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Determinants of COVID-19 vaccine hesitancy across 186 countries: a multifaceted analysis using structural equation modeling.

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Title: Determinants of COVID-19 vaccine hesitancy across 186 countries: a multifaceted analysis using structural equation modeling.
Authors: Van Truong L; Traditional Medicine Hospital of Ministry of Public Security, Hanoi 100000, Viet Nam; Online Research Club, Nagasaki University, Japan. Electronic address: bs.vantruong@gmail.com., Van Nguyen T; Faculty of Medicine and Health, The University of Sydney, NSW, Australia; Oxford University Clinical Research Unit, Ho Chi Minh City 700000, Viet Nam., Trang VTT; Online Research Club, Nagasaki University, Japan; National Hospital of Traditional Medicine, Hanoi 100000, Viet Nam; Division of Health, University of Waikato, Waikato, New Zealand., Le TTT; Oxford University Clinical Research Unit, Ho Chi Minh City 700000, Viet Nam., Thum CC; Ministry of Communications, Putrajaya 62100, Malaysia., Nguyen D; Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA; Center for Materials Innovation and Technology, VinUniversity, Hanoi, Vietnam., Wong YJ; School of Pharmacy, Monash University Malaysia, Subang Jaya 47500, Malaysia., Jain N; Statistics Unit, Riga Stradinš University, Riga LV-1007, Latvia., Binh MNLT; University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 700000, Viet Nam., Anh DH; Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho 900000, Viet Nam., Marzouk S; Medical Scientist Training Program, Northwestern Feinberg School of Medicine, IL, USA., Sabet C; Georgetown University Medical Center, Washington, DC, USA., El Idrissi FE; Faculty of Medicine, Pharmacy and Dental Medicine of Fez - Sidi Mohammed Ben Abdellah University, Morocco., Thuy LT; Traditional Medicine Hospital of Ministry of Public Security, Hanoi 100000, Viet Nam., Huynh KLA; Department of Biostatistics, Virginia Commonwealth University, Richmond, USA., Makram AM; School of Public Health, Imperial College London, London, United Kingdom., Pham HH; Reduvation Research Group, Thanh Do University, Hanoi, Viet Nam; Center for Research and Practice on Education, Phu Xuan University, Hue, Viet Nam., Lesmana E; Department of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia., Simadibrata DM; Department of Medicine, Metrohealth Medical Center, Case Western Reserve University, Cleveland, OH, United States., Abbas AM; Faculty of Medicine, Assiut University, Egypt., Kudsi MA; Faculty Of Medicine, Aleppo University, Aleppo, Syria., Minh NA; Vietnam University of Traditional Medicine, Hanoi, Viet Nam., Ngoc NT; Hai Phong University of Medicine and Pharmacy, Hai Phong, Viet Nam., Binh NH; Vietnam University of Traditional Medicine, Hanoi, Viet Nam., Nam NT; Phenikaa University/Faculty of Traditional Medicine, Hanoi 100000, Viet Nam., Ali IA; Department Of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan., Gurav JS; Armed Forces Medical College, Pune 411040, India., Tri NHM; Faculty Of Medicine, Duy Tan University, Da Nang, Viet Nam., Tin PT; Can Tho University of Medicine and Pharmacy, Can Tho City 920000, Viet Nam., Makki A; Faculty Of Medicine, Aleppo University, Aleppo, Syria., Albakkar M; Faculty Of Medicine, Aleppo University, Aleppo, Syria., Naji MH; Faculty Of Medicine, Damascus University, Damascus, Syria., Jouini JA; Faculty Of Medicine, Damascus University, Damascus, Syria., Anand A; Mata Gujri Memorial Medical College & Lions Seva Kendra Hospital (Mgmmc) Kishanganj, Bihar 855107, India., Al-Moughales AAAR; Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen., Tuyen PB; Traditional Medicine Hospital of Ministry of Public Security, Hanoi 100000, Viet Nam., Kashyap A; Department of Community Medicine, Era's Lucknow Medical College and Hospital, Lucknow, India., Mohamed MHN; School of Medicine - University of Georgia, Tbilisi, Georgia., Alhosni H; Imperial College London, Faculty of Medicine, London Sw7 2Az, United Kingdom., MohamedAhmed BBA; Faculty of Medicine El-Razi University, Khartoum 11111, Sudan., Ramanarayanan S; Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi P O, Kothamangalam, Kerala 686691, India., Menna C; Universitas Indonesia, Jakarta, Indonesia., Ramzi A; Faculty of Medicine Mansoura University, Mansoura 35516, Egypt., Arnaout M; Faculty Of Medicine, Aleppo University, Aleppo, Syria., James JM; Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi P O, Kothamangalam, Kerala 686691, India., Van Pham M; Hai Duong Medical Technical University, Hai Duong Province, Viet Nam., Mokhtar FMB; Merowe University of Technology Abdulatif Alhamad - Medicine and Surgery Department, Algolid, Sudan., Mani E; Adhiparasakthi Dental College & Hospital, Melmaruvathur, India., Kumari U; Department of Medicine, University of Tennessee Health Science Center, Memphis, TN 38164, United States., Fathima SS; Srivenkateshwaraa Dental College, Department of Oral Pathology & Microbiology, Puducherry 605102, India., Rampengan DDCH; Faculty Of Medicine, Universitas Sam Ratulangi, Manado 95116, Indonesia., Pham Thi Cam H; Hai Duong Medical Technical University, Hai Duong Province, Viet Nam., Elhadidy AMAM; Faculty Of Nursing, The Mansoura