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Attitudes and behaviors toward vaccination among nursing students from Spain and Portugal: a cross-sectional study

2025-08-04Research article Open access
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dc.contributor.authorPérez-Rivas, Francisco Javier
dc.contributor.authorEsteban-Gonzalo, Laura
dc.contributor.authorGarcía-García, David
dc.contributor.authorBazán, María Julia Ajejas
dc.contributor.authorRoquette-Viana, Maria Clara
dc.contributor.authorTholl, Adriana Dutra
dc.contributor.authorMarques-Vieira, Cristina Maria Alves
dc.date.accessioned2025-08-13T07:58:11Z
dc.date.available2025-08-13T07:58:11Z
dc.date.issued2025-08-04
dc.description.abstractBackground/Objectives Since nursing students will be future promoters of immunization, it is essential to compare the attitudes and behaviors toward vaccination among nursing students in Portugal and Spain, to provide a comparative and contextualised view of the perceptions and practices of future health professionals in two countries with similar health systems and training structures, but influenced by different socio-cultural frameworks. Therefore, allows for the identification of similarities and divergences in the disposition towards vaccination, which is key for the design of more effective and culturally sensitive educational and public health strategies. Methods This cross-sectional study assessed and compared attitudes and behaviors toward vaccination among nursing students from the Portuguese Catholic University (Lisbon, Portugal) and the Complutense University of Madrid (Spain). The study included 928 students from all four years of the nursing degree program, who completed the Questionnaire on Attitudes and Behaviors toward Vaccination in Health Sciences Students (ACVECS). Results The results showed significant differences between both countries. Spanish students presented more favorable attitudes and behaviors toward vaccination compared to Portuguese students (p<0.001). Women and native students obtained higher scores. Differences were observed according to academic year: in Spain, students in higher years showed better attitudes, while in Portugal it was first-year students who obtained higher scores. These differences could be influenced by cultural, educational, and pandemic-related factors. Conclusions Spanish students showed significantly more favorable attitudes and behaviors toward vaccination than Portuguese students. Native students had a better attitude toward vaccination in both countries, this difference being especially notable in behaviors oriented toward vaccination among Portuguese students.eng
dc.identifier.doi10.1186/s12912-025-03627-3
dc.identifier.eid105012632590
dc.identifier.issn1472-6955
dc.identifier.other94855864-0414-48f3-a64d-1d223f65e5eb
dc.identifier.pmcPMC12323063
dc.identifier.pmid40760477
dc.identifier.urihttp://hdl.handle.net/10400.14/54484
dc.identifier.wos001544484500010
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAttitudes
dc.subjectBehaviors
dc.subjectHealth literacy
dc.subjectNursing students
dc.subjectPortugal
dc.subjectSpain
dc.subjectUniversity students
dc.subjectVaccination
dc.subjectVaccine hesitancy
dc.titleAttitudes and behaviors toward vaccination among nursing students from Spain and Portugal: a cross-sectional studyeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue24
oaire.citation.titleBMC Nursing
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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