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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title>Frontiers in Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Public Health</abbrev-journal-title>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpubh.2025.1610968</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health</subject>
<subj-group>
<subject>Editorial</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Editorial: Vaccine education and promotion</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Carvalho</surname> <given-names>Gra&#x000E7;a S.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/112977/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
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<contrib contrib-type="author">
<name><surname>J&#x000FA;nior</surname> <given-names>Carlos Alberto de Oliveira Magalh&#x000E3;es</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2624544/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
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<aff id="aff1"><sup>1</sup><institution>Research Centre for Child Studies, University of Minho</institution>, <addr-line>Braga</addr-line>, <country>Portugal</country></aff>
<aff id="aff2"><sup>2</sup><institution>State University of Maring&#x000E1;</institution>, <addr-line>Maring&#x000E1;, PR</addr-line>, <country>Brazil</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited and reviewed by: Christiane Stock, Institute of Health and Nursing Science, Germany</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Gra&#x000E7;a S. Carvalho <email>graca&#x00040;ie.uminho.pt</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1610968</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>04</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Carvalho and J&#x000FA;nior.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Carvalho and J&#x000FA;nior</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<related-article id="RA1" related-article-type="commentary-article" xlink:href="https://www.frontiersin.org/research-topics/62582/vaccine-education-and-promotion" ext-link-type="uri">Editorial on the Research Topic <article-title>Vaccine education and promotion</article-title></related-article>
<kwd-group>
<kwd>determinants of vaccination</kwd>
<kwd>vaccination hesitancy</kwd>
<kwd>vaccination among students</kwd>
<kwd>health education</kwd>
<kwd>health promotion</kwd>
</kwd-group>
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<fig-count count="0"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="7"/>
<page-count count="4"/>
<word-count count="2220"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Public Health Education and Promotion</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<p>This editorial highlights key developments in the Public Health Research Topic &#x0201C;<italic>Vaccine education and promotion</italic>.&#x0201D; This critical area aims to inform and encourage vaccination by providing accurate scientific information and implementing effective vaccination programs, emphasizing their benefits, safety, and role in preventing infectious diseases. A total of 39 manuscripts were submitted for consideration. Following a rigorous peer-review process and revisions based on expert feedback, 29 (74.3%) were accepted for publication. Among these, 14 explore the determinants of vaccination, eight examine vaccine hesitancy and seven address vaccination among students.</p>
<sec id="s1">
<title>1 Determinants of vaccination</title>
<p>The determinants of vaccination are diverse but can be broadly categorized into three groups (<xref ref-type="bibr" rid="B1">1</xref>): (i) Contextual factors, including historical, socio-cultural, environmental, health system/institutional, economic, and political influences; (ii) Individual and group influences, such as perceptions of vaccines and the impact of social or peer environments; (iii) Vaccine- and vaccination-specific Research Topic, factors directly related to the vaccine or the act of vaccination itself. Vaccination uptake also varies across risk populations, with distinct determinants potentially influencing behavior in each group (<xref ref-type="bibr" rid="B2">2</xref>). As such, a thorough understanding of these factors is essential for designing targeted interventions to improve immunization coverage (<xref ref-type="bibr" rid="B3">3</xref>). The 13 papers included in this section, <italic>Determinants of Vaccination</italic>, are organized across three Research Topic:</p>
<sec>
<title>1.1 Seven papers look at communication and engagement for vaccination</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1455718">Chang et al.</ext-link> compared USA public vaccination decisions for newly-developed and established vaccines, and recognized the need for clear communication and community engagement as critical strategies for addressing public concerns and misinformation; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1466313">Rahman et al.</ext-link> looked at the perceptions of Nigerian persons with disabilities regarding the COVID-19 pandemic and the vaccine and identified the need for culturally and religiously sensitive communication strategies, and tailored educational programs by social workers; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1436632">Xu et al.</ext-link> analyzed &#x0201C;vaccine science popularization&#x0201D; in the Chinese social media Weibo during the COVID-19 pandemic where publishers were divided into individuals, organizations, media, government, and scientists, and verified that Weibo scientists&#x00027; arguments were those that more positively influenced the effect of vaccine popularization; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1377393">Hijazi et al.