Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low-and Middle-Income Countries

Bono, Suzanna Awang, Faria de Moura Villela, Edlaine, Siau, Ching Sin, Chen, Won Sun, Pengpid, Supa, Hasan, M Tasdik ORCID: 0000-0002-3256-093X, Sessou, Philippe, Ditekemena, John D, Amodan, Bob Omoda, Hosseinipour, Mina C
et al (show 4 more authors) (2021) Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low-and Middle-Income Countries. VACCINES, 9 (5). 515-.

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Vaccination is fast becoming a key intervention against the ongoing COVID-19 pandemic. We conducted cross-sectional online surveys to investigate COVID-19 vaccine acceptance across nine Low- and Middle-Income Countries (LMICs; <i>N</i> = 10,183), assuming vaccine effectiveness at 90% and 95%. The prevalence of vaccine acceptance increased from 76.4% (90% effectiveness) to 88.8% (95% effectiveness). Considering a 90% effective vaccine, Malaysia, Thailand, Bangladesh, and five African countries (Democratic Republic of Congo, Benin, Uganda, Malawi, and Mali) had lower acceptance odds compared to Brazil. Individuals who perceived taking the vaccine as important to protect themselves had the highest acceptance odds (aOR 2.49) at 95% effectiveness.Vaccine acceptance was also positively associated with COVID-19 knowledge, worry/fear regarding COVID-19, higher income, younger age, and testing negative for COVID-19. However, chronic disease and female gender reduced the odds for vaccine acceptance. The main reasons underpinning vaccine refusal were fear of side effects (41.2%) and lack of confidence in vaccine effectiveness (15.1%). Further research is needed to identify country-specific reasons for vaccine hesitancy in order to develop mitigation strategies that would ensure high and equitable vaccination coverage across LMICs.

Item Type: Article
Uncontrolled Keywords: COVID-19, vaccine acceptance, LMICs, healthcare worker, psychological distress, Brazil, Malaysia, Thailand, Bangladesh, Africa
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 21 Dec 2021 09:27
Last Modified: 21 Jan 2024 09:03
DOI: 10.3390/vaccines9050515
Open Access URL: https://doi.org/10.3390/vaccines9050515
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3145759