Fear of injections may interfere with receipt of
vaccines. The frequency, associations, and precipitators of fear-provoking factors of 400 travelers visiting a travel health clinic were evaluated. The median age of this group was 25, 7% were medical staff members, and 2.8% were regular injectors (
insulin). Eighty-five (21.7%; 95% confidence interval, 17.3-25.6%) of the travelers indicated that they were afraid of
injections, and in 8.2%, the fear was unreasonably intense. Multivariate analysis revealed that watching other people being vaccinated, fear of
pain, needle size, and a history of
fainting were highly and independently associated with injection
phobia. The sensitivity, specificity, and discrimination accuracy of this model were 79.5%, 78.0%, and 78.3%, respectively. Injection
phobia and a bad past vaccination experience were significantly associated with
fainting. Perceived empathy, on the other hand, was a significant protective factor.
Fear of injections was common in this cohort and was highly associated with past
fainting after vaccination.