High Rates of COVID-19 Vaccine Hesitancy and Its Association with Conspiracy Beliefs: A Study in Jordan and Kuwait among Other Arab Countries

Sallam, Malik; Dababseh, Deema; Eid, Huda; Al-Mahzoum, Kholoud; Al-Haidar, Ayat; Taim, Duaa; Yaseen, Alaa’; Ababneh, Nidaa A.; Bakri, Faris G.; Mahafzah, Azmi

doi:10.3390/vaccines9010042

Cited by 530 publications

(709 citation statements)

References 77 publications

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“…In the USA, an estimated 86% of people over 61 years of age are more likely to receive the vaccine against SARS-CoV-2 [28]. Another study in Jordan and Kuwait found that the SARS-CoV-2 vaccine acceptance rate is higher among males and people with higher educational attainment [29]. Surprisingly, our study suggests that, compared to Dhaka city residents, residents of other cities are significantly less likely to have a definite intent against vaccination.…”

Section: Discussioncontrasting

confidence: 77%

COVID-19 Vaccination Intent and Willingness to Pay in Bangladesh: A Cross-Sectional Study

Kabir

Mahmud

Chowdhury³

et al. 2021

Vaccines

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This article reports the intent to receive a SARS-COV-2 vaccine, its predictors and willingness to pay in Bangladesh. We carried out an online cross-sectional survey of 697 adults from the general population of Bangladesh in January 2021. A structured questionnaire was used to assess vaccination intent. The questionnaire included sociodemographic variables and health belief model constructs which may predict vaccination intent. Among the participants, 26% demonstrated a definite intent, 43% probable intent, 24% probable negative, and 7% a definite negative intention. Multivariable logistic regression analyses suggest an association between definite intent and previous COVID-19 infection (OR: 2.86; 95% CI: 1.71–4.78), perceiving COVID-19 as serious (OR: 1.93; 1.04–3.59), the belief that vaccination would make them feel less worried about catching COVID-19 (OR: 4.42; 2.25–8.68), and concerns about vaccine affordability (OR: 1.51; 1.01–2.25). Individuals afraid of the side effects (OR: 0.34; 0.21–0.53) and those who would take the vaccine if the vaccine were taken by many others (OR: 0.44; 0.29–0.67) are less likely to have a definite intent. A definite negative intent is associated with the concern that the vaccine may not be halal (OR: 2.03; 1.04–3.96). Furthermore, 68.4% are willing to pay for the vaccine. The median amount that they are willing to pay is USD 7.08. The study findings reveal that the definite intent to receive the SARS-CoV-2 vaccination among the general population varies depending on their COVID-19-related health beliefs and no significant association was found with sociodemographic variables.

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Section: Discussioncontrasting

confidence: 77%

COVID-19 Vaccination Intent and Willingness to Pay in Bangladesh: A Cross-Sectional Study

Kabir

Mahmud

Chowdhury³

et al. 2021

Vaccines

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“…A total of 178 records were identified, and following the screening process, a total of 30 articles were included in this review (Figure 1). In addition, data collected in a recently published article that surveyed the general public residing in Jordan and Kuwait were added to the final analysis [45].…”

Section: Resultsmentioning

confidence: 99%

“…The Middle East was among the regions with the lowest COVID-19 vaccine acceptance rates globally. The acceptance rate was the lowest in Kuwait (23.6%), followed by Jordan (28.4%), Saudi Arabia (64.7%) and Turkey (66.0%) [45,62,75]. Such low rates can be related to the widespread embrace of conspiratorial beliefs in the region, with its subsequent negative attitude towards vaccination [23,[99][100][101].…”

Section: Discussionmentioning

confidence: 96%

“…Finally, the assessment of the role of sex and age in COVID-19 vaccine hesitancy revealed that males were more inclined to accept COVID-19 vaccines. This can be related to their higher perception of COVID-19 dangers and lower belief in conspiratorial claims surrounding the disease [45,99,101]. These variables should be considered for an accurate interpretation of COVID-19 acceptance rates, since sampling bias, particularly in sex distribution, can affect the reported rates.…”

Section: Discussionmentioning

confidence: 99%

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COVID-19 Vaccine Hesitancy Worldwide: A Concise Systematic Review of Vaccine Acceptance Rates

