Factors associated with acceptance of COVID-19 vaccine among University health sciences students in Northwest Nigeria

Mohammed, Mustapha; Lawal, Basira Kankia; Sha’aban, Abubakar; Jatau, Abubakar Ibrahim; Wada, Abubakar Sadiq; Bala, Auwal Adam; Mustapha, Sagir; Haruna, Anas; Musa, Audu; Ahmad, Mubarak Hussaini; Ilyasu, Salim; Muhammad, Surajuddeen; Mohammed, Fatima; Ahmed, Ahmed Danbala; Zainal, Hadzliana

doi:10.1371/journal.pone.0260672

Cited by 54 publications

(52 citation statements)

References 44 publications

(48 reference statements)

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“…In one report from the United States by Lucia et al [ 40 ], 23% of medical students surveyed were unwilling to take a COVID-19 vaccine even after approval by the Food and Drug Administration. In comparison, studies conducted among Sudanese, Egyptian, Nigerian and Ugandan medical students have generally shown higher COVID-19 vaccine hesitancy rates ranging from 30% to 60% [ 41 , 42 , 43 , 44 ]. Concerns around vaccine safety and efficacy, trust in health authorities, healthcare costs, and experience in the healthcare field were some of the major drivers of vaccine hesitancy in these studies [ 41 , 42 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy among Healthcare Workers and Trainees in Freetown, Sierra Leone: A Cross-Sectional Study

et al. 2022

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Despite having safe and efficacious vaccines against COVID-19, vaccine hesitancy is widespread. Although a trusted source of information, vaccine hesitancy has been reported among healthcare professionals, yet few studies have explored this phenomenon in sub-Saharan Africa. We conducted a cross-sectional survey of healthcare professionals in Sierra Leone from January to March 2022. Measures included sociodemographic/health-related information and COVID-19-related concerns. From the responses, we constructed a hesitancy (VAX) score, with higher scores implying negative attitudes or unwillingness to vaccinate. Multivariate linear regression was used to access factors associated with vaccine hesitancy. Overall, 592 participants submitted responses (67.2% female, mean age 29 years, 5.6% physicians/pharmacists, 44.3% medical students, 29.2% nurses, 20.9% nursing students). The mean VAX score was 43.27 ± 8.77, with 60.1% of respondents classified as vaccine hesitant (>50th percentile) and 11.5% as highly hesitant (>75th percentile). Worries about unforeseen future effects (76.3%), a preference for natural immunity (59.5%), and profiteering/mistrust of health authorities (53.1%) were the most common concerns. Being a medical student (β = 0.105, p = 0.011) and previously refusing a recommended vaccine (β = 0.177, p < 0.001) were predictors of COVID-19 vaccine hesitancy. Our findings call for addressing vaccine hesitancy among healthcare professionals as an essential component of strategies aimed at increasing COVID-19 vaccine uptake in this setting.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy among Healthcare Workers and Trainees in Freetown, Sierra Leone: A Cross-Sectional Study

et al. 2022

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“…It showed a lack of association between education and vaccine hesitancy, which contrasts with the results of studies in HIC [ 29 ]. Another study in Northwest Nigeria examined attitudes towards the COVID-19 vaccine among health science students [ 30 ]. The study found that older age, instructions by the heads of institutions, trust in government, and readiness to pay for the vaccine positively impacted vaccine acceptance [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study in Northwest Nigeria examined attitudes towards the COVID-19 vaccine among health science students [ 30 ]. The study found that older age, instructions by the heads of institutions, trust in government, and readiness to pay for the vaccine positively impacted vaccine acceptance [ 30 ]. A third study showed that willingness to take the vaccine is higher among people living in LMICs than in the USA and Russia (80.3%, 64.6%, and 30.4% of the population willing to take the vaccine, respectively) [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Research priorities to reduce the impact of COVID-19 in low- and middle-income countries

