Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study

Background: Dengue vaccination is a promising preventive strategy. Peru introduced the TAK-003 vaccine in November 2024 for children aged 10–16 years and expanded it in January 2026 to individuals aged 10–20 years and selected priority adult groups. This study evaluated perceptions and intention to...

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Autores principales: Jose Armando Gonzales Zamora, Julieta M. Araoz-Salinas, Carlos Quispe‐Vicuña, Gabriel Aquino-Sandoval, Martin Ernesto Reategui-Garcia, Allison Nicole Ortiz-Pardo, Abraham De-Los-Ríos-Pinto, Noelia Morocho-Alburqueque, Silvia Celeste Tipe-Gonzales, Wagner Rios-García, Anderson Nelver Soriano-Moreno, Brando Ortiz-Saavedra, José Miguel Rios-Osorio, Ruth Ramon-Tapia, Jorge Alave
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Publicado: 2026
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author Jose Armando Gonzales Zamora
Julieta M. Araoz-Salinas
Carlos Quispe‐Vicuña
Gabriel Aquino-Sandoval
Martin Ernesto Reategui-Garcia
Allison Nicole Ortiz-Pardo
Abraham De-Los-Ríos-Pinto
Noelia Morocho-Alburqueque
Silvia Celeste Tipe-Gonzales
Wagner Rios-García
Anderson Nelver Soriano-Moreno
Brando Ortiz-Saavedra
José Miguel Rios-Osorio
Ruth Ramon-Tapia
Jorge Alave
author_browse Abraham De-Los-Ríos-Pinto
Allison Nicole Ortiz-Pardo
Anderson Nelver Soriano-Moreno
Brando Ortiz-Saavedra
Carlos Quispe‐Vicuña
Gabriel Aquino-Sandoval
Jorge Alave
Jose Armando Gonzales Zamora
José Miguel Rios-Osorio
Julieta M. Araoz-Salinas
Martin Ernesto Reategui-Garcia
Noelia Morocho-Alburqueque
Ruth Ramon-Tapia
Silvia Celeste Tipe-Gonzales
Wagner Rios-García
author_facet Jose Armando Gonzales Zamora
Julieta M. Araoz-Salinas
Carlos Quispe‐Vicuña
Gabriel Aquino-Sandoval
Martin Ernesto Reategui-Garcia
Allison Nicole Ortiz-Pardo
Abraham De-Los-Ríos-Pinto
Noelia Morocho-Alburqueque
Silvia Celeste Tipe-Gonzales
Wagner Rios-García
Anderson Nelver Soriano-Moreno
Brando Ortiz-Saavedra
José Miguel Rios-Osorio
Ruth Ramon-Tapia
Jorge Alave
author_sort Jose Armando Gonzales Zamora
collection Producción científica
description Background: Dengue vaccination is a promising preventive strategy. Peru introduced the TAK-003 vaccine in November 2024 for children aged 10–16 years and expanded it in January 2026 to individuals aged 10–20 years and selected priority adult groups. This study evaluated perceptions and intention to receive the dengue vaccine among adults before this expansion. Methods: We conducted an analytical cross-sectional study among adults living in Peruvian regions with medium or high dengue incidence. Participants completed a web-based questionnaire between 22 March and 13 April 2025 that assessed their perceptions of dengue vaccination and intention to receive the vaccine. To determine the associated factors, we estimated crude Prevalence Ratios (cPR) and adjusted Prevalence Ratios (aPR) with 95% Confidence Intervals (95% CI) using crude and multivariable Poisson regression models with robust variance. Results: We included 459 participants with a median age of 28 years; of them, 61.2% were women, and 73.6% lived in the coastal region. Overall, 91.5% intended to receive the dengue vaccine. Most considered the vaccine necessary (80.2%) and believed that it protected against severe dengue (67.1%). However, only 24.2% considered the information provided by the Peruvian Ministry of Health adequate. In the crude analysis, vaccination intention was associated with previous receipt of dengue vaccine information and several perceptions regarding vaccine necessity, effectiveness, adverse effects, and healthcare professional recommendations. After multivariable adjustment, only prior receipt of dengue vaccine information remained independently associated with greater vaccination intention (aPR: 1.05; 95% CI: 1.00–1.10; p = 0.039). Conclusions: Most participants intended to receive the dengue vaccine and generally reported favorable perceptions toward vaccination. Previous receipt of dengue vaccine information was independently associated with greater vaccination intention. Therefore, clear and evidence-based educational strategies may support informed vaccination decisions. Further research is needed to validate these findings and explore other factors associated with dengue vaccination.
