Abstract
This scoping review consolidates survey research conducted among university studentsacross the League of Arab States to understand the nature and extent of COVID-19 vaccinehesitancy and acceptance. Using PRISMA-ScR guidelines, a search was conducted across 10databases covering publications from 2020 to 2024. Fifty-three studies met the inclusioncriteria. Reported determinants of vaccine acceptance and hesitancy aligned with key con-structs of the Health Belief Model, including perceived susceptibility, perceived severity,perceived benefits, and perceived barriers. Concerns regarding vaccine safety, effectiveness,and side effects were among the most frequently reported reasons for hesitancy, whileperceived protection of self and others, trust in health authorities, and institutional require-ments were associated with vaccine acceptance. Findings suggest that vaccine decision-making among university students was influenced by an interaction of individual, familial,social, and informational factors. These results help inform future vaccination communica-tion, education, and public health strategies in university settings across the region