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Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe
INTRODUCTION: COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare del...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335587/ https://www.ncbi.nlm.nih.gov/pubmed/37407229 http://dx.doi.org/10.1136/bmjgh-2023-012268 |
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author | Larsson, Leyla Dziva Chikwari, Chido Simms, Victoria Tembo, Mandikudza Mahomva, Agnes Mugurungi, Owen Hayes, Richard J Mackworth-Young, Constance R S Bernays, Sarah Mavodza, Constancia Taruvinga, Tinotenda Bandason, Tsitsi Dauya, Ethel Ferrand, Rashida Abbas Kranzer, Katharina |
author_facet | Larsson, Leyla Dziva Chikwari, Chido Simms, Victoria Tembo, Mandikudza Mahomva, Agnes Mugurungi, Owen Hayes, Richard J Mackworth-Young, Constance R S Bernays, Sarah Mavodza, Constancia Taruvinga, Tinotenda Bandason, Tsitsi Dauya, Ethel Ferrand, Rashida Abbas Kranzer, Katharina |
author_sort | Larsson, Leyla |
collection | PubMed |
description | INTRODUCTION: COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns. METHODS: A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18–24 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression. RESULTS: 17 682 youth were recruited in the survey (n=10 742, 60.8% female). The median age of participants was 20 (IQR: 19–22) years. Almost two thirds (n=10 652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20–22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95% CI 1.58 to 1.80), increasing age (>22 years: OR=1.12, 95% CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95% CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95% CI 1.20 to 1.47). CONCLUSION: This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups. |
format | Online Article Text |
id | pubmed-10335587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103355872023-07-12 Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe Larsson, Leyla Dziva Chikwari, Chido Simms, Victoria Tembo, Mandikudza Mahomva, Agnes Mugurungi, Owen Hayes, Richard J Mackworth-Young, Constance R S Bernays, Sarah Mavodza, Constancia Taruvinga, Tinotenda Bandason, Tsitsi Dauya, Ethel Ferrand, Rashida Abbas Kranzer, Katharina BMJ Glob Health Original Research INTRODUCTION: COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns. METHODS: A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18–24 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression. RESULTS: 17 682 youth were recruited in the survey (n=10 742, 60.8% female). The median age of participants was 20 (IQR: 19–22) years. Almost two thirds (n=10 652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20–22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95% CI 1.58 to 1.80), increasing age (>22 years: OR=1.12, 95% CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95% CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95% CI 1.20 to 1.47). CONCLUSION: This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups. BMJ Publishing Group 2023-07-05 /pmc/articles/PMC10335587/ /pubmed/37407229 http://dx.doi.org/10.1136/bmjgh-2023-012268 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Larsson, Leyla Dziva Chikwari, Chido Simms, Victoria Tembo, Mandikudza Mahomva, Agnes Mugurungi, Owen Hayes, Richard J Mackworth-Young, Constance R S Bernays, Sarah Mavodza, Constancia Taruvinga, Tinotenda Bandason, Tsitsi Dauya, Ethel Ferrand, Rashida Abbas Kranzer, Katharina Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title_full | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title_fullStr | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title_full_unstemmed | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title_short | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
title_sort | addressing sociodemographic disparities in covid-19 vaccine uptake among youth in zimbabwe |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335587/ https://www.ncbi.nlm.nih.gov/pubmed/37407229 http://dx.doi.org/10.1136/bmjgh-2023-012268 |
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