Cargando…

COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine ac...

Descripción completa

Detalles Bibliográficos
Autores principales: Solís Arce, Julio S., Warren, Shana S., Meriggi, Niccolò F., Scacco, Alexandra, McMurry, Nina, Voors, Maarten, Syunyaev, Georgiy, Malik, Amyn Abdul, Aboutajdine, Samya, Adeojo, Opeyemi, Anigo, Deborah, Armand, Alex, Asad, Saher, Atyera, Martin, Augsburg, Britta, Awasthi, Manisha, Ayesiga, Gloria Eden, Bancalari, Antonella, Björkman Nyqvist, Martina, Borisova, Ekaterina, Bosancianu, Constantin Manuel, Cabra García, Magarita Rosa, Cheema, Ali, Collins, Elliott, Cuccaro, Filippo, Farooqi, Ahsan Zia, Fatima, Tatheer, Fracchia, Mattia, Galindo Soria, Mery Len, Guariso, Andrea, Hasanain, Ali, Jaramillo, Sofía, Kallon, Sellu, Kamwesigye, Anthony, Kharel, Arjun, Kreps, Sarah, Levine, Madison, Littman, Rebecca, Malik, Mohammad, Manirabaruta, Gisele, Mfura, Jean Léodomir Habarimana, Momoh, Fatoma, Mucauque, Alberto, Mussa, Imamo, Nsabimana, Jean Aime, Obara, Isaac, Otálora, María Juliana, Ouédraogo, Béchir Wendemi, Pare, Touba Bakary, Platas, Melina R., Polanco, Laura, Qureshi, Javaeria Ashraf, Raheem, Mariam, Ramakrishna, Vasudha, Rendrá, Ismail, Shah, Taimur, Shaked, Sarene Eyla, Shapiro, Jacob N., Svensson, Jakob, Tariq, Ahsan, Tchibozo, Achille Mignondo, Tiwana, Hamid Ali, Trivedi, Bhartendu, Vernot, Corey, Vicente, Pedro C., Weissinger, Laurin B., Zafar, Basit, Zhang, Baobao, Karlan, Dean, Callen, Michael, Teachout, Matthieu, Humphreys, Macartan, Mobarak, Ahmed Mushfiq, Omer, Saad B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363502/
https://www.ncbi.nlm.nih.gov/pubmed/34272499
http://dx.doi.org/10.1038/s41591-021-01454-y
_version_ 1783738366864392192
author Solís Arce, Julio S.
Warren, Shana S.
Meriggi, Niccolò F.
Scacco, Alexandra
McMurry, Nina
Voors, Maarten
Syunyaev, Georgiy
Malik, Amyn Abdul
Aboutajdine, Samya
Adeojo, Opeyemi
Anigo, Deborah
Armand, Alex
Asad, Saher
Atyera, Martin
Augsburg, Britta
Awasthi, Manisha
Ayesiga, Gloria Eden
Bancalari, Antonella
Björkman Nyqvist, Martina
Borisova, Ekaterina
Bosancianu, Constantin Manuel
Cabra García, Magarita Rosa
Cheema, Ali
Collins, Elliott
Cuccaro, Filippo
Farooqi, Ahsan Zia
Fatima, Tatheer
Fracchia, Mattia
Galindo Soria, Mery Len
Guariso, Andrea
Hasanain, Ali
Jaramillo, Sofía
Kallon, Sellu
Kamwesigye, