{"id":"https://openalex.org/W7128548609","doi":"https://doi.org/10.7759/cureus.103395","title":"Assessment of Hepatitis B Vaccination, Awareness, and Seroprotection Among Healthcare and Support Staff in a Tertiary Care Center in Central India","display_name":"Assessment of Hepatitis B Vaccination, Awareness, and Seroprotection Among Healthcare and Support Staff in a Tertiary Care Center in Central India","publication_year":2026,"publication_date":"2026-02-10","ids":{"openalex":"https://openalex.org/W7128548609","doi":"https://doi.org/10.7759/cureus.103395","pmid":"https://pubmed.ncbi.nlm.nih.gov/41835644","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12983045"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.103395","doi":"https://doi.org/10.7759/cureus.103395","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103395","pdf_url":"https://www.cureus.com/articles/460666-assessment-of-hepatitis-b-vaccination-awareness-and-seroprotection-among-healthcare-and-support-staff-in-a-tertiary-care-center-in-central-india.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/460666-assessment-of-hepatitis-b-vaccination-awareness-and-seroprotection-among-healthcare-and-support-staff-in-a-tertiary-care-center-in-central-india.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5125526923","display_name":"Rajeev K Jain","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rajeev K Jain","raw_affiliation_strings":["Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038860348","display_name":"Deepti Chaurasia","orcid":"https://orcid.org/0000-0001-5780-5254","observed_orcids":["https://orcid.org/0000-0001-5780-5254"]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Deepti Chaurasia","raw_affiliation_strings":["Department of Microbiology, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104019131","display_name":"Rakesh Kumar Shrivastava","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rakesh Shrivastava","raw_affiliation_strings":["Department of Microbiology, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032033783","display_name":"Kamlesh Kumar Ahirwar","orcid":"https://orcid.org/0009-0001-4876-3846","observed_orcids":["https://orcid.org/0009-0001-4876-3846"]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Kamlesh  K Ahirwar","raw_affiliation_strings":["Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110572902","display_name":"Shailendra Kumar Jain","orcid":"https://orcid.org/0009-0005-5062-6268","observed_orcids":["https://orcid.org/0009-0005-5062-6268"]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Shailendra  K Jain","raw_affiliation_strings":["Department of Gastroenterology, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039793037","display_name":"Ankita Agarwal","orcid":"https://orcid.org/0000-0002-7356-4507","observed_orcids":["https://orcid.org/0000-0002-7356-4507"]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ankita Agarwal","raw_affiliation_strings":["Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055701607","display_name":"Nagaraj Perumal","orcid":"https://orcid.org/0000-0002-3545-4171","observed_orcids":["https://orcid.org/0000-0002-3545-4171"]},"institutions":[{"id":"https://openalex.org/I4210151372","display_name":"Gandhi Medical College","ror":"https://ror.org/04npss011","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210151372"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Nagaraj Perumal","raw_affiliation_strings":["Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, State Virology Laboratory, Gandhi Medical College, Bhopal, IND","institution_ids":["https://openalex.org/I4210151372"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5055701607"],"corresponding_institution_ids":["https://openalex.org/I4210151372"],"apc_list":null,"apc_paid":null,"fwci":3.5035,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.85463241,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"18","issue":"2","first_page":"e103395","last_page":"e103395"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10340","display_name":"Hepatitis B Virus Studies","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10340","display_name":"Hepatitis B Virus Studies","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.003100000089034438,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hepatitis-b-vaccination","display_name":"hepatitis B vaccination","score":0.9729999899864197},{"id":"https://openalex.org/keywords/seroprotection","display_name":"seroprotection","score":0.8820000290870667},{"id":"https://openalex.org/keywords/anti-hbs-antibody-response","display_name":"anti-HBs antibody response","score":0.7160000205039978},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.8090000152587891},{"id":"https://openalex.org/keywords/hospital-support-staff","display_name":"hospital support staff","score":0.8519999980926514},{"id":"https://openalex.org/keywords/occupational-hepatitis-b-exposure","display_name":"occupational hepatitis B exposure","score":0.7480000257492065},{"id":"https://openalex.org/keywords/vaccination-coverage","display_name":"vaccination coverage","score":0.7599999904632568},{"id":"https://openalex.org/keywords/vaccine-awareness","display_name":"vaccine awareness","score":0.9449999928474426},{"id":"https://openalex.org/keywords/vaccine-non-responders","display_name":"vaccine non-responders","score":0.828000009059906},{"id":"https://openalex.org/keywords/natural-immunity","display_name":"natural immunity","score":0.6520000100135803},{"id":"https://openalex.org/keywords/occupational-health","display_name":"occupational health","score":0.609000027179718},{"id":"https://openalex.org/keywords/tertiary-hospital","display_name":"tertiary care hospital","score":0.7940000295639038}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9606999754905701},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.795799970626831},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.670799970626831},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.6011000275611877},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5859000086784363},{"id":"https://openalex.org/C2777382497","wikidata":"https://www.wikidata.org/wiki/Q6853","display_name":"Hepatitis B","level":2,"score":0.5289999842643738},{"id":"https://openalex.org/C2780593183","wikidata":"https://www.wikidata.org/wiki/Q6844","display_name":"Hepatitis B virus","level":3,"score":0.505299985408783},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4697999954223633},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.45159998536109924},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.40299999713897705},{"id":"https://openalex.org/C45189115","wikidata":"https://www.wikidata.org/wiki/Q502159","display_name":"Serology","level":3,"score":0.4009000062942505},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3982999920845032},{"id":"https://openalex.org/C2781037505","wikidata":"https://www.wikidata.org/wiki/Q117749","display_name":"Hepatitis B vaccine","level":5,"score":0.3571000099182129},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3188000023365021},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.3156000077724457},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2955999970436096},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.288100004196167},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27799999713897705},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.2775999903678894},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2761000096797943},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.2612999975681305},{"id":"https://openalex.org/C2775876817","wikidata":"https://www.wikidata.org/wiki/Q157661","display_name":"Hepatitis A","level":3,"score":0.2556999921798706}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.103395","doi":"https://doi.org/10.7759/cureus.103395","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103395","pdf_url":"https://www.cureus.com/articles/460666-assessment-of-hepatitis-b-vaccination-awareness-and-seroprotection-among-healthcare-and-support-staff-in-a-tertiary-care-center-in-central-india.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12983045","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12983045/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12983045/pdf/cureus-0018-00000103395.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:41835644","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41835644","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.103395","doi":"https://doi.org/10.7759/cureus.103395","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.103395","pdf_url":"https://www.cureus.com/articles/460666-assessment-of-hepatitis-b-vaccination-awareness-and-seroprotection-among-healthcare-and-support-staff-in-a-tertiary-care-center-in-central-india.