Vaccination hesitancy among women of reproductive age in resource-challenged settings: a cause for public health concern

Murewanhema, Grant

doi:10.11604/pamj.2021.38.336.28953

Cited by 23 publications

(24 citation statements)

References 10 publications

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“…Previous studies have reported several factors that may explain the populations’ hesitancy in COVID-19 vaccine acceptance. The factors include lower economic level [ 43 ], concerns about the possibly damaging outcome of the COVID-19 vaccines to developing babies in the womb [ 44 ], conspiracy beliefs regarding the COVID-19 vaccine might cause infertility and miscarriages [ 45 ], and less perceived susceptibility [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries

et al. 2022

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Background Vaccines are effective and reliable public health interventions against viral outbreaks and pandemics. However, hesitancy regarding the Coronavirus disease (COVID-19) vaccine is evident worldwide. Therefore, understanding vaccination-related behavior is critical in expanding the vaccine coverage to flatten the infection curve. This study explores the public perception regarding COVID-19 vaccination and identifies factors associated with vaccine hesitancy among the general adult populations in six Southeast Asian countries. Methods Using a snowball sampling approach, we conducted a descriptive cross-sectional study among 5260 participants in Indonesia, Malaysia, Myanmar, Philippines, Thailand, and Vietnam between February and May 2021. Binary logistic regression analysis with a backward conditional approach was applied to identify factors associated with COVID-19 vaccine hesitancy. Results Of the total, 50.6% were female, and the median age was 30 years (range: 15–83 years). The majority of the participants believed that vaccination effectively prevents and controls COVID-19 (81.2%), and 84.0% would accept COVID-19 vaccines when they become available. They agreed that health providers’ advice (83.0%), vaccination convenience (75.6%), and vaccine costs (62.8%) are essential for people to decide whether to accept COVID-19 vaccines. About half (49.3%) expressed their hesitancy to receive the COVID-19 vaccines. After adjustment for other covariates, COVID-19 vaccine hesitancy was significantly associated with age, residential area, education levels, employment status, and family economic status. Participants from Indonesia, Myanmar, Thailand, and Vietnam were significantly more likely to express hesitancy in receiving COVID-19 vaccines than those from Philippines. Conclusions In general, participants in this multi-country study showed their optimistic perception of COVID-19 vaccines’ effectiveness and willingness to receive them. However, about half of them still expressed their hesitancy in getting vaccinated. The hesitation was associated with several socioeconomic factors and varied by country. Therefore, COVID-19 vaccination programs should consider these factors essential for increasing vaccine uptake in the populations.

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Section: Discussionmentioning

confidence: 99%

Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries

et al. 2022

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“…As complications, hospitalization, and mortality from the COVID-19 viral infection are found to be less severe for younger populations [ 34 , 35 ], the need for vaccination may not be sufficiently emphasized. Vaccine hesitancy among younger women may be related to additional concerns about reproductive health and breastfeeding [ 11 , 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Second, the safety of the vaccine may also be relevant. Previous studies have provided evidence of concerns regarding vaccine safety and side effects among reproductive-age women [ 11 , 36 , 37 ]. Younger women with lower confidence in their health may be more concerned about possible side effects and may be hesitant to be vaccinated.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy among the Younger Generation in Japan

Khan

Watanapongvanich

Kadoya

2021

IJERPH

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Japan has vaccinated its older population; a mass vaccination program for younger citizens is underway. Accordingly, this study investigated vaccine hesitancy among younger Japanese citizens. We used online panel survey data from the Hiroshima Institute of Health Economics Research of Hiroshima University and applied probit regression models. Our study found that vaccine hesitancy among younger people was significantly higher than among older people. Moreover, vaccine hesitancy was significantly higher among younger women than younger men and inter-age-group differences in vaccine hesitancy were higher for younger men than for younger women. Regression demonstrated that subjective health status and anxiety about the future were significantly associated with vaccine hesitancy among younger women and younger men of all ages, respectively. Furthermore, marital status, university degree, anxiety about the future, and myopic view of the future had specific associations with vaccine hesitancy among younger women of different ages, while subjective health status, university degree, having children, financial literacy, household income and assets, and myopic view about the future had specific associations with vaccine hesitancy among younger men of varying ages. Therefore, these results suggest that policymakers should consider the diversity among the younger generation while developing effective, tailored communication strategies to reduce their vaccine hesitancy.

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“…This study found that women were more hesitant than men regarding receiving the COVID-19 vaccination, which is supported by the findings of other studies [23,24]. The low economic ability of women [25], women’s concerns regarding the potentially harmful effect of the COVID-19 vaccines towards developing baby in the womb, and young children [26], conspiracy beliefs among women regarding COVID-19 vaccine imposed subfertility, infertility, and miscarriages [27], and less perceived susceptibility regarding contracting Coronavirus among women [28] are playing a role towards constructing increased vaccine hesitancy among the women.…”

Section: Discussionmentioning

confidence: 65%

COVID-19 Vaccine Hesitancy among the Adult Population in Bangladesh: A Nationally Representative Cross-sectional Survey

Alam

et al. 2021

Preprint

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IntroductionThe study related to the COVID-19 vaccine hesitancy is scanty in the context of Bangladesh, despite the growing necessity of understanding the mass people’s vaccination-related behavior. Thus, the present study was conducted to assess the prevalence of the COVID-19 vaccine hesitancy and its associated factors in Bangladesh to fill the knowledge gap.MethodologyThis study adopted a cross-sectional study design to collect data from 1497 respondents using online (Google forms) and face-to-face interviews. We employed descriptive statistics and multiple hierarchical linear regression analysis.FindingsThe prevalence of vaccine hesitancy was 41.1%. Men had less hesitancy (β = -0.046, p = 0.030) than women. The Muslims (β = 0.057, p = 0.009) and the respondents living in the city corporation areas (β = 0.132, p <0.001) had more hesitancy. There was significant variation in vaccine hesitancy by administrative divisions (geographic regions). The vaccine hesitancy tended to decrease with increasing knowledge about the vaccine (β = -0.072, p=0.001) and the vaccination process (β= -0.058, p = 0.018). On the other hand, hesitancy increased with the increased negative attitudes towards vaccine (β = 0.291, p <0.001) and conspiracy beliefs towards the COVID-19 vaccine (β = 0.105, p=0.004). The perceived severity of the COVID-19 (β = -0.079, p=0.002) and perceived benefits of COVID-19 vaccination (β = -0.180, p=0.001) were negatively associated with hesitancy, while perceived barriers (β = 0.180, p <0.001) were positively associated. The participants were more hesitant to accept the vaccine from a specific manufacturer.ConclusionThis study emphasizes that negative attitudes and conspiracies towards the COVID-19 vaccine should be reduced through effective communications and contracting with additional vaccine manufacturers should be prioritized. The barriers like online registration for receiving the COVID-19 vaccination need to be removed, and initiatives like text message service using the mobile phone operator can be introduced.HighlightsAbout 41% of the respondents had had hesitancy to accept the COVID-19 vaccine.The hesitancy increased with negative attitudes about vaccines and conspiracy beliefs.Perceived barriers to receive the vaccine were increasing vaccine hesitancy.Perceived severity of the COVID-19 decreased the vaccine hesitancy.Perceived benefits of receiving the COVID-19 vaccine decreased the vaccine hesitancy.

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Vaccination hesitancy among women of reproductive age in resource-challenged settings: a cause for public health concern

Cited by 23 publications

References 10 publications

Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries

Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries

COVID-19 Vaccine Hesitancy among the Younger Generation in Japan

COVID-19 Vaccine Hesitancy among the Adult Population in Bangladesh: A Nationally Representative Cross-sectional Survey

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