IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i2p1561-d1036214.html
   My bibliography  Save this article

Proposing a New Conceptual Syndemic Framework for COVID-19 Vaccine Hesitancy: A Narrative Review

Author

Listed:
  • Bara’ Abdallah AlShurman

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Zahid Ahmad Butt

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

Abstract

Background: Discussions regarding syndemics have dominated research in recent years. Vaccine hesitancy has also been propelled to the forefront. In this narrative review, we aim to frame a novel syndemic framework to understand the interaction between vaccine hesitancy, COVID-19, and negative health outcomes. Methods: A non-systematic electronic search was conducted in PubMed and Google Scholar. Search criteria were limited to articles published between November 2019 and June 2022. Articles related to the COVID-19 syndemic and vaccine hesitancy were included. Results: Our review revealed that the adherence to COVID-19 regulations—although they were effective in preventing COVID-19 transmission, cases, and deaths—created a dynamically unstable ‘vicious cycle’ between undesirable health, economic, and social outcomes. The “accumulation” of complex stressors decreased individuals’ cognitive flexibility and hindered them from making decisions and getting vaccinated. Furthermore, it increased individuals’ risk of acquiring COVID-19, losing their employment, increasing poverty, and decreasing healthcare utilization. We illustrated how the amalgamation of sociodemographic and contextual factors associated with COVID-19 might impact people’s vaccine decisions, making them more hesitant toward COVID-19 vaccination. Failing to receive vaccinations increases the chances of COVID-19 transmission, hospitalization, and other negative health outcomes. Conclusions: Understanding the interaction between these factors is essential to provide policymakers with inspiration to set appropriate interventions for promoting COVID-19 vaccination acceptance to decrease the overall burden of pandemics.