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.48510000109672546,"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7128548609.pdf","grobid_xml":"https://content.openalex.org/works/W7128548609.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1525058063","https://openalex.org/W2100916717","https://openalex.org/W2140398269","https://openalex.org/W2975348192","https://openalex.org/W3190238550","https://openalex.org/W4234212106","https://openalex.org/W4285049013","https://openalex.org/W4365135106","https://openalex.org/W4389475401","https://openalex.org/W4400827122","https://openalex.org/W4402414356","https://openalex.org/W4405902712","https://openalex.org/W4412899954"],"related_works":["https://openalex.org/W4414931510","https://openalex.org/W3176766540","https://openalex.org/W7125519244","https://openalex.org/W7167010878","https://openalex.org/W7213361990","https://openalex.org/W2148563823","https://openalex.org/W7162869330","https://openalex.org/W7154600338","https://openalex.org/W4407338200","https://openalex.org/W4410310143"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Hepatitis":[1,247],"B":[2,13,41,101,248],"vaccination":[3,22,42,87,183,237,249,270],"is":[4],"a":[5,53,80,96,209,240],"key":[6],"strategy":[7],"for":[8],"preventing":[9],"occupationally":[10],"acquired":[11],"hepatitis":[12,40],"virus":[14],"infection":[15],"among":[16,47,73,232,261],"healthcare":[17,35,48,74,148],"workers.":[18],"However,":[19],"variability":[20],"in":[21,34,52,57,208,282],"coverage,":[23],"awareness,":[24,44],"and":[25,45,49,76,91,126,150,167,185,223,251,272],"post-vaccination":[26,274],"serological":[27],"monitoring":[28],"persists":[29],"across":[30,254],"different":[31],"professional":[32,255],"groups":[33],"settings.":[36,285],"This":[37],"study":[38,65],"assessed":[39,122],"status,":[43],"seroprotection":[46,174,186,252],"support":[50,77,153,189,262],"staff":[51,78],"tertiary":[54,81,283],"care":[55,82,284],"center":[56],"Central":[58],"India.":[59],"METHODS:":[60],"A":[61,138],"prospective":[62],"cross-sectional":[63],"observational":[64],"was":[66,113,130,176,206,216,226],"conducted":[67],"from":[68],"January":[69],"to":[70,132],"June":[71],"2025":[72],"workers":[75,149,180],"at":[79],"teaching":[83],"hospital.":[84],"Sociodemographic":[85],"details,":[86],"history,":[88],"occupational":[89,266],"exposure,":[90],"awareness":[92,238],"were":[93,105,121,143,159,164,170,202],"collected":[94],"using":[95,107,123],"structured":[97],"questionnaire.":[98],"Serum":[99],"anti-hepatitis":[100],"surface":[102],"antibody":[103,230,275],"levels":[104,260],"measured":[106],"an":[108],"enzyme-linked":[109],"immunosorbent":[110],"assay.":[111],"Seroprotection":[112],"defined":[114],"as":[115],"anti-HBs":[116],"\u2265":[117],"10":[118],"mIU/mL.":[119],"Associations":[120],"chi-square":[124],"tests,":[125],"multivariate":[127],"logistic":[128],"regression":[129],"performed":[131],"identify":[133],"predictors":[134],"of":[135,140,211,221],"seroprotection.":[136,245],"RESULTS:":[137],"total":[139],"676":[141],"participants":[142,158],"enrolled,":[144],"including":[145],"429":[146],"(63.5%)":[147],"247":[151],"(36.5%)":[152],"staff.":[154,190,263],"Overall,":[155],"328":[156],"(48.5%)":[157],"fully":[160,192,233],"vaccinated,":[161,166],"26":[162],"(3.8%)":[163],"partially":[165],"322":[168],"(47.6%)":[169],"unvaccinated.":[171],"The":[172],"overall":[173],"rate":[175],"359":[177],"(53.1%).":[178],"Healthcare":[179],"demonstrated":[181],"higher":[182],"coverage":[184,250],"compared":[187],"with":[188,228,243,257],"Among":[191],"vaccinated":[193,234],"participants,":[194],"288":[195],"(87.8%)":[196],"achieved":[197],"seroprotection,":[198,222],"while":[199],"40":[200],"(12.2%)":[201],"non-responders.":[203],"Natural":[204],"immunity":[205],"observed":[207],"subset":[210],"unvaccinated":[212],"participants.":[213],"Vaccination":[214],"status":[215],"the":[217],"strongest":[218],"independent":[219],"predictor":[220],"increasing":[224],"age":[225],"associated":[227],"lower":[229,259],"response":[231],"individuals.":[235],"Self-reported":[236],"showed":[239],"significant":[241],"association":[242],"verified":[244],"CONCLUSION:":[246],"varied":[253],"groups,":[256],"comparatively":[258],"Strengthening":[264],"inclusive":[265],"health":[267],"strategies,":[268],"improving":[269],"documentation,":[271],"promoting":[273],"assessment":[276],"may":[277],"further":[278],"enhance":[279],"workforce":[280],"protection":[281]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-02-11T00:00:00"}