Evidence map›Paper›PMID 42493748›Full record

ReviewJournal of community health2026

COVID-19 Vaccination Refusal and Non-Uptake Among People Living with HIV in the United States.

Jagdish Khubchandani, Nia Prabhu, Karishma Craig, Michael Wiblishauser, Toheeb Mustapha, Refat R Srejon, Kavita Batra

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jagdish KhubchandaniCollege of Health, Education, and Social Transformation, New Mexico State University, Las Cruces, NM, 88003, USA. jagdish@nmsu.edu.ORCID http://orcid.org/0000-0002-9058-4278
Nia PrabhuBurrell College of Osteopathic Medicine, Las Cruces, NM, 88001, USA.
Karishma CraigBurrell College of Osteopathic Medicine, Las Cruces, NM, 88001, USA.
Michael WiblishauserCollege of Education and Health Professions, Texas A&M University-Victoria, Victoria, TX, 77901, USA.
Toheeb MustaphaSchool of Public Health and Information Sciences, University of Louisville, Louisville, KY, 40202, USA.
Refat R SrejonSchool of Public Health, University of Nevada Las Vegas, Las Vegas, NV, 89154, USA.
Kavita BatraKirk Kerkorian School of Medicine, University of Nevada Las Vegas, Las Vegas, NV, 89154, USA.

Funding

Merck 102066
6 · The paper itself

Abstract

More than a million individuals in the United States are living with HIV and constitute a particularly vulnerable group for morbidity and mortality associated with COVID-19. Despite the early availability and prioritization of this group for COVID-19 vaccination, notable levels of vaccine refusal and non-uptake have been reported among this group. This scoping review aimed to investigate the nature and extent of COVID-19 vaccine refusal and non-uptake among people living with HIV (PLWH) in the USA. A comprehensive literature search was performed utilizing multiple scholarly databases for studies published between December 2020 and May 2026 that reported on COVID-19 vaccine refusal or non-uptake rates among PLWH in the USA. Data extraction focused on sample size, refusal/non-uptake rates, reasons for refusal, and vaccination enablers. A total of 27 studies were included, encompassing 185,430 PLWH from various settings across the U.S. and the COVID-19 vaccination refusal and non-uptake rates varied from 3.8% to 57.9% [average across all studies=21.0% (95% CI=16.2-26.2%)]. Major barriers identified included medical mistrust, apprehensions regarding vaccine safety and side effects, misinformation, structural issues such as poverty and housing instability, and sociodemographic factors (e.g., sexual/ethnic minority status, lower income or education). Conversely, enablers of vaccination included older age, male gender, White race, active engagement in HIV care, previous vaccination history, recommendations from trusted providers, and higher perceived infection risk or belief in vaccination. The refusal and non-uptake rates for COVID-19 vaccines among PLWH in the USA are considerable and influenced by multiple factors. Interventions should focus on addressing systemic mistrust and psychosocial or structural obstacles while utilizing the existing HIV care framework to increase vaccination rates in this population.

Indexed as

COVID-19COVID-19 VaccinesHIV InfectionsVaccination HesitancyVaccination RefusalFemaleHumansMaleUnited StatesUnvaccinated PersonsCOVID-19 VaccinesCoronavirusCOVID-19HIV/AIDSPeople living with HIVVaccinationVaccine

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.