Hesitancy for Adult Vaccines Among Healthcare Providers and their Family Members in Delhi, India: A Cross-Sectional Study
Open accessAbstract
Objectives: Adult immunisation has recently emerged as an area of emphasis in research and policy. Increasing life expectancy, outbreaks like COVID-19, and the endemic nature of diseases like dengue, malaria have underscored its importance. Therefore, this study was carried out to assess hesitancy and the factors influencing the uptake of vaccines in adults. Methods: A descriptive cross-sectional study was conducted among the medical students and doctors affiliated to a medical college and tertiary care hospital in Delhi, India and their immediate family members in January 2021. Online data collection was done using the Google Form platforms. Data on awareness and perceptions regarding adult vaccination and immunisation status of participants was collected. The dataset was exported in the Microsoft Excel format and analysed with IBM SPSS Version 25 (Armonk, NY: IBM Corp). Results: A total of 461 adults responded to the survey. The most common reasons for vaccine hesitancy were fear of side effects (51.41%), lack of awareness of vaccines (49.46%), and the lack of national guidelines on adult vaccination (32.97%). Hesitancy for vaccines among those who were informed by healthcare workers of vaccine availability was highest for zoster vaccine (97.80%) and least for tetanus toxoid (57.62%). Significant hesitancy was also observed for pneumococcal, human papillomavirus, influenza and varicella vaccines. Conclusions: Reduced vaccine uptake due to vaccine hesitancy in adulthood is a major health concern. Framing national guidelines for adult vaccination in India and awareness generation to create a public demand for adult vaccination warrants prioritization.
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Adult vaccine hesitancy in India has been associated with poor national guidelines for adult immunizations.
“Adult vaccine hesitancy in India has been associated with poor national guidelines for adult immunizations [65].”
From Acceptability of HPV vaccination for cervical cancer prevention amongst emerging adult women in rural Mysore, India: a mixed-methods study (2024) · cites this paper as [65]
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“Nevertheless, a previous study had observed low levels of HPV vaccine hesitancy amongst the parents of adolescent girls in a rural part of Southern India [7].”
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Coursey, K., Muralidhar, K., Srinivas, V., Jaykrishna, P., Begum, F., Ningaiah, N., Lee, S.-J., & Madhivanan, P. (2024) · BMC Public Health · doi:10.1186/s12889-024-19485-8 · Cited by 10 · see citing works
- Authors
- Kalra, N., Kalra, T., Mishra, S., Basu, S., & Bhatnagar, N.
- Affiliations
- Maulana Azad Medical College (IN)
- Corresponding author
- Kalra, Nikhita
- Venue
- Dialogues in Health
- Publisher
- Elsevier BV
- Published
- 2022-12
- Volume
- 1
- Pages
- 100044
- ISSN
- 2772-6533 (ISSN-L)
- PMC
- PMC9472743
- OpenAlex
- W4295708951
- Cited by
- 16
- References
- 1
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 3 · 2023: 2
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Dialogues in Health (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- vaccine hesitancy, adult vaccination, vaccine uptake, healthcare workers, medical students, family members, vaccine side effect concerns, vaccine awareness, herpes zoster vaccine, pneumococcal vaccine, HPV vaccine, influenza vaccination, varicella vaccine, tetanus toxoid, Delhi
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