancy. The study was conducted online in November, 2020, using convenience sampling. Read More

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Factors influencing Covid-19 vaccine acceptance across subgroups in the United States: Evidence from a conjoint experiment.

Vaccine 2021 06 24;39(24):3250-3258. Epub 2021 Apr 24.

Cornell University, Department of Government, White Hall, Ithaca, NY 14850, United States. Electronic address:

Public health officials warn that the greatest barrier to widespread vaccination against Covid-19 will not be scientific or technical, but the considerable public hesitancy to take a novel vaccine. Understanding the factors that influence vaccine acceptance is critical to informing public health campaigns aiming to combat public fears and ensure broad uptake. Employing a conjoint experiment embedded on an online survey of almost 2,000 adult Americans, we show that the effects of seven vaccine attributes on subjects' willingness to vaccinate vary significantly across subgroups. Read More

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Prevalence and factors associated with covid-19 vaccine hesitancy in Maranhão, Brazil.

Rev Saude Publica 2021 23;55:12. Epub 2021 Apr 23.

Universidade Federal do Maranhão. Departamento de Saúde Pública. São Luís, MA, Brasil.

Objectives: To estimate the prevalence and factors associated with hesitancy in getting the vaccine against SARS-CoV-2 in Maranhão, Brazil.

Methods: This is a cross-sectional population-based study conducted from October 19 to 30, 2020. The estimates were calculated based on clustering, stratification, and non-response. Read More

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Understanding vaccine hesitancy in COVID-19.

Med (N Y) 2021 May 8;2(5):498-501. Epub 2021 Apr 8.

Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.

Vaccines are one of the greatest medical innovations of all time, but there has been skepticism about them throughout history. Although initial concerns about scarcity increased public demand for COVID-19 vaccines, as supply meets demand, vaccine hesitancy may become a defining theme of the next stage of the COVID-19 pandemic. Read More

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Vaccination as a Control Tool in Bovine Tuberculosis: Social Media Monitoring to Assess Public Response to Government Policy Development and Implementation.

Vaccines (Basel) 2021 Mar 29;9(4). Epub 2021 Mar 29.

School of Veterinary Medicine, VSM Building, University of Surrey, Daphne Jackson Road, Guildford, Surrey GU2 7AL, UK.

Vaccine hesitancy does not only concern human vaccines but incorporates One Health policies also; including vaccination of cattle and badgers as part of the government's bovine tuberculosis eradication strategy for England. Both digital and social media can propagate healthcare misinformation and thus affect vaccine policy support. The use of social media monitoring to understand real-time public perceptions of One Health policies is crucial to identify misinformation and address public concerns appropriately to achieve successful policy implementation. Read More

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Primary Care Clinicians as COVID-19 Vaccine Ambassadors.

J Prim Care Community Health 2021 Jan-Dec;12:21501327211007026

University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

The development of highly efficacious COVID-19 vaccines has brought a feeling of hope to many in the US (United States) and across the globe. However, it is estimated that approximately one-third of the US and international population are hesitant to receive the COVID-19 vaccine. For most Western countries with the economic means to purchase sufficient vaccine for their citizens, the medical community now has the opportunity to lead the vaccination communication campaign. Read More

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Vaccine hesitancy in the era of COVID-19: could lessons from the past help in divining the future?

Hum Vaccin Immunother 2021 Mar 8:1-3. Epub 2021 Mar 8.

Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.

Vaccine hesitancy, which embodies the unwillingness to receive vaccines when vaccination services are available and accessible, is one of the greatest threats to global health. Although vaccine hesitancy has existed among a small percentage of people for centuries, its harmful effects are likely to be more pronounced during the COVID-19 pandemic than ever before. COVID-19 vaccine hesitancy will pose substantial risks for both people who delay or refuse to be vaccinated and the wider community. Read More

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The anti-vaccination infodemic on social media: A behavioral analysis.

PLoS One 2021 3;16(3):e0247642. Epub 2021 Mar 3.

Institute of Biomedical Ethics and History of Medicine, University of Zurich, Zürich, Switzerland.

