COVID-19 vaccination coverage is extremely low among older population in Bangladesh: findings from a cross-sectional study

Mistry, Sabuj Kanti; Ali, Arm Mehrab; Yadav, Uday Narayan; Huda, Md. Nazmul; Parray, Ateeb Ahmad; Mahumud, Rashidul Alam; Mitra, Dipak Kumar

doi:10.1080/21645515.2022.2030624

Cited by 12 publications

(9 citation statements)

References 35 publications

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“…The pandemic disrupted the already existing inadequate mental health services [27], especially among older people [28], increasing their vulnerability to anxiety and depression. Evidence indicates that the COVID-19 pandemic and its impacts on Bangladeshi older people have not ended yet due to several factors, including but not limited to, inadequate and untimely measures for controlling coronavirus infection [7], low vaccination coverage among older people [29], irregularities, and limited preparedness of the health sector [30]. In such a situation, severe psychological problems have been reported, triggering thoughts of suicide among individuals, including older people [1,31].…”

Section: Open Accessmentioning

confidence: 99%

COVID-19 related anxiety and its associated factors: a cross-sectional study on older adults in Bangladesh

et al. 2022

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Background The COVID-19 pandemic has resulted in serious mental health conditions, particularly among older adults. This research explored the prevalence of COVID-19-related anxiety and its associated factors among older adults residing in Bangladesh. Methods This cross-sectional study was conducted among 1,045 older Bangladeshi adults aged ≥ 60 years through telephone interviews in September 2021. A semi-structured interview schedule was used to collect data on participants’ characteristics and COVID-19-related anxiety. The anxiety level was measured using the Bengali version of the five-point Coronavirus Anxiety Scale (CAS). A linear regression model explored the factors associated with COVID-19-related anxiety. Results Overall, the prevalence of COVID-19-related anxiety was 23.2%. The regression analysis revealed that the average COVID-19-related anxiety score was significantly higher among females (β: 0.43, 95% CI: 0.05 to 0.81), and among those who faced difficulty getting medicine (β: 0.57, 95% CI: 0.16 to 0.97), felt isolated (β: 0.60, 95% CI: 0.24 to 0.95), and felt requiring additional care during the pandemic (β: 0.53, 95% CI: 0.16 to 0.91). Alternatively, the average COVID-19-related anxiety score was significantly lower among those who were widowed (β: -0.46, 95% CI: -0.87 to -0.04) and living distant from the health centre (β: -0.48, 95% CI: -0.79 to -0.17). Conclusion The findings of the present study suggest providing immediate psychosocial support package to the older adults, particularly females and those who are vulnerable to receive health and social care support during the COVID-19 pandemic in Bangladesh.

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Section: Open Accessmentioning

confidence: 99%

COVID-19 related anxiety and its associated factors: a cross-sectional study on older adults in Bangladesh

et al. 2022

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“…Our results are generalizable to unvaccinated patients in Bangladesh and other low resource settings, as most of the Bangladeshi population was unvaccinated during the period of telehealth services. Although, current vaccination coverage is high in Bangladesh, coverage among vulnerable poor and elderly in rural areas are still low and the provision of boosters is inadequate now [ 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for COVID-19 mortality among telehealth patients in Bangladesh: A prospective cohort study

