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1
Steward, Mudenda. "COVID-19 Vaccine Acceptability and Hesitancy in Africa: Implications for Addressing Vaccine Hesitancy." Journal of Biomedical Research & Environmental Sciences 2, no. 10 (2021): 999–1004. https://doi.org/10.37871/jbres1342.
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Background: Increased acceptance and uptake of Coronavirus Disease 2019 (COVID-19) vaccines is very essential in containing the ongoing COVID-19 pandemic. Vaccine hesitancy is a threat to public health containment of infectious diseases. Aim: The main aim of this study was to review published articles regarding COVID-19 vaccine acceptability and hesitancy across all populations in Africa.
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Butsing, Nipaporn, Wantana Maneesriwongul, Poolsuk Janepanish Visudtibhan, Sirirat Leelacharas, and Kamonrat Kittipimpanon. "COVID-19 Vaccine Acceptance and Hesitancy among Nurses in Thailand: Implications, Challenges, and Future Prospects for Attitudes and Vaccine Literacy." Vaccines 12, no. 2 (2024): 142. http://dx.doi.org/10.3390/vaccines12020142.
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Nurses are healthcare workers at high risk of contracting COVID-19 and are prioritized for COVID-19 vaccination. This study aimed to explore COVID-19 vaccine acceptance, vaccine literacy, and attitudes toward COVID-19 vaccines, and determine factors associated with COVID-19 vaccine acceptance among nurses in Thailand. A cross-sectional survey was conducted using online questionnaires between May and June 2021. A total of 510 nurses were recruited during the pandemic’s third wave in Thailand. Data were analyzed using descriptive and inferential statistics. Ten percent (n = 51) of the participants were men, all of whom showed COVID-19 vaccine acceptance. Of the 459 female nurses, 94.8% (n = 435) accepted COVID-19 vaccination and 91.3% (n = 419) reported previous influenza vaccination. In multiple logistic regression models, previous influenza vaccination, interactive–critical vaccine literacy, and attitudes toward COVID-19 vaccines were significant predictors of COVID-19 vaccine acceptance among female nurses in Thailand. Those who had previously received influenza vaccination were more likely to accept COVID-19 vaccination. Higher scores for interactive–critical vaccine literacy and positive attitudes toward the COVID-19 vaccine increased the odds of accepting vaccination, while negative attitudes were associated with decreased vaccine acceptance. Vaccine literacy, together with attitudes toward the COVID-19 vaccine, had a strong positive effect on increasing vaccination acceptance and reducing vaccine hesitancy. The results suggest that policymakers should consider both attitudes and vaccine literacy when establishing prospective strategies for promoting vaccine acceptance among nurses beyond the COVID-19 pandemic.
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Skjefte, Malia, Michelle Ngirbabul, Oluwasefunmi Akeju, et al. "COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries." European Journal of Epidemiology 36, no. 2 (2021): 197–211. http://dx.doi.org/10.1007/s10654-021-00728-6.
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AbstractWith the development of multiple effective vaccines, reducing the global morbidity and mortality of COVID-19 will depend on the distribution and acceptance of COVID-19 vaccination. Estimates of global vaccine acceptance among pregnant women and mothers of young children are yet unknown. An understanding of the challenges and correlates to vaccine acceptance will aid the acceleration of vaccine administration within these populations. Acceptance of COVID-19 vaccination among pregnant women and mothers of children younger than 18-years-old, as well as potential predictors, were assessed through an online survey, administered by Pregistry between October 28 and November 18, 2020. 17,871 total survey responses from 16 countries were obtained. Given a 90% COVID-19 vaccine efficacy, 52.0% of pregnant women (n = 2747/5282) and 73.4% of non-pregnant women (n = 9214/12,562) indicated an intention to receive the vaccine. 69.2% of women (n = 11,800/17,054), both pregnant and non-pregnant, indicated an intention to vaccinate their children. Vaccine acceptance was generally highest in India, the Philippines, and all sampled countries in Latin America; it was lowest in Russia, the United States and Australia. The strongest predictors of vaccine acceptance included confidence in vaccine safety or effectiveness, worrying about COVID-19, belief in the importance of vaccines to their own country, compliance to mask guidelines, trust of public health agencies/health science, as well as attitudes towards routine vaccines. COVID-19 vaccine acceptance and its predictors among women vary globally. Vaccination campaigns for women and children should be specific for each country in order to attain the largest impact.
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Rivera, Tamara, Jennifer Brustrom, Maite Vera Antelo, E. Benjamin Puertas, Dale A. Rhoda, and Martha Velandia-Gonzalez. "Understanding COVID-19 Vaccine Acceptance among Latin American Health Workers: Implications for Designing Interventions." Vaccines 11, no. 9 (2023): 1471. http://dx.doi.org/10.3390/vaccines11091471.
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Health workers (HWs) have a key role in promoting vaccine acceptance. This study draws on the Behavioral and Social Drivers of Vaccination (BeSD) model and our team’s investigation of vaccine hesitancy in a sample of 1197 HWs across 14 Caribbean countries in 2021. We conducted a cross-sectional Internet survey of 6718 HWs across 16 countries in Latin America in spring 2022, after the COVID-19 vaccine had recently become widely available in the region. The survey assessed HWs’ attitudes regarding COVID-19 vaccines and vaccines in general. As a proxy measure of COVID-19 vaccine acceptance, we used the willingness to recommend the COVID-19 vaccine to eligible people. Ninety-seven percent of respondents were COVID-19 vaccine acceptant. Although nearly all respondents felt that the COVID-19 vaccine was safe and effective, 59% expressed concerns about potential adverse effects. Despite uniformly high acceptance of the COVID-19 vaccine overall and across Latin American subregions, acceptance differed by sex, HW profession, and COVID-19 history. Social processes, including actions and opinions of friends, family, and colleagues; actions and opinions of religious leaders; and information seen on social networks shaped many respondents’ opinions of vaccines, and the magnitude of these effects differed across both demographic and geographic subgroups. Information campaigns designed for HWs should underscore the importance of vaccine safety. Messages should be tailored to specific audiences according to the information source each is most likely to consult and trust.
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AMIR, MOHAMED, AISHATH MUNEER, SINWA ABDUL LATHEEF, et al. "COVID-19 perceptions and vaccine acceptance in the Maldives." Maldives National Journal of Research 9, no. 1 (2021): 52–60. http://dx.doi.org/10.62338/7n3tx785.
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The aim of the study was to identify the perceptions regarding the COVID-19 epidemic and acceptance of COVID-19 vaccine. A cross-sectional study design was employed to collect the data for the study using an online questionnaire. Among 700 participants, 602 (86%) people agreed that they would get the vaccine if it became available. The reasons people gave for not agreeing to get the vaccines were that the vaccine might have side effects, it might be too expensive, and it might not be safe. Only 1.2% said that they did not want to vaccinate due to religious reasons. Vaccine acceptance was associated with age, employment status, and Influenza vaccination in the past 12 months. Although the perception towards the COVID-19 vaccine was good in general, there were some negative perceptions too. Hence, creating public awareness regarding the vaccines and the importance of vaccination is crucial.
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Karan, Gade, Vashi Meeta, Sinha Anish, Pingle Shyam, and Gomare Mangala. "Awareness about COVID-19 vaccine, its acceptance and hesitancy among the urban slum & non-slum population of Dharavi in Mumbai, India." GSC Advanced Research and Reviews 14, no. 2 (2023): 031–38. https://doi.org/10.5281/zenodo.7928076.
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<strong>Background:</strong> Vaccine apprehension poses a risk to global public health. Since an enormous global initiative was underway to create a vaccine to combat the COVID-19 pandemic, little is known about its acceptance in India. Understanding COVID-19 vaccine-related awareness, acceptance and non-acceptance of current and potential vaccines can aid in the development of strategies to improve the national mass vaccination programme. This study aims to determine vaccine related awareness, acceptance & awareness among Dharavi (Slum & Non-Slum) population of Mumbai for COVID-19 vaccine. <strong>Methods:</strong> A cross-sectional comparative study was conducted. Total 384 participants were surveyed, among them 192 were from Dharavi slum & 192 from Dharavi non-slum area. Responses to the questionnaire using Google form was filled in the field itself, by doing house to house survey using convenience sampling. Data on socio-demographic characters, COVID-19 vaccine awareness, acceptance & non-acceptance was collected. <strong>Results:</strong> Overall, out of 384 participants, 227 (59.1%) were having poor or very poor awareness & 157 (40.9%) were having average or above average awareness related to COVID-19 vaccines. Out of 192 slum residents 118 (61.5 %) & out of 192 residents of non-slum 132 (68.8%) were willing to get vaccinated & the difference is not statistically significant. Overall, out of 384 participants of Dharavi 250 (65.1%) were showing vaccine acceptance & 134 (34.9%) participants were showing vaccine hesitancy. <strong>Conclusion:</strong> Proportion of awareness & acceptance for COVID-19 vaccine varies & interlinked with socio-demographic characteristics like gender, educational level, religion & area of residency of the study population. COVID-19 vaccine acceptance was found to have significant association with awareness.
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Desai, Priya, Gagandeep Kaur, Fanglong Dong, and Maria Rodriguez. "COVID-19 Vaccine Acceptance In Pregnancy." Neonatology Today 16, no. 7 (2021): 11–15. http://dx.doi.org/10.51362/neonatology.today/202171671115.
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Background: Early in the COVID-19 pandemic, limited data existed regarding the safety and efficacy of the COVID-19 vaccine in pregnant women. As such, many pregnant women have reservations about receiving the COVID-19 vaccine. However, pregnant women are of particular concern as they are considered a vulnerable population due to the increased risk of severe complications from COVID-19. This study investigates the willingness of pregnant patients to receive the vaccine before and after discussion with a health care provider. Methods: 124 pregnant women were surveyed from February to March of 2021 at a perinatal center. Patients were queried about their willingness to receive the COVID-19 vaccine before and after reading a fact sheet and discussing the vaccine's safety with a provider. Results: There was a statistically significant effect of discussing the vaccine with a physician regarding patients' willingness to receive the COVID-19 vaccine. Additionally, patients who received the annual influenza vaccine were significantly more likely to get the COVID-19 vaccine. Conclusion: Pregnant women were more willing to receive the COVID-19 vaccine after discussion with a health care provider. The importance and impact of health education should be given special consideration in medical offices.
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Akrong, Godwin Banafo, Rosemond Akpene Hiadzi, Antonia Bernadette Donkor, and Daniel Kwasi Anafo. "COVID-19 vaccine acceptance and hesitancy in Ghana: A systematic review." PLOS ONE 19, no. 6 (2024): e0305993. http://dx.doi.org/10.1371/journal.pone.0305993.