Vaccinations are without doubt one of the greatest achievements of modern medicine, and there is hope that they can constitute a solution to halt the ongoing COVID-19 pandemic. However, the anti-vaccination movement is currently on the rise, spreading online misinformation about vaccine safety and causing a worrying reduction in vaccination rates worldwide. In this historical time, it is imperative to understand the reasons of vaccine hesitancy, and to find effective strategies to dismantle the rhetoric of anti-vaccination supporters. Read More

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Influence of a COVID-19 vaccine's effectiveness and safety profile on vaccination acceptance.

Proc Natl Acad Sci U S A 2021 03;118(10)

Clinical Excellence Research Center, Stanford University School of Medicine, Stanford, CA 94305.

Although a safe and effective vaccine holds the greatest promise for resolving the COVID-19 pandemic, hesitancy to accept vaccines remains common. To explore vaccine acceptance decisions, we conducted a national survey of 1,000 people from all US states in August of 2020 and a replication in December of 2020. Using a 3 × 3 × 3 factorial experimental design, we estimated the impact of three factors: probability of 1) protection against COVID-19, 2) minor side effects, and 3) a serious adverse reactions. Read More

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With Great Hopes Come Great Expectations: A Viewpoint on Access and Adoption Issues Associated with COVID-19 Vaccines.

JMIR Public Health Surveill 2021 Feb 1. Epub 2021 Feb 1.

Peshawar Medical College, Peshawar, PK.

Unstructured: Though COVID-19 vaccines are becoming more available, their ability to effectively control and contain the pandemic's spread is highly contingent on an array of factors. This paper discusses how limitations to vaccine accessibility, issues associated with vaccine side effects, concerns regarding vaccine efficacy, along with the persistent prevalence of vaccine hesitancy in the public, including healthcare professionals, might impact COVID-19 vaccines' capabilities to curb the pandemic. Drawing insights from the literature, we also identify practical solutions that could boost people's adoption of COVID-19 and the accessibility of these vaccines. Read More

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February 2021

Do we need the criminalization of medical fake news?

Kamil Mamak

Med Health Care Philos 2021 Jun 4;24(2):235-245. Epub 2021 Jan 4.

Department of Criminal Law, Faculty of Law and Administration, Jagiellonian University, Olszewskiego 2 Street, 31-007, Kraków, Poland.

Uncontrolled access to information on the Internet has many advantages, but it also leads to the phenomenon of fake news. Fake news is dangerous in many spheres, including that of health. For example, we are facing an increase in the amount of vaccine hesitancy. Read More

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Vaccine Development: From Laboratory to Policy.

Pediatr Ann 2020 Dec;49(12):e509-e515

Vaccines are one of the greatest public health achievements, protecting children and adults against numerous infectious diseases; however, the complex, rigorous process of vaccine development is unknown to many. A candidate vaccine undergoes extensive evaluation of safety and efficacy to meet licensure requirements before recommendations for use become policy. This time-consuming process involves an intricate collaboration among academia, public and private organizations, and federal agencies to ensure that safety is prioritized in every step. Read More

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December 2020

A Proactive Approach for Managing COVID-19: The Importance of Understanding the Motivational Roots of Vaccination Hesitancy for SARS-CoV2.

Front Psychol 2020 19;11:575950. Epub 2020 Oct 19.

Department of Psychology, University of Regina, Regina, SK, Canada.

Importance: Vaccination hesitancy-the reluctance or refusal to be vaccinated-is a leading global health threat (World Health Organization, 2019). It is imperative to identify the prevalence of vaccination hesitancy for SARS-CoV2 in order to understand the scope of the problem and to identify its motivational roots in order to proactively prepare to address the problem when a vaccine eventually becomes available.

Objective: To identify (1) the prevalence of vaccination hesitancy for a SARS-CoV2 vaccine, (2) the motivational roots of this hesitancy, and (3) the most promising incentives for improving the likelihood of vaccination uptake when a vaccine does become available. Read More

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October 2020

The Role of Epidemiology in Informing United States Childhood Immunization Policy and Practice.