University, Egypt., Okeh DU; Department Of Community Medicine, Federal Medical Centre Umuahia, Abia 440221, Nigeria., Soetomo CT; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Udayana University, Ngoerah Hospital, Bali, Indonesia., Latti P; Department Of Public Health Dentistry, Annoor Dental College & Hospital, Muvattupuzha, Kerala 686673, India., Babu P; Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi P O, Kothamangalam, Kerala 686691, India., Ghanam AK; Benha University Faculty of Medicine, Benha 6460001, Egypt., Osman MOA; The National Ribat University, Khartoum, Sudan; Lecturer of Physiology, Ahfad University of Women and Registrar of Internal Medicine at HSE/SMSB, Khartoum, Sudan., Putrinata NPMH; Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Newcastle University, Newcastle Upon Tyne, United Kingdom., George G; Department of Conservative Dentistry and Endodontics, Indira Gandhi Institute of Dental Sciences, Nellikuzhi P O, Kothamangalam, Kerala 686691, India., Alhumrani ZAK; Misan University College of Medicine, Amarah 62001, Iraq., Kwaah PA; Department of Internal Medicine, Yale School of Medicine, Waterbury, CT 06708, USA., Saad MA; Alazhar University Faculty of Medicine for Boys, Cairo 11651, Egypt., Ibrahim AID; Faculty of Medicine, Kordofan University, El-Obeid 51111, Sudan., Mohamed MAS; Faculty of Medicine, Assiut University, Egypt., Dinh XT; Hai Duong Medical Technical University, Hai Duong Province, Viet Nam., Salim J; Kalideres General District Hospital, Jakarta 11840, Indonesia; Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia., Bouey J; Department of Global Health, School of Health, Georgetown University, Washington, DC, USA. Electronic address: Jennifer.bouey@georgetown.edu., Huy NT; Institute of Research and Development, Duy Tan University, Da Nang, Viet Nam; School of Medicine and Pharmacy, Duy Tan University, Da Nang, Viet Nam; School of Tropical Medicine and Global Health, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan. Electronic address: nguyentienhuy4@duytan.edu.vn.
Corporate Authors: TMGH Online Research Club Global Team
Source: Vaccine [Vaccine] 2026 Apr 11; Vol. 78, pp. 128196. Date of Electronic Publication: 2026 Mar 17.
Publication Type: Journal Article
Journal Info: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8406899 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2518 (Electronic) Linking ISSN: 0264410X NLM ISO Abbreviation: Vaccine Subsets: MEDLINE
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            NameFull: Tuyen PB
      – PersonEntity:
          Name:
            NameFull: Kashyap A
      – PersonEntity:
          Name:
            NameFull: Mohamed MHN
      – PersonEntity:
          Name:
            NameFull: Alhosni H
      – PersonEntity:
          Name:
            NameFull: MohamedAhmed BBA
      – PersonEntity:
          Name:
            NameFull: Ramanarayanan S
      – PersonEntity:
          Name:
            NameFull: Menna C
      – PersonEntity:
          Name:
            NameFull: Ramzi A
      – PersonEntity:
          Name:
            NameFull: Arnaout M
      – PersonEntity:
          Name:
            NameFull: James JM
      – PersonEntity:
          Name:
            NameFull: Van Pham M
      – PersonEntity:
          Name:
            NameFull: Mokhtar FMB
      – PersonEntity:
          Name:
            NameFull: Mani E
      – PersonEntity:
          Name:
            NameFull: Kumari U
      – PersonEntity:
          Name:
            NameFull: Fathima SS
      – PersonEntity:
          Name:
            NameFull: Rampengan DDCH
      – PersonEntity:
          Name:
            NameFull: Pham Thi Cam H
      – PersonEntity:
          Name:
            NameFull: Elhadidy AMAM
      – PersonEntity:
          Name:
            NameFull: Okeh DU
      – PersonEntity:
          Name:
            NameFull: Soetomo CT
      – PersonEntity:
          Name:
            NameFull: Latti P
      – PersonEntity:
          Name:
            NameFull: Babu P
      – PersonEntity:
          Name:
            NameFull: Ghanam AK
      – PersonEntity:
          Name:
            NameFull: Osman MOA
      – PersonEntity:
          Name:
            NameFull: Putrinata NPMH
      – PersonEntity:
          Name:
            NameFull: George G
      – PersonEntity:
          Name:
            NameFull: Alhumrani ZAK
      – PersonEntity:
          Name:
            NameFull: Kwaah PA
      – PersonEntity:
          Name:
            NameFull: Saad MA
      – PersonEntity:
          Name:
            NameFull: Ibrahim AID
      – PersonEntity:
          Name:
            NameFull: Mohamed MAS
      – PersonEntity:
          Name:
            NameFull: Dinh XT
      – PersonEntity:
          Name:
            NameFull: Salim J
      – PersonEntity:
          Name:
            NameFull: Bouey J
      – PersonEntity:
          Name:
            NameFull: Huy NT
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 11
              M: 04
              Text: 2026 Apr 11
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1873-2518
          Numbering:
            – Type: volume
              Value: 78
          Titles:
            – TitleFull: Vaccine
              Type: main
ResultId 1