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The propensity to accept vaccines and factors that affect vaccine acceptance and hesitancy will determine the overall success of the COVID-19 vaccination program. Therefore, countries need to understand the factors that influence vaccine acceptance and hesitancy to prevent further future shocks, and it is necessary to have a thorough understanding of these factors. As a result, this study aims to review selected published works in the study’s domain and conduct valuable analysis to determine the most influential factors in COVID-19 vaccine acceptance and hesitancy in Ghana. The review also explored the acceptance rate of COVID-19 vaccines in Ghana. We selected published works from 2021 to April 2023 and extracted, analyzed, and summarized the findings based on the key factors that influence COVID-19 vaccine acceptance and hesitancy in Ghana, the acceptance rate in Ghana, the demographic factors that are often examined, and the study approach used to examine these factors. The study found that positive vaccination perception, safety, belief in vaccine efficacy, knowledge of COVID-19, and a good vaccine attitude influence COVID-19 vaccine acceptance in Ghana. The negative side effects of the vaccines, mistrust in the vaccine, lack of confidence in the vaccine’s safety, fear, and spiritual and religious beliefs all played significant roles in influencing COVID-19 vaccine hesitancy. For this study, the COVID-19 acceptance rates observed in the reviewed articles ranged from 17.5% to 82.6%. The demographic parameters frequently included in these studies that have a significant impact include educational attainment, gender, religious affiliation, age, and marital status. The positive perceptions of the COVID-19 vaccine and concerns about its negative effects influenced Ghanaians’ acceptance and hesitancy.
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Al-Jumaili, Ali Azeez, and Ali H. Hamzah. "Major Drivers for COVID-19 Vaccine Acceptance: A Scoping Review." Al-Rafidain Journal of Medical Sciences ( ISSN: 2789-3219 ) 2 (March 26, 2022): 32–39. http://dx.doi.org/10.54133/ajms.v2i.59.
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Objective: To review and identify the major drivers for COVID-19 vaccine acceptance. Methods: A scoping review of studies of COVID-19 vaccine perceptions and barriers to using the COVID-19 vaccines. Two search engines, including PubMed and Google Scholar, were purposefully searched. Results: Eight studies from different countries were reviewed to categorize factors influencing people's acceptance of COVID-19 according to the Health Belief Model (HBM). Perceived susceptibility, and severity of the disease (COVID-19), in addition to perceived benefits of COVID-19 vaccination and "cues to action", can enhance vaccination acceptance. In contrast, perceived barriers to the COVID-19 vaccine can increase people's hesitancy to be vaccinated. Conclusions: The HBM domains are successful in the prediction of human behaviors toward preventive measures, including vaccination. In general, high perceived susceptibility, severity, benefits, and minimum barriers should always be maintained to keep the vaccination rate high. Reducing the hesitancy to get the vaccine can be achieved by increasing awareness campaigns about the vaccine's efficacy in preventing infection.
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Tsai, Feng-Jen, Hsiu-Wen Yang, Chia-Ping Lin, and Jeffrey Zen Liu. "Acceptability of COVID-19 Vaccines and Protective Behavior among Adults in Taiwan: Associations between Risk Perception and Willingness to Vaccinate against COVID-19." International Journal of Environmental Research and Public Health 18, no. 11 (2021): 5579. http://dx.doi.org/10.3390/ijerph18115579.
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This study aims to evaluate acceptance of COVID-19 vaccines and the impact of risk perception on vaccine acceptance and personal health protective behaviors in Taiwan. A nationwide cross-sectional study was conducted from 19 to 30 October 2020; 1020 participants were included in the final analysis; chi-square and logistic regression analyses were conducted. In total, 52.7% of participants were willing to receive COVID-19 vaccines, 63.5% perceived the severity of COVID-19 in Taiwan as “not serious”, and nearly 40% were worried about COVID-19 infection. Participants with higher perceived severity of COVID-19 had significantly higher odds of refusing the vaccine (OR = 1.546), while those worried about infection had lower odds of poor health protective behaviors (OR = 0.685). Vaccine refusal reasons included “the EUA process is not strict enough” (48.7%) and “side effects” (30.3%). Those who had previously refused other vaccinations were 2.44 times more likely to refuse the COVID-19 vaccines. Participants’ age had an influence on COVID-19 vaccine acceptance. In general, the Taiwanese public’s acceptance of the vaccine was lower than that in other high-income countries. Elderly participants and those with college-level education and above who had previously refused vaccines had lower willingness to receive a COVID-19 vaccine. Risk perception was positively associated with personal health protective behaviors but negatively associated with COVID-19 vaccine acceptance.
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Jiang, Fangfang, Yang Zhao, Jianling Bai, et al. "Perceived health literacy and COVID-19 vaccine acceptance among Chinese college students: A mediation analysis." PLOS ONE 17, no. 9 (2022): e0273285. http://dx.doi.org/10.1371/journal.pone.0273285.
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Background Although COVID-19 vaccines hold the potential to dramatically alter the COVID-19 pandemic, vaccine hesitancy remains a serious threat to the management and control of COVID-19 infections. Vaccination of young adults plays a crucial role in achieving herd immunity. However, the determinants of COVID-19 vaccine acceptance among the youth in China have not been fully explored. Our study aims to investigate the direct and indirect effects of perceived health literacy on COVID-19 vaccine acceptance. Methods This survey was conducted among Chinese college students during September and October, 2020. COVID-19 vaccine acceptance was defined as the likelihood that participants would get a COVID-19 vaccine. A mediation analysis was employed to explore the direct and indirect effects of perceived health literacy on COVID-19 vaccine acceptance. Results A total of 2,587 college students were included in our study. The results of the survey revealed that the majority (80.40%) of the participants expressed high COVID-19 vaccine acceptance. After controlling for demographic characteristics, the relationship between perceived health literacy and COVID-19 vaccine acceptance was mediated by positive attitudes toward general vaccination (std.β = 0.004, p = 0.037) and self-efficacy of COVID-19 vaccine (std.β = 0.053, p < 0.001). Conclusions The findings suggest that interventions targeting health literacy to promote COVID-19 vaccination coverage might consider placing greater emphasis on enhancing the positive attitude towards and self-efficacy of vaccines among youth.
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Savira, Feby, Sheikh M. Alif, Afsana Afroz, et al. "Evaluation of COVID-19 vaccine acceptance and uptake in rural Bangladesh: a cross-sectional study." BMJ Open 12, no. 12 (2022): e064468. http://dx.doi.org/10.1136/bmjopen-2022-064468.
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ObjectiveThe objective of this study was to evaluate the acceptance and uptake of COVID-19 vaccines in rural Bangladesh.DesignThis was a cross-sectional study conducted between June and November 2021.SettingThis study was conducted in rural Bangladesh.ParticipantsPeople older than 18 years of age, not pregnant and no history of surgery for the last 3 months were eligible to participate.Primary and secondary outcomesThe primary outcomes were proportions of COVID-19 vaccine acceptance and roll-out participation among the rural population. The secondary outcome was identification of correlates which contributed to COVID-19 vaccine acceptance and roll-out participation. Χ2tests and multivariable logistic regression analyses were performed to identify relevant correlates such as sociodemographic factors, clinical conditions and COVID-19-related factors.ResultsA total of 1603 participants were enrolled. The overall COVID-19 vaccine acceptance was very high (1521/1601, 95%), and half of the participants received at least one dose of the COVID-19 vaccine. Majority of participants wanted to keep others safe (89%) and agreed to the benefits of COVID-19 vaccines (88%). To fulfil the requirement of online registration for the vaccine at the time, 62% of participants had to visit an internet café and only 31% downloaded the app. Over half (54%) of participants were unaware of countries they knew and trust to produce the COVID-19 vaccine. Increased age, being housewives, underweight and undergraduate education level were associated with vaccine acceptance, while being female, increased age and being overweight/obese were associated with vaccine uptake. Trust in the health department and practical knowledge regarding COVID-19 vaccines were positively associated with both vaccine acceptance and uptake.ConclusionThis study found a very high COVID-19 vaccine acceptance in rural Bangladesh. Policymakers should support interventions aimed at increasing vaccine and general health literacy and ensure ongoing vaccine supply and improvement of infrastructure in rural areas.
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Han, Kaiyi, Mark R. Francis, Ruiyun Zhang, et al. "Confidence, Acceptance and Willingness to Pay for the COVID-19 Vaccine among Migrants in Shanghai, China: A Cross-Sectional Study." Vaccines 9, no. 5 (2021): 443. http://dx.doi.org/10.3390/vaccines9050443.
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Understanding the public’s attitude towards COVID-19 vaccination and their acceptance could help facilitate the COVID-19 rollout. This study aimed to assess the acceptance and willingness to pay (WTP) for the COVID-19 vaccine among migrants in Shanghai, China. A cross-sectional study was conducted among 2126 migrants in Shanghai for the period 1–20 November 2020. Convenience sampling was used to recruit respondents in workplaces with large numbers of migrant workers. Multivariable (ordered) logistic regressions were used to examine factors associated with acceptance and WTP of the COVID-19 vaccine. Most (89.1%) migrants would accept COVID-19 vaccination. Over 90.0% perceived the COVID-19 vaccine as important, while only 75.0% and 77.7% perceived vaccines safe and effective. Socio-demographic factors were not significantly associated with vaccine acceptance, but confidence in the importance (OR 8.71, 95% CI 5.89–12.89), safety (OR 1.80, 95% CI 1.24–2.61) and effectiveness (OR 2.66, 95% CI 1.83–3.87) of COVID-19 vaccine was significantly positively associated with vaccine acceptance. The top reasons for vaccine hesitancy were lack of vaccine information and confidence. The proportion of those definitely willing to get the COVID-19 vaccine was 20% lower if paid by themselves than free vaccination. Migrants were willing to pay a median amount of USD 46 for the COVID-19 vaccine. Results show that a high acceptance of the COVID-19 vaccine was universal among migrants in Shanghai. Concerns about vaccine safety, effectiveness and high costs of the COVID-19 vaccine may hinder their uptake. Effective health communication to build confidence in the COVID-19 vaccine and subsidies toward the costs of these vaccines are needed to improve uptake.
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Krakowczyk, Julia Barbara, Alexander Bäuerle, Lars Pape, et al. "COVID-19 Vaccine for Children: Vaccination Willingness of Parents and Its Associated Factors—A Network Analysis." Vaccines 10, no. 7 (2022): 1155. http://dx.doi.org/10.3390/vaccines10071155.
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Different COVID-19 vaccines have been approved for underage children, so parents and caregivers currently face the decision of whether to vaccinate their children against COVID-19 or not. Due to the rather moderate vaccine acceptance among parents across different countries, the objective of the present study was to investigate the relationship between different psychological, demographic, and behavioral factors related to the acceptance of the COVID-19 vaccine for underage children among parents. In particular, vaccination attitudes, whether parents have been vaccinated against COVID-19 themselves, COVID-19 fear, attitude towards COVID-19 policy measures, governmental trust, subjective level of information, perceived risk of disease progression, and perceived risk of vaccine side effects were the variables of interest. The study adopted a cross-sectional study design, and the sample consisted of 2405 participants. A network analysis was conducted to investigate the associations and interconnection among these variables. The results showed that, in particular, compliance, confidence in the safety of vaccines, whether parents have been vaccinated against COVID-19 themselves, trust in the governmental system, fear of COVID-19, and the parents’ age were directly related to the acceptance of the COVID-19 vaccine for children. To increase compliance and confidence in the vaccines’ safety among parents, promotion campaigns should provide more information concerning the vaccines’ safety, particularly for younger parents who are not vaccinated against COVID-19 themselves.
