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Vaccine Hesitancy in Cyprus: Causes and Solutions to the Problem

Vaccine Hesitancy in Cyprus: Causes and Solutions to the Problem

Elhaija, A., Debbaneh, R., Yambao, D.

Affiliation: University of California, Los Angeles (UCLA)

Published: April 12, 2023

DOI: https://doi.org/10.58417/JGXZ7156

Abstract: Given the threat that the COVID-19 pandemic posed on the global stage, efforts have continued to promote herd immunity, while addressing barriers that hinder this goal. Previous research has identified vaccine hesitancy as a significant barrier to achieving herd immunity and has investigated the underlying factors driving this phenomenon. While trends have been studied in a variety of countries, investigations into the Cypriot population are only relatively recent. A study conducted in 2021 adapted a vaccine acceptance measure to determine internal consistency and evaluated its relationship with participants’ vaccine attitudes, immunization histories, and demographic information (1). Younger and less-educated individuals were noted to be the most hesitant, with mistrust in authorities cited as an influence on these beliefs. In the country of Cyprus, younger demographics with lower levels of education often have reduced health literacy, fostering mistrust in health authorities and vaccination advocacy (2). Multiple studies demonstrated an increase in vaccine acceptance with older age. Another study surveyed midwives and nurses on their vaccination knowledge and COVID-19 vaccine acceptance. The results showed a positive association between advanced knowledge and intentions to immunize, further emphasizing the role of health literacy in vaccine acceptance (3). The findings revealed that the largest influences shaping vaccine hesitancy were misinformation, poor accessibility to scientific health information, and public distrust in the government. These influences are exacerbated by social media’s role in spreading misinformation surrounding health and vaccination effectiveness among the general public (4). Public health trends in Cyprus demonstrate that media platforms not only circulate false results of vaccination but also reinforce preexisting skepticism targeting mistrust in health authorities. This rapid circulation of misleading content among younger populations has both weakened the youth’s confidence in scientific community authorities and general public health interventions (5). Ultimately, the findings from this research affirm that vaccine hesitancy can be mostly attributed to deficient scientific literacy and younger demographics, with both factors reinforcing trends of mistrust towards vaccination efforts and authorities (2). Improving health literacy from an early age may contribute in providing a long-term solution, mitigating influences of widespread misinformation and ultimately increasing preventative healthcare utilization among general populations (6). Effective strategies which have been found to address these concerns include making trusted scientific literature more accessible to the public, training physicians to address patient concerns about the vaccine, and sharing personal narratives on positive experiences taking the vaccine (7). Expanding the implementation of these strategies may prove to be an effective approach to significantly increasing vaccination rates in Cyprus. This could also provide insight as for what legislators should consider when developing policies for not only the COVID-19 pandemic, but future public health crises.

Amended: September 2025

Works Cited 

1. Giannakou, Konstantinos, et al. “Attitudes and determinants of mandatory vaccination against COVID-19 among the general population of cyprus: A nationwide cross-sectional study.” Vaccines, vol. 10, no. 3, 13 Mar. 2022, p. 438, https://doi.org/10.3390/vaccines10030438.

 

2. Lamot, Monika, and Andrej Kirbiš. “Understanding vaccine hesitancy: A comparison of sociodemographic and socioeconomic predictors with health literacy dimensions.” Vaccines, vol. 12, no. 10, 4 Oct. 2024, p. 1141, https://doi.org/10.3390/vaccines12101141. 

3. Fakonti, Georgia, et al. “Knowledge and attitudes toward vaccination among nurses and midwives in cyprus: A cross‐sectional study.” International Journal of Nursing Knowledge, vol. 33, no. 4, 21 Nov. 2021, pp. 321–329, https://doi.org/10.1111/2047-3095.12354. 

4. Mousoulidou, Marilena, et al. “The role of conspiracy theories, perceived risk, and trust in science on COVID-19 vaccination decisiveness: Evidence from cyprus.” International Journal of Environmental Research and Public Health, vol. 20, no. 4, 7 Feb. 2023, p. 2898, https://doi.org/10.3390/ijerph20042898. 

5. Cadeddu, Chiara, et al. “Understanding the determinants of vaccine hesitancy and vaccine confidence among adolescents: A systematic review.” Human Vaccines & Immunotherapeutics, vol. 17, no. 11, 2 Sept. 2021, pp. 4470–4486, https://doi.org/10.1080/21645515.2021.1961466. 

6. Elhaija, Ahmad, et al. “Understanding the relationship between educational attainment and preventative healthcare utilization in southeast Los Angeles: Full-length research paper.” Journal of Healthcare Solutions, 21 July 2025, https://doi.org/10.58417/luop1190.

 

7. Hudson, Amanda, and William J. Montelpare. “Predictors of vaccine hesitancy: Implications for covid-19 public health messaging.” International Journal of Environmental Research and Public Health, vol. 18, no. 15, 29 July 2021, p. 8054, https://doi.org/10.3390/ijerph18158054. 

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