Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan

Patients with asthma are at increased risk of respiratory infections, especially from seasonal influenza. Vaccination is critical for disease management, but uptake remains low, particularly in low- and middle-income countries. Vaccine literacy (VL) may influence vaccination behavior. This study aim...

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Main Authors: Walid Al-Qerem, Majd Kasasbeh, Anan Jarab, Khaled Al Oweidat, Judith Eberhardt, Lama Sawaftah, Lujain Al-Sa’di
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2025.2552062
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author Walid Al-Qerem
Majd Kasasbeh
Anan Jarab
Khaled Al Oweidat
Judith Eberhardt
Lama Sawaftah
Lujain Al-Sa’di
author_facet Walid Al-Qerem
Majd Kasasbeh
Anan Jarab
Khaled Al Oweidat
Judith Eberhardt
Lama Sawaftah
Lujain Al-Sa’di
author_sort Walid Al-Qerem
collection DOAJ
description Patients with asthma are at increased risk of respiratory infections, especially from seasonal influenza. Vaccination is critical for disease management, but uptake remains low, particularly in low- and middle-income countries. Vaccine literacy (VL) may influence vaccination behavior. This study aimed to assess VL among asthmatic adults in Jordan and examine its relationship with influenza vaccination, considering demographic, attitudinal, and clinical factors. A cross-sectional survey was conducted with 400 adults with asthma. Participants completed the Arabic version of the Vaccine Literacy Assessment tool (HLVa-Ar), a vaccine attitude scale, a vaccination practices survey, a sociodemographic sheet, and the GINA asthma symptoms test. Binary logistic regression identified predictors of influenza vaccination. The results indicated that only 29.1% of participants reported receiving the influenza vaccine. The median VL score was 34 (IQR: 27–41) out of a maximum score of 56. Regression analysis showed that higher VL scores were significantly associated with increased odds of vaccination (OR = 1.053, 95% CI: 1.024–1.083, p <.001). A more positive attitude toward vaccination also predicted higher vaccination rates (OR = 1.286, 95% CI: 1.167–1.418, p <.001). Conversely, participants earning less than 500 JOD per month were less likely to be vaccinated (OR = 0.450, 95% CI: 0.257–0.787, p = .005). The results confirmed that VL significantly influences vaccination practices. Public health strategies should focus on improving VL, especially among socioeconomically disadvantaged groups, to enhance vaccine uptake and asthma control.
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spelling doaj-art-a32db38f3f7d43aa93ac0f2c7adba9382025-08-26T10:06:04ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2552062Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in JordanWalid Al-Qerem0Majd Kasasbeh1Anan Jarab2Khaled Al Oweidat3Judith Eberhardt4Lama Sawaftah5Lujain Al-Sa’di6Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanFaculty of Pharmacy, Jordan University of Science and Technology, Irbid, JordanPulmonary and Sleep Department, The University of Jordan, Amman, JordanDepartment of Psychology, School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UKDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, JordanPatients with asthma are at increased risk of respiratory infections, especially from seasonal influenza. Vaccination is critical for disease management, but uptake remains low, particularly in low- and middle-income countries. Vaccine literacy (VL) may influence vaccination behavior. This study aimed to assess VL among asthmatic adults in Jordan and examine its relationship with influenza vaccination, considering demographic, attitudinal, and clinical factors. A cross-sectional survey was conducted with 400 adults with asthma. Participants completed the Arabic version of the Vaccine Literacy Assessment tool (HLVa-Ar), a vaccine attitude scale, a vaccination practices survey, a sociodemographic sheet, and the GINA asthma symptoms test. Binary logistic regression identified predictors of influenza vaccination. The results indicated that only 29.1% of participants reported receiving the influenza vaccine. The median VL score was 34 (IQR: 27–41) out of a maximum score of 56. Regression analysis showed that higher VL scores were significantly associated with increased odds of vaccination (OR = 1.053, 95% CI: 1.024–1.083, p <.001). A more positive attitude toward vaccination also predicted higher vaccination rates (OR = 1.286, 95% CI: 1.167–1.418, p <.001). Conversely, participants earning less than 500 JOD per month were less likely to be vaccinated (OR = 0.450, 95% CI: 0.257–0.787, p = .005). The results confirmed that VL significantly influences vaccination practices. Public health strategies should focus on improving VL, especially among socioeconomically disadvantaged groups, to enhance vaccine uptake and asthma control.https://www.tandfonline.com/doi/10.1080/21645515.2025.2552062Asthmapatient educationvaccinehealth literacyJordan
spellingShingle Walid Al-Qerem
Majd Kasasbeh
Anan Jarab
Khaled Al Oweidat
Judith Eberhardt
Lama Sawaftah
Lujain Al-Sa’di
Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
Human Vaccines & Immunotherapeutics
Asthma
patient education
vaccine
health literacy
Jordan
title Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
title_full Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
title_fullStr Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
title_full_unstemmed Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
title_short Assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in Jordan
title_sort assessment of the impact of vaccine literacy on influenza vaccination practices among asthma patients in jordan
topic Asthma
patient education
vaccine
health literacy
Jordan
url https://www.tandfonline.com/doi/10.1080/21645515.2025.2552062
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