{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T09:47:55Z","timestamp":1783763275344,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess coronavirus disease 2019 (COVID\u201019) vaccine acceptance among people living with HIV (PLHIV) worldwide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We searched MEDLINE, PSYINFO, CINHAL, Scopus and EMBASE databases and other sources including free Google search and subject\u2010specific journals from January 2020 to September 2021. The study population included adults (aged 18+ years) living with HIV and evaluated for COVID\u201019 vaccine acceptance. A random effect meta\u2010analysis model was used to estimate the pooled COVID\u201019 vaccine acceptance rate. Subgroup analyses were performed, and factors associated with COVID\u201019 vaccine hesitancy underwent narrative analysis. Of 558 initial records, 14 studies were eligible for review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall pooled COVID\u201019 vaccine acceptance rate among adult PLHIV was 62% (95% confidence interval [CI], 56%\u201369%). In subgroup analysis, the estimated pooled COVID\u201019 vaccine acceptance rate was higher in high\u2010income countries: 63% (95% CI, 55%\u201370%) versus 62% (95% CI, 54%\u201371%) in low\u2010 and middle\u2010income countries, and in studies conducted in 2022 (66% [95% CI, 58%\u201375%]) than in studies conducted in 2021 (57% [95% CI, 47%\u201368%]). Reasons for lower COVID\u201019 vaccine acceptance included higher monthly income, being non\u2010homosexual, history of chronic disease, COVID\u201019\u2010related medical mistrust, not knowing anyone who died of COVID\u201019, believing oneself to be immune to COVID\u201019, general vaccine refusal, negative attitude to the vaccine, concerns about efficacy, safety and side effects, distrust in common sources of vaccine\u2010related information and using social media as a source of information on COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among PLHIV, acceptance of COVID\u201019 vaccine is generally low. A greater emphasis on collaborative efforts between all concerned bodies is needed to boost vaccine acceptance in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13908","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T02:43:32Z","timestamp":1688525012000},"page":"601-611","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["<scp>COVID\u201019<\/scp> vaccine acceptance among people living with HIV: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0243-4385","authenticated-orcid":false,"given":"Janet Yohannes","family":"Ejamo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences Wachemo University  Hossana Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gebrehiwot Lema","family":"Legese","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Medicine and Health Sciences University of Gondar  Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeabsira Aklilu","family":"Tesfaye","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Medicine and Health Sciences University of Gondar  Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fitsum Endale","family":"Liben","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Public Health, College of Medicine and Health Sciences Wachemo University  Hossana Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/HAB-200422"},{"issue":"1","key":"e_1_2_7_3_1","article-title":"COVID\u201019: an international public health concern","volume":"9","author":"Ayenigbara IO","year":"2020","journal-title":"Cent Asian J Glob Health"},{"key":"e_1_2_7_4_1","unstructured":"COVID\u201019 coronavirus pandemic. 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