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Original Article Knowledge, Attitudes, Barriers and Uptake Rate of Influenza Virus Vaccine among Physicians in Jordan: A Multicentric Cross-Sectional Study
Munir Abu-Helalah1,2corresp_iconorcid , Tarek Gharibeh3orcid , Mohammad Al-Hanaktah4orcid , Hussam Alshraideh5orcid , Raghad Darweesh6orcid , Maria Alshurman7, Lekaa Al mughrabi F8orcid , Yaqeen Al mughrabi F8orcid , Neveen Ghanem6

DOI: https://doi.org/10.3961/jpmph.24.776 [Accepted]
Published online: June 3, 2025
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1Department of Family and Community Medicine, Faculty of Medicine, Jordan University, 11942, Amman, Jordan, Amman, Jordan
2Public Health Institute, The University of Jordan, 11942, Amman, Jordan
3Department of Medicine, Faculty of Medicine, University of Jordan, 11942, Amman, Jordan
4Faculty of Medicine, Jordan University, 11942,, Amman, Jordan
5Industrial Engineering Department, Jordan University of Science and Technology, 22110, Irbid, Jordan
6Department of Pediatrics, King Hussein Cancer Foundation and Center, 11937, Amman, Jordan
7Faculty of Medicine, Jordan University of Science and Technology, 21110, Irbid, Jordan
8Faculty of medicine, Mutah University, 61710, Al Karak, Jordan
Corresponding author:  Munir Abu-Helalah,
Email: m.abu-helalah@ju.edu.jo
Received: 20 December 2024   • Revised: 9 April 2025   • Accepted: 10 April 2025

Objectives
Seasonal influenza (SI) poses significant global health challenges, with healthcare professionals (HCPs) particularly vulnerable due to frequent exposure to infected patients. Influenza vaccination is a proven method to reduce morbidity and mortality. Despite recommendations by health authorities, vaccination uptake among HCPs remains suboptimal globally and within Jordan. This study aimed to assess knowledge, attitudes, barriers, and influenza vaccine uptake among physicians in Jordan.
Methods
A cross-sectional study was conducted from March to June 2023 involving 389 physicians from Ministry of Health facilities across Jordan. A structured and validated questionnaire was used to collect demographic data, vaccination history, and insights guided by the health belief model. Multivariate logistic regression analyses were performed to identify predictors of vaccine uptake and patient vaccination practices.
Results
The influenza vaccination rate during the 2022–2023 season was 47%. Vaccination uptake was associated with factors such as age, geographic location, professional designation, and training. Vaccinated physicians demonstrated better knowledge and more favorable attitudes toward vaccination. Common barriers included misconceptions about personal risk, concerns over vaccine efficacy, and forgetting to vaccinate. Physicians who received training were more likely to recommend vaccination to patients.
Conclusions
The low vaccination rate among Jordanian physicians highlights the need for targeted educational interventions and policies to address misconceptions and barriers. Improving influenza vaccination uptake among HCPs is critical to enhancing patient confidence, reducing transmission, and improving public health outcomes.


JPMPH : Journal of Preventive Medicine and Public Health
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