Determinants for COVID-19 vaccine hesitancy in the general population: a systematic review of reviews

Journal of Public Health, Год журнала: 2022, Номер 31(11), С. 1829 - 1845

Опубликована: Сен. 19, 2022

Abstract Aim Although multiple COVID-19 vaccines are approved for global use, vaccine hesitancy poses a substantial risk health. Therefore, the aim of this umbrella review is to identify those factors that influence vaccination in general population. This necessary improve effectiveness future programmes. Methods PubMed, Embase, Scopus, PsycInfo, Cochrane Database Systematic Reviews, Epistemonikos, and PROSPERO (International Prospective Register Reviews) were searched on December 21, 2021. included reviews which investigated intention, willingness, or with regard adult populations, no restrictions setting. Content-based structure was used synthesise extracted data. The findings presented based Strategic Advisory Group Experts (SAGE) Working Model hesitancy. Results A total 3,392 studies identified, 31 met inclusion criteria. most frequently documented associated contextual factors, such as sex, age, social inequalities; individual group trust healthcare system, public health authorities, governments, history vaccination; vaccine-specific concern safety, perceived barriers, vaccines, about rapid development vaccine; disease-specific fear being infected COVID-19, severity knowledge COVID-19. Conclusion There Our lay foundation further understand uptake provide possible targets intervention However, there gaps research concerning certain including people mental disorders.

Язык: Английский

---

Barriers and facilitators of HPV vaccination in sub-saharan Africa: a systematic review

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Май 26, 2023

Abstract Background Human Papilloma Virus (HPV) is the most common sexually transmitted infection worldwide. Globally, both men and women have a 50% risk of being infected at least once in their life. HPV prevalence among highest sub-Saharan Africa (SSA), an average 24%. causes different types cancers, including cervical cancer (CC), which leading cause deaths SSA. HPV-vaccination has been proven to be effective reducing induced cancers. SSA countries are delayed reaching WHO’s target fully vaccinating 90% girls within age 15 by 2030. Our systematic review aims identify barriers facilitators inform national implementation strategies region. Methods This mixed method based on PRISMA statement The Joanna Briggs Institute Reviewers’ Manual. Search were adapted each selected database: PubMed/MEDLINE, Livivo, Google Scholar, Science Direct, African Journals Online for papers published English, Italian, German, French Spanish between 1 December 2011 31 2021. Zotero Rayyan software used data management. appraisal was conducted three independent reviewers. Results A total 20 articles from initial 536 articles. Barriers included: limited health system capacities, socio-economic status, stigma, fear costs vaccines, negative experience with vaccinations, COVID-19 pandemic, lack correct information, education (HE) consent. Additionally, we found that boys scarcely considered parents stakeholders. Facilitators information knowledge, policy implementation, positive HE, stakeholders’ engagement, women’s empowerment, community seasonality, target-oriented vaccination campaigns. Conclusions synthesizes HPV-vaccinations Addressing these can contribute more immunization programs targeted eliminating CC line WHO 90/70/90 strategy. Registration funding Protocol ID: CRD42022338609 registered International Prospective Register Systematic Reviews (PROSPERO). Partial funds: German Centre Infection research (DZIF) project NAMASTE: 8,008,803,819.

Язык: Английский

---

Understanding the barriers and facilitators of vaccine hesitancy towards the COVID-19 vaccine in healthcare workers and healthcare students worldwide: An Umbrella Review

PLoS ONE, Год журнала: 2023, Номер 18(4), С. e0280439 - e0280439

Опубликована: Апрель 12, 2023

Healthcare workers (HCWs) and healthcare students display high levels of vaccine hesitancy with impact on provision, patient safety, health promotion. The factors related to have been reported in several systematic reviews. However, this evidence needs be synthesised, as interventions reduce vaccination population are needed.

Язык: Английский

---

Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Globalization and Health, Год журнала: 2024, Номер 20(1)

Опубликована: Фев. 6, 2024

Abstract Introduction Indonesia has made progress in increasing vaccine coverage, but equitable access remains challenging, especially remote areas. Despite including vaccines the National Immunization Program (NIP), coverage not met WHO and UNICEF targets, with childhood immunization decreasing during COVID-19 pandemic. vaccination also experienced hesitancy, slowing efforts to end Scope This article addresses issue of hesitancy its impact on initiatives amidst utilizes framework analyze previous outbreaks vaccine-preventable diseases their underlying causes, ultimately providing recommendations for addressing current situation. The analysis considers differences between pre-pandemic circumstances present implementation basic advanced strategies. Key findings conclusion Vaccine is a significant challenge pandemic, public health campaigns community engagement are needed promote acceptance uptake. Efforts address trust healthcare systems increase likelihood individuals seeking preventive services. requires comprehensive, culturally sensitive approach that local contexts realities. Strategies should be tailored specific cultural societal monitored evaluated.

Язык: Английский

---

Evolution and Control of COVID-19 Epidemic in Hong Kong

Viruses, Год журнала: 2022, Номер 14(11), С. 2519 - 2519

Опубликована: Ноя. 14, 2022

Hong Kong SAR has adopted universal masking, social distancing, testing of all symptomatic and high-risk groups for isolation confirmed cases in healthcare facilities, quarantine contacts as epidemiological control measures without city lockdown or border closure. These successfully suppressed the community transmission pre-Omicron SARS-CoV-2 variants lineages during first to fourth wave. No nosocomial infection was documented among workers 300 days. The strategy COVID-19 containment provide additional time achieve population immunity by vaccination. near-zero situation about 8 months 2021 did not enable adequate immunization eligible population. A combination factors identified, especially complacency associated with low local activity, together vaccine hesitancy. importation highly transmissible Omicron variant kickstarted fifth wave COVID-19, which could no longer be controlled our initial measures. explosive wave, partially contributed vertical airborne high-rise residential buildings, resulted over one million infection. In this review, we summarize epidemiology public health against dissemination until day 1000.

