{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:16:21Z","timestamp":1760058981605,"version":"build-2065373602"},"reference-count":68,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Minister of Science under the Regional Initiative of Excellence Program","award":["RID\/SP\/0025\/2024\/01"],"award-info":[{"award-number":["RID\/SP\/0025\/2024\/01"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: COVID-19, caused by the SARS-CoV-2 virus, emerged in late 2019 and rapidly became a global pandemic, affecting over 200 countries. The pandemic has had profound impacts on global health, the economy, and mental health, leading to increased anxiety and more cases of posttraumatic stress disorder in the general population. This study aimed to evaluate the factors influencing the long-term psychological effects, both positive and negative, seen in the late stages of the COVID-19 pandemic in Poland (starting in the second half of 2021). It combined specific COVID-19 anxiety factors with a broader general mental health assessment to identify significant associations. Methods: Data were collected from 416 participants through paper-based and online questionnaires, with 235 valid responses gathered in total. This study utilized the Coronavirus Anxiety Scale; General Health Questionnaire (GHQ-28); and, to study Positive Trauma Effects (PTEs) and Negative Trauma Effects (NTEs), the Changes in Outlook Questionnaire. Data analysis was performed using the R language and a Generalized Additive Model analysis was also performed. Results: The study found generally low levels of COVID-19 anxiety and mental distress among participants. Significant predictors of NTEs included COVID-19 anxiety and general mental health status, which explained 47% of the variance. PTEs were significantly associated with gender, with women experiencing higher PTE levels relative to men. Conclusions: The findings indicate that combining specific ailment anxiety measurements with general mental health assessments enhances our ability to predict Negative Trauma Effects. Addressing mental health symptomatology and well-being during mass health crises is crucial to mitigate long-lasting psychological damage.<\/jats:p>","DOI":"10.3390\/jcm14103343","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T09:13:38Z","timestamp":1747041218000},"page":"3343","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effects of General Mental Health Symptomatology, COVID Anxiety, and Sociodemographic Factors on Pandemic-Induced Negative and Positive Trauma Effects: A Polish Survey from the Late Stages of the Pandemic"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2438-5235","authenticated-orcid":false,"given":"Jakub F.","family":"Juranek","sequence":"first","affiliation":[{"name":"Institute of Psychology, Polish Academy of Sciences, Jaracza 1, 00-378 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maja","family":"Wojtkiewicz","sequence":"additional","affiliation":[{"name":"Department of Geomatics and Cartography, Faculty of Earth Sciences and Land Management, Nicolaus Copernicus University, 87-100 Toru\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judyta K.","family":"Juranek","sequence":"additional","affiliation":[{"name":"Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury, 10-045 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaros\u0142aw","family":"Szuszkiewicz","sequence":"additional","affiliation":[{"name":"Department of Materials Technology and Machinery, Faculty of Technical Sciences, University of Warmia and Mazury, 10-900 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3401-2758","authenticated-orcid":false,"given":"Marcin","family":"J\u00f3\u017awik","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 10-045 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-3644","authenticated-orcid":false,"given":"Joanna","family":"Wojtkiewicz","sequence":"additional","affiliation":[{"name":"Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury, 10-045 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"ref_1","first-page":"e200961en","article-title":"The socio-economic effects of COVID-19","volume":"32","author":"Mahagamage","year":"2023","journal-title":"Sa\u00fade E Soc."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Joshee, S., Vatti, N., and Chang, C. (2022). Long-term effects of COVID-19. Mayo Clinic Proceedings, Elsevier.","DOI":"10.1016\/j.mayocp.2021.12.017"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e2238804","DOI":"10.1001\/jamanetworkopen.2022.38804","article-title":"Prevalence and Correlates of Long COVID Symptoms Among US Adults","volume":"5","author":"Perlis","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1097\/HJH.0000000000002819","article-title":"Coronavirus disease 2019 and cardiovascular complications: Focused clinical review","volume":"39","author":"Saeed","year":"2021","journal-title":"J. Hypertens."