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Wang, Jiahao, Rize Jing, Xiaozhen Lai, et al. "Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China." Vaccines 8, no. 3 (2020): 482. http://dx.doi.org/10.3390/vaccines8030482.
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Background: Faced with the coronavirus disease 2019 (COVID-19) pandemic, the development of COVID-19 vaccines has been progressing at an unprecedented rate. This study aimed to evaluate the acceptance of COVID-19 vaccination in China and give suggestions for vaccination strategies and immunization programs accordingly. Methods: In March 2020, an anonymous cross-sectional survey was conducted online among Chinese adults. The questionnaire collected socio-demographic characteristics, risk perception, the impact of COVID-19, attitudes, acceptance and attribute preferences of vaccines against COVID-19 during the pandemic. Multivariate logistic regression was performed to identify the influencing factors of vaccination acceptance. Results: Of the 2058 participants surveyed, 1879 (91.3%) stated that they would accept COVID-19 vaccination after the vaccine becomes available, among whom 980 (52.2%) wanted to get vaccinated as soon as possible, while others (47.8%) would delay the vaccination until the vaccine’s safety was confirmed. Participants preferred a routine immunization schedule (49.4%) to emergency vaccination (9.0%) or either of them (41.6%). Logistic regression showed that being male, being married, perceiving a high risk of infection, being vaccinated against influenza in the past season, believing in the efficacy of COVID-19 vaccination or valuing doctor’s recommendations could increase the probability of accepting COVID-19 vaccination as soon as possible, while having confirmed or suspected cases in local areas, valuing vaccination convenience or vaccine price in decision-making could hinder participants from immediate vaccination. Conclusion: During the pandemic period, a strong demand for and high acceptance of COVID-19 vaccination has been shown among the Chinese population, while concerns about vaccine safety may hinder the promotion of vaccine uptake. To expand vaccination coverage, immunization programs should be designed to remove barriers in terms of vaccine price and vaccination convenience, and health education and communication from authoritative sources are important ways to alleviate public concerns about vaccine safety.
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Molaeipour, Leila, Ahmad Hajebi, Leila Janani, et al. "Monitoring the COVID-19 Vaccine Acceptance Trend and its Determinants Among Iranian Adults." Archives of Iranian Medicine 26, no. 8 (2023): 427–33. http://dx.doi.org/10.34172/aim.2023.65.
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Background: Vaccination seems to be the most critical means of halting the COVID-19 pandemic. It is crucial to understand the factors that influence COVID-19 vaccine acceptance to avoid low vaccination rates. This study intended to monitor the COVID-19 vaccine acceptance and its association with socio-demographic factors and prior diagnosis of COVID-19 in Iranian adults during the COVID-19 pandemic. Methods: The study utilized data from the COVID-19 Population Survey of Iran (COPSIR), a repeated national survey designed to monitor COVID-19-related behavioral insights. From April 2020 to November 2021, thirteen iterations of a series of cross-sectional studies involving computer-assisted telephone interviews were conducted. Results: The COVID-19 vaccine acceptance rate remained above 80% until the ninth wave in February 2021, when it dropped to 62.9%. However, throughout the next four surveys, it rose gradually from 72.0% to 85.7%. The multilevel regression model revealed that the COVID-19 vaccine acceptance was significantly and positively linked with age and education. Conclusion: Despite the relatively high COVID-19 vaccine acceptance rate among Iranian adults, after the emergence of vaccines on the global market and controversies about their safety in Iran, the initially high vaccine acceptance rate dropped significantly, and then increased over time and returned to its peak level (85%). According to the Commodity Theory, this rise in vaccine acceptance can be attributed to the COVID-19 vaccine shortage in the country between January and July 2022. For Iranian adults to accept vaccines more readily, health promotion programs should target the youth and the less literate adults.
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Hejaz, Hatem A., Raghad A. Fallah, Rawand Al Jabari, Duha Z. Abdeen, and Maha Jabari. "Knowledge, Attitudes, and Acceptance toward Coronavirus Disease 2019 Vaccine." Scholars Academic Journal of Pharmacy 10, no. 12 (2021): 213–24. http://dx.doi.org/10.36347/sajp.2021.v10i12.003.
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Background: Several people are resistant or hesitant to take a Coronavirus Disease 2019 (COVID-19) vaccine. Negative attitudes towards vaccines and the spread of misinformation about the ongoing pandemic can lead to vaccine take hesitancy and that could be a serious problem for managing the COVID-19. Objectives: This study aimed to determine the knowledge, acceptance, perception, and to evaluate the attitudes towards the prospective COVID-19 vaccines. Methods: The research study was carried out using a questionnaire that consisted of questions about the disease and on knowledge, acceptance, and perception of the COVID-19 vaccine. The data collected was analyzed using Statistical Package for the Social Sciences (SPSS) version 26. Results: The overall acceptance rate of the participants to take the COVID-19 vaccine was 23% (n= 250 of 1085 who completed the questionnaire). Acceptance of COVID-19 vaccines in the study sample was affected by several factors such as age, gender, education level, income, health status, smoking, and the history of coronavirus infection. About 39.3% (n= 335) of the participants in the study think that COVID-19 was a man-made virus to achieve political goals or economic goals, while approximately half of them (n= 580, 53.4%) think that the COVID-19 vaccine is a purpose to inject microchips into people to control and monitor them. The main reasons for the people willing to get vaccinations were to eradicate the pandemic (31%) and fear for the relatives and friends from the disease (26.1%). While the reasons for refusing to take the vaccine were due to the side effects of the vaccine (29.2%), or for getting natural immunity (28.8%), and because they distrust vaccines (18.7%). Conclusions: The knowledge about vaccine COVID-19 was inadequate; the majority of the respondents were not willing to get vaccinated. High rates of COVID-19 vaccine hesitancy are due to its side effects.
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Alhuzaimi, Abdullah N., Abdullah A. Alrasheed, Ayman Al-Eyadhy, et al. "Exploring Determinants of COVID-19 Vaccine Acceptance, Uptake, and Hesitancy in the Pediatric Population: A Study of Parents and Caregivers in Saudi Arabia during the Initial Vaccination Phase." Healthcare 11, no. 7 (2023): 972. http://dx.doi.org/10.3390/healthcare11070972.
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Objectives: This study aims to assess COVID-19 vaccine acceptance, uptake, and hesitancy among parents and caregivers of children in Saudi Arabia during the initial rollout of pediatric COVID-19 vaccination. Methods: An electronic survey was used to collect data from participants who visited a COVID-19 vaccine center. The survey included demographic data, COVID-19 vaccine status among participants and their children, and reasons for vaccine acceptance or rejection. The Vaccine Hesitancy Scale (VHS) tool was also employed to assess vaccine hesitancy and attitudes toward the COVID-19 vaccine and routine childhood vaccination. Multivariate binary regression analysis was used to identify predictors of actual COVID-19 vaccine uptake among children. Results: Of the 873 respondents included in the analysis, 61.5% were parents and 38.5% were other caregivers. Of the participants, 96.9% had received the COVID-19 vaccine. Six hundred and ninety-four participants accepted the vaccine for their children, with the main reasons being an endorsement by the Saudi Ministry of Health (60%) and the importance of going back to school (55%). One hundred and seventy-nine participants would not vaccinate their children, with the most common reasons being fear of adverse effects (49%) and inadequate data about vaccine safety (48%). Factors such as age, COVID-19 vaccination status, self-rated family commitment level, attitudes toward routine children’s vaccines, and participants’ generalized anxiety disorder (GAD7) score did not significantly correlate with children’s COVID-19 vaccination status. Parents were less likely to vaccinate their children compared to other caregivers, and participants with a higher socioeconomic status were more likely to vaccinate their children. Conclusion: Vaccine acceptance and uptake were high during the initial pediatric COVID-19 vaccination rollout in Saudi Arabia. Still, the ongoing endorsement of the Ministry of Health and healthcare authorities should continue to advocate for better vaccine uptake in children.
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Pailaha, Aprianto Daniel. "COVID-19 VACCINATION IN CHILDREN: AN UPDATE FOR THE NEW ERA OF COVID-19." Journal of Chitwan Medical College 13, no. 1 (2023): 108–10. http://dx.doi.org/10.54530/jcmc.1238.
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The COVID-19 pandemic is still ongoing, it is imperative to vaccinate most people, including children, to achieve herd immunity against the pandemic. Since parents are the ones who ultimately decide whether to vaccinate their children, this viewpoint was conducted to determine parents' acceptance and reluctance to vaccinate their children against COVID-19. This viewpoint aims to identify the predictors and ethical considerations of childhood vaccination. Several predictive factors contribute to the decision to accept or refuse the COVID-19 vaccine for children. Predictor factors that influence the acceptance of the COVID-19 vaccine in children are citizen trust in government, conspiratorial beliefs, intention of parents, psychological reactance, and magical beliefs. Ethical considerations must also be considered, because this is very important. Ethical considerations that may be a dilemma for vaccine acceptance such as autonomy, beneficence, non-maleficence, and justice.
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Zahra, Tauheed, Farhan Ahmad Faiz, and Farrah Ahmed. "EXPLORING COVID-19 VACCINE ACCEPTANCE AND HESITANCY DETERMINANTS." Pakistan Journal of Social Research 03, no. 01 (2021): 80–91. http://dx.doi.org/10.52567/pjsr.v3i01.189.
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The World Health Organization recognizes vaccine related myths and conspiracies as the world's top threat to public health safety, particularly in low middle-income countries. The current study aims to explore the beliefs of the general public towards the vaccine acceptance and the hesitancy. The study explicates the COVID 19 vaccine acceptance and hesitancy determinants through an in-depth qualitative approach. A total of 30 male and female millennials from different education backgrounds were interviewed through an interview guide. This study reveals that people have different beliefs related to the vaccine authenticity which plays a vital role in the reluctance towards it. Findings from paper is similar to literature that people from good educational background have similar thoughts towards COVID 19 vaccination. Disregard for the vaccine was caused by various factors, such as misinformation, safety concerns, and personal knowledge. This level of distrust was associated with the social worlds that participants experienced during the pandemic. COVID-19 vaccine hesitancy is a complex relationship that involves the spread of misinformation. Vaccine programs should provide a focused, localized, and empathetic response to counter misinformation. Keywords: COVID-19, vaccines, myths, hesitancy, vaccines awareness, pandemic, conspiracy, corona virus
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Gopaul, Chavin D., Dale Ventour, and Davlin Thomas. "COVID-19 Vaccine Acceptance and Uptake among Healthcare Workers in Trinidad and Tobago." Journal of Environmental and Public Health 2022 (September 9, 2022): 1–10. http://dx.doi.org/10.1155/2022/5031202.