Suggested Citation

  • Bara’ Abdallah AlShurman & Zahid Ahmad Butt, 2023. "Proposing a New Conceptual Syndemic Framework for COVID-19 Vaccine Hesitancy: A Narrative Review," IJERPH, MDPI, vol. 20(2), pages 1-20, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1561-:d:1036214
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/2/1561/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/2/1561/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Josh Bullock & Justin E. Lane & F. LeRon Shults, 2022. "What causes COVID-19 vaccine hesitancy? Ignorance and the lack of bliss in the United Kingdom," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-7, December.
    2. Smriti Mallapaty, 2022. "Researchers fear growing COVID vaccine hesitancy in developing nations," Nature, Nature, vol. 601(7892), pages 174-175, January.
    3. Piquero, Alex R. & Jennings, Wesley G. & Jemison, Erin & Kaukinen, Catherine & Knaul, Felicia Marie, 2021. "Domestic violence during the COVID-19 pandemic - Evidence from a systematic review and meta-analysis," Journal of Criminal Justice, Elsevier, vol. 74(C).
    4. Eduardo Levy Yeyati & Luca Sartorio, 2020. "Take me out: De facto limits on strict lockdowns in developing countries," Department of Economics Working Papers wp_gob_2020_08, Universidad Torcuato Di Tella.
    5. David Laborde & Will Martin & Rob Vos, 2021. "Impacts of COVID‐19 on global poverty, food security, and diets: Insights from global model scenario analysis," Agricultural Economics, International Association of Agricultural Economists, vol. 52(3), pages 375-390, May.
    6. Eduardo Levi Yeyati & Luca Sartorio, 2020. "Take me out: De facto limits on strict lockdowns in developing countries," Working Papers 15, Red Nacional de Investigadores en Economía (RedNIE).
    7. Bara’ Abdallah AlShurman & Amber Fozia Khan & Christina Mac & Meerab Majeed & Zahid Ahmad Butt, 2021. "What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review," IJERPH, MDPI, vol. 18(17), pages 1-43, September.
    8. Alkire, Sabina & Nogales, Ricardo & Quinn, Natalie Naïri & Suppa, Nicolai, 2021. "Global multidimensional poverty and COVID-19: A decade of progress at risk?," Social Science & Medicine, Elsevier, vol. 291(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Patricio Goldstein & Eduardo Levy Yeyati & Luca Sartorio, 2021. "Lockdown fatigue: The diminishing effects of quarantines on the spread of COVID-19," Working Papers 35, Red Nacional de Investigadores en Economía (RedNIE).
    2. Jose Carlos Saavedra & Pablo Lavado & Sebastián Lindley & Liz Villegas, 2021. "Impacto de las medidas para la mitigación de la Covid - 19 en la Salud y en la Economía para Latinoamérica y Perú," Working Papers 181, Peruvian Economic Association.
    3. Kim, Kijin & Kim, Soyoung & Lee, Donghyun & Park, Cyn-Young, 2023. "Impacts of social distancing policy and vaccination during the COVID-19 pandemic in the Republic of Korea," Journal of Economic Dynamics and Control, Elsevier, vol. 150(C).
    4. Roberto Chang & Humberto Martínez & Andrés Velasco, 2021. "Pandemics, Incentives, and Economic Policy: A Dynamic Model," NBER Working Papers 28636, National Bureau of Economic Research, Inc.
    5. Niembro, Andrés & Calá, Carla Daniela, 2020. "A first exploratory analysis of the regional economic impact of COVID-19 in Argentina," Nülan. Deposited Documents 3376, Universidad Nacional de Mar del Plata, Facultad de Ciencias Económicas y Sociales, Centro de Documentación.
    6. Carlos Díaz & Sebastian Fossati & Nicolás Trajtenberg, 2022. "Stay at home if you can: COVID‐19 stay‐at‐home guidelines and local crime," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 19(4), pages 1067-1113, December.
    7. Manyong, Victor & Bokanga, Mpoko & Akonkwa Nyamuhirwa, Dieu-Merci & Bamba, Zoumana & Adeoti, Razack & Mwepu, Gregoire & Cole, Steven M. & Dontsop Nguezet, Paul Martin, 2022. "COVID-19 outbreak and rural household food security in the Western Democratic Republic of the Congo," World Development Perspectives, Elsevier, vol. 28(C).
    8. Piotr Długosz & Damian Liszka & Anastasiia Bastrakova & Luydmila Yuzva, 2022. "Health Problems of Students during Distance Learning in Central and Eastern Europe: A Cross-Sectional Study of Poland and Ukraine," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    9. Mingsong Hao & Chuntian Lu & Xi Zhou & Jing Xu, 2023. "How Agricultural Farmers Respond to Risks during the COVID-19 Pandemic: An Exploration through the Dual Social Capitals Approach," Agriculture, MDPI, vol. 13(2), pages 1-18, February.
    10. Luca Henkel & Philipp Sprengholz & Lars Korn & Cornelia Betsch & Robert Böhm, 2022. "The Association Between Vaccination Status Identification and Societal Polarization," ECONtribute Discussion Papers Series 197, University of Bonn and University of Cologne, Germany.
    11. M. A. Hannan & M. S. Abd Rahman & Ali Q. Al-Shetwi & R. A. Begum & Pin Jern Ker & M. Mansor & M. S. Mia & M. J. Hossain & Z. Y. Dong & T. M. I. Mahlia, 2022. "Impact Assessment of COVID-19 Severity on Environment, Economy and Society towards Affecting Sustainable Development Goals," Sustainability, MDPI, vol. 14(23), pages 1-23, November.
    12. Margherita Bernabei & Silvia Colabianchi & Francesco Costantino, 2022. "Actions and Strategies for Coronavirus to Ensure Supply Chain Resilience: A Systemic Review," Sustainability, MDPI, vol. 14(20), pages 1-19, October.
    13. Camara, Alhassane & Savard, Luc, 2023. "Impact of agricultural input subsidy policy on market participation and income distribution in Africa: A bottom-up/top-down approach," Economic Modelling, Elsevier, vol. 129(C).
    14. Emily M. Lund & Katie B. Thomas, 2023. "The Association between Physical and Psychological Domestic Violence Experienced during the COVID-19 Pandemic and Mental Health Symptoms," IJERPH, MDPI, vol. 20(4), pages 1-9, February.
    15. Carmen Mañas & María A. Martínez & Francisca Burgueño, 2023. "Intimate Partner Violence in Vulnerable Contexts: A Case Study," Societies, MDPI, vol. 13(3), pages 1-17, February.
    16. Esther Van Poel & Claire Collins & Peter Groenewegen & Peter Spreeuwenberg & Gazmend Bojaj & Jonila Gabrani & Christian Mallen & Liubove Murauskiene & Milena Šantrić Milićević & Emmily Schaubroeck & S, 2023. "The Organization of Outreach Work for Vulnerable Patients in General Practice during COVID-19: Results from the Cross-Sectional PRICOV-19 Study in 38 Countries," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    17. Shehabi, Manal, 2022. "Modeling long-term impacts of the COVID-19 pandemic and oil price declines on Gulf oil economies," Economic Modelling, Elsevier, vol. 112(C).
    18. Donato Morena & Nicola Di Fazio & Raffaele La Russa & Giuseppe Delogu & Paola Frati & Vittorio Fineschi & Stefano Ferracuti, 2022. "When COVID-19 Is Not All: Femicide Conducted by a Murderer with a Narcissistic Personality “Masked” by a Brief Psychotic Disorder, with a Mini-Review," IJERPH, MDPI, vol. 19(22), pages 1-13, November.
    19. Tang, Kai & Li, Zhenshan & He, Chun, 2023. "Spatial distribution pattern and influencing factors of relative poverty in rural China," Innovation and Green Development, Elsevier, vol. 2(1).
    20. Rajeev K. Goel & James R. Jones & James W. Saunoris, 2023. "Explaining vaccine hesitancy: A COVID‐19 study of the United States," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(2), pages 1073-1087, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1561-:d:1036214. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.