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Taufer, C.R., da Silva, J., and Rampelotto, P.H. (2024). The Influence of Probiotic Lactobacilli on COVID-19 and the Microbiota. Nutrients, 16.","DOI":"10.3390\/nu16091350"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"B\u00e9n\u00e9, C., Bakker, D., Rodriguez, M.C., Even, B., Melo, J., and Sonneveld, A. (2021). Impacts of COVID-19 on People\u2019s Food Security: Foundations for a More Resilient Food System, International Food Policy Research Institute.","DOI":"10.2499\/p15738coll2.134295"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1007\/s10608-020-10143-y","article-title":"The Impact of COVID-19 Experiences and Associated Stress on Anxiety, Depression, and Functional Impairment in American Adults","volume":"44","author":"Gallagher","year":"2020","journal-title":"Cogn. Ther. Res."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Nejad, F.N., Adelinejad, F., Golzarpour, M., Azizi, S.A., Mehedi, N., and Khosravi, M.M. (2021). The Consequences of COVID-19-Related Anxiety on Children\u2019s Health: A Cross-Sectional Study. arXiv.","DOI":"10.21203\/rs.3.rs-730170\/v1"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/16506073.2021.1874505","article-title":"Anxiety sensitivity, COVID-19 fear, and mental health: Results from a United States population sample","volume":"50","author":"Warren","year":"2021","journal-title":"Cogn. Behav. Ther."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Dewa, L.H., Roberts, L., Choong, E., Crandell, C., Demkowicz, O., Ashworth, E., Branquinho, C., and Scott, S. (2024). The impact of COVID-19 on young people\u2019s mental health, wellbeing and routine from a European perspective: A co-produced qualitative systematic review. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0299547"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Doli\u0107, M., Anti\u010devi\u0107, V., Doli\u0107, K., and Pogoreli\u0107, Z. (2021). Questionnaire for assessing social contacts of nurses who worked with coronavirus patients during the first wave of the COVID-19 pandemic. Healthcare, 9.","DOI":"10.3390\/healthcare9080930"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"102290","DOI":"10.1016\/j.janxdis.2020.102290","article-title":"The prospective influence of COVID-19 affective risk assessments and intolerance of uncertainty on later dimensions of health anxiety","volume":"75","author":"Tull","year":"2020","journal-title":"J. Anxiety Disord."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Podhorodecka, K., Radkowski, P., Boniecka, P., and Wojtkiewicz, J. (2022). Psychological distress after the COVID-19 pandemic among anesthesiologists in Poland\u2014An observational study. Int. J. Environ. Res. Public. Health, 19.","DOI":"10.3390\/ijerph19159328"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.encep.2020.05.021","article-title":"La croissance post-traumatique: Un concept m\u00e9connu de la psychiatrie fran\u00e7aise","volume":"47","author":"Magne","year":"2021","journal-title":"L\u2019Enc\u00e9phale"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/s15327965pli1501_01","article-title":"Posttraumatic Growth: Conceptual Foundations and Empirical Evidence","volume":"15","author":"Tedeschi","year":"2004","journal-title":"Psychol. Inq."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Bridgland, V.M.E., Moeck, E.K., Green, D.M., Swain, T.L., Nayda, D.M., Matson, L.A., Hutchison, N.P., and Takarangi, M.K.T. (2021). Why the COVID-19 pandemic is a traumatic stressor. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0240146"},{"key":"ref_17","first-page":"587","article-title":"The Posttraumatic Stress Disorder Impact of the COVID-19 Pandemic","volume":"32","author":"Huang","year":"2020","journal-title":"Psychiatr. Danub."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1872966","DOI":"10.1080\/20008198.2021.1872966","article-title":"Post-traumatic stress, growth, and depreciation during the COVID-19 pandemic: Evidence from Turkey","volume":"12","author":"Ikizer","year":"2021","journal-title":"Eur. J. Psychotraumatology"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1192\/j.eurpsy.2021.24","article-title":"Prevalence of post-traumatic stress symptoms among people influenced by coronavirus disease 2019 outbreak: A meta-analysis","volume":"64","author":"Qiu","year":"2021","journal-title":"Eur. Psychiatry"},{"key":"ref_20","unstructured":"Smith, W.G. (2025, May 01). Does gender influence online survey participation? A record-linkage analysis of university faculty online survey response behavior. Online Submiss. Available online: https:\/\/scholarworks.sjsu.edu\/cgi\/viewcontent.cgi?article=1003&context=elementary_ed_pub."},{"key":"ref_21","first-page":"3","article-title":"Gender and survey participation: An event history analysis of the gender effects of survey participation in a probability-based multi-wave panel study with a sequential mixed-mode design","volume":"16","author":"Becker","year":"2022","journal-title":"Methods Data Anal. J. Quant. Methods Surv. Methodol. Mda"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Thompson, A.E., Anisimowicz, Y., Miedema, B., Hogg, W., Wodchis, W.P., and Aubrey-Bassler, K. (2016). The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC study. BMC Fam. Pract., 17.","DOI":"10.1186\/s12875-016-0440-0"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/07481187.2020.1748481","article-title":"Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety","volume":"44","author":"Lee","year":"2020","journal-title":"Death Stud."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"110540","DOI":"10.1016\/j.paid.2020.110540","article-title":"The link between ego-resiliency, social support, SARS-CoV-2 anxiety and trauma effects. Polish adaptation of the Coronavirus Anxiety Scale","volume":"171","author":"Skalski","year":"2021","journal-title":"Personal. Individ. Differ."},{"key":"ref_25","unstructured":"Makowska, Z., and Merecz, D. (2001). Polska adaptacja kwestionariuszy og\u00f3lnego stanu zdrowia Davida Goldberga: GHQ-12 i GHQ-28. W Dudek Bred Ocena Zdrowia Psych Na Podstawie Bada\u0144 Kwestionariuszami Davida Goldberga Podr\u0119cznik Dla U\u017cyt Kwestionariuszy GHQ-12 GHQ-28, Instytut Medycyny Pracy."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1002\/jts.2490060209","article-title":"Changes in outlook following disaster: The preliminary development of a measure to assess positive and negative responses","volume":"6","author":"Joseph","year":"1993","journal-title":"J. Trauma. Stress"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"307","DOI":"10.17951\/j.2019.32.3.307-317","article-title":"Kwestionariusz Nowej Perspektywy do pomiaru pozytywnych i negatywnych skutk\u00f3w traumy. Polska adaptacja Short Form of the Changes in Outlook Questionnaire","volume":"32","author":"Skalski","year":"2019","journal-title":"Ann. Univ. Mariae Curie-Sk\u0142odowska Sect. J.\u2013Paedagogia-Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.jad.2021.05.034","article-title":"Multiple forms of mass anxiety in coronavirus disease-2019 pandemic","volume":"291","author":"Cheng","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Fellman, D., Ritakallio, L., Waris, O., Jylkk\u00e4, J., and Laine, M. (2020). Beginning of the Pandemic: COVID-19-Elicited Anxiety as a Predictor of Working Memory Performance. Front. Psychol., 11.","DOI":"10.3389\/fpsyg.2020.576466"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s10389-021-01502-4","article-title":"COVID-19-related risk perception, anxiety and protective behaviours among Nigerian adults: A cross-sectional study","volume":"31","author":"Oyetunji","year":"2021","journal-title":"J. Public Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"497","DOI":"10.12740\/PP\/OnlineFirst\/126230","article-title":"The occurrence of anxiety disorders among Poles during the COVID\u201319 pandemic","volume":"55","author":"Babicki","year":"2021","journal-title":"Psychiatr. Pol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Ko\u0142odziejczyk, A., Misiak, B., Szcze\u015bniak, D., Maciaszek, J., Ciu\u0142kowicz, M., \u0141uc, D., Wieczorek, T., Fila-Witecka, K., Chladzinska-Kiejna, S., and Rymaszewska, J. (2021). Coping Styles, Mental Health, and the COVID-19 Quarantine: A Nationwide Survey in Poland. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.625355"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Vidovi\u0107, S., Kotromanovi\u0107, S., and Pogoreli\u0107, Z. (2024). Depression, anxiety, and stress symptoms among students in Croatia during the COVID-19 pandemic: A systematic review. J. Clin. Med., 13.","DOI":"10.3390\/jcm13206240"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1037\/hea0001259","article-title":"A global meta-analysis of depression, anxiety, and stress before and during COVID-19","volume":"42","author":"Daniali","year":"2023","journal-title":"Health Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Amini-Rarani, M., Azami-Aghdash, S., Mousavi Isfahani, H., and Mohseni, M. (2024). Estimation of the prevalence of anxiety during the COVID-19 pandemic: A meta-analysis of meta-analyses. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19729-7"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"17513","DOI":"10.1007\/s12144-021-02645-z","article-title":"The posttraumatic growth inventory-short form (PTGI-SF): A psychometric study of the spanish population during the COVID-19 pandemic","volume":"42","author":"Collado","year":"2023","journal-title":"Curr. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Cohen-Louck, K. (2022). Differences in posttraumatic growth: Individual quarantine, COVID-19 duration and gender. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.920386"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Bovero, A., Balzani, S., Tormen, G., Malandrone, F., and Carletto, S. (2023). Factors associated with post-traumatic growth during the COVID-19 Pandemic: A systematic review. J. Clin. Med., 13.","DOI":"10.3390\/jcm13010095"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Collazo-Casti\u00f1eira, P., Rodr\u00edguez-Rey, R., Garrido-Hernansaiz, H., and Collado, S. (2022). Prediction of posttraumatic growth in the face of the COVID-19 crisis based on resilience, posttraumatic stress and social participation: A longitudinal study. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.985879"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Prekazi, L., Hajrullahu, V., Bahtiri, S., Kryeziu, B., Hyseni, B., Taganoviq, B., and Gallopeni, F. (2021). The impact of coping skills in post-traumatic growth of healthcare providers: When mental health is deteriorating due to COVID-19 pandemic. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.791568"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"100195","DOI":"10.1016\/j.ejtd.2020.100195","article-title":"What promotes post traumatic growth? A systematic review","volume":"5","author":"Henson","year":"2021","journal-title":"Eur. J. Trauma Dissociation"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Lombardo, C., Guo, L., Solomon, S., Crepaz-Keay, D., McDaid, S., Thorpe, L., Martin, S., John, A., Morton, A., and Davidson, G. (2023). Inequalities and mental health during the Coronavirus pandemic in the UK: A mixed-methods exploration. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-16523-9"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"113560","DOI":"10.1016\/j.psychres.2020.113560","article-title":"Adding stress to the stressed: Senior high school students\u2019 mental health amidst the COVID-19 nationwide lockdown in Greece","volume":"295","author":"Giannopoulou","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Newson, L., Manyonda, I., Lewis, R., Preissner, R., Preissner, S., and Seeland, U. (2021). Sensitive to Infection but Strong in Defense\u2014Female Sex and the Power of Oestradiol in the COVID-19 Pandemic. Front. Glob. Womens Health, 2.","DOI":"10.3389\/fgwh.2021.651752"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1080\/13607863.2020.1828272","article-title":"COVID-19 worry, mental health indicators, and preparedness for future care needs across the adult lifespan","volume":"25","author":"Maxfield","year":"2021","journal-title":"Aging Ment. Health"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Orr\u00f9, G., Bertelloni, D., Diolaiuti, F., Conversano, C., Ciacchini, R., and Gemignani, A. (2021). A Psychometric Examination of the Coronavirus Anxiety Scale and the Fear of Coronavirus Disease 2019 Scale in the Italian Population. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.669384"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1192\/bjp.bp.105.008714","article-title":"Rural\/non-rural differences in rates of common mental disorders in Britain: Prospective multilevel cohort study","volume":"188","author":"Weich","year":"2006","journal-title":"Br. J. Psychiatry"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1186\/s12955-021-01892-9","article-title":"How different domains of quality of life are associated with latent dimensions of mental health measured by GHQ-12","volume":"19","author":"Nouri","year":"2021","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s11299-020-00235-3","article-title":"Urbanicity mental costs valuation: A review and urban-societal planning consideration","volume":"19","year":"2020","journal-title":"Mind Soc."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"110572","DOI":"10.1016\/j.jpsychores.2021.110572","article-title":"The joint effects of clinically relevant depressive symptoms and cardiovascular risk factors on incident cardiovascular disease among older adults in the community","volume":"149","author":"Kok","year":"2021","journal-title":"J. Psychosom. Res."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Lee, D.-H., Lee, J.-Y., Hong, D.-Y., Lee, E.-C., Park, S.-W., Lee, M.-R., and Oh, J.-S. (2022). Neuroinflammation in post-traumatic stress disorder. Biomedicines, 10.","DOI":"10.3390\/biomedicines10050953"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1186\/s40001-023-01293-2","article-title":"Neurological manifestations of SARS-CoV-2: Complexity, mechanism and associated disorders","volume":"28","author":"Tyagi","year":"2023","journal-title":"Eur. J. Med. Res."