Sania

Mahmud

Alschuler

et al. 2023

PLOS Glob Public Health

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Background and objective Estimating the contribution of risk factors of mortality due to COVID-19 is particularly important in settings with low vaccination coverage and limited public health and clinical resources. Very few studies of risk factors of COVID-19 mortality used high-quality data at an individual level from low- and middle-income countries (LMICs). We examined the contribution of demographic, socioeconomic and clinical risk factors of COVID-19 mortality in Bangladesh, a lower middle-income country in South Asia. Methods We used data from 290,488 lab-confirmed COVID-19 patients who participated in a telehealth service in Bangladesh between May 2020 and June 2021, linked with COVID-19 death data from a national database to study the risk factors associated with mortality. Multivariable logistic regression models were used to estimate the association between risk factors and mortality. We used classification and regression trees to identify the risk factors that are the most important for clinical decision-making. Findings This study is one of the largest prospective cohort studies of COVID-19 mortality in a LMIC, covering 36% of all lab-confirmed COVID-19 cases in the country during the study period. We found that being male, being very young or elderly, having low socioeconomic status, chronic kidney and liver disease, and being infected during the latter pandemic period were significantly associated with a higher risk of mortality from COVID-19. Males had 1.15 times higher odds (95% Confidence Interval, CI: 1.09, 1.22) of death compared to females. Compared to the reference age group (20–24 years olds), the odds ratio of mortality increased monotonically with age, ranging from an odds ratio of 1.35 (95% CI: 1.05, 1.73) for ages 30–34 to an odds ratio of 21.6 (95% CI: 17.08, 27.38) for ages 75–79 year group. For children 0–4 years old the odds of mortality were 3.93 (95% CI: 2.74, 5.64) times higher than 20–24 years olds. Other significant predictors were severe symptoms of COVID-19 such as breathing difficulty, fever, and diarrhea. Patients who were assessed by a physician as having a severe episode of COVID-19 based on the telehealth interview had 12.43 (95% CI: 11.04, 13.99) times higher odds of mortality compared to those assessed to have a mild episode. The finding that the telehealth doctors’ assessment of disease severity was highly predictive of subsequent COVID-19 mortality, underscores the feasibility and value of the telehealth services. Conclusions Our findings confirm the universality of certain COVID-19 risk factors—such as gender and age—while highlighting other risk factors that appear to be more (or less) relevant in the context of Bangladesh. These findings on the demographic, socioeconomic, and clinical risk factors for COVID-19 mortality can help guide public health and clinical decision-making. Harnessing the benefits of the telehealth system and optimizing care for those most at risk of mortality, particularly in the context of a LMIC, are the key takeaways from this study.

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“…Compared with the younger group, there were few older people who were fully vaccinated at this stage. Several empirical studies have published evidence that vaccine coverage is relatively low in older age groups [ 46 , 47 ]. More than 75% of the respondents had a bachelor’s degree or above.…”

Section: Methodsmentioning

confidence: 99%

What Motivates People to Receive Continuous COVID-19 Vaccine Booster Shots? An Expectation Confirmation Theory Perspective

Liu

2022

Healthcare

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(1) Background: Abundant evidence has shown that the COVID-19 vaccine booster is highly effective against the Omicron variant. It is of great practical significance to explore the factors influencing the intention to receive COVID-19 booster shots. (2) Methods: We introduced expectation confirmation theory as the basis to construct a model of the factors of the vaccination intention for COVID-19 vaccine boosters. We obtained two batches of questionnaires through Chinese social platforms, with a valid sample size of 572. To test the model, we used SmartPLS3.0 software for empirical analysis. (3) Results: In terms of the characteristics of the vaccine itself, perceived vaccine efficacy and perceived vaccine safety had significant positive effects on expectation confirmation. Regarding vaccination services, perceived vaccination convenience also had a significant positive effect on expectation confirmation. Expectation confirmation positively affected the vaccination intention for the COVID-19 vaccine boosters. Furthermore, the results showed two moderating effects: first, health consciousness negatively moderated the positive effect of perceived vaccine safety on expectation confirmation; second, the time interval since the last dose negatively moderated the positive effect of perceived vaccine efficacy on expectation confirmation. (4) Conclusions: Our research demonstrated that there is an expectation confirmation process for previous COVID-19 vaccines before people consider whether to obtain a booster shot. Perceived vaccine efficacy and perceived vaccine safety remained important factors in receiving COVID-19 booster shots, and our conclusions were consistent with previous literature. In this study, multiple dimensions such as distance and cost were used to measure perceived vaccination convenience. This new variable improve the explanatory power of the convenience of the vaccination service and enrich the variables of the factor model of vaccination intention. In addition, the moderating effects of health consciousness and time interval were found. The findings can provide a theoretical reference for public health institutions to help them understand the formation process of people’s intention to receive the COVID-19 vaccine booster.

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COVID-19 vaccination coverage is extremely low among older population in Bangladesh: findings from a cross-sectional study

Cited by 12 publications

References 35 publications

COVID-19 related anxiety and its associated factors: a cross-sectional study on older adults in Bangladesh

COVID-19 related anxiety and its associated factors: a cross-sectional study on older adults in Bangladesh

Risk factors for COVID-19 mortality among telehealth patients in Bangladesh: A prospective cohort study

What Motivates People to Receive Continuous COVID-19 Vaccine Booster Shots? An Expectation Confirmation Theory Perspective

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