Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers
Background: The COVID-19 vaccines are being rolled out across all the sub-Saharan Africa (SSA) countries, with countries setting targets for achieving full vaccination rates. The aim of this study was to compare the uptake of, resistance and hesitancy to the COVID-19 vaccine between SSA locally resi...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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BMC
2023
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/94814 |
| _version_ | 1848765930977361920 |
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| author | Miner, C.A. Timothy, C.G. Percy, K. Mashige, Osuagwu, U.L. Envuladu, E.A. Amiebenomo, O.M.A. Ovenseri-Ogbomo, G. Charwe, D.D. Goson, P.C. Ekpenyong, B.N. Abu, E.K. Langsi, R. Oloruntoba, Richard Ishaya, T. Agho, K.E. |
| author_facet | Miner, C.A. Timothy, C.G. Percy, K. Mashige, Osuagwu, U.L. Envuladu, E.A. Amiebenomo, O.M.A. Ovenseri-Ogbomo, G. Charwe, D.D. Goson, P.C. Ekpenyong, B.N. Abu, E.K. Langsi, R. Oloruntoba, Richard Ishaya, T. Agho, K.E. |
| author_sort | Miner, C.A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: The COVID-19 vaccines are being rolled out across all the sub-Saharan Africa (SSA) countries, with countries setting targets for achieving full vaccination rates. The aim of this study was to compare the uptake of, resistance and hesitancy to the COVID-19 vaccine between SSA locally residents and in the diasporan dwellers. Methods: This was a cross-sectional study conducted using a web and paper-based questionnaire to obtain relevant information on COVID-19 vaccine acceptance. The survey items included questions on demography, uptake and planned acceptance or non-acceptance of the COVID-19 vaccines among SSAs. Multinomial logistic regression was used to determine probabilities of outcomes for factors associated with COVID-19 vaccination resistance and hesitancy among SSA respondents residing within and outside Africa. Results: Uptake of COVID-19 vaccines varied among the local (14.2%) and diasporan (25.3%) dwellers. There were more locals (68.1%) who were resistant to COVID-19 vaccine. Participants’ sex [adjusted relative risk (ARR) = 0.73, 95% CI: 0.58 – 0.93], education [primary/less: ARR = 0.22, CI:0.12 – 0.40, and bachelor’s degree: ARR = 0.58, CI: 0.43 – 0.77]), occupation [ARR = 0.32, CI: 0.25—0.40] and working status [ARR = 1.40, CI: 1.06—1.84] were associated with COVID-19 vaccine resistance among locals. Similar proportion of local and diasporan dwellers (~ 18% each) were hesitant to COVID-19 vaccine, and this was higher among health care workers [ARR = 0.25, CI: 0.10 – 0.62 and ARR = 0.24, CI:0.18—0.32, diaspora and locals respectively]. After adjusting for the potential confounders, local residents aged 29–38 years [ARR = 1.89, CI: 1.26—2.84] and lived in East Africa [ARR = 4.64, CI: 1.84—11.70] were more likely to report vaccine hesitancy. Knowledge of COVID vaccines was associated with hesitancy among local and diasporan dwellers, but perception was associated with vaccine resistance [ARR = 0.86,CI: 0.82 – 0.90] and hesitancy [ARR = 0.85, CI: 0.80 – 0.90], only among the local residents. Conclusions: Differences exist in the factors that influence COVID-19 vaccine acceptance between local SSA residents and thediasporan dwellers. Knowledge about COVID-19 vaccines affects the uptake, resistance, and hesitancy to the COVID-19 vaccine. Information campaigns focusing on the efficacy and safety of vaccines could lead to improved acceptance of COVID-19 vaccines. |
| first_indexed | 2025-11-14T11:43:05Z |
| format | Journal Article |
| id | curtin-20.500.11937-94814 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:43:05Z |
| publishDate | 2023 |
| publisher | BMC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-948142024-05-03T07:42:18Z Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers Miner, C.A. Timothy, C.G. Percy, K. Mashige, Osuagwu, U.L. Envuladu, E.A. Amiebenomo, O.M.A. Ovenseri-Ogbomo, G. Charwe, D.D. Goson, P.C. Ekpenyong, B.N. Abu, E.K. Langsi, R. Oloruntoba, Richard Ishaya, T. Agho, K.E. Science & Technology Life Sciences & Biomedicine Public, Environmental & Occupational Health Vaccination Acceptance COVID-19 Hesitancy Resistance Sub-Sahara Africa Locals Diaspora WAVES COUNTRIES 2ND Acceptance COVID-19 Diaspora Hesitancy Locals Resistance Sub-Sahara Africa Vaccination Humans COVID-19 Vaccines African People Cross-Sectional Studies COVID-19 Probability Vaccination Vaccines Humans