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s00406-023-01599-6","article-title":"Insight into the long-term psychological impacts of the COVID-19 pandemic","volume":"273","author":"Adorjan","year":"2023","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"25","DOI":"10.5539\/jel.v13n6p25","article-title":"Unveiling the Hidden Impact of School Closures and Remote Learning: Academic and Emotional Challenges","volume":"13","author":"Piryatinskya","year":"2024","journal-title":"J. Educ. Learn."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10591-024-09707-x","article-title":"Is Resilience the Bridge Connecting Social and Family Factors to Mental Well-Being and Life Satisfaction?","volume":"47","author":"Peleg","year":"2025","journal-title":"Contemp. Fam. Ther."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"G\u00fcntert, S.T., Wehner, T., and Mieg, H.A. (2022). Volunteering as a Psychosocial Resource. SpringerBriefs in Psychology, Springer International Publishing.","DOI":"10.1007\/978-3-030-92817-9_4"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"4716","DOI":"10.1016\/j.vaccine.2021.05.069","article-title":"Willingness to get vaccinated against COVID-19 and attitudes toward vaccination in general","volume":"39","author":"Kessels","year":"2021","journal-title":"Vaccine"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.vaccine.2021.10.073","article-title":"Individual factors influencing COVID-19 vaccine acceptance in between and during pandemic waves (July\u2013December 2020)","volume":"40","author":"Valckx","year":"2022","journal-title":"Vaccine"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Al-Jayyousi, G.F., Sherbash, M.A.M., Ali, L.A.M., El-Heneidy, A., Alhussaini, N.W.Z., Elhassan, M.E.A., and Nazzal, M.A. (2021). Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model. Vaccines, 9.","DOI":"10.3390\/vaccines9060548"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Limbu, Y.B., and Huhmann, B.A. (2023). Why Some People Are Hesitant to Receive COVID-19 Boosters: A Systematic Review. Trop. Med. Infect. Dis., 8.","DOI":"10.3390\/tropicalmed8030159"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Limbu, Y.B., Gautam, R.K., and Pham, L. (2022). The Health Belief Model Applied to COVID-19 Vaccine Hesitancy: A Systematic Review. Vaccines, 10.","DOI":"10.3390\/vaccines10060973"},{"key":"ref_62","first-page":"63","article-title":"COVID-19 Vaccine Acceptance and Hesitancy: A Continental Review","volume":"5","author":"Omotoso","year":"2022","journal-title":"Int. J. Trop. Dis."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"McKeirnan, K.C., Undeberg, M.R., Zelenko, S., and Meratnia, G. (2024). A Qualitative Analysis of Rural Community Vaccination Barriers During the COVID-19 Pandemic. Vaccines, 12.","DOI":"10.3390\/vaccines12121442"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"759","DOI":"10.15585\/mmwr.mm7109a2","article-title":"Disparities in COVID-19 vaccination coverage between urban and rural counties\u2014United States, December 14, 2020\u2013January 31, 2022","volume":"71","author":"Saelee","year":"2022","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Syan, S., Gohari, M., Levitt, E., Belisario, K., Gillard, J., DeJesus, J., and MacKillop, J. (2021). COVID-19 Vaccine Perceptions and Differences by Sex, Age, and Education in 1,367 Community Adults in Ontario. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.719665"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"106694","DOI":"10.1016\/j.ypmed.2021.106694","article-title":"Vaccination against COVID-19: A systematic review and meta-analysis of acceptability and its predictors","volume":"150","author":"Wang","year":"2021","journal-title":"Prev. Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"3975","DOI":"10.1080\/21645515.2021.1947098","article-title":"Gender differences in the determinants of willingness to get the COVID-19 vaccine among the working-age population in Japan","volume":"17","author":"Ishimaru","year":"2021","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/j.1471-6402.2009.01546.x","article-title":"Gender differences in self-reported posttraumatic growth: A meta-analysis","volume":"34","author":"Vishnevsky","year":"2010","journal-title":"Psychol. Women Q."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/10\/3343\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:31:03Z","timestamp":1760031063000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/10\/3343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":68,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["jcm14103343"],"URL":"https:\/\/doi.org\/10.3390\/jcm14103343","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,5,12]]}}}