The fear of needles: a systematic review and meta-analysis
Open accessAbstract
AIMS: The aim of this study was to evaluate the prevalence of needle fear and summarize the characteristics of individuals who exhibit this fear. BACKGROUND: Injections are among the most common medical procedures, yet fear of needles can result in avoidance of preventive measures and treatment. DESIGN: Systematic review and meta-analysis. DATA SOURCES: MEDLINE (1966-2017), Embase (1947-2017), PsycINFO (1967-2017), and CINAHL (1961-2017) were searched, with no restrictions by age, gender, race, language, or country. REVIEW METHODS: The prevalence of needle fear was calculated and restricted maximum likelihood random effects models were used for meta-analysis and meta-regression. RESULTS: The search yielded 119 original research articles which are included in this review, of which 35 contained sufficient information for meta-analysis. The majority of children exhibited needle fear, while prevalence estimates for needle fear ranged from 20-50% in adolescents and 20-30% in young adults. In general, needle fear decreased with increasing age. Both needle fear and needle phobia were more prevalent in females than males. Avoidance of influenza vaccination because of needle fear occurred in 16% of adult patients, 27% of hospital employees, 18% of workers at long-term care facilities, and 8% of healthcare workers at hospitals. Needle fear was common when undergoing venipuncture, blood donation, and in those with chronic conditions requiring injection. CONCLUSIONS: Fear of needles is common in patients requiring preventive care and in those undergoing treatment. Greater attention should be directed to interventions which alleviate fear in high-risk groups.
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Needle fear is common in patients requiring preventive health care: avoidance of influenza vaccination caused by needle fear was found in 16% of adult patients, 27% of hospital employees, 18% of employees in care facilities, and 8% of healthcare professionals in a clinical setting.
“a contemporary review and meta-analysis by McLenon and Rogers from 2019 found that needle fear is common in patients requiring preventive health care: avoidance of influenza vaccination caused by needle fear was found in 16% of adult patients, 27% of hospital employees, 18% of employees in care facilities, and 8% of healthcare professionals in a clinical setting (40).”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [40]
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A Review on Current COVID-19 Vaccines and Evaluation of Particulate Vaccine Delivery Systems
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Virtual reality for pediatric periprocedural care
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Sensing patches for biomarker identification in skin-derived biofluids
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Phosphorescent Microneedle Array for the Measurement of Oxygen Partial Pressure in Tissue
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The mental health profiles of pediatric organ transplant recipients
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Rates of Response to Atogepant for Migraine Prophylaxis Among Adults
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Towards the advance of a novel iontophoretic patch for needle-free buccal anesthesia
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- Authors
- McLenon, J., & Rogers, M. A. M.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Rogers, Mary A.M.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2018-09-11
- Volume
- 75
- Issue
- 1
- Pages
- 30-42
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2886039652
- Cited by
- 623
- References
- 145
- Citations by year
- 2026: 87 · 2025: 121 · 2024: 96 · 2023: 102 · 2022: 87 · 2021: 78 · 2020: 33 · 2019: 17
- FWCI
- 8.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- needle fear, needle phobia, prevalence, children, adolescents, young adults, sex differences, venipuncture, blood donation, healthcare workers, long-term care workers, age differences
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Fear, Female, Humans, Injections, Male, Middle Aged, Needles, Phobic Disorders, Sex Factors, Incidence, Young Adult
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