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spelling openalex:W7221655317Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional StudyJose Armando Gonzales ZamoraJulieta M. Araoz-SalinasCarlos Quispe‐VicuñaGabriel Aquino-SandovalMartin Ernesto Reategui-GarciaAllison Nicole Ortiz-PardoAbraham De-Los-Ríos-PintoNoelia Morocho-AlburquequeSilvia Celeste Tipe-GonzalesWagner Rios-GarcíaAnderson Nelver Soriano-MorenoBrando Ortiz-SaavedraJosé Miguel Rios-OsorioRuth Ramon-TapiaJorge Alavedengue vaccineTAK-003vaccination intentionvaccine hesitancyvaccine perceptionvaccine informationadultsdengue-endemic regionsPeruhealth educationhealthcare professional recommendationsVaccine Coverage and HesitancyMosquito-borne diseases and controlDengue and Mosquito Control ResearchBackground: Dengue vaccination is a promising preventive strategy. Peru introduced the TAK-003 vaccine in November 2024 for children aged 10–16 years and expanded it in January 2026 to individuals aged 10–20 years and selected priority adult groups. This study evaluated perceptions and intention to receive the dengue vaccine among adults before this expansion. Methods: We conducted an analytical cross-sectional study among adults living in Peruvian regions with medium or high dengue incidence. Participants completed a web-based questionnaire between 22 March and 13 April 2025 that assessed their perceptions of dengue vaccination and intention to receive the vaccine. To determine the associated factors, we estimated crude Prevalence Ratios (cPR) and adjusted Prevalence Ratios (aPR) with 95% Confidence Intervals (95% CI) using crude and multivariable Poisson regression models with robust variance. Results: We included 459 participants with a median age of 28 years; of them, 61.2% were women, and 73.6% lived in the coastal region. Overall, 91.5% intended to receive the dengue vaccine. Most considered the vaccine necessary (80.2%) and believed that it protected against severe dengue (67.1%). However, only 24.2% considered the information provided by the Peruvian Ministry of Health adequate. In the crude analysis, vaccination intention was associated with previous receipt of dengue vaccine information and several perceptions regarding vaccine necessity, effectiveness, adverse effects, and healthcare professional recommendations. After multivariable adjustment, only prior receipt of dengue vaccine information remained independently associated with greater vaccination intention (aPR: 1.05; 95% CI: 1.00–1.10; p = 0.039). Conclusions: Most participants intended to receive the dengue vaccine and generally reported favorable perceptions toward vaccination. Previous receipt of dengue vaccine information was independently associated with greater vaccination intention. Therefore, clear and evidence-based educational strategies may support informed vaccination decisions. Further research is needed to validate these findings and explore other factors associated with dengue vaccination.Articlehttps://doi.org/10.3390/vaccines14100894W7221655317enVaccines2076-393X2026-10-13
spellingShingle dengue vaccine
TAK-003
vaccination intention
vaccine hesitancy
vaccine perception
vaccine information
adults
dengue-endemic regions
Peru
health education
healthcare professional recommendations
Vaccine Coverage and Hesitancy
Mosquito-borne diseases and control
Dengue and Mosquito Control Research
Jose Armando Gonzales Zamora
Julieta M. Araoz-Salinas
Carlos Quispe‐Vicuña
Gabriel Aquino-Sandoval
Martin Ernesto Reategui-Garcia
Allison Nicole Ortiz-Pardo
Abraham De-Los-Ríos-Pinto
Noelia Morocho-Alburqueque
Silvia Celeste Tipe-Gonzales
Wagner Rios-García
Anderson Nelver Soriano-Moreno
Brando Ortiz-Saavedra
José Miguel Rios-Osorio
Ruth Ramon-Tapia
Jorge Alave
Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title_full Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title_fullStr Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title_full_unstemmed Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title_short Factors Associated with Intention to Receive the TAK-003 Dengue Vaccine Among Adults in Endemic Regions of Peru: A Cross-Sectional Study
title_sort factors associated with intention to receive the tak 003 dengue vaccine among adults in endemic regions of peru a cross sectional study
topic dengue vaccine
TAK-003
vaccination intention
vaccine hesitancy
vaccine perception
vaccine information
adults
dengue-endemic regions
Peru
health education
healthcare professional recommendations
Vaccine Coverage and Hesitancy
Mosquito-borne diseases and control
Dengue and Mosquito Control Research
topic_facet dengue vaccine
TAK-003
vaccination intention
vaccine hesitancy
vaccine perception
vaccine information
adults
dengue-endemic regions
Peru
health education
healthcare professional recommendations
Vaccine Coverage and Hesitancy
Mosquito-borne diseases and control
Dengue and Mosquito Control Research
url https://doi.org/10.3390/vaccines14100894
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