Vaccines Vaccination Probability Cross-Sectional Studies COVID-19 COVID-19 Vaccines African People Background: The COVID-19 vaccines are being rolled out across all the sub-Saharan Africa (SSA) countries, with countries setting targets for achieving full vaccination rates. The aim of this study was to compare the uptake of, resistance and hesitancy to the COVID-19 vaccine between SSA locally residents and in the diasporan dwellers. Methods: This was a cross-sectional study conducted using a web and paper-based questionnaire to obtain relevant information on COVID-19 vaccine acceptance. The survey items included questions on demography, uptake and planned acceptance or non-acceptance of the COVID-19 vaccines among SSAs. Multinomial logistic regression was used to determine probabilities of outcomes for factors associated with COVID-19 vaccination resistance and hesitancy among SSA respondents residing within and outside Africa. Results: Uptake of COVID-19 vaccines varied among the local (14.2%) and diasporan (25.3%) dwellers. There were more locals (68.1%) who were resistant to COVID-19 vaccine. Participants’ sex [adjusted relative risk (ARR) = 0.73, 95% CI: 0.58 – 0.93], education [primary/less: ARR = 0.22, CI:0.12 – 0.40, and bachelor’s degree: ARR = 0.58, CI: 0.43 – 0.77]), occupation [ARR = 0.32, CI: 0.25—0.40] and working status [ARR = 1.40, CI: 1.06—1.84] were associated with COVID-19 vaccine resistance among locals. Similar proportion of local and diasporan dwellers (~ 18% each) were hesitant to COVID-19 vaccine, and this was higher among health care workers [ARR = 0.25, CI: 0.10 – 0.62 and ARR = 0.24, CI:0.18—0.32, diaspora and locals respectively]. After adjusting for the potential confounders, local residents aged 29–38 years [ARR = 1.89, CI: 1.26—2.84] and lived in East Africa [ARR = 4.64, CI: 1.84—11.70] were more likely to report vaccine hesitancy. Knowledge of COVID vaccines was associated with hesitancy among local and diasporan dwellers, but perception was associated with vaccine resistance [ARR = 0.86,CI: 0.82 – 0.90] and hesitancy [ARR = 0.85, CI: 0.80 – 0.90], only among the local residents. Conclusions: Differences exist in the factors that influence COVID-19 vaccine acceptance between local SSA residents and thediasporan dwellers. Knowledge about COVID-19 vaccines affects the uptake, resistance, and hesitancy to the COVID-19 vaccine. Information campaigns focusing on the efficacy and safety of vaccines could lead to improved acceptance of COVID-19 vaccines. 2023 Journal Article http://hdl.handle.net/20.500.11937/94814 10.1186/s12889-023-15116-w English http://creativecommons.org/licenses/by/4.0/ BMC fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Public, Environmental & Occupational Health Vaccination Acceptance COVID-19 Hesitancy Resistance Sub-Sahara Africa Locals Diaspora WAVES COUNTRIES 2ND Acceptance COVID-19 Diaspora Hesitancy Locals Resistance Sub-Sahara Africa Vaccination Humans COVID-19 Vaccines African People Cross-Sectional Studies COVID-19 Probability Vaccination Vaccines Humans Vaccines Vaccination Probability Cross-Sectional Studies COVID-19 COVID-19 Vaccines African People Miner, C.A. Timothy, C.G. Percy, K. Mashige, Osuagwu, U.L. Envuladu, E.A. Amiebenomo, O.M.A. Ovenseri-Ogbomo, G. Charwe, D.D. Goson, P.C. Ekpenyong, B.N. Abu, E.K. Langsi, R. Oloruntoba, Richard Ishaya, T. Agho, K.E. Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title | Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title_full | Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title_fullStr | Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title_full_unstemmed | Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title_short | Acceptance of COVID-19 vaccine among sub-Saharan Africans (SSA): a comparative study of residents and diasporan dwellers |
| title_sort | acceptance of covid-19 vaccine among sub-saharan africans (ssa): a comparative study of residents and diasporan dwellers |
| topic | Science & Technology Life Sciences & Biomedicine Public, Environmental & Occupational Health Vaccination Acceptance COVID-19 Hesitancy Resistance Sub-Sahara Africa Locals Diaspora WAVES COUNTRIES 2ND Acceptance COVID-19 Diaspora Hesitancy Locals Resistance Sub-Sahara Africa Vaccination Humans COVID-19 Vaccines African People Cross-Sectional Studies COVID-19 Probability Vaccination Vaccines Humans Vaccines Vaccination Probability Cross-Sectional Studies COVID-19 COVID-19 Vaccines African People |
| url | http://hdl.handle.net/20.500.11937/94814 |