</ext-link> identified the Israeli Ministry of Health communication strategies regarding vaccines during COVID-19 pandemic and how healthcare workers shaped their professional socialization processes within the health system, leading to a reliance on established communication strategies and informational channels; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1406959">Shumba et al.</ext-link> analyzed community health volunteers experiences of implementing COVID-19 <italic>Vaccine education and promotion</italic> in Kenya during the pandemic, showing they contributed to the high uptake of primary vaccines and boosters; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1481942">Wrenger et al.</ext-link> used a protocol (INFORMed) in Germany to identify the wish for advice in hesitant and no-hesitant new-born&#x00027;s parents and the comparison of parents in terms of their respective information needs; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1435231">Smith et al.</ext-link> addressed a community engagement framework that can provide a roadmap to navigate the dynamic and multifaceted nature of equity-related work by paving the way for meaningful interventions to mitigate health disparities.</p>
</sec>
<sec>
<title>1.2 Four papers look at socioeconomics discrepancy</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2025.1474677">Tao et al.</ext-link> found substantial racial and socioeconomic disparities in influenza vaccination uptake among United States adults aged 65 years or older; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1383293">Zhao et al.</ext-link> investigated the extent of influenza vaccine coverage in south China adults aged 60 years or older and identified the factors influencing vaccine uptake; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1418526">Ramphul et al.</ext-link> identified areas in Texas, USA, with high and low HPV vaccination rates and explored differences in neighborhood characteristics, showing that vaccination coverage rates depend on the community&#x00027;s income level; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1498296">Ye and Ting Su</ext-link> explored the factors related to public health campaigns, in Wuxi region of China, that can improve vaccination rates in low socioeconomic groups and rural areas, to contributing to better public health strategies.</p>
</sec>
<sec>
<title>1.3 Three papers look at children&#x00027;s immunization</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1400782">Alami et al.</ext-link> analyzed the Canadian survey about parents/guardians&#x00027; perspectives on influenza immunization and identified the main factors influencing low rates of children&#x00027;s vaccination, such as residing in rural areas, lower parental education and lower household income; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1508303">Dires et al.</ext-link> looked at the factors influencing childhood immunization status in East Africa, which varied among countries and regions, and found that mothers attending antenatal care played a key role in children&#x00027;s vaccination; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1362900">Assefa et al.</ext-link> evaluated the determinants of pneumonia conjugate vaccine (PCV) dropout among children aged 12&#x02013;23 months in Ethiopia and identified the significant factors influencing PCV dropout, such as having a health card, having received the PCV 2 vaccinations, and region.</p></sec>
</sec>
<sec id="s2">
<title>2 Vaccination hesitancy</title>
<p>Vaccine hesitancy refers to the delay in acceptance or outright refusal of vaccines despite the availability of vaccination services; it is a complex and context-specific phenomenon that varies across time, location, and type of vaccine (<xref ref-type="bibr" rid="B4">4</xref>). It has been linked to declining vaccination coverage and a heightened risk of outbreaks and epidemics of vaccine-preventable diseases (<xref ref-type="bibr" rid="B5">5</xref>). The eight papers in the <italic>Vaccination Hesitancy</italic> section are distributed across two Research Topic:</p>
<sec>
<title>2.1 Five papers address vaccination hesitancy in the community</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1493331">Osaghae et al.</ext-link> leveraged long-standing community-academic partnerships in two cities to develop a curriculum for interventions to decrease COVID-19 vaccine hesitancy within Black communities in the USA; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1377973">Muis et al.</ext-link> examined the effectiveness of three different messages for persuading Canadian individuals to get vaccinated against COVID-19, and the role that emotions play in persuasion, verifying that emotions mediated relations between vaccine confidence/hesitancy and willingness; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1456265">Pauly et al.</ext-link> identified COVID-19 vaccine hesitant groups from adolescence to late adulthood and explored their motivations for and against vaccination in a nationwide Luxembourgish population, being the vaccination hesitancy higher in the younger age groups; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1415548">Zilver et al.</ext-link> studied barriers and facilitators for Netherlander pregnant women&#x00027;s choice and motivation regarding vaccination against COVID-19 during pregnancy, verifying that they needed clear, unambiguous information concerning health consequences, particularly for their offspring; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1429522">Wang et al.</ext-link> conducted a qualitative survey using Vaccine Hesitancy Determinants Matrix and 5C model to understand and improve Herpes zoster vaccination rates among middle-aged and older adults in China.</p>
</sec>
<sec>