et al. 2022

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Background The COVID-19 pandemic has caused disruptions to the functioning of societies and their health systems. Prior to the pandemic, health systems in low- and middle-income countries (LMIC) were particularly stretched and vulnerable. The International Society of Global Health (ISoGH) sought to systematically identify priorities for health research that would have the potential to reduce the impact of the COVID-19 pandemic in LMICs. Methods The Child Health and Nutrition Research Initiative (CHNRI) method was used to identify COVID-19-related research priorities. All ISoGH members were invited to participate. Seventy-nine experts in clinical, translational, and population research contributed 192 research questions for consideration. Fifty-two experts then scored those questions based on five pre-defined criteria that were selected for this exercise: 1) feasibility and answerability; 2) potential for burden reduction; 3) potential for a paradigm shift; 4) potential for translation and implementation; and 5) impact on equity. Results Among the top 10 research priorities, research questions related to vaccination were prominent: health care system access barriers to equitable uptake of COVID-19 vaccination (ranked 1st), determinants of vaccine hesitancy (4th), development and evaluation of effective interventions to decrease vaccine hesitancy (5th), and vaccination impacts on vulnerable population/s (6th). Health care delivery questions also ranked highly, including: effective strategies to manage COVID-19 globally and in LMICs (2nd) and integrating health care for COVID-19 with other essential health services in LMICs (3rd). Additionally, the assessment of COVID-19 patients’ needs in rural areas of LMICs was ranked 7th, and studying the leading socioeconomic determinants and consequences of the COVID-19 pandemic in LMICs using multi-faceted approaches was ranked 8th. The remaining questions in the top 10 were: clarifying paediatric case-fatality rates (CFR) in LMICs and identifying effective strategies for community engagement against COVID-19 in different LMIC contexts. Interpretation Health policy and systems research to inform COVID-19 vaccine uptake and equitable access to care are urgently needed, especially for rural, vulnerable, and/or marginalised populations. This research should occur in parallel with studies that will identify approaches to minimise vaccine hesitancy and effectively integrate care for COVID-19 with other essential health services in LMICs. ISoGH calls on the funders of health research in LMICs to consider the urgency and priority of this research during the COVID-19 pandemic and support studies that could make a positive difference for the populations of LMICs.

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“…In separate studies conducted in Nigeria, Reuben et al [9] and Adigwe [7] reported low COVID-19 acceptance of 29.0% and 22.7% among residents of northcentral Nigeria and the Federal Capital Territory (FCT), Abuja, respective. In the same vein, although 55.5% COVID-19 acceptance were among health care workers in the southwest and south-south geopolitical zones of Nigeria [10], a lower rate, 40.0%, was however reported among medical students in the Northwestern geopolitical zone in Nigeria [11].…”

mentioning

confidence: 94%

A-One Health Approach on the Evaluation of COVID-19 Risk Perception and Factors Associated with the COVID-19 Vaccine Acceptance in Nigeria, West Africa

Ejeh

Buba

Reuben

et al. 2022

Preprint

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Background Effective elimination of the COVID-19 pandemic is dependent on the COVID-19 vaccines that are readily available and acceptable to the public. This study evaluated the COVID-19 risk perception and factors associated with COVID-19 vaccine acceptance in Nigeria. Methods A cross-sectional online survey with a structured questionnaire employing a Snowball sampling method was administered among Nigerian adults from the beginning of COVID-19 mass vaccination in March 2021 till December 2021. Data collected were analysed using descriptive statistics, Chi-square and multivariable regression. Participants’ general knowledge regarding COVID-19, willingness to accept COVID-19 vaccines, perception of seriousness, susceptibility of COVID-19 were assessed. Results From the 402 responses received, the mean age of the respondents was 35.1 ± 11.9 years, with the majority being males (288 (71.6%)) and non-health workers (349 (86.8%)). Overall, COVID-19 knowledge was good, with a mean score of 6.2 ± 0.19 (range 0–8) and a COVID-19 vaccine acceptance rate of 65.67%. We found a consistent positive relationship between respondents’ COVID-19 knowledge and their willingness to accept COVID-19 vaccines. Respondents who believed that the 5G network is not the cause of COVID-19 were two times more likely to receive the COVID-19 vaccine (aOR 2.38; 95%CI 1.05–5.36; p = 0.04). Furthermore, our comparisons of respondents’ age groups and marital status revealed higher odds of being willing to accept COVID-19 vaccines among respondents who were age 50 ≥ years old (aOR 7.35; 95% CI: 1.69–31.93; p = 0.008) and those who were singles (aOR 4.39; 95% CI: 1.86–10.33; p = 0.001), respectively. However, non-healthcare workers with high income and educational status were unwilling to accept COVID-19 vaccines. Surprisingly, although 303 (75.4%) of the respondents believed COVID-19 is a severe disease, only 119 (45.1%) are confident of contracting the COVID-19 should they fail to adhere to infection prevention and control (IPC) measures. Conclusion the study revealed that the intention to receive the COVID-19 vaccine varied across demographic characteristics, level of education, income and employment status, and perceived severity and susceptibility to COVID-19. We recommend continuous public health education on the risk of COVID-19 and the vital role vaccine will play in ending this pandemic.

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Factors associated with acceptance of COVID-19 vaccine among University health sciences students in Northwest Nigeria

Cited by 54 publications

References 44 publications

COVID-19 Vaccine Hesitancy among Healthcare Workers and Trainees in Freetown, Sierra Leone: A Cross-Sectional Study

COVID-19 Vaccine Hesitancy among Healthcare Workers and Trainees in Freetown, Sierra Leone: A Cross-Sectional Study

Research priorities to reduce the impact of COVID-19 in low- and middle-income countries

A-One Health Approach on the Evaluation of COVID-19 Risk Perception and Factors Associated with the COVID-19 Vaccine Acceptance in Nigeria, West Africa

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