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Background. COVID-19 vaccine acceptance is important in ensuring the widespread vaccination of the population to achieve herd immunity. Establishing the acceptance of vaccines among healthcare workers, who play a vital role in an immunization program’s success, is important. The aim of this study was to assess the influence of social trust and demographic factors on COVID-19 vaccine acceptance among healthcare workers. Methods. A cross-sectional survey utilizing an electronic questionnaire inquiring about COVID-19 vaccine uptake, preferences, and concerns was distributed via e-mail to 1,351 North Central Regional Health Authority (NCRHA) healthcare workers of the following categories: medical practitioners, nursing personnel, veterinary surgeons, medical interns, dental interns, paramedics, and pharmacists. These professions were selected as they were granted power to administer COVID-19 vaccines during the period of public emergency by the President of Trinidad and Tobago and were therefore likely to be NCRHA healthcare workers directly involved in vaccine administration services. Bivariate analysis using Chi-squared analysis of association was used to determine the association between the respondents’ characteristics and the acceptance of the vaccine and the association between vaccine acceptance among healthcare workers and trust. The association between the acceptance of the COVID-19 vaccines and healthcare workers’ characteristics and trust was established using multinomial logistic regression. Results. A total of 584 healthcare workers took part in the study, and 1.4% showed unwillingness to receive the COVID-19 vaccine. The study indicates that age, profession, trust in international public health organizations, and trust in other healthcare providers predict the uptake of COVID-19 vaccines among healthcare workers, with younger age groups and the nursing profession associated with an unwillingness to accept the vaccine. Gender of the healthcare workers does not predict vaccine acceptance. Conclusions and relevance: efforts towards enhanced vaccine acceptance among healthcare workers should take into consideration age, profession, and the trust in international organizations and other healthcare providers. Sensitization programs aimed at informing and creating awareness among healthcare workers about the COVID-19 vaccines should be age-specific as well as occupation-based.
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Al-Sanafi, Mariam, and Malik Sallam. "Psychological Determinants of COVID-19 Vaccine Acceptance among Healthcare Workers in Kuwait: A Cross-Sectional Study Using the 5C and Vaccine Conspiracy Beliefs Scales." Vaccines 9, no. 7 (2021): 701. http://dx.doi.org/10.3390/vaccines9070701.
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Acceptance of coronavirus disease 2019 (COVID-19) vaccination appears as a decisive factor necessary to control the ongoing pandemic. Healthcare workers (HCWs) are among the highest risk groups for infection. The current study aimed to evaluate COVID-19 vaccine acceptance among HCWs in Kuwait, with identification of the psychological determinants of COVID-19 vaccine hesitancy. The study was conducted using an online anonymous survey distributed between 18 March 2021 and 29 March 2021. The sampling strategy was convenience-based depending on chain-referral sampling. Psychological determinants of COVID-19 vaccine acceptance were assessed using the 5C subscales and the Vaccine Conspiracy Beliefs Scale (VCBS). The total number of study participants was 1019, with the largest group being physicians (28.7%), pharmacists (20.2%), dentists (16.7%), and nurses (12.5%). The overall rate for COVID-19 vaccine acceptance was 83.3%, with 9.0% who were not willing to accept vaccination and 7.7% who were unsure. The highest rate for COVID-19 vaccine acceptance was seen among dentists (91.2%) and physicians (90.4%), while the lowest rate was seen among nurses (70.1%; p < 0.001). A higher level of COVID-19 vaccine hesitancy was found among females, participants with a lower educational level, and HCWs in the private sector. A preference for mRNA vaccine technology and Pfizer-BioNTech COVID-19 vaccine was found among the majority of participants (62.6% and 69.7%, respectively). COVID-19 vaccine hesitancy was significantly linked to the embrace of vaccine conspiracy beliefs. The highest 5C psychological predictors of COVID-19 vaccine acceptance were high levels of collective responsibility and confidence, and lower levels of constraints and calculation. The VCBS and 5C subscales (except the calculation subscale) showed acceptable levels of predicting COVID-19 vaccine acceptance based on receiver operating characteristic analyses. The participants who depended on social media platforms, TV programs, and news releases as their main sources of knowledge about COVID-19 vaccines showed higher rates of COVID-19 vaccine hesitancy. An overall satisfactory level of COVID-19 vaccine acceptance was seen among HCWs in Kuwait, which was among the highest rates reported globally. However; higher levels of vaccine hesitancy were observed among certain groups (females, nurses and laboratory workers, HCWs in the private sector), which should be targeted with more focused awareness programs. HCWs in Kuwait can play a central role in educating their patients and the general public about the benefits of COVID-19 vaccination to halt the spread of SARS-CoV-2, considering the high rates of vaccine hesitancy observed among the general public in Kuwait and the Middle East.
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Abdul-Manan, Sumani, Alhassan Iddrisu Abdullai, and Buhari Gunu Yussif. "Determinants of COVID-19 Vaccine Acceptance in Ghana." International Journal of Health Sciences and Research 12, no. 1 (2022): 175–87. http://dx.doi.org/10.52403/ijhsr.20220124.
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Background: A proven strategy for saving lives from vaccine-preventable diseases is the timely vaccination of the people. In Ghana, there is considerable hesitation about the Covid-19 vaccines due to anxieties and uncertainties about their safety. With varying perceptions and believes being developed about Covid-19 vaccines, there is a likely negative effect on vaccine acceptance or otherwise. This study aims to ascertain the levels of acceptance of potential Covid-19 vaccine among Ghanaian adults, to identify predictors of vaccine acceptance or hesitance. Methodology: A web based cross-sectional survey conducted among Ghanaians above 18 years, conducted between the month of February and March, 2021. Data were collected by administering online google forms (Questionnaire). The questionnaire was shared through social media platforms. A snowball sampling technique was used where researchers shared google forms to close friends and family. Analyses were conducted at p-value <0.05 using descriptive statistics, cross-tabulations and logistic regression. Results: A total of 350 responses were achieved by end of data collection. Out of these, only 348 were considered for analysis based on the inclusion and exclusion criteria. Majority of the respondents (65.2%) were male, a third (30%) of them live in rural areas and about 57.5% were married. Factors such as age, educational level, prior vaccine acceptance history, personal vulnerability and self-feeling of health were significantly associated with covid-19 vaccine acceptance. Conclusion: The results depict low acceptance rate for potential covid-19 vaccine among Ghanaians. Government and MoH should engage the media on its role in combating misinformation with regards the Covid-19 vaccine. Key words: coronavirus disease 2019 (Covid-19), vaccine, hesitance, acceptance.
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Regmi, Shruti, Sanchita Subedi, Parbati Datheputhe, and Sita Rai Koirala. "COVID-19 Vaccine Acceptance and Its Associated Factors Among Young Adults." Journal of College of Medical Sciences-Nepal 20, no. 1 (2024): 18–25. http://dx.doi.org/10.3126/jcmsn.v20i1.55066.
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Background COVID-19 pandemic, which has rapidly spread throughout the globe in several waves and mutations, was initially identified in Wuhan, China, in late 2019. Vaccines against this deadly virus were developed quickly in about a year. Despite the availability of vaccines, acceptance of the vaccines among the general population is influenced by various factors and are important to be identified for a successful vaccination program. The objective of this study was to evaluate the COVID-19 vaccine acceptance among young adults and its associated factors.MethodsNepalese young adults were surveyed online using a descriptive cross-sectional study approach. A bilingual, self-administered questionnaire consisting of six parts-socio-demographic information, health-related information, knowledge and attitude/ beliefs about COVID-19, perceived threat to COVID-19, beliefs about COVID-19 vaccination, and vaccine acceptability was used to collect data. The collected data was analysed using SPSS version 20. ResultsOut of the 467 participants surveyed, most of them (94.2%) were willing to take the vaccine. Among them, 80.5% were willing to take it immediately. The main reason for COVID-19 vaccine refusal was because of doubt about the safety of the COVID-19 vaccine. The regression results showed that healthcare-related professionals/students and perceived benefits of the COVID-19 vaccine were significantly associated with vaccine acceptance. ConclusionsThis study reflected the high acceptance of COVID-19 vaccination among Nepalese adults during the pandemic. Concerned authorities and health professionals should emphasize addressing concerns about vaccine safety and disseminating information about the benefits of vaccines to overcome vaccine hesitancy.
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Mudenda, Steward. "COVID-19 Vaccine Acceptability and Hesitancy in Africa: Implications for Addressing Vaccine Hesitancy." Journal of Biomedical Research & Environmental Sciences 2, no. 10 (2021): 999–1004. http://dx.doi.org/10.37871/jbres1342.
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Background: Increased acceptance and uptake of Coronavirus Disease 2019 (COVID-19) vaccines is very essential in containing the ongoing COVID-19 pandemic. Vaccine hesitancy is a threat to public health containment of infectious diseases. Aim: The main aim of this study was to review published articles regarding COVID-19 vaccine acceptability and hesitancy across all populations in Africa. Materials and methods: This was a narrative review. A comprehensive literature search was done using PubMed, Google Scholar, Scopus, and EMBASE using the keywords vaccine acceptability, vaccine hesitancy, COVID-19 vaccine, COVID-19 pandemic, H1N1 vaccine, swine flu, swine flu vaccine, Africa, and the Boolean word AND. The cited literature was published between March 2001 and June 2021. Results: The few studies were done in Africa so far are among healthcare workers and medical students. Acceptance of vaccination against COVID-19 in Africa ranged from 15.4% to 55.9%. This shows increased hesitancy to receive the COVID-19 vaccines in African countries. Many people were concerned about the potential adverse effects and ineffectiveness of COVID-19 vaccines. Misinformation about the COVID-19 vaccines has contributed to the hesitancy reported from different studies. Moreover, sociodemographic characteristics were also predictors of the acceptability of COVID-19 vaccines. Conclusion: Low acceptability rates reported in Africa indicates increased hesitancy to vaccination against COVID-19. The low acceptance of vaccines in Africa can hinder the required 60-70% vaccinations to achieve herd immunity. Therefore, there is a need to develop strategies that will address hesitancy against the COVID-19 vaccines across countries and populations in Africa and the entire globe.
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Koskan, Alexis M., Iris E. LoCoco, Casey L. Daniel, and Benjamin S. Teeter. "Rural Americans’ COVID-19 Vaccine Perceptions and Willingness to Vaccinate against COVID-19 with Their Community Pharmacists: An Exploratory Study." Vaccines 11, no. 1 (2023): 171. http://dx.doi.org/10.3390/vaccines11010171.
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In early 2022 in the U.S., rural adults were the least likely to vaccinate against COVID-19 due to vaccine hesitancy and reduced healthcare access. This study explored the factors influencing rural adults’ COVID-19 vaccine perceptions and their acceptance of pharmacist-administered vaccination. We utilized phone-based semi-structured interviews with 30 adults living in rural regions of one southwestern state and analyzed the data using a team-based thematic analysis approach. Vaccine-willing participants described knowing other people affected by the virus and their desired protection from the virus. They reported trusting scientific institutions and the government to provide safe vaccines. Vaccine-hesitant populations, however, feared that the COVID-19 vaccine development process had been rushed, compromising the safety of these newer vaccines. Although they differed in the news sources they preferred for receiving COVID-19 vaccine information, both vaccine-willing and vaccine-hesitant participants described trusting local authorities, such as healthcare providers and county government officials, to provide accurate COVID-19 vaccine information. Regarding the acceptability of pharmacist-administered COVID-19 vaccinations, all but one participant described their acceptance of this healthcare delivery approach. Future outreach should leverage rural adults’ trust in local sources, including community pharmacists, deemed more convenient access points to healthcare, when addressing vaccine hesitancy.
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Haakonde, Richard. "Assessment of Knowledge and Attitude towards Coronavirus Disease 2019 Vaccines among Students in Zambia - A Case Study of the University of Zambia." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 11, no. 1 (2023): 204–14. http://dx.doi.org/10.21522/tijph.2013.11.01.art019.
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Equitable access to safe and efficacious vaccines is essential to the fight against Covid-19. Low vaccine acceptance poses a challenge to controlling the Covid-19 pandemic. Young people are key in the fight against Covid-19, as they are a majority in most African populations. A cross-sectional study was used to assess the knowledge and attitude toward Covid-19 vaccines among university students in Zambia. This study comprised a total of 160 respondents with an average age of 21.0 + 3.6 years, ranging from 18 to 46 years. The study was done between January and February 2022. Random sampling was used for participant enrollment, and an interviewer-administered questionnaire was used for data collection. Spearman’s Rank Correlation test and Binary Logistic Regression were performed to establish relationships among the study variables. The study revealed a knowledge score of 61.3%, and a Covid-19 vaccine acceptance score of 28.0%. Knowledge was also found to be associated with Covid-19 vaccine acceptance (p<0.05). Covid-19 vaccine acceptance showed an association with history of having a relative or close friend who had Covid-19 infection (OR=2.041, C.I. 95%, 1.010-4.127; p<0.05), as well as knowledge (OR=1.275, C.I. 95%, 1.045-1.556; p<0.05). The results showed good knowledge of Covid-19 vaccines among students. The attitude was however found to be negative, as indicated by a vaccine acceptance score of 28.0%. Evidence-based health education on the importance of Covid-19 vaccination is needed to counter myths and conspiracy beliefs about the disease to improve vaccine uptake. Keywords: Vaccines; Covid-19; Acceptance; Attitude; Knowledge; Zambia.
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Tavolacci, Marie Pierre, Pierre Dechelotte, and Joel Ladner. "COVID-19 Vaccine Acceptance, Hesitancy, and Resistancy among University Students in France." Vaccines 9, no. 6 (2021): 654. http://dx.doi.org/10.3390/vaccines9060654.
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The objectives were to explore, among university students, the level of COVID-19 vaccine acceptance, hesitancy, and resistancy and to determine the motivations and barriers, and the reasons that may change student vaccination decision making. An online observational cross-sectional study was conducted among students of a French university in January 2021 with questions about the intention to be vaccinated against COVID-19, the motivations and the barriers. The convenience sample included 3089 students, with a mean of age of 20.3 (SD = 1.9). To the question on the intention to vaccinate against the COVID-19, 58.0% of students reported that they would choose to have a vaccination, 17.0% reported that they would not and 25.0% were not sure. The main motivations for vaccine acceptance were “I don′t want to transmit COVID-19 to others”, the main barriers for vaccine resistance or hesitancy were “I prefer to wait until I have more experience with these new vaccines”. Age, female gender, being in first three years of study, studied sciences courses and neither sciences nor healthcare courses of study were significantly associated with a higher risk of vaccine hesitancy or resistancy. Self-estimated knowledge of conventional vaccines and COVID-19 vaccines, and confidence in efficiency and safety of conventional vaccination were associated with a lower risk of vaccine hesitancy or resistancy. It is relevant to disseminate evidence-based interventions to promote COVID-19 vaccine acceptability for college students, especially for the students in neither sciences nor healthcare courses of study, as college students will soon be eligible to receive a COVID-19 vaccine.
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Kalam, Md Abul, Thomas P. Davis, Shahanaj Shano, et al. "Exploring the behavioral determinants of COVID-19 vaccine acceptance among an urban population in Bangladesh: Implications for behavior change interventions." PLOS ONE 16, no. 8 (2021): e0256496. http://dx.doi.org/10.1371/journal.pone.0256496.
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Background While vaccines ensure individual protection against COVID-19 infection, delay in receipt or refusal of vaccines will have both individual and community impacts. The behavioral factors of vaccine hesitancy or refusal are a crucial dimension that need to be understood in order to design appropriate interventions. The aim of this study was to explore the behavioral determinants of COVID-19 vaccine acceptance and to provide recommendations to increase the acceptance and uptake of COVID-19 vaccines in Bangladesh. Methods We employed a Barrier Analysis (BA) approach to examine twelve potential behavioral determinants (drawn from the Health Belief Model [HBM] and Theory of Reasoned Action [TRA]) of intended vaccine acceptance. We conducted 45 interviews with those who intended to take the vaccine (Acceptors) and another 45 interviews with those who did not have that intention (Non-acceptors). We performed data analysis to find statistically significant differences and to identify which beliefs were most highly associated with acceptance and non-acceptance with COVID-19 vaccines. Results The behavioral determinants associated with COVID-19 vaccine acceptance in Dhaka included perceived social norms, perceived safety of COVID-19 vaccines and trust in them, perceived risk/susceptibility, perceived self-efficacy, perceived positive and negative consequences, perceived action efficacy, perceived severity of COVID-19, access, and perceived divine will. In line with the HBM, beliefs about the disease itself were highly predictive of vaccine acceptance, and some of the strongest statistically-significant (p<0.001) predictors of vaccine acceptance in this population are beliefs around both injunctive and descriptive social norms. Specifically, Acceptors were 3.2 times more likely to say they would be very likely to get a COVID-19 vaccine if a doctor or nurse recommended it, twice as likely to say that most people they know will get a vaccine, and 1.3 times more likely to say that most close family and friends will get a vaccine. The perceived safety of vaccines was found to be important since Non-acceptors were 1.8 times more likely to say that COVID-19 vaccines are “not safe at all”. Beliefs about one’s risk of getting COVID-19 disease and the severity of it were predictive of being a vaccine acceptor: Acceptors were 1.4 times more likely to say that it was very likely that someone in their household would get COVID-19, 1.3 times more likely to say that they were very concerned about getting COVID-19, and 1.3 times more likely to say that it would be very serious if someone in their household contracted COVID-19. Other responses of Acceptors on what makes immunization easier may be helpful in programming to boost acceptance, such as providing vaccination through government health facilities, schools, and kiosks, and having vaccinators maintain proper COVID-19 health and safety protocols. Conclusion An effective behavior change strategy for COVID-19 vaccines uptake will need to address multiple beliefs and behavioral determinants, reducing barriers and leveraging enablers identified in this study. National plans for promoting COVID-19 vaccination should address the barriers, enablers, and behavioral determinants found in this study in order to maximize the impact on COVID-19 vaccination acceptance.
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Alalawi, Mai, Muath A. Alsalloum, Yusuf M. Garwan, et al. "COVID-19 vaccine hesitancy among healthcare workers in Arab Countries: A systematic review and meta-analysis." PLOS ONE 19, no. 1 (2024): e0296432. http://dx.doi.org/10.1371/journal.pone.0296432.
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Background Vaccine hesitancy is a major obstacle to the large efforts made by governments and health organizations toward achieving successful COVID-19 vaccination programs. Healthcare worker’s (HCWs) acceptance or refusal of the vaccine is an influencing factor to the attitudes of their patients and general population. This study aimed to report the acceptance rates for COVID-19 vaccines among HCWs in Arab countries and identify key factors driving the attitudes of HCWs in the Arab world toward vaccines. Methods This systematic review and meta-analysis followed the PRISMA guidelines. PubMed and Scopus databases were searched using pre-specified keywords. All cross-sectional studies that assessed COVID-19 vaccine hesitancy and/or acceptance among HCWs in Arab countries until July 2022, were included. The quality of the included studies and the risk of bias was assessed using the JBI critical appraisal tool. The pooled acceptance rate of the COVID-19 vaccine was assessed using a random-effects model with a 95% confidence interval. Results A total of 861 articles were identified, of which, 43 were included in the study. All the studies were cross-sectional and survey-based. The total sample size was 57,250 HCWs and the acceptance rate of the COVID-19 vaccine was 60.4% (95% CI, 53.8% to 66.6%; I2, 41.9%). In addition, the COVID-19 vaccine acceptance rate among males was 65.4% (95% CI, 55.9% to 73.9%; I2, 0%) while among females was 48.2% (95% CI, 37.8% to 58.6%; I2, 0%). The most frequently reported factors associated with COVID-19 vaccine acceptance were being male, higher risk perception of contracting COVID-19, positive attitude toward the influenza vaccine, and higher educational level. Predictors of vaccine hesitancy most frequently included concerns about COVID-19 vaccine safety, living in rural areas, low monthly income, and fewer years of practice experience. Conclusion A moderate acceptance rate of COVID-19 vaccines was reported among HCWs in the Arab World. Considering potential future pandemics, regulatory bodies should raise awareness regarding vaccine safety and efficacy and tailor their efforts to target HCWs who would consequently influence the public with their attitude towards vaccines.
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Bahreinipour, Babak, Yadollah zargar, and amin koraei. "Predicting the Covid- 19 Vaccine Acceptance Based on Death Anxiety, Social Capital and Superstitious." Social Cognition 11, no. 21 (2022): 69–78. https://doi.org/10.30473/sc.2023.64662.2774.
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Introduction: The present study aims to predict the acceptance of the Covid-19 vaccine based on death anxiety, social capital, and superstition. Method: The research population included all the people who were eligible to receive the vaccine in the summer and fall of 1400, out of which there were 150 people in two groups including people over 18 years of age who were willing to receive various types of Covid- 19 vaccines (75 people) and the people who did not want to accept it (75 people) were selected as the research sample using the purposeful sampling method. The participants were asked to respond to Templer's Death Anxiety Scale (1970), Delaware's Social Capital Questionnaire (1384), and Azizkhani's Superstition Tendency Questionnaire (1392). In addition to descriptive statistics, discriminant analysis was used for data analysis. Findings: The results obtained with the simultaneous discriminant analysis method confirmed the research hypothesis of predicting the acceptance of the Covid-19 vaccine based on death anxiety, social capital and superstition (prediction coefficient equal to 0.65). Also, the results of the discriminant analysis with the step-by-step method showed that the two variables of social capital, and superstition are the strongest predictors of accepting or not accepting the Covid-19 vaccine (prediction coefficient equal to 0.64). Conclusion: The results indicate the predictive role of all three variables of death anxiety, social capital, and superstition in accepting or rejecting the Covid-19 vaccine, which plays an important role in improving the health of society. The findings were discussed in detail.
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Karan Gade, Meeta Vashi, Anish Sinha, Shyam Pingle, and Mangala Gomare. "Awareness about COVID-19 vaccine, its acceptance and hesitancy among the urban slum & non-slum population of Dharavi in Mumbai, India." GSC Advanced Research and Reviews 14, no. 2 (2023): 031–38. http://dx.doi.org/10.30574/gscarr.2023.14.2.0046.
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Background: Vaccine apprehension poses a risk to global public health. Since an enormous global initiative was underway to create a vaccine to combat the COVID-19 pandemic, little is known about its acceptance in India. Understanding COVID-19 vaccine-related awareness, acceptance and non-acceptance of current and potential vaccines can aid in the development of strategies to improve the national mass vaccination programme. This study aims to determine vaccine related awareness, acceptance & awareness among Dharavi (Slum & Non-Slum) population of Mumbai for COVID-19 vaccine. Methods: A cross-sectional comparative study was conducted. Total 384 participants were surveyed, among them 192 were from Dharavi slum & 192 from Dharavi non-slum area. Responses to the questionnaire using Google form was filled in the field itself, by doing house to house survey using convenience sampling. Data on socio-demographic characters, COVID-19 vaccine awareness, acceptance & non-acceptance was collected. Results: Overall, out of 384 participants, 227 (59.1%) were having poor or very poor awareness & 157 (40.9%) were having average or above average awareness related to COVID-19 vaccines. Out of 192 slum residents 118 (61.5 %) & out of 192 residents of non-slum 132 (68.8%) were willing to get vaccinated & the difference is not statistically significant. Overall, out of 384 participants of Dharavi 250 (65.1%) were showing vaccine acceptance & 134 (34.9%) participants were showing vaccine hesitancy. Conclusion: Proportion of awareness & acceptance for COVID-19 vaccine varies & interlinked with socio-demographic characteristics like gender, educational level, religion & area of residency of the study population. COVID-19 vaccine acceptance was found to have significant association with awareness.
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Arianti, Diana, and Amelia Susanti. "Factors Influencing Student Parents' Acceptance of the COVID-19 Vaccine." Journal of Health Sciences and Epidemiology 1, no. 1 (2023): 17–24. http://dx.doi.org/10.62404/jhse.v1i1.6.
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The COVID-19 pandemic has caused widespread destruction, including in Indonesia. Various efforts have been undertaken to combat the pandemic caused by COVID-19. Among them is immunization. However, the general population's acceptance of the COVID-19 vaccination is questionable. Due to the availability of multiple vaccines against COVID-19, there is confusion regarding the efficacy and safety of individual vaccines, particularly among students. The primary objective of this study was to determine the reception of the COVID-19 vaccine among the parents of students. From March to August 2022, a cross-sectional survey was conducted at Padang Elementary School No. 11. Respondents for the technique of purposive sampling are the parents of 68 students. The survey data were analyzed using SPSS version 25.0. Using the Chi-square test, the relationship between socio-demographics and COVID-19 vaccine acceptance was analyzed. According to the findings of the study, approximately 51.5% of parents reject the COVI-19 vaccine for their offspring. There is a significant correlation between education level (p-value = 0.035), knowledge level (p-value = 0.000), and attitude (p-value = 0.000) and acceptance of the COVID-19 vaccine, as determined by a statistical test. The acceptance of the COVID-19 vaccine is significantly affected by parents' knowledge of vaccines. The government or authorized organizations must enhance and target the dissemination of accurate information about vaccines.
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Amick III, Benjamin C., Jaimi L. Allen, Clare C. Brown, Anthony Goudie, Mick Tilford, and Mark Williams. "Racial differences in COVID-19 vaccine acceptance in Arkansas." PLOS ONE 18, no. 5 (2023): e0268876. http://dx.doi.org/10.1371/journal.pone.0268876.
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Vaccines are one of the most successful tools for protecting the public’s health. However, widespread vaccine hesitancy in the Southern United States is preventing effective mitigation of the current COVID-19 pandemic. The purpose of this study was to assess COVID-19 vaccine acceptance among adults living in a largely rural Southern state. This cross-sectional study collected data from 1,164 Arkansas residents between October 3 and October 17, 2020 using random digit dialing. The primary outcome was a multidimensional COVID-19 vaccine acceptance measure with scores between -3 to +3. The full COVID-19 vaccine acceptance scale was measured along with perceived vaccine safety, effectiveness, acceptance, value, and legitimacy subscales. Statistical analyses were conducted using multivariable linear regression. Results indicated Black participants had the lowest overall vaccine acceptance (0.5) compared to White participants (1.2). Hispanic participants had the highest scores (1.4). In adjusted models, Black participants had 0.81 points lower acceptance than White participants, and Hispanic participants had 0.35 points higher acceptance. Hispanic participants had the highest scores for all five vaccine acceptance subscales, relatively equivalent to White participants. Black participants had consistently lower scores, especially perceived vaccine safety (mean -0.2, SD 0.1). In conclusion, the lowest vaccine acceptance rates were among Black participants particularly on perceived vaccine safety. While Black participants had the lowest acceptance scores, Hispanic participants had the highest. This variability shows the value of a multidimensional vaccine acceptance measure to inform COVID-19 vaccination campaign strategies.
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Bellanti, Joseph A. "COVID-19 vaccines and vaccine hesitancy: Role of the allergist/immunologist in promotion of vaccine acceptance." Allergy and Asthma Proceedings 42, no. 5 (2021): 386–94. http://dx.doi.org/10.2500/aap.2021.42.210063.
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Background: Vaccine hesitancy has been defined as a delay in acceptance or refusal of vaccines, despite the availability of vaccine services. In the past, despite an impressive record of vaccine effectiveness in the United States, several factors have contributed to a decreased acceptance of vaccines that has resulted in outbreaks of infectious diseases, e.g., measles. More recently, vaccine hesitancy has spread to coronavirus disease 2019 (COVID-19) vaccines. There are many causes of vaccine hesitancy, such as misinformation, fallacies, and myths, that have contributed to vaccine hesitancy. Objective: The purpose of the present report is to address the many causes of vaccine hesitancy and to suggest ways that the allergist/immunologist can be involved in the promotion of vaccine acceptance. Methods: The current COVID-19 vaccines were reviewed, together with their mechanisms(s) of action and adverse reactions to them. Results: The many causes of vaccine hesitancy include many doubts and concerns related to COVID-19 vaccines as well as a diminished level of confidence and trust by segments of the public in the nation's leaders in government, medical, and business communities, that those groups once enjoyed. Conclusion: Vaccination with COVID-19 vaccines is the only way that COVID-19 will be eliminated or at least controlled today, and vaccine hesitancy is the potential nemesis. The present report describes how the allergist/immunologist not only plays a major role in the delivery of specialized therapy of COVID-19 but also in educating the public with regard to the importance of COVID-19 vaccines, in dispelling misinformation, and in promoting trust for vaccine acceptance but must be informed with the most accurate and current information to do so.
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N. Asumah, Mubarick, Abdulai Abubakari, Brian Fosu, et al. "Determinants of COVID-19 vaccine acceptance and hesitancy among healthcare professionals in the Kintampo North Municipality, Bono East Region, Ghana." Ghana Medical Journal 56, no. 3 (2022): 152–59. http://dx.doi.org/10.4314/gmj.v56i3.4.
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Objectives: To assess the determinants of COVID-19 vaccine acceptance and hesitation among Health Care Profes-sionals (HCPs) in the Kintampo North Municipality of Ghana.Design: An analytical cross-sectional study.Setting: The study was carried out in the Kintampo North Municipality.Participants: All health care professionals within the Kintampo North Municipality of Ghana.Main outcome measure: Acceptance of COVID-19 vaccine.Results: In all, 215 HCPs were included in this study. The overall vaccine acceptance was 78.6% among HCPs, while 21.4% were hesitant to receive the COVID-19 vaccine. Majority (57.7%) of HCPs believed that COVID-19 vaccines were safe. The following factors were found to influence vaccine acceptance significantly; those who knew someone who has taken the vaccine (adjusted Odds Ratio [aOR]; 14.9, 95% Confidence Interval [95% CI];5.0-45.0, p<0.001), those who think COVID -19 vaccine in Ghana was safe (AOR;9.2, 95%CI;3.3-25.8, P<0.001), those who said vaccines are effective in controlling COVID-19 transmission (aOR=5.0, 95%CI;2.1-12.4, p<0.001), and those who have never refused vaccines in the past (aOR=7.8, 95CI;1.6-37.8, p=0.01).Conclusion: The study indicated high COVID-19 vaccination acceptability among HCPs. However, some HCPs are hesitant to take COVID-19 vaccinations immediately. Increased adoption of COVID-19 vaccinations among HCPs and the broader Ghanaian population requires concerted efforts, including strengthening public health education on the perceived risks and safety of COVID-19 vaccines.
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Riad, Abanoub, Anna Jouzová, Batuhan Üstün, et al. "COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 24 (2021): 13373. http://dx.doi.org/10.3390/ijerph182413373.
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Pregnant and lactating women (PLW) represent a particular population subset with increased susceptibility for COVID-19 morbidity and mortality, even though the evidence about the safety and efficacy of COVID-19 vaccines was delayed due to their initial exclusion from development trials. This unclear situation could have led to increased COVID-19 vaccine hesitancy levels among PLW; therefore, this study aimed to evaluate the attitudes of Czech PLW towards COVID-19 vaccines and the determinants of their attitudes. An analytical cross-sectional survey-based study was carried out in the University Hospital Brno (South Moravia, Czechia) between August and October 2021. The study utilised a self-administered questionnaire (SAQ) adapted from previous instruments used for the same purpose. The SAQ included closed-ended items covering demographic characteristics, clinical and obstetric characteristics, attitudes towards COVID-19 vaccination, and potential psychosocial predictors of vaccine acceptance. Out of the 362 included participants, 278 were pregnant (PW) and 84 were lactating women (LW). The overall COVID-19 vaccine acceptance (immediate and delayed) level was substantially high (70.2%), with a significant difference between PW (76.6%) and LW (48.8%). Out of the 70.2% who agreed to receive the vaccine, 3.6% indicated immediate acceptance, and 66.6% indicated delayed acceptance. Only 13.3% of the participants indicated their acceptance of their physician’s vaccination recommendation during pregnancy or while lactating, and 62.2% were against it. Our results agreed with the recent studies that revealed that PW tended to have a high level of COVID-19 vaccine acceptance, and they were also inclined to resist professional recommendations because they predominantly preferred to delay their vaccination. The pregnancy trimester, education level, employment status, and previous live births were significant determinants for COVID-19 vaccine acceptance. The most commonly preferred vaccine type was mRNA-based vaccines, followed by viral vector-based and inactivated virus vaccines. The first top priority of PLW was vaccine safety for their children, followed by vaccine safety for the PLW and vaccine effectiveness. Regarding psychosocial predictors, media/social media, trust in the government, the pharmaceutical industry, and healthcare professionals, partners, and a positive risk-benefit ratio were significant promoters for COVID-19 vaccine acceptance. Findings from this study suggest that promotional interventions targeting PLW should use web platforms and focus on vaccine safety evidence, the expected benefits of vaccines and potential harms of the infection.
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Abubakar, Ahmed Tijani, Kabir Suleiman, Suleiman Idris Ahmad, et al. "Acceptance of COVID-19 vaccine and associated factors among healthcare workers in Katsina state: a cross-sectional study in Northwest Nigeria." BMJ Open 13, no. 12 (2023): e063281. http://dx.doi.org/10.1136/bmjopen-2022-063281.
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ObjectivesHealthcare workers were prioritised to receive the COVID-19 vaccine in Nigeria. Administration of COVID-19 vaccination in Nigeria was challenging because of a lack of trust in vaccine safety and vaccine effectiveness among healthcare workers, who are expected to provide reliable information about vaccines and vaccine-preventable diseases in the communities. Hence, their acceptance and attitudes towards COVID-19 preventive practices could influence the acceptance of the vaccine by the local population. This cross-sectional study assessed the acceptance of the COVID-19 vaccine among healthcare workers in Katsina State. We predicted the variables that increased the vaccine acceptance using logistic regression analysis.SettingThis hospital-based study was conducted at primary, secondary and tertiary healthcare facilities in Nigeria.ParticipantsA total of 793 healthcare workers were included in this study. Of these, 65.4% (n=519) were male.Outcome measuresTo assess acceptance of COVID-19 vaccine measures, and factors increasing acceptance among healthcare workers.ResultsOf the healthcare workers, 80% (638) were tested for the SARS-CoV-2, of whom 10.8% (n=65) tested positive. Approximately 97% (n=765) of them believed that the COVID-19 vaccine was safe, and 90% (n=714) received the first dose of the vaccine. Healthcare workers between 30 and 39 years were more likely to accept the vaccine (aOR: 7.06; 95% CI 2.36 to 21.07; p<0.001). Those who had been tested for COVID-19 were more likely (aOR:7.64; 95% CI 3.62 to 16.16; p<0.001) to accept the vaccine.ConclusionsOur findings showed that the age and prior COVID-19 testing were the main factors influencing the acceptance of the COVID-19 vaccine. There was high acceptance of the COVID-19 vaccine among healthcare workers in Katsina State, Nigeria. Future studies should focus on the completion of doses and serological testing for immunity.
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Ali, Zawar, Shiromi M. Perera, Stephanie C. Garbern, et al. "Vaccine Hesitancy Toward COVID-19 Vaccines Among Humanitarian Healthcare Workers in Lebanon, 2021." COVID 4, no. 12 (2024): 2017–29. https://doi.org/10.3390/covid4120141.
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Refusals and delay in receiving COVID-19 vaccines due to vaccine hesitancy present major barriers to optimal vaccine uptake and thus epidemic control, with crisis-affected populations facing additional challenges. International Medical Corps conducted a cross-sectional survey to evaluate knowledge, attitudes, and perceptions regarding COVID-19 and identify determinants of COVID-19 vaccine hesitancy among 413 healthcare workers (HCW) working at 90 national primary healthcare centers in Lebanon, just prior to widespread vaccine rollout. Logistic regression was used to assess predictors of vaccine acceptance using the health belief Model. More than half (56.9%) of HCWs were categorized as being vaccine-hesitant, while 43.1% reported they would receive a vaccine when available. Perceived benefits, cues to action, and social norms were positively associated with vaccine acceptance. More than half (56.4%) believed the national health system was not capable of ensuring safe administration of the COVID-19 vaccine. Targeted interventions that emphasize the benefits of COVID-19 vaccination, highlight cues to vaccinate, and promote vaccination as a social norm are critical in motivating HCWs to get vaccinated. Increasing HCW trust in Lebanon’s national health system is critical to building confidence toward COVID-19 vaccines and has implications for the success of future responses to infectious disease outbreaks.
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Yazdani, Yasaman, Poojitha Pai, Shahab Sayfi, et al. "Predictors of COVID-19 vaccine acceptability among refugees and other migrant populations: A systematic scoping review." PLOS ONE 19, no. 7 (2024): e0292143. http://dx.doi.org/10.1371/journal.pone.0292143.
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Objective This study aimed to map the existing literature to identify predictors of COVID-19 vaccine acceptability among refugees, immigrants, and other migrant populations. Methods A systematic search of Medline, Embase, Scopus, APA PsycInfo and Cumulative Index of Nursing and Allied Health Literature (CINAHL) was conducted up to 31 January 2023 to identify the relevant English peer-reviewed observational studies. Two independent reviewers screened abstracts, selected studies, and extracted data. Results We identified 34 cross-sectional studies, primarily conducted in high income countries (76%). Lower vaccine acceptance was associated with mistrust in the host countries’ government and healthcare system, concerns about the safety and effectiveness of COVID-19 vaccines, limited knowledge of COVID-19 infection and vaccines, lower COVID-19 risk perception, and lower integration level in the host country. Female gender, younger age, lower education level, and being single were associated with lower vaccine acceptance in most studies. Additionally, sources of information about COVID-19 and vaccines and previous history of COVID-19 infection, also influence vaccine acceptance. Vaccine acceptability towards COVID-19 booster doses and various vaccine brands were not adequately studied. Conclusions Vaccine hesitancy and a lack of trust in COVID-19 vaccines have become significant public health concerns within migrant populations. These findings may help in providing information for current and future vaccine outreach strategies among migrant populations.
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Kakar, Abdul Samad, Rauza, Nadeem Talib, Muhammad Mansoor Alam, Mazliham Mohd Su'ud, and Sohrab Khan. "Intention to Get the (COVID)-19 Vaccine and Religiosity: The Moderating Role of Knowledge About the (COVID)-19 Vaccine." Social Behavior and Personality: an international journal 51, no. 8 (2023): 1–8. http://dx.doi.org/10.2224/sbp.12531.
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Studying the influence of religiosity and knowledge of the COVID-19 vaccination is important for boosting countrywide vaccine acceptance in countries such as Pakistan. This study used partial least squares structural equation modeling to determine whether these factors predicted the intention to get the vaccine and whether knowledge about COVID-19 vaccines moderated the influence of religiosity on the intention to get vaccinated. Participants were 251 college students from Pakistan, recruited using convenience sampling, who completed a paper-based survey. Results of structural equation modeling showed that religiosity was negatively related to COVID-19 vaccine acceptance, knowledge about the vaccine was positively related to COVID-19 vaccine acceptance, and knowledge about the vaccine positively moderated the negative impact of religiosity on intention to get vaccinated. These findings suggest that challenging religious norms and increasing public awareness are crucial for COVID-19 vaccine adoption.
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Rachmawati, Sutrani, and Dadan Erwandi. "Psychosocial Aspect in the Acceptance of COVID-19 Vaccines (Systematic Review)." Jurnal Ilmu Kesehatan Masyarakat 12, no. 3 (2021): 193–204. http://dx.doi.org/10.26553/jikm.2021.12.3.193-204.
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COVID-19 vaccine can protect the public and suppress COVID-19 cases. But there are still many people who refuse to be vaccinated. The study aims to analyze the psychosocial aspects in the Acceptance of COVID-19 Vaccines. This study is a systematic review with PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses). The database used to search data and information is PubMed (https://pubmed.ncbi.nlm.nih.gov/). The keywords used during the search process are "Determinants" OR "Accepting" AND "Acceptance of COVID-19 Vaccination". The most psychosocial aspects related to COVID-19 vaccine acceptance include education level, income level, race, type of work, trust in the existence of COVID-19, trust in COVID-19 information resources, trust in medical and health workers, and having family members or friends who are infected with COVID-19. Education level, income level, and race influence the most in accepting the COVID-19 vaccine. The COVID-19 vaccine program should consider and overcome the challenges of receiving and rejecting vaccines from the public by looking at these aspects.
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Almansour, Ahd, Sarah M. Hussein, Shatha G. Felemban, and Adib W. Mahamid. "Acceptance and hesitancy of parents to vaccinate children against coronavirus disease 2019 in Saudi Arabia." PLOS ONE 17, no. 10 (2022): e0276183. http://dx.doi.org/10.1371/journal.pone.0276183.
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Background Vaccination of masses against coronavirus disease 2019 (COVID-19) is critical to overcome the pandemic and restore normalcy. However, vaccine refusal and hesitancy prevail in many countries. COVID-19 has rapidly spread in Saudi Arabia since 2020. The acceptance rate of COVID-19 vaccines has been investigated in adults aged >18 years in Saudi Arabia. This study aimed to understand the acceptance and hesitancy of parents to vaccinate children aged <12 years against COVID-19 in Saudi Arabia and identify strategies that can encourage their engagement. Methods We used an online cross-sectional survey distributed to parents who lived in all regions of Saudi Arabia to investigate parents’ views on the acceptability of a future COVID-19 vaccine for their children aged <12 years. Five hundred parents living in Saudi Arabia completed the survey. Results The survey indicated that mothers were more enthusiastic about participating in the study than fathers. The participant aged 37.31 ± 8.52 years. A total of 38.6% of participants refused to vaccinate their children. Additionally, 56% were unsure if the vaccine would cause serious side effects in children. A total of 48.8% of parents believed that the Pfizer vaccine was suitable for children, while 64.5% failed to decide whether to administer vaccines to their children. Conclusion Vaccine hesitancy remains a major problem worldwide. A lack of scientific evidence on vaccine efficacy, low education level, and reduced level of health education and promotion are the most common factors in parents in Saudi Arabia. However, some participants agreed to receive vaccines only to protect their family members, and due to governmental rules and school mandates. Therefore, vaccine efficacy and safety in children must be clearly communicated to the public. This information would aid in reducing the hesitancy of parents to vaccinate their children against COVID-19.
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Abu Bashar, MD, Imran Ahmed Khan, and Harish Chandra Tiwari. "Attitude, perceptions and willingness to receive COVID-19 vaccine and their associated factors among general population of Uttar Pradesh, Northern India." Indian Journal of Forensic and Community Medicine 9, no. 1 (2022): 1–8. http://dx.doi.org/10.18231/j.ijfcm.2022.001.
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Several vaccines have been developed and tested against COVID-19 around the globe. Vaccine hesitancy and misinformation poses major challenges to the achievement of coverage and population immunity. Understanding key determinants that influence the preferences and demands of a COVID-19 vaccine by the community may help to develop strategies for improving coverage. To assess willingness for the corona virus disease 2019 (COVID-19) vaccine and identify the factors associated with it. A web-based cross-sectional study was conducted among unvaccinated general population of Uttar Pradesh, Northern India adopting an exponential, non-discriminative snowball sampling technique. A bilingual, self-administered anonymous structured questionnaire in google form was designed and sent to the study participants through social media platforms. Data collected were extracted in excel sheets and analyzed using SPSS software, version 21.0. Bivariate analysis was performed to identify the key determinants for vaccine acceptance among the participants.Out of 254 participants completing the questionnaire, 219 (86.2%) showed willingness to receive a COVID-19 vaccine, whereas 10 (4.0%) admitted hesitancy and 25 (9.8%) were not sure. Younger age-group (18-44 years), female gender, absence of any co-morbidity, lower education level, current employment status, positive history of confirmed COVID-19 infection in the person and positive history of confirmed COVID-19 infection in any family member/friend were the factors found to be significantly associated with the willingness to receive a COVID-19 vaccine. During the second wave of COVID-19 pandemic in India, high acceptance for COVID-19 vaccination was found among the general population of Uttar Pradesh, whereas concerns about vaccine safety may hinder the actual vaccine uptake. (1). Mass vaccination against COVID-19 is one of the effective way of controlling the ongoing pandemic of COVID-19 (2). There is a variable acceptance of COVID-19 vaccines in different populations and sub-groups across the globe (3). Vaccine hesitancy for COVID-19 vaccines can disrupt the efforts for containment of the pandemic. (1) Acceptance for COVID-19 vaccines among the general population of a North Indian state is seemingly high; (2). However, concerns about vaccine safety may hinder the actual vaccine uptake; (3). Targeted health education interventions are needed to increase the uptake of the COVID-19 vaccines in this population.