<title>2.2 Three papers address parents&#x00027; vaccination hesitancy</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2025.1470345">Low et al.</ext-link> investigated parents&#x00027; vaccine hesitancy rates in Malaysia and Singapore, and explored whether these rates were associated with parents&#x00027; health beliefs, having found that the prevalence of perceived parental vaccine hesitancy was higher in Malaysia; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1485416">Handayani et al.</ext-link> conducted a study in Indonesia aiming to develop guidance for in-depth interviews for a future qualitative study based on a cross-sectional quantitative study of parents with school-age children and found a significant association between parents&#x00027; intention to vaccinate their children and the perceived benefits and perceived barriers to vaccination; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1355452">Suragh et al.</ext-link> conducted a study on vaccine hesitancy among USA white parents with higher education and socioeconomic statuses, showing they had reliance on information from specialized doctors and scientists, distrust in public health authorities, high risk perception of COVID-19 vaccines, and low risk-perception of COVID-19 disease.</p>
</sec>
</sec>
<sec id="s3">
<title>3 Vaccination among students</title>
<p>Vaccination among students is a critical public health concern, as this population often lives, studies, and socializes in close contact, increasing the risk of infectious disease transmission (<xref ref-type="bibr" rid="B6">6</xref>). Students may face unique barriers to vaccination, including lack of awareness, limited access to healthcare services, or misconceptions about vaccine safety and necessity (<xref ref-type="bibr" rid="B7">7</xref>). Understanding the specific drivers and challenges of vaccination in student populations is essential for developing effective strategies to improve uptake and prevent outbreaks in educational settings (<xref ref-type="bibr" rid="B6">6</xref>). The seven papers in the <italic>Vaccination Among Students</italic> section are distributed across two Research Topic:</p>
<sec>
<title>3.1 Four papers address students&#x00027; perceptions about vaccination</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1480419">Simonovic et al.</ext-link> compared USA and Israeli college students&#x00027; vaccine attitudes, emotions, and behavior, having found that Israeli (vs. American) participants reported higher perceived ambiguity, worry, fear, and anger, and lower perceived severity; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1510193">Song et al.</ext-link> explored the circumstances of college students in China&#x00027;s ethnic minority regions concerning their awareness, attitudes, and practices related to the HPV vaccine, aiming to provide a scientific basis for future health education and HPV vaccine promotion; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1451320">Li et al.</ext-link> investigated the awareness of HPV and its vaccine among college students in Zhengzhou (China), and to explored the factors influencing their awareness of HPV vaccine, to understand college students&#x00027; willingness to receive the vaccine; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1485498">Schlopsna and Scheersoi</ext-link> conducted a study involving interviews with Germany secondary school students, experienced educators, and vaccination experts, showing focal areas of students&#x00027; interest in the topic and the value of involving students in lesson planning.</p>
</sec>
<sec>
<title>3.2 Three papers address school teaching on vaccination</title>
<p><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1434513">Gaspi et al.</ext-link> identified and analyzed Brazilian primary school children&#x00027;s social representations of vaccination, showing the need to prevent children&#x00027;s fear of needles at the first vaccination experience and the importance of discussing the subject of vaccination in science teaching; <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2025.1520395">Kwella et al.</ext-link> conducted a study in German school biology classes to enable students to engage in an in-depth examination of the vaccination complex socio-scientific issue and promoted enhancement of their argumentation and decision-making skills; and <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fpubh.2024.1408965">Mart&#x000ED;nez-Pena et al.</ext-link> presented a design on vaccination for secondary education teaching, in Spain, to develop students&#x00027; integral understanding of vaccines role and to apply critical ignorance as part of criticality to avoid vaccine hesitancy and raise trust in science.</p>
<p>The research presented in these 29 papers published in the Public Health Research Topic &#x0201C;<italic>Vaccine education and promotion&#x0201D;</italic> came from 15 countries of the various continents, demonstrating how live and pertinent is this field of research worldwide, presenting different approaches and perspectives that enrich this large, contemporary and relevant research field, which is still open to wide-ranging and diverse future research.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s4">
<title>Author contributions</title>
<p>GC: Conceptualization, Data curation, Supervision, Validation, Writing &#x02013; original draft, Writing &#x02013; review &#x00026; editing. CJ: Conceptualization, Validation, Writing &#x02013; review &#x00026; editing, Data curation.</p>
</sec>
<sec sec-type="funding-information" id="s5">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was financially supported by the Research Unit UID/317 (Research Centre on Child Studies of the University of Minho, CIEC) of the Portuguese Foundation for Science and Technology (FCT) and by Brazilian CNPq (Process 447784/2014-5) and CAPES.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="disclaimer" id="s6">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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