Exploring enablers and barriers toward COVID-19 vaccine acceptance among Arabs: A qualitative study

Elbarazi, Iffat; Yacoub, Mohamed; Reyad, Omar; Abdou, M.; Elhadi, Yasir Ahmed Mohammed; Kheirallah, Khalid A.; Ababneh, Bayan F.; Hamada, Bayan Abu; Saeh, Haider M. El; Ali, Nancy; Rahma, Azhar T.; Tahoun, Mohamed Moustafa; Ghazy, Ramy Mohamed

doi:10.1016/j.ijdrr.2022.103304

Cited by 19 publications

(20 citation statements)

References 34 publications

(35 reference statements)

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“…Concerns about the safety and myths and misconceptions of the COVID-19 vaccine were the top two reasons that unvaccinated participants were hesitant in a national survey with 225 Hispanic adults [ 27 ]. These results are also consistent with other studies [ 28 ] and scoping reviews of COVID-19 vaccine acceptance across different countries [ 15 ]. Participants in our study still chose to get vaccinated at FBOs despite concerns.…”

Section: Discussionsupporting

confidence: 93%

“…The desire to protect others is influential in COVID-19 vaccination uptake in other countries as well. A study in seven Arab countries [ 28 ] and a scoping review involving 19 countries [ 16 ] found the desire to protect oneself and relatives facilitates COVID-19 vaccine uptake. Conversely, Yuan & Chu (2022) conducted a study with a sample of ~ 70% of White individuals; respondents were more likely to have favorable attitudes towards the COVID-19 vaccine and mandates after viewing an individually-centered message compared with a community-centered message [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our findings are consistent with Purvis and colleagues (2021), who found that local medical and academic institutions were sources of trust for vaccine information among a diverse sample of adults [ 41 ]. Similarly, interviews of 100 individuals in seven Arab countries and a scoping review which included studies from 19 different countries found that trust in the healthcare system was a facilitator to vaccination uptake [ 28 ]. The scoping review also noted that mistrust in the healthcare system served as a barrier to COVID-19 vaccine uptake, which, combined with our results and prior studies, emphasizes the importance of community and healthcare partnerships to support COVID-19 vaccination.…”

Section: Discussionmentioning

confidence: 99%

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Reaching late adopters: factors influencing COVID-19 vaccination of Marshallese and Hispanic adults

et al. 2023

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Background Marshallese and Hispanic communities in the United States have been disproportionately affected by COVID-19. Identifying strategies to reach late vaccine adopters is critical for ongoing and future vaccination efforts. We utilized a community-engaged approach that leveraged an existing community-based participatory research collaborative of an academic healthcare organization and Marshallese and Hispanic faith-based organizations (FBO) to host vaccination events. Methods Bilingual Marshallese and Hispanic study staff conducted informal interviews with 55 participants during the 15-minute post-vaccination observation period and formal semi-structured interviews with Marshallese (n = 5) and Hispanic (n = 4) adults post-event to assess the implementation of community vaccine events at FBOs, with a focus on factors associated with the decision to attend and be vaccinated. Formal interview transcripts were analyzed using thematic template coding categorized with the socio-ecological model (SEM). Informal interview notes were coded via rapid content analysis and used for data triangulation. Results Participants discussed similar factors influencing attitudes and behaviors toward receiving the COVID-19 vaccine. Themes included: (1) intrapersonal – myths and misconceptions, (2) interpersonal – protecting family and family decision-making, (3) community – trust of community location of events and influence of FBO members and leaders, (4) institutional – trust in a healthcare organization and bilingual staff, and (5) policy. Participants noted the advantages of vaccination delivery at FBOs, contributing to their decision to attend and get vaccinated. Conclusions The following strategies may improve vaccine-related attitudes and behaviors of Marshallese and Hispanic communities not only for the COVID-19 vaccine but also for other preventive vaccinations: 1) interpersonal-level – develop culturally-focused vaccine campaigns targeting the family units, 2) community-level – host vaccination events at convenient and/or trusted locations, such as FBOs, and engage community and/or FBO formal or lay leaders as vaccine ambassadors or champions, and 3) institutional-level – foster trust and a long-term relationship with the healthcare organization and provide bilingual staff at vaccination events. Future research would be beneficial to investigate the effects of replicating these strategies to support vaccine uptake among Marshallese and Hispanic communities.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Reaching late adopters: factors influencing COVID-19 vaccination of Marshallese and Hispanic adults

et al. 2023

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“…In the general population, the prevalence of vaccine acceptance was 43.0% (95% CI: 35.0–50.0%), among healthcare professionals it was 63.0% (95% CI: 42.0–70.0%), and among lesbian, gay, bisexual, and transgender (LGBTI) people, it was 84.0% (95% CI: 83.0–86.0%) [ 34 ]. In fact, people’s perceptions regarding vaccination acceptance may be influenced by a variety of local, racial, religious, cultural, and other factors, as well as false information, as was evidently seen during the COVID-19 pandemic [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, like with coronavirus disease (COVID-19), in order to achieve adequate vaccination coverage, people’s vaccine hesitancy (VH) to accept the vaccine is an important factor that vaccination programs should address. Fear of vaccine adverse effects, concerns regarding vaccine safety, efficacy, and effectiveness, lack of information, short duration of clinical trials, and social trust were the primary factors identified as influencing population attitudes regarding vaccination [ 13 , 14 , 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Monkeypox Vaccine Acceptance among Ghanaians: A Call for Action

et al. 2023

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A cross-sectional online survey was conducted in Ghana from November to December 2022. Snowball sampling was used to recruit participants via social media platforms, such as WhatsApp, LinkedIn, Telegram, and Facebook. The validated 5C scale was used to assess five psychological factors that influence vaccination behavior and intent: confidence, complacency, constraints, calculation, and collective responsibility. Results: The study drew 605 participants; their mean age was 30.0 ± 6.8; 68.1% were single; 60.8 % were males, and 51.9% were living in Greater Accra (The capital and largest city of Ghana). About 53.9% of the studied Ghanaian population did not intend to receive the MPOX vaccination. Vaccine acceptance among non-healthcare workers (non-HCWs) was significantly lower than among HCWs (41.7 vs. 55.3, p < 0.001). The determinants of vaccine acceptance were male gender (AOR = 1.48, 95% CI, 1.00–2.18, p = 0.049), urban residence (AOR = 0.63, 95% CI, 0.41–0.96, p = 0.033), refusal of coronavirus 2019 vaccine (AOR = 0.29, 95% CI, 0.16–0.52, p < 0.001), confidence in vaccination ((AOR = 2.45, 95% CI, 1.93–3.15, and p < 0.001), and collective responsibility (AOR = 1.34, 95% CI, 1.02–1.75, p = 0.034)). Conclusions: The participants in this study did not show high levels of intention to accept the MPOX vaccination. Consequently, tailoring the efforts aiming to promote MPOX vaccination is needed especially among non-HCWs through increasing their confidence in vaccine effectiveness and safety and promoting the importance of self-vaccination to protect others.

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Psychological antecedents toward COVID-19 vaccination explain the high rates of vaccine rejection among the Libyan population 2 years after starting vaccination campaigns

Ghazy,

Tolba,

Abdelmessih Saleeb

et al. 2024

J Public Health (Berl.)

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Exploring enablers and barriers toward COVID-19 vaccine acceptance among Arabs: A qualitative study

Cited by 19 publications

References 34 publications

Reaching late adopters: factors influencing COVID-19 vaccination of Marshallese and Hispanic adults

Reaching late adopters: factors influencing COVID-19 vaccination of Marshallese and Hispanic adults

Monkeypox Vaccine Acceptance among Ghanaians: A Call for Action

Psychological antecedents toward COVID-19 vaccination explain the high rates of vaccine rejection among the Libyan population 2 years after starting vaccination campaigns

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