Intent to get vaccinated against COVID-19 pandemic and its associated factors among adults with a chronic medical condition

Mekonnen, Chilot Kassa; Demissie, Negesu Gizaw; Beko, Zerko Wako; Ferede, Yohannes Mulu; Abate, Hailemichael Kindie

doi:10.1016/j.ijans.2022.100401

Cited by 10 publications

(19 citation statements)

References 34 publications

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“…The same is true for the study done in Malawi, where they considered those people from the rural area. The COVID-19 vaccine up take was reported lower among the rural population than the urban population (40). Our nding also supported that the vaccine coverage or uptake in the rural people was lower (20.24%) than the urban population (79.76%).…”

Section: Discussionsupporting

confidence: 78%

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Corona virus disease-19 vaccine uptake, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals Bahir Dar, Ethiopia, 2022: a hospital based cross-sectional study

Kebede

Biresaw

Andargie³

et al. 2022

Preprint

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Background Despite the fact that the disease has spread throughout the world, with millions infected and killed, global COVID-19 vaccine coverage remains low, particularly in developing countries including Ethiopia. Epidemiological data is insufficient to assess the amount of COVID-19 up take, willingness for vaccination, and associated factors. Objective This study aimed to assess COVID-19 up take, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals of Bahir Dar, Ethiopia, 2022 Method A hospital-based cross-sectional study was conducted among 400 patients attending chronic follow up in the referral hospitals of Bahir Dar from May 09 - June 09/2022. A systematic random sampling technique was used to select participants. Data was gathered using a pre-tested questionnaire, and checked for its consistency and accuracy. The data were entered to Epi data version 4.6 and analyzed using SPSS version 23. Descriptive analysis was performed to find the frequencies and percentages. Binary logistic regression analysis was done to assess the association between the dependent and independent variables. Variables having p-value < 0.25 in the bi-variable analysis were fitted into the multi-variable logistic regression. Finally, variables with p-value < 0.05 in the 95% confidence interval (CI) in the multi-variable binary logistic regression were considered as significant factors associated with the outcome variables. Results From a total of 423 participants, 400 (95% response rate) were included for analysis. The COVID-19 vaccine up take was less than 50% (46.8%), while the willingness for vaccination was 60.5%. About 56% and 68% of the respondents had good knowledge and favorable attitude respectively. Older people with age groups > 64 years were 2.7 times more likely to be vaccinated. Similarly, those people living in the urban area had 3.94 times increased COVID-19 vaccination. Furthermore, the probability of being vaccinated among respondents with good knowledge and favorable attitude were 70% and 79%, respectively. The willingness for vaccination was increased among those individuals with favorable attitude (AOR: 1.82). In contrast, urban people were less likely to be willing for COVID-19 vaccination (AOR: 0.46). The majority of the respondents (19.7% for vaccination to 35.7% for willingness for vaccination) misunderstood that the vaccine may aggravate their disease condition. Conclusion and recommendation The overall COVID-19 vaccine up take and willingness for vaccination was low compared to what was estimated by WHO. The majority of the respondents had good knowledge and favorable attitude. Age, residence, knowledge and attitude were factors associated with COVID-19 vaccine up take, while residence and attitude were associated with the willingness for vaccination. Increase accessibility of the vaccine, health education, strengthening vaccination campaign and community-based researches are recommended.

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Section: Discussionsupporting

confidence: 78%

“…It might also be associated with lack of awareness of the rural people regarding the virus and its vaccine. In support of this, the study in Bangladesh also pointed out that the major problem or reason associated with low vaccine coverage was low access for vaccines in the rural community (40).…”

Section: Discussionmentioning

confidence: 88%

Corona virus disease-19 vaccine uptake, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals Bahir Dar, Ethiopia, 2022: a hospital based cross-sectional study

Kebede

Biresaw

Andargie³

et al. 2022

Preprint

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“…According to the aforementioned inclusion criteria, 7 articles were identified in MEDLINE/PubMed, 6 in Scopus and one in Google Scholar. After exclusion of duplicate articles in the two databases, there were 9 eligible studies [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] . Of these, two [23] , [24] were excluded because additional information was requested from the authors, but they did not respond.…”

Section: Resultsmentioning

confidence: 99%

COVID-19 vaccination hesitancy in people affected by diabetes and strategies to increase vaccine compliance: A systematic narrative review and meta-analysis

Bianchi¹,

Stefanizzi²,

Martinelli³

et al. 2023

Vaccine

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“…For example, Wiysonge et al 55 asked study participants to rate their level of agreement on a scale from 1 to 7 (1=strongly disagree, 7=strongly agree) for the statement ‘I will take the COVID-19 vaccine when one becomes available’ (p. 3). 55 Researchers included cost-related conditions to measure participants’ intention to vaccinate in two studies, including Kassa Mekonnen et al 56 who asked, ‘Are you intending to get vaccinated against COVID-19 if available without any cost?’ (p. 3). 56 …”

Section: Resultsmentioning

confidence: 99%

“… 55 Researchers included cost-related conditions to measure participants’ intention to vaccinate in two studies, including Kassa Mekonnen et al 56 who asked, ‘Are you intending to get vaccinated against COVID-19 if available without any cost?’ (p. 3). 56 …”

Section: Resultsmentioning

confidence: 99%

Determinants of COVID-19 vaccine hesitancy and uptake in sub-Saharan Africa: a scoping review

Deml

Githaiga

2022

BMJ Open

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ObjectiveTo identify, describe and map the research tools used to measure COVID-19 vaccine hesitancy, refusal, acceptance and access in sub-Saharan Africa (SSA).DesignScoping review.MethodsIn March 2022, we searched PubMed, Scopus, Web of Science, Cochrane, Academic Search Premier, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Health Source Nursing, Africa Wide and APA PsychInfo for peer-reviewed literature in English related to COVID-19 vaccine hesitancy, refusal, acceptance and access in SSA. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews to guide evidence gathering and as a template to present the evidence retrieval process.ResultsIn the studies selected for review (n=72), several measurement tools were used to measure COVID-19 vaccine hesitancy, acceptance and refusal. These measurements were willingness and intent to vaccinate from the perspectives of the general population, special population groups such as mothers, students and staff in academic institutions and healthcare workers and uptake as a proxy for measuring assumed COVID-19 vaccine acceptance. Measurements of access to COVID-19 vaccination were cost and affordability, convenience, distance and time to travel or time waiting for a vaccine and (dis)comfort. Although all studies measured COVID-19 vaccine hesitancy, acceptance and refusal, relatively few studies (n=16, 22.2%) included explicit measurements of access to COVID-19 vaccination.ConclusionsBased on the gaps identified in the scoping review, we propose that future research on determinants of COVID-19 vaccination in SSA should further prioritise the inclusion of access-related variables. We recommend the development and use of standardised research tools that can operationalise, measure and disentangle the complex determinants of vaccine uptake in future studies throughout SSA and other low- and middle-income country (LMIC) settings.

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Intent to get vaccinated against COVID-19 pandemic and its associated factors among adults with a chronic medical condition

Cited by 10 publications

References 34 publications

Corona virus disease-19 vaccine uptake, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals Bahir Dar, Ethiopia, 2022: a hospital based cross-sectional study

Corona virus disease-19 vaccine uptake, willingness for vaccination and associated factors among patients attending chronic follow up in the referral hospitals Bahir Dar, Ethiopia, 2022: a hospital based cross-sectional study

COVID-19 vaccination hesitancy in people affected by diabetes and strategies to increase vaccine compliance: A systematic narrative review and meta-analysis

Determinants of COVID-19 vaccine hesitancy and uptake in sub-Saharan Africa: a scoping review

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