Ann Epidemiol 2020 Oct 13. Epub 2020 Oct 13.

Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, 101 Buck Road, Athens, GA, 30602.

One of the ten greatest public health achievements is childhood vaccination because of its impact controlling and eliminating vaccine-preventable diseases (VPDs). Evidence-based immunization policies and practices are responsible for this success and are supported by epidemiology that has generated scientific evidence for informing policy and practice. The purpose of this report is to highlight the role of epidemiology in the development of immunization policy and successful intervention in public health practice that has resulted in a measurable public health impact: the control and elimination of VPDs in the United States. Read More

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October 2020

Multi-component cancer prevention awareness program to improve adolescent HPV vaccine uptake.

Hum Vaccin Immunother 2021 04 16;17(4):1052-1058. Epub 2020 Oct 16.

Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, USA.

Objective: We introduced a multi-component cancer prevention awareness program to primary care practices across New York State to evaluate its impact on adolescent human papillomavirus (HPV) vaccination rates.

Methods: Eight pediatric and three family medicine practices were recruited to participate in this program. On-site training sessions were provided for all practice providers and staff to discuss the importance of HPV vaccine and cancer prevention and teach strategies for delivering a strong vaccine recommendation. Read More

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Unleashing Our Potential- Pharmacists' Role in Vaccination and Public Health.

Sr Care Pharm 2020 Sep;35(9):372-378

One of the greatest innovations in health care has been the development of vaccines and immunization programs that have significantly minimized the morbidity and mortality resulting from vaccine preventable diseases. While vaccines were traditionally used against infectious diseases, recent advances in technology have led to the development of vaccines for noncommunicable diseases and chronic conditions. Vaccinations are considered the most cost-effective intervention in public health that has the potential to save millions of lives every year. Read More

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September 2020

Bibliometric analysis of global scientific literature on vaccine hesitancy in peer-reviewed journals (1990-2019).

Waleed M Sweileh

BMC Public Health 2020 Aug 17;20(1):1252. Epub 2020 Aug 17.

Department of Physiology, Pharmacology/Toxicology, Division of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Background: Vaccine hesitancy is a growing threat to national and global health security. The current study was undertaken to provide insights into the global scientific literature on vaccine hesitancy in peer-reviewed journals.

Method: The current study was a descriptive bibliometric study. Read More

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Vaccine hesitancy and its determinants among Arab parents: a cross-sectional survey in the United Arab Emirates.

Hum Vaccin Immunother 2020 12 13;16(12):3163-3169. Epub 2020 May 13.

Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University , Al Ain, UAE.

: Vaccine hesitancy is a leading threat to public health. It has been studied extensively in North America and Europe but much less in Arab countries. The Parent Attitudes about Childhood Vaccines (PACV) survey is a validated tool for identifying vaccine-hesitant parents; however, Arabic version is not available. Read More

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December 2020

Dismissal policies for vaccine refusal among US physicians: a literature review.

Hum Vaccin Immunother 2020 05 20;16(5):1189-1193. Epub 2020 Feb 20.

Department of Pediatrics, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA.

Childhood vaccination is one of the greatest public health achievements of the 20th century, yet increasingly, parents question the safety of and need for vaccines. This has led to increased rates of vaccine delay and refusal and outbreaks of vaccine-preventable diseases. Physicians struggle with how to respond to families who refuse vaccines, as there are few known effective interventions to convince a family to vaccinate. Read More

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[Vaccine hesitancy in Spain (1801), Ruiz de Luzuriaga responses in defense of vaccination].

Rev Esp Salud Publica 2020 Feb 13;94. Epub 2020 Feb 13.

Cátedra Balmis de Vacunología. Universidad de Alicante. Alicante. España.

The rapid diffusion of the jennerian method was founded in simplicity to practice, in its apparent effectiveness in combating smallpox and its epidemiological opportunity, as it appeared at the time of greatest recrudescence of the disease. The initial impulse for it's propagation, which originated a recognized movement to protect population health, was not without controversy. At the same time that defenders of the vaccine were added, opposite opinions appeared that used diverse critics to discredit it. Read More

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February 2020

Using classification and regression tree analysis to explore parental influenza vaccine decisions.

