Yellow fever vaccine hesitancy and its relationship with contextual, individual, or group influences and vaccine-specific issues: a scoping review

Lopes, Vanessa da Silva; Souza, Pablo Cristiano de; Garcia, Érica Marvila; Lima, Jaqueline Costa

doi:10.1590/1413-81232023286.13522022EN

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REVIEW • Ciênc. saúde coletiva 28 (06) • June 2023 • https://doi.org/10.1590/1413-81232023286.13522022EN copy

Yellow fever vaccine hesitancy and its relationship with contextual, individual, or group influences and vaccine-specific issues: a scoping review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Vaccine hesitancy is a phenomenon with the potential to reduce vaccination coverage rates, as observed with the yellow fever vaccine (YFV), leading to epidemics and the reintroduction of controlled immunopreventable diseases. This study, together with the scientific literature, aims to map the relationship among the lack of information, vaccine safety and adverse events, and vaccine hesitancy concerning YFV. A scoping review was conducted in the Virtual Health Library (VHL), National Library of Medicine (PubMed), SCOPUS, Embase, and Web of Science databases, using controlled (DeCS/MeSH) and uncontrolled descriptors. In this work, we selected eleven articles, published in English, Spanish, and Portuguese, with no time limits, which met the inclusion criteria. False information, inadequate knowledge about the immunizer, lack of time to take a vaccination, acceptance of the vaccine, vaccine safety, and fear of adverse events were related to vaccine hesitancy. This study reinforces the importance of access to adequate information, provides guidance on YFV safety and adverse events, and can aid in the development of public health strategies to mitigate hesitancy.

Key words:
Yellow fever vaccine; Vaccine hesitancy; Health behavior

Databases (Total texts)	Search Strategy (Articles found)	Articles found	Articles selected
BVS (LILACS and SCIELO) (4,506)	“Vaccine against yellow fever” AND “Safety” AND “Adverse events” OR “Collateral effects and drug-related adverse reactions	37	0
	“Yellow fever vaccine” AND “Safety” AND “Drug-Related Side Effects and Adverse Reactions”	18	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety”	1558	2
	“Yellow fever vaccine” AND “Safety” OR “Patient safety”	2695	1
	“Yellow fever vaccine” AND “Vaccination refusal”	2	0
	“Yellow fever vaccine” AND “Vaccination refusal”	2	0
	“Yellow fever vaccine” AND “Patient Acceptance of Health care”	5	0
	“Yellow fever vaccine” AND “Patient Acceptance of Health care”	11	0
	“Yellow fever vaccine” AND “Vaccination coverage”	28	0
	“Yellow fever vaccine” AND “Vaccination coverage”	150	1
PubMed (559)	“Yellow fever vaccine” AND “Safety” AND “Drug-Related Side Effects and Adverse Reactions”	13	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety” AND “Vaccination refusal”	111	0
	“Yellow fever vaccine” AND “Safety” OR “Vaccine safety” AND “Vaccination refusal”	300	0
	“Yellow fever vaccine” AND “Safety” OR “Vaccine safety”	2	0
	“Yellow Fever Vaccine” AND “Vaccination refusal”	1	0
	“Yellow Fever Vaccine” AND “Patient Acceptance of Health care”	19	1
	“Yellow Fever Vaccine” AND “Vaccination coverage”	113	0
Scopus (2,116)	“Yellow fever vaccine” AND “Safety” AND “Adverse events” OR “Drug-Related Side Effects and Adverse Reactions”	1	0
	“Yellow fever vaccine” AND “Safety” AND “Drug-Related Side Effects and Adverse Reactions”	85	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety” AND “Vaccination refusal”	62	0
	“Yellow fever vaccine” AND “Safety” OR “Vaccine safety”	3	0
	“Yellow fever vaccine” AND “Safety” OR “Vaccine safety”	697	0
	“Yellow fever vaccine” AND “Vaccination refusal”	1	0
	“Yellow fever vaccine” AND “Vaccination refusal”	87	0
	“Yellow fever vaccine” AND “Patient Acceptance of Health care”	133	3
	“Yellow fever vaccine” AND “Vaccination coverage”	3	0
	“Yellow fever vaccine” AND “Vaccination coverage”	1044	0
Embase (785)	“Vaccine against yellow fever” AND “Safety” AND “Adverse events” OR “Collateral effects and drug-related adverse reactions	1	0
	“Yellow fever vaccine” AND “Safety” AND “Drug-Related Side Effects and Adverse Reactions”	2	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety” AND “Vaccination refusal”	3	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety”	697	0
	“Yellow fever vaccine” AND “Vaccination refusal”	4	0
	“Yellow fever vaccine” AND “Vaccination coverage”	78	1
Web of Science (847)	“Yellow fever vaccine” AND “Safety” AND “Drug-Related Side Effects and Adverse Reactions”	2	0
	“Yellow fever vaccine” AND “Safety” OR “Patient safety” AND “Vaccination refusal”	534	0
	“Yellow fever vaccine” AND “Safety OR Patient safety”	217	0
	“Yellow fever vaccine” AND “Vaccination refusal”	3	0
	“Yellow fever vaccine” AND “Vaccination coverage”	91	0
Total		8,813	9

Title	Kind of study	Country	Year of publication
Notes from the field: knowledge, attitudes, and practices regarding yellow fever vaccination among men during an outbreak - Luanda, Angola, 2016²⁹	Cross-sectional	Angola	2017
Fake news sobre vacinas: uma análise sob o modelo dos 3Cs da Organização Mundial da Saúde³³	Qualitative exploratory	Brazil	2021
Travel health attitudes among Turkish business travellers to African countries²²	Cross-sectional	Turkey	2016
Vaccination knowledge, attitude and practice among Chinese travelers who visit travel clinics in Preparation for international travel²³	Cross-sectional	China	2016
Evaluación de cobertura y del nivel de información en la campaña de vacunación contra la fiebre amarilla, Cusco, Perú, 2005³⁰	Prospective, Descriptive Cross-sectional	Peru	2008
Acceptance of yellow fever vaccine in the older travelers: a cohort study²⁸	Cohort	Spain	2021
Preferences and decision needs of Boston-area travelers to countries with risk of yellow fever virus transmission: implications for healthcare providers²⁴	Descriptive Cross-sectional	USA	2014
Vaccination against yellow fever in French Guiana: The impact of educational level, negative beliefs and attitude towards vaccination³¹	Descriptive Cross-sectional, population based	French Guianna (France)	2017
Knowledge, attitude and compliance towards travel vaccines among Nigerian travelers at an international airport²⁵	Descriptive Cross-sectional	Nigeria	2019
Travelers' knowledge, attitudes and practices on the prevention of infectious diseases: results from a study at Johannesburg International Airport²⁶	Cross-sectional	South Africa	2004
Travel health knowledge, attitudes and practices among United States travelers²⁷	Cross-sectional	USA	2004

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[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva