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Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries.
Vaccines (Basel). 2022 Jan 29; 10(2)V

Abstract

Delayed acceptance or refusal of COVID-19 vaccines may increase and prolong the threat to global public health and the economy. Identifying behavioural determinants is considered a critical step in explaining and addressing the barriers of vaccine refusal. This study aimed to identify the behavioural determinants of COVID-19-vaccine acceptance and provide recommendations to design actionable interventions to increase uptake of the COVID-19 vaccine in six lower- and middle-income countries. Taking into consideration the health belief model and the theory of reasoned action, a barrier analysis approach was employed to examine twelve potential behavioural determinants of vaccine acceptance in Bangladesh, India, Myanmar, Kenya, the Democratic Republic of the Congo (DRC), and Tanzania. In all six countries, at least 45 interviews with those who intended to get the vaccine ("Acceptors") and another 45 or more interviews with those who did not ("Non-acceptors") were conducted, totalling 542 interviews. Data analysis was performed to find statistically significant (p < 0.05) differences between Acceptors and Non-acceptors of COVID-19 vaccines and to identify which beliefs were most highly associated with acceptance and non-acceptance of vaccination based on the estimated relative risk. The analysis showed that perceived social norms, perceived positive and negative consequences, perceived risk, perceived severity, trust, perceived safety, and expected access to COVID-19 vaccines had the highest associations with COVID-19-vaccine acceptance in Bangladesh, Kenya, Tanzania, and the DRC. Additional behavioural determinants found to be significant in Myanmar and India were perceived self-efficacy, trust in COVID-19 information provided by leaders, perceived divine will, and perceived action efficacy of the COVID-19 vaccines. Many of the determinants were found to be significant, and their level of significance varied from country to country. National and local plans should include messages and activities that address the behavioural determinants found in this study to significantly increase the uptake of COVID-19 vaccines across these countries.

Links

Authors+Show Affiliations

World Vision International, 1202 Geneva, Switzerland.

World Vision International, 1202 Geneva, Switzerland.

Bangladesh Country Office, Helen Keller International, Dhaka 1212, Bangladesh.

World Vision Canada, Mississauga, ON L5T 2Y4, Canada.

World Vision International, 1202 Geneva, Switzerland.

World Vision International, 1202 Geneva, Switzerland.

World Vision International, 1202 Geneva, Switzerland.

Vaccine Confidence Project, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35214672

Citation

Davis, Thomas P., et al. "Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries." Vaccines, vol. 10, no. 2, 2022.

Davis TP, Yimam AK, Kalam MA, et al. Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries. Vaccines (Basel). 2022;10(2).

Davis, T. P., Yimam, A. K., Kalam, M. A., Tolossa, A. D., Kanwagi, R., Bauler, S., Kulathungam, L., & Larson, H. (2022). Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries. Vaccines, 10(2). https://doi.org/10.3390/vaccines10020214

Davis TP, et al. Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries. Vaccines (Basel). 2022 Jan 29;10(2) PubMed PMID: 35214672.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries. AU - Davis,Thomas P,Jr AU - Yimam,Adugna Kebede, AU - Kalam,Md Abul, AU - Tolossa,Asrat Dibaba, AU - Kanwagi,Robert, AU - Bauler,Sarah, AU - Kulathungam,Loria, AU - Larson,Heidi, Y1 - 2022/01/29/ PY - 2021/12/29/received PY - 2022/01/18/revised PY - 2022/01/21/accepted PY - 2022/2/26/entrez PY - 2022/2/27/pubmed PY - 2022/2/27/medline KW - COVID-19 KW - acceptance KW - behaviour KW - determinants KW - hesitancy KW - vaccine JF - Vaccines JO - Vaccines (Basel) VL - 10 IS - 2 N2 - Delayed acceptance or refusal of COVID-19 vaccines may increase and prolong the threat to global public health and the economy. Identifying behavioural determinants is considered a critical step in explaining and addressing the barriers of vaccine refusal. This study aimed to identify the behavioural determinants of COVID-19-vaccine acceptance and provide recommendations to design actionable interventions to increase uptake of the COVID-19 vaccine in six lower- and middle-income countries. Taking into consideration the health belief model and the theory of reasoned action, a barrier analysis approach was employed to examine twelve potential behavioural determinants of vaccine acceptance in Bangladesh, India, Myanmar, Kenya, the Democratic Republic of the Congo (DRC), and Tanzania. In all six countries, at least 45 interviews with those who intended to get the vaccine ("Acceptors") and another 45 or more interviews with those who did not ("Non-acceptors") were conducted, totalling 542 interviews. Data analysis was performed to find statistically significant (p < 0.05) differences between Acceptors and Non-acceptors of COVID-19 vaccines and to identify which beliefs were most highly associated with acceptance and non-acceptance of vaccination based on the estimated relative risk. The analysis showed that perceived social norms, perceived positive and negative consequences, perceived risk, perceived severity, trust, perceived safety, and expected access to COVID-19 vaccines had the highest associations with COVID-19-vaccine acceptance in Bangladesh, Kenya, Tanzania, and the DRC. Additional behavioural determinants found to be significant in Myanmar and India were perceived self-efficacy, trust in COVID-19 information provided by leaders, perceived divine will, and perceived action efficacy of the COVID-19 vaccines. Many of the determinants were found to be significant, and their level of significance varied from country to country. National and local plans should include messages and activities that address the behavioural determinants found in this study to significantly increase the uptake of COVID-19 vaccines across these countries. SN - 2076-393X UR - https://www.unboundmedicine.com/medline/citation/35214672/Behavioural_Determinants_of_COVID_19_Vaccine_Acceptance_in_Rural_Areas_of_Six_Lower__and_Middle_Income_Countries_ DB - PRIME DP - Unbound Medicine ER -