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Anggraheny, Hema Dewi, and Aisyah Lahdji. "Factors Affecting Public Acceptance of the Covid-19 Vaccine in Indonesia." South East Asia Nursing Research 4, no. 3 (2022): 1. http://dx.doi.org/10.26714/seanr.4.3.2022.1-5.
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One of the efforts to protect the community against Covid-19 cases is vaccination. However, in the preparation of vaccination, there are several negative issues related to vaccines, which make people doubt and even reject the effort. Predisposing factors include age, gender, occupation, income, education level, history of contact with people with COVID, and knowledge of vaccines, which can affect acceptance of vaccines. The purpose of this activity is to find out what factors affect public acceptance of the Covid-19 vaccine. The research was conducted by distributing questionnaires via google form to the general public in January 2021. The total respondents were 411 respondents. The questionnaire uses the Public Perception Survey questionnaire for the Covid-19 Vaccine in Indonesia published by WHO and the Ministry of Health of the Republic of Indonesia. Analysis using Chi-Square test. The survey results showed that 46.2% of respondents had not decided on and refused the vaccine, and 94.2% wanted to get information about the vaccine. Factors related to vaccine acceptance include age, work in the health sector, income level, education, fear of vaccines, the thought that there are many hoaxes regarding the COVID-19 vaccine, thoughts on vaccine safety, and thoughts on the dangers of vaccines. Accurate and scientific information, accompanied by easy access to receive the Covid-19 vaccine, is needed so that people with self-awareness carry out vaccinations to reduce the morbidity and mortality of COVID-19 in Indonesia.
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A, Kezhong, Xinyue Lu, Jing Wang, Linjie Hu, Bingzhe Li, and Yihan Lu. "Association between Adult Vaccine Hesitancy and Parental Acceptance of Childhood COVID-19 Vaccines: A Web-Based Survey in a Northwestern Region in China." Vaccines 9, no. 10 (2021): 1088. http://dx.doi.org/10.3390/vaccines9101088.
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China has initiated the COVID-19 vaccination for children aged 15–17 years since late July 2020. This study aimed to determine the association between adult vaccine hesitancy and parental acceptance of childhood COVID-19 vaccines in a multi-ethnicity area of northwestern China. A web-based investigation was performed with a convenience sampling strategy to recruit the parents aged 20–49 years. In a total of 13,451 valid respondents, 66.1% had received the COVID-19 vaccination, 26.6% were intent to receive, while 7.3% were not intent, with an increasing vaccine hesitancy (p < 0.001). Moreover, vaccination uptake of four common vaccines in their children remained low (29.0% for influenza vaccine, 17.9% for pneumonia vaccine, 10.9% for rotavirus vaccine, 8.0% for Enterovirus-71 vaccine), while overall parental acceptance of childhood COVID-19 vaccines was 50.0% (32.7% for those aged 0–5, 46.6% for 6–10, 73.3% for 11–18; p < 0.001). Vaccination uptake of these four vaccines and parental acceptance of childhood COVID-19 vaccine were negatively associated with adult vaccine hesitancy. In addition, respondents mostly preferred childhood COVID-19 vaccines with weak mild common adverse events (β = 1.993) and no severe adverse events (β = 1.731), demonstrating a positive association with adult vaccine hesitancy. Thus, it warrants specific countermeasures to reduce adult vaccine hesitancy and improve strategies for childhood vaccination.
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Nnaemeka, Victory Chizaram, Reuben Ogba Onwe, Adaku Lydia Ekwedike, et al. "Predictors of COVID-19 Vaccine Acceptance among Healthcare Workers in Nigeria." Vaccines 10, no. 10 (2022): 1645. http://dx.doi.org/10.3390/vaccines10101645.
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Healthcare workers (HCWs) are regarded as role models regarding health-related issues, including vaccination. Therefore, it is essential to identify the predictors for COVID-19 vaccine acceptance among them. A cross-sectional study to assess the risk perception, attitudes and knowledge of HCWs toward COVID-19 vaccination was carried out. A total of 710 responses were received between September 2021 and March 2022, from HCWs in the Northern, Western and Eastern regions of Nigeria. Cross tabulations were performed to determine statistical relations between sociodemographic variables, knowledge, attitudes and risk perceptions concerning COVID-19 vaccine acceptance. Multinomial logistic regression analysis was performed to determine the predictive variables for COVID-19 vaccine acceptance. Statistical analyses were performed and P-values less than 0.05 were considered statistically significant at a CI of 95%. Results showed that 59.3% of the participants were amenable to COVID-19 vaccines. Multinomial regression analysis identified 14 variables at α < 0.05 as predictors for vaccine acceptance. Male HCWs were 2.8 times more likely to accept the vaccine than their female counterparts. HCWs that were knowledgeable of the different kinds of vaccines, were willing to recommend the vaccines to their patients, believed that the timing of COVID-19 vaccination was appropriate and had recent vaccination history within three years were 1.6, 24.9, 4.4 and 3.1 times more likely to take COVID-19 vaccine than those not sure. The study found a relatively high trust (51.3%) in the Nigerian Center for Disease Control (NCDC) for information regarding COVID-19 vaccines. Therefore, the NDCD should disseminate more robust insights regarding the safety profiles of various COVID-19 vaccines.
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Tan, Shyn Yi, Prawira Oka, and Ngiap Chuan Tan. "Intention to Vaccinate against COVID-19 in Adolescents: A Systematic Review." Vaccines 11, no. 8 (2023): 1393. http://dx.doi.org/10.3390/vaccines11081393.
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Background: Multiple COVID-19 vaccines have been approved for use in adolescents; these vaccines play a critical role in limiting the transmission and impact of COVID-19. This systematic review aims to summarize the willingness of adolescents aged 10 to 19 years to receive the COVID-19 vaccination and the factors influencing their decision. Methods: A search of literature published between January 2018 and August 2022 was performed in Medline©, EMBASE©. and CINAHL© electronic databases. Studies published in English that assessed adolescents’ intentions to receive the COVID-19 vaccine were included. Qualitative studies and those unrelated to the COVID-19 vaccine were excluded. The study was conducted based on the PRISMA guidelines. Results: Of the 1074 articles retrieved, 13 were included in the final review. Most studies were conducted in the US (n = 3) and China (n = 3). The pooled prevalence of COVID-19 vaccine acceptance among adolescents was 63% (95% CI: 52–73%). Factors influencing intent to vaccinate were divided into five categories: “Socio-demographic determinants”; “Communication about COVID-19 pandemic and vaccination”; “COVID-19 vaccine and related issues”; “COVID-19 infection and related issues” and “Other determinants”. The enablers were sociodemographic factors including older age, higher education level, good health perception, and parental norms in terms of parental vaccination acceptance; perceived vaccine effectiveness and safety; a desire to protect themselves and others; recent vaccination; and anxiety. The barriers were concerns over vaccine effectiveness, safety, and long-term side effects; low perceived necessity and risk of infection; and needle phobia. Conclusions: This review highlighted that adolescents’ intent to vaccinate is driven by a desire to protect themselves and others. However, concerns over vaccine effectiveness, safety, and long-term side effects hinder COVID-19 vaccine uptake. To improve vaccination acceptance, policymakers should address adolescents’ concerns via more targeted public health messaging, while schools should leverage peer norms to positively influence vaccination intent.
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Nkansah Darko, Samuel, Kennedy Gyau Boahen, Portia Boakye Okyere, et al. "Covid-19 Vaccine Acceptance and Risk Perception in Ghana: Insights from A Study on Tertiary-Level Students and Surrounding Residents in Kumasi." Journal of Science and Technology (Ghana) 42, no. 2 (2024): 1–18. https://doi.org/10.4314/just.v42i2.1.
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The introduction of COVID-19 vaccines in sub-Saharan Africa has been met with mixed feelings. In Ghana, several concerns were raised about the potency and side effects of the COVID-19 vaccine. We investigated the acceptance and risk perception of students on the KNUST campus and the residents of the surrounding communities to assess the risk factors that will influence their willingness or unwillingness to be vaccinated in the government’s quest to get its citizens vaccinated. A well-structured questionnaire was administered online and through face-to- face interviews to survey 3332 respondents between the periods of March 15 and May 28, 2021. Chi-square analysis was used to show the association between the sociodemographic characteristics and, the acceptance and risk perception of the COVID-19 vaccine. Logistic regression analysis was used to explain the relationship between the acceptance and risk perception of the COVID-19 vaccine and the various socio-demographic characteristics. Out of 3323 respondents, 1,703 (45.23%) were hesitant whiles 64.39% of 3311 indicated they would accept being vaccinated. In a multivariate analysis, the age range of 31 to 40 years, being male, having secondary level education, and having a previous vaccination post-childhood immunization increased the likelihood of vaccine acceptance. More than half of the students of KNUST and inhabitants around the campus are likely to acceptant the COVID-19 vaccine. However, adequate and timely information is needed to educate prospective vaccine recipients with tertiary level education to better the level of acceptance and address misinformation about vaccines and promote individual and population-level benefits of vaccination.
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Yang, Juan, Yuting Liao, Qianhui Hua, and Huakun Lv. "A Survey of Awareness of COVID-19 Knowledge, Willingness and Influencing Factors of COVID-19 Vaccination." Vaccines 10, no. 4 (2022): 524. http://dx.doi.org/10.3390/vaccines10040524.
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New vaccines are being developed in response to the coronavirus disease 2019 (COVID-19) pandemic. Vaccination provides a crucial preventive approach for managing COVID-19. We investigated adults’ willingness to take COVID-19 vaccines in the Zhejiang province, and their cognitions regarding COVID-19, when the COVID-19 vaccine is authorized under Emergency Use Administration. An online survey was conducted from September to October 2020, which included social-demographic characteristics, risk perception, acceptance and influencing factors in relation to COVID-19 vaccines. Multivariate logistic regression was performed to identify the influencing factors of vaccination acceptance. Of the participants, 70% intended to be vaccinated when the COVID-19 vaccine was approved under Emergency Use Administration, among 2171 valid questionnaires. Logistic regression revealed that being male, having a high cognitive score regarding COVID-19, the belief that the COVID-19 vaccine is safe and effective, and the belief that one will be infected with SARS-CoV-2 this fall and winter, were associated with a greater probability of accepting vaccination. Respondents with junior college/university education or above were less likely to accept vaccination. Concerns about the safety and effectiveness of the vaccine were the main factors hindering vaccination acceptance. Health education is important for promoting accurate public knowledge regarding COVID-19 vaccination.