Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach
Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conduct...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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MDPI AG
2022
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| Online Access: | http://hdl.handle.net/20.500.11937/89048 |
| _version_ | 1848765147838939136 |
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| author | Osuagwu, Levi Okechukwu Langsi, Raymond Ovenseri-Ogbomo, Godwin Mashige, Khathutshelo Percy Abu, Emmanuel Kwasi Envuladu, Esther Piwuna, Christopher Goson Ekpeyong, Bernadine Nsa Oloruntoba, Richard Chundung, Miner Asabe Charwe, Deborah Donald Chikasirimobi, Timothy Ishaya, Tanko Amiebenomo, Onyekachukwu Mary-Anne Lim, David Agho, Kingsley |
| author_facet | Osuagwu, Levi Okechukwu Langsi, Raymond Ovenseri-Ogbomo, Godwin Mashige, Khathutshelo Percy Abu, Emmanuel Kwasi Envuladu, Esther Piwuna, Christopher Goson Ekpeyong, Bernadine Nsa Oloruntoba, Richard Chundung, Miner Asabe Charwe, Deborah Donald Chikasirimobi, Timothy Ishaya, Tanko Amiebenomo, Onyekachukwu Mary-Anne Lim, David Agho, Kingsley |
| author_sort | Osuagwu, Levi Okechukwu |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conducted in March–May 2021, corresponding to most sub-Saharan African (SSA) countries’ early vaccine rollout period. Participants were those aged ≥18 years with self-reported DM in 11 Sub-Saharan African (SSA) countries. Responses to comments on the reasons for vaccine hesitancy and facilitators for vaccine uptake were analyzed. Of the 73 participants with DM, 65.8% were males, older than 35 years (86.3%), had postsecondary education (90%), and a significant proportion were from South Africa (39.7%), Nigeria (28.8%) and Ghana (13.7%). At the time of this study, 64.4% experienced COVID-19 symptoms, 46.6% were tested for COVID-19, of which 19.2% tested positive. Few participants (6.8%) had received a COVID-19 vaccination, 65.8% were willing to take the vaccine when it becomes available in their country, while 26.0% either refused or remained hesitant towards taking the vaccine. The main identified reasons for not taking the vaccine were: advice from religious leaders; concerns about the safety, effects, and efficacy of the vaccines; mistrust of the pharmaceutical companies producing the vaccines and the process of production; the conspiracy theories around the vaccines; and the personal belief of the participants regarding vaccination. However, participants stated they would take the vaccine if they were more educated about it, received positive feedback from those vaccinated, were rewarded for taking the vaccine, or if vaccination became a condition for travel and employment. In conclusion, this study shows that the uptake of the COVID-19 vaccine was very low in this high-risk group. Efforts to increase the uptake of COVID-19 vaccines among people with diabetes are imperative, such as the provision of education and relevant information. |
| first_indexed | 2025-11-14T11:30:38Z |
| format | Journal Article |
| id | curtin-20.500.11937-89048 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:30:38Z |
| publishDate | 2022 |
| publisher | MDPI AG |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-890482022-08-19T07:43:58Z Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach Osuagwu, Levi Okechukwu Langsi, Raymond Ovenseri-Ogbomo, Godwin Mashige, Khathutshelo Percy Abu, Emmanuel Kwasi Envuladu, Esther Piwuna, Christopher Goson Ekpeyong, Bernadine Nsa Oloruntoba, Richard Chundung, Miner Asabe Charwe, Deborah Donald Chikasirimobi, Timothy Ishaya, Tanko Amiebenomo, Onyekachukwu Mary-Anne Lim, David Agho, Kingsley Sub-Saharan Africa coronavirus diabetes hesitancy lockdown qualitative refusal survey vaccine Adolescent Adult COVID-19 COVID-19 Vaccines Cross-Sectional Studies Diabetes Mellitus Female Ghana Health Knowledge, Attitudes, Practice Humans Male Motivation Nigeria Perception Vaccination Vaccines Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conducted in March–May 2021, corresponding to most sub-Saharan African (SSA) countries’ early vaccine rollout period. Participants were those aged ≥18 years with self-reported DM in 11 Sub-Saharan African (SSA) countries. Responses to comments on the reasons for vaccine hesitancy and facilitators for vaccine uptake were analyzed. Of the 73 participants with DM, 65.8% were males, older than 35 years (86.3%), had postsecondary education (90%), and a significant proportion were from South Africa (39.7%), Nigeria (28.8%) and Ghana (13.7%). At the time of this study, 64.4% experienced COVID-19 symptoms, 46.6% were tested for COVID-19, of which 19.2% tested positive. Few participants (6.8%) had received a COVID-19 vaccination, 65.8% were willing to take the vaccine when it becomes available in their country, while 26.0% either refused or remained hesitant towards taking the vaccine. The main identified reasons for not taking the vaccine were: advice from religious leaders; concerns about the safety, effects, and efficacy of the vaccines; mistrust of the pharmaceutical companies producing the vaccines and the process of production; the conspiracy theories around the vaccines; and the personal belief of the participants regarding vaccination. However, participants stated they would take the vaccine if they were more educated about it, received positive feedback from those vaccinated, were rewarded for taking the vaccine, or if vaccination became a condition for travel and employment. In conclusion, this study shows that the uptake of the COVID-19 vaccine was very low in this high-risk group. Efforts to increase the uptake of COVID-19 vaccines among people with diabetes are imperative, such as the provision of education and relevant information. 2022 Journal Article http://hdl.handle.net/20.500.11937/89048 10.3390/ijerph19137875 eng http://creativecommons.org/licenses/by/4.0/ MDPI AG fulltext |
| spellingShingle | Sub-Saharan Africa coronavirus diabetes hesitancy lockdown qualitative refusal survey vaccine Adolescent Adult COVID-19 COVID-19 Vaccines Cross-Sectional Studies Diabetes Mellitus Female Ghana Health Knowledge, Attitudes, Practice Humans Male Motivation Nigeria Perception Vaccination Vaccines Osuagwu, Levi Okechukwu Langsi, Raymond Ovenseri-Ogbomo, Godwin Mashige, Khathutshelo Percy Abu, Emmanuel Kwasi Envuladu, Esther Piwuna, Christopher Goson Ekpeyong, Bernadine Nsa Oloruntoba, Richard Chundung, Miner Asabe Charwe, Deborah Donald Chikasirimobi, Timothy Ishaya, Tanko Amiebenomo, Onyekachukwu Mary-Anne Lim, David Agho, Kingsley Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title | Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title_full | Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title_fullStr | Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title_full_unstemmed | Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title_short | Analysis of perception, reasons, and motivations for COVID-19 vaccination in people with diabetes Across Sub-Saharan Africa: A mixed method approach |
| title_sort | analysis of perception, reasons, and motivations for covid-19 vaccination in people with diabetes across sub-saharan africa: a mixed method approach |
| topic | Sub-Saharan Africa coronavirus diabetes hesitancy lockdown qualitative refusal survey vaccine Adolescent Adult COVID-19 COVID-19 Vaccines Cross-Sectional Studies Diabetes Mellitus Female Ghana Health Knowledge, Attitudes, Practice Humans Male Motivation Nigeria Perception Vaccination Vaccines |
| url | http://hdl.handle.net/20.500.11937/89048 |