Vaccine 2020 01 2;38(5):1032-1039. Epub 2019 Dec 2.

Department of Family Science, University of Maryland, College Park, MD, United States; Center for Health Equity, University of Maryland, College Park, MD, United States.

Background And Objectives: Influenza poses a public health threat for children and adults. The CDC recommends annual influenza vaccination for children <18 years, yet vaccine uptake remains low for children (57.9%) and adults (37. Read More

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January 2020

Factors associated with Tdap vaccination receipt during pregnancy: a cross-sectional study.

Public Health 2020 Feb 11;179:38-44. Epub 2019 Nov 11.

Albany Medical Center, Department of Obstetrics & Gynecology, 391 Myrtle Avenue, Albany, NY, 12208, USA. Electronic address:

Objective: Pertussis morbidity and mortality disproportionately affect infants younger than 1 year, who constitute 70% of deaths from pertussis. In 2017, 43% of infants younger than 6 months diagnosed with pertussis were hospitalized. In 2012, the Advisory Committee on Immunization Practices recommended that all pregnant women should receive Tdap (tetanus-diphtheria-acellular pertussis) vaccine between 27- and 36-weeks gestation in an effort to reduce infant pertussis morbidity and mortality. Read More

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February 2020

The public health crisis of underimmunisation: a global plan of action.

Lancet Infect Dis 2020 01 6;20(1):e11-e16. Epub 2019 Nov 6.

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Vaccination is one of public health's greatest achievements, responsible for saving billions of lives. Yet, 20% of children worldwide are not fully protected, leading to 1·5 million child deaths annually from vaccine-preventable diseases. Millions more people have severe disabling illnesses, cancers, and disabilities stemming from underimmunisation. Read More

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January 2020

'Just lie there and die': barriers to access and use of general practitioner out-of-hours services for older people in rural Ireland.

Rural Remote Health 2019 09 24;19(3):5088. Epub 2019 Sep 24.

NetwellCASALA Research Centre, Dundalk Institute of Technology, Dundalk, Co. Louth, Ireland

Introduction: Demographic changes and shifting populations mean growing numbers of older people are living alone in rural areas. General practitioner (GP) out-of-hours (GPOOH) services have an essential role in supporting older people to remain living in their own homes and communities for as long as possible, but little is known about use of GPOOH services by this cohort. This research examines how rurality impacts accessibility and utilisation of GPOOH services by people aged 65 years or more in rural Ireland. Read More

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September 2019

Working with Older Adults Scale: Application of the Theory of Planned Behavior.

Gerontologist 2020 08;60(6):e428-e437

Department of Psychology, Colorado State University, Fort Collins.

Background And Objectives: The expanding population of older adults in the United States, coupled with provider hesitance to work with this population, is expected to result in a large service gap, particularly in the health care field. Research on provider hesitancy has largely focused on the impact of attitudes toward older adults and professional competency, with some recent explorations of social influences. There is currently no comprehensive measure that includes all of these areas. Read More

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Self-assessed goal achievement (SAGA) after Holmium laser enucleation of the prostate (HoLEP): Association with patients' postoperative satisfaction.

PLoS One 2018 13;13(9):e0203825. Epub 2018 Sep 13.

Department of Urology, Seoul National University College of Medicine, Seoul, Korea.

This study aimed to determine serial changes in self-assessed goal achievement (SAGA) and treatment satisfaction after HoLEP, to identify correlations between the two, and to compare them with results assessed by traditional outcome measures. For a total of 170 patients, outcomes were evaluated serially at postoperative 1-, 3-, 6-, and 12-months using IPSS, OABSS, SAGA questionnaires and uroflowmetry. The SAGA questionnaire consisted of five questions including one open-ended question (self-assessed goals and degree of SAGA) and another question regarding treatment satisfaction. Read More

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