Язык: Английский

---

COVID-19 vaccine hesitancy among people living with HIV in a low-resource setting: A multi-center study of prevalence, correlates and reasons

Vaccine, Год журнала: 2023, Номер 41(15), С. 2476 - 2484

Опубликована: Фев. 23, 2023

Язык: Английский

---

A qualitative inquiry on drivers of COVID-19 vaccine hesitancy among adults in Kenya

PLOS Global Public Health, Год журнала: 2024, Номер 4(3), С. e0002986 - e0002986

Опубликована: Март 28, 2024

COVID-19 vaccination rates have been low among adults in Kenya (36.7% as of late March 2023) with vaccine hesitancy posing a threat to the program. This study sought examine facilitators and barriers vaccinations Kenya. We conducted qualitative cross-sectional two purposively selected counties collected data through 8 focus group discussions 80 community members in-depth interviews health care managers providers. The was analyzed using framework approach focusing on determinants their influence psychological constructs. Barriers uptake were related individual characteristics (males, younger age, perceived status, belief herbal medicine, lack autonomy decision making women ‐ especially rural settings), contextual influences (lifting bans, myths, medical mistrust, cultural religious beliefs), factors (fear unknown consequences, side-effects, understanding how vaccines work rationale for boosters). However, volunteers, trusted leaders, mandates, financial geographic access influenced uptake. These drivers mainly constructs including confidence, complacency, constraints. Vaccine is driven by multiple interconnected factors. are likely inform evidence-based targeted strategies that built trust address hesitancy. could include gender responsive immunization programs, appropriate messaging consistent communication target fear, safety concerns, misconceptions information gaps line concerns. There need ensure tested local setting incorporate multisectoral leaders leaders.

Язык: Английский

---

COVID-19 Vaccine Uptake and Associated Factors in Sub-Saharan Africa: Evidence from a Community-Based Survey in Tanzania

Vaccines, Год журнала: 2023, Номер 11(2), С. 465 - 465

Опубликована: Фев. 17, 2023

COVID-19 is a major public health threat associated with the increased global burden of infectious diseases, mortality, and enormous economic loss to countries communities. Safe efficacious vaccines are crucial in halting pandemic. We assessed vaccine uptake factors among community members from eight regions Tanzania. The interviewer-administered questionnaire collected data. Multiple logistic regression models determined uptake. median age 3470 respondents was 37 years (interquartile range 29-50 years) 66% them were females. Only 18% had received vaccine, ranging 8% Dar es Salaam 37% Simiyu regions. A third (34%) those vaccinated people did not know which they given. Significantly higher rates aged 30+ years, males, history infection. Unfavorable perceptions about safety efficacy lowered Setting-specific interventions innovations critical improving uptake, given observed differences between Efforts needed increase women younger less than 30 years. Knowledge-based should enhance understanding available vaccines, benefits, target groups, availability.

Язык: Английский

---

HPV vaccination in Africa in the COVID-19 era: a cross-sectional survey of healthcare providers’ knowledge, training, and recommendation practices

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Янв. 17, 2024

Introduction Although the burden of cervical cancer in Africa is highest, HPV vaccination coverage remains alarmingly low this region. Providers’ knowledge and recommendation are key drivers uptake. Yet, evidence about providers’ practices vaccine against a backdrop emerging hesitancy fueled by COVID-19 pandemic lacking Africa. Methods A cross-sectional study was conducted 2021–2022 among healthcare providers involved prevention activities They were invited to report prior training, availability their practice, whether they recommended vaccine, and, if not, reasons for not recommending it. Their assessed through self-reporting (perceived knowledge) with three pre-tested questions (measured knowledge). Results Of 153 from 23 African countries who responded survey (mean age: 38.5 years, SD: 10.1), 75 (54.0%) female 97 (63.4%) based In national immunization programs. Overall, 57 (43.8%) reported having received training on education/counseling, 40 (37.4%) indicated that available at facility where work. Most respondents (109, 83.2%) practice. Vaccine unavailability (57.1%), lack effective communication tools informational material (28.6%), need adequate (28.6%) most commonly vaccine. While 63 (52.9%) only 9.9% correctly 3 questions. Conclusion To increase counter misinformation Africa, culturally appropriate educational materials needed improve facilitate patients community.

Язык: Английский

---

Knowledge, attitudes and demographic drivers for COVID-19 vaccine hesitancy in Malawi

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Апрель 26, 2024

This study assessed the association among knowledge, attitudes and uptake of COVID-19 vaccine in Malawi, examining demographic factors influencing these variables. The employed a quantitative research design. It thus sampled 394 participants from Malawi's three districts Zomba, Dowa Nkhatabay. Results showed that 163 (41.4%) had low levels knowledge vaccine, 231 (58.6%) high 237 (60.2%) positive attitude, 156 (39.8%) negative attitude towards vaccine. On uptake, found only 29 (17%) male 52 (23%) female received Further, with were 5.9 times more likely (p-value = 0.001) to be vaccinated than those other hand, 8.2 < compared findings highlight importance vaccine-related shaping reveal disparities across groups. To improve vaccination coverage targeted interventions focusing on enhancing addressing attitudinal barriers, countering misinformation are needed. Strategies should tailored reach populations lower such as males, younger adults, education levels. Strengthening public health messaging, engaging community leaders, building trust healthcare systems crucial for promoting widespread acceptance vaccines Malawi.

Язык: Английский

---