Publication: Factors affecting COVID-19 vaccine acceptance: an international survey among low-and middle-income countries
Issued Date
2021-05-01
Resource Type
ISSN
2076393X
Other identifier(s)
2-s2.0-85106929800
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Mahidol University
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SCOPUS
Bibliographic Citation
Vaccines. Vol.9, No.5 (2021)
Suggested Citation
Suzanna Awang Bono, Edlaine Faria de Moura Villela, Ching Sin Siau, Won Sun Chen, Supa Pengpid, M. Tasdik Hasan, Philippe Sessou, John D. Ditekemena, Bob Omoda Amodan, Mina C. Hosseinipour, Housseini Dolo, Joseph Nelson Siewe Fodjo, Wah Yun Low, Robert Colebunders Factors affecting COVID-19 vaccine acceptance: an international survey among low-and middle-income countries. Vaccines. Vol.9, No.5 (2021). doi:10.3390/vaccines9050515 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77291
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Title
Factors affecting COVID-19 vaccine acceptance: an international survey among low-and middle-income countries
Other Contributor(s)
Universite de Kinshasa
UNC Project-Malawi
University of Abomey-Calavi
University of Bamako Faculty of Medicine, Pharmacy and Odonto-Stomatology
Swinburne University of Technology
Universiti Malaya
Universidade Federal de Goiás
University of Liverpool
UNC School of Medicine
Universiteit Antwerpen
Mahidol University
Universiti Kebangsaan Malaysia
Universiti Sains Malaysia
Uganda Public Health Fellowship Program
Brain Research Africa Initiative (BRAIN)
Public Health Foundation
Health State Agency of São Paulo
UNC Project-Malawi
University of Abomey-Calavi
University of Bamako Faculty of Medicine, Pharmacy and Odonto-Stomatology
Swinburne University of Technology
Universiti Malaya
Universidade Federal de Goiás
University of Liverpool
UNC School of Medicine
Universiteit Antwerpen
Mahidol University
Universiti Kebangsaan Malaysia
Universiti Sains Malaysia
Uganda Public Health Fellowship Program
Brain Research Africa Initiative (BRAIN)
Public Health Foundation
Health State Agency of São Paulo
Abstract
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; N = 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.