2021

Self Cite

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Utility of vaccine campaigns to control coronavirus 2019 disease (COVID-19) is not merely dependent on vaccine efficacy and safety. Vaccine acceptance among the general public and healthcare workers appears to have a decisive role in the successful control of the pandemic. The aim of this review was to provide an up-to-date assessment of COVID-19 vaccination acceptance rates worldwide. A systematic search of the peer-reviewed English survey literature indexed in PubMed was done on December 25, 2020. Results from 31 peer-reviewed published studies met the inclusion criteria and formed the basis for the final COVID-19 vaccine acceptance estimates. Survey studies on COVID-19 vaccine acceptance rates were found from 33 different countries. Among adults representing the general public, the highest COVID-19 vaccine acceptance rates were found in Ecuador (97.0%), Malaysia (94.3%), Indonesia (93.3%) and China (91.3%). However, the lowest COVID-19 vaccine acceptance rates were found in Kuwait (23.6%), Jordan (28.4%), Italy (53.7), Russia (54.9%), Poland (56.3%), US (56.9%), and France (58.9%). Only eight surveys among healthcare workers (doctors and nurses) were found, with vaccine acceptance rates ranging from 27.7% in the Democratic Republic of the Congo to 78.1% in Israel. In the majority of survey studies among the general public stratified per country (29/47, 62%), the acceptance of COVID-19 vaccination showed a level of ≥ 70%. Low rates of COVID-19 vaccine acceptance were reported in the Middle East, Russia, Africa and several European countries. This could represent a major problem in the global efforts to control the current COVID-19 pandemic. More studies are recommended to address the scope of COVID-19 vaccine hesitancy. Such studies are particularly needed in the Middle East and North Africa, Sub-Saharan Africa, Eastern Europe, Central Asia, Middle and South America. Addressing the scope of COVID-19 vaccine hesitancy in various countries is recommended as an initial step for building trust in COVID-19 vaccination efforts.

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“…Third, the MoVac-COVID19S can be used to explore and understand why a population reports lower levels of motivation to get vaccinated. Although many studies have reported the high willingness of COVID-19 vaccinating uptake [e.g., 21,[35][36][37][38], low acceptance can still be observed [39][40][41]. Therefore, with the use of MoVac-COVID19S, healthcare providers and researchers can obtain in-depth information regarding the underlying mechanism of individuals who are unwilling to get vaccinated.…”

Section: Discussionmentioning

confidence: 99%

The development and validation of the Motors of COVID-19 Vaccination Acceptance Scale: Psychometric evaluation among mainland Chinese university students

Chen¹,

Dk²,

N³

et al. 2021

Preprint

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Background: COVID-19 continues to ravage the world with economies and life significantly and negatively affected. Fortunately, there has been significant progress in the production of vaccines to stem the infection. However, with controversies and myths surrounding vaccinations, it is timely to examine individuals’ willingness to vaccinate. The present study developed and validated the Motors of COVID-19 Vaccination Acceptance Scale (MoVac-COVID19S) and assessed the acceptance of COVID-19 vaccination utilizing the cognitive model of empowerment (CME). Methods: A total of 3145 university students (mean age=20.80 years; SD=2.09) were recruited for the present study between January 5 and 16, 2021. Two MoVac-COVID19S scales (9-item and 12-item) were adapted from the MoVac-Flu Scale, an instrument developed using CME. Psychometric tests were conducted to ascertain reliability and validity properties. Results: The findings indicated that the MoVac-COVID19S had high internal consistency in both the 9-item version (ω=0.921) and 12-item version (ω=0.898). The factor structure of the MoVac-COVID19S (9-item and 12-item versions) corresponded well with CME theory. All the fit indices were satisfactory (CFI=0.984, TLI=0.971, RMSEA=0.088, SRMR=0.058) but the 9-item MoVac-COVID had better fit indices than the 12-item MoVac-COVID due to the negative wording effects existing in the 12-item MoVac-COVID19S. The scale had satisfactory known-group validity in both 9-item and 12-item versions. Conclusions: The MoVac-COVID19S has promising psychometric properties based on internal consistency, factor structure, and known-group validity.

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High Rates of COVID-19 Vaccine Hesitancy and Its Association with Conspiracy Beliefs: A Study in Jordan and Kuwait among Other Arab Countries

Cited by 530 publications

References 77 publications

COVID-19 Vaccination Intent and Willingness to Pay in Bangladesh: A Cross-Sectional Study

COVID-19 Vaccination Intent and Willingness to Pay in Bangladesh: A Cross-Sectional Study

COVID-19 Vaccine Hesitancy Worldwide: A Concise Systematic Review of Vaccine Acceptance Rates

The development and validation of the Motors of COVID-19 Vaccination Acceptance Scale: Psychometric evaluation among mainland Chinese university students

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