Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers

Introduction According to the National Institute for Occupational Safety and Health, ensuring influenza vaccination for public transportation drivers is considered a public health objective, given that these drivers are at high risk of contracting influenza. The main purpose of this cross-sectional...

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Main Author: Salam, Mahmoud (author)
Other Authors: Honein-AbouHaidar, Gladys (author)
Format: article
Published: 2025
Online Access:http://hdl.handle.net/10725/17468
https://doi.org/10.1016/j.jvacx.2024.100606
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.sciencedirect.com/science/article/pii/S2590136224001797
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author Salam, Mahmoud
author2 Honein-AbouHaidar, Gladys
author2_role author
author_facet Salam, Mahmoud
Honein-AbouHaidar, Gladys
author_role author
dc.creator.none.fl_str_mv Salam, Mahmoud
Honein-AbouHaidar, Gladys
dc.date.none.fl_str_mv 2025-11-05T15:02:35Z
2025-11-05T15:02:35Z
2025
2025-01
dc.identifier.none.fl_str_mv 2590-1362
http://hdl.handle.net/10725/17468
https://doi.org/10.1016/j.jvacx.2024.100606
Salam, M., & Honein-Abou Haidar, G. (2025). Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers. Vaccine: X, 22, 100606.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.sciencedirect.com/science/article/pii/S2590136224001797
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Vaccine: X
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Introduction According to the National Institute for Occupational Safety and Health, ensuring influenza vaccination for public transportation drivers is considered a public health objective, given that these drivers are at high risk of contracting influenza. The main purpose of this cross-sectional study is, thus, to evaluate influenza vaccine hesitancy (VH) and its determinants among a representative sample of Lebanese public transportation drivers. Methods A survey questionnaire is conducted between January and March 2023, with the participation of a proportionate purposeful sample of 509 drivers from various regions in Lebanon. Study exposures include socio-demographics, health/work related variables, past experiences, knowledge and fatalistic views. VH and Vaccination Attitudes Examination (VAX) scales (score range 1 to 5 each) are used to measure study outcomes. Descriptive and bivariate statistical analyses, followed by ordinal and linear regression analyses are performed. Statistical significance is set at P < 0.025 (two sided). Results The vast majority of study participants (n = 499, 98 %) are males. Their age mean is 44.7 ± 12.6 years, while the mean duration of their work in public transportation is 11.5 ± 10.1 years. Results show vaccine hesitancy in terms of influenza risk calculation (3.27 ± 1.28), preference to natural immunity over influenza vaccines (3.23 ± 1.14) and vaccine constraints (2.83 ± 1.38). As for concerns regarding commercial profiteering behind influenza vaccines, the mean score of agreement with vaccines is 2.77 ± 1.10, while the mean score of lack of trust in vaccine safety is 2.70 ± 1.32. Conclusions Influenza VH among public transportation drivers in Lebanon is evident. Although a significant number of drivers are willing to be vaccinated, hesitancy often delays their decision. Study findings can inform influenza vaccination campaigns and syndicates regarding the need to raise awareness about influenza vaccine benefits among drivers and alleviate their hesitancies prior the upcoming flu season.
eu_rights_str_mv openAccess
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identifier_str_mv 2590-1362
Salam, M., & Honein-Abou Haidar, G. (2025). Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers. Vaccine: X, 22, 100606.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/17468
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spelling Influenza vaccine hesitancy and its determinants among Lebanese public transportation driversSalam, MahmoudHonein-AbouHaidar, GladysIntroduction According to the National Institute for Occupational Safety and Health, ensuring influenza vaccination for public transportation drivers is considered a public health objective, given that these drivers are at high risk of contracting influenza. The main purpose of this cross-sectional study is, thus, to evaluate influenza vaccine hesitancy (VH) and its determinants among a representative sample of Lebanese public transportation drivers. Methods A survey questionnaire is conducted between January and March 2023, with the participation of a proportionate purposeful sample of 509 drivers from various regions in Lebanon. Study exposures include socio-demographics, health/work related variables, past experiences, knowledge and fatalistic views. VH and Vaccination Attitudes Examination (VAX) scales (score range 1 to 5 each) are used to measure study outcomes. Descriptive and bivariate statistical analyses, followed by ordinal and linear regression analyses are performed. Statistical significance is set at P < 0.025 (two sided). Results The vast majority of study participants (n = 499, 98 %) are males. Their age mean is 44.7 ± 12.6 years, while the mean duration of their work in public transportation is 11.5 ± 10.1 years. Results show vaccine hesitancy in terms of influenza risk calculation (3.27 ± 1.28), preference to natural immunity over influenza vaccines (3.23 ± 1.14) and vaccine constraints (2.83 ± 1.38). As for concerns regarding commercial profiteering behind influenza vaccines, the mean score of agreement with vaccines is 2.77 ± 1.10, while the mean score of lack of trust in vaccine safety is 2.70 ± 1.32. Conclusions Influenza VH among public transportation drivers in Lebanon is evident. Although a significant number of drivers are willing to be vaccinated, hesitancy often delays their decision. Study findings can inform influenza vaccination campaigns and syndicates regarding the need to raise awareness about influenza vaccine benefits among drivers and alleviate their hesitancies prior the upcoming flu season.Published2025-11-05T15:02:35Z2025-11-05T15:02:35Z20252025-01Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2590-1362http://hdl.handle.net/10725/17468https://doi.org/10.1016/j.jvacx.2024.100606Salam, M., & Honein-Abou Haidar, G. (2025). Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers. Vaccine: X, 22, 100606.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.sciencedirect.com/science/article/pii/S2590136224001797enVaccine: Xinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/174682025-11-05T15:02:35Z
spellingShingle Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
Salam, Mahmoud
status_str publishedVersion
title Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
title_full Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
title_fullStr Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
title_full_unstemmed Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
title_short Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
title_sort Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers
url http://hdl.handle.net/10725/17468
https://doi.org/10.1016/j.jvacx.2024.100606
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.sciencedirect.com/science/article/pii/S2590136224001797