COVID-19 exposes digital divide, social stigma, and information crisis in Bangladesh

Aziz, Abdul; Islam, Mohammad Morshedul; Zakaria, Muhammad

doi:10.1080/01296612.2020.1843219

Cited by 31 publications

(27 citation statements)

References 16 publications

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“…The studies conducted in Bangladesh have reported a vaccine hesitancy rate between 29 and 50% (14)(15)(16)(17). However, the findings of these studies are not representative of Bangladesh in general as their sample size was small (15,16), or the data were collected using the online platform (14)(15)(16), and there exists a digital divide across the country (18).…”

Section: Introductionmentioning

confidence: 99%

Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?

Hossain

Alam

Islam

et al. 2021

Front. Public Health

125

103

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This study aimed to determine the prevalence and investigate the constellations of psychological determinants of the COVID-19 vaccine hesitancy among the Bangladeshi adult population utilizing the health belief model-HBM (perceived susceptibility to and severity of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action), the theory of planned behavior-TPB (attitude toward COVID-19 vaccine, subjective norm, perceived behavioral control, and anticipated regret), and the 5C psychological antecedents (confidence, constraints, complacency, calculation, and collective responsibility). We compared the predictability of these theoretical frameworks to see which framework explains the highest variance in COVID-19 vaccine hesitancy. This study adopted a cross-sectional research design. We collected data from a nationally representative sample of 1,497 respondents through both online and face-to-face interviews. We employed multiple linear regression analysis to assess the predictability of each model of COVID-19 vaccine hesitancy. We found a 41.1% prevalence of COVID-19 vaccine hesitancy among our study respondents. After controlling the effects of socio-economic, demographic, and other COVID-19 related covariates, we found that the TPB has the highest predictive power (adjusted R2 = 0.43), followed by the 5C psychological antecedents of vaccination (adjusted R2 = 0.32) and the HBM (adjusted R2 = 0.31) in terms of explaining total variance in the COVID-19 vaccine hesitancy among the adults of Bangladesh. This study provides evidence that theoretical frameworks like the HBM, the TPB, and the 5C psychological antecedents can be used to explore the psychological determinants of vaccine hesitancy, where the TPB has the highest predictability. Our findings can be used to design targeted interventions to reduce vaccine hesitancy and increase vaccine uptake to prevent COVID-19.

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Section: Introductionmentioning

confidence: 99%

Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?

Hossain

Alam

Islam

et al. 2021

Front. Public Health

125

103

View full text Add to dashboard Cite

show abstract

“…Few studies have been conducted in Bangladesh to assess the COVID-19 vaccine hesitancy, which has reported a vaccine hesitancy rate between 25.4% to 50% [ 13 , 19 – 22 ]. However, the findings of these studies are not representative of the context of Bangladesh and have the following limitations: small sample size [ 20 , 21 ]; collecting data using only the online platform [ 19 – 21 ] despite having an apparent existence of a digital divide across the country [ 23 ]; and non-use of psychological and behavioral variables related to vaccine hesitancy [ 22 ]. Thus, a nationwide survey was conducted to assess the prevalence of the COVID-19 vaccine hesitancy and its associated factors in Bangladesh to fill the knowledge gap recruiting respondents from all the eight administrative divisions of the country.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 vaccine hesitancy among the adult population in Bangladesh: A nationwide cross-sectional survey

et al. 2021

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Introduction Studies related to the COVID-19 vaccine hesitancy are scanty in Bangladesh, despite the growing necessity of understanding the population behavior related to vaccination. 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. Methods and materials This study adopted a cross-sectional design to collect data from 1497 respondents using online (Google forms) and face-to-face interviews from eight administrative divisions of Bangladesh between 1–7 February 2021. We employed descriptive statistics and multiple logistic regression analysis. Results The prevalence of vaccine hesitancy was 46.2%. The Muslims (aOR = 1.80, p ≤ 0.01) and the respondents living in the city corporation areas (aOR = 2.14, p ≤0.001) had more hesitancy. There was significant variation in vaccine hesitancy by administrative divisions (geographic regions). Compared to the Sylhet division, the participants from Khulna (aOR = 1.31, p ≤0.001) had higher hesitancy. The vaccine hesitancy tended to decrease with increasing knowledge about the vaccine (aOR = 0.88, p≤0.001) and the vaccination process (aOR = 0.91, p ≤ 0.01). On the other hand, hesitancy increased with the increased negative attitudes towards the vaccine (aOR = 1.17, p≤0.001) and conspiracy beliefs towards the COVID-19 vaccine (aOR = 1.04, p≤0.01). The perceived benefits of COVID-19 vaccination (aOR = 0.85, p≤0.001) were negatively associated with hesitancy, while perceived barriers (aOR = 1.16, p ≤0.001) were positively associated. The participants were more hesitant to accept the vaccine from a specific country of origin (India, USA, Europe). Conclusions Our findings warrant that a vigorous behavior change communication campaign should be designed and implemented to demystify negative public attitudes and conspiracy beliefs regarding the COVID-19 Vaccine in Bangladesh. The policymakers should also think about revisiting the policy of the online registration process to receive the COVID-19 vaccine, as online registration is a key structural barrier for many due to the persistent digital divide in the country. Finally, the government should consider the population’s preference regarding vaccines’ country of manufacture to reduce the COVID-19 vaccine hesitancy.

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“…13 Although these policies were undertaken and implemented in Bangladesh, there were concerns about inadequate preparedness and response measures undertaken by the government due to indecision, late policy decisions and implementation, withdrawal of lockdown when it was required to halt community transmission, fake testing, and a large quantity of fake news and misinformation. [13][14][15] As such, this research aims to understand Bangladeshi residents' trust and confidence in preparedness and response measures undertaken by the GoB and private sectors (ie, banking, shops, supermarket and large shopping centres) between January and May 2020.…”

Section: Introductionmentioning

confidence: 99%

Public Trust in COVID-19 Prevention and Responses Between January and May 2020 in Bangladesh

Alam¹,

Abdouli²,

Khamis³

et al. 2021

RMHP

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COVID-19 exposes digital divide, social stigma, and information crisis in Bangladesh

Cited by 31 publications

References 16 publications

Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?

Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?

COVID-19 vaccine hesitancy among the adult population in Bangladesh: A nationwide cross-sectional survey

Public Trust in COVID-19 Prevention and Responses Between January and May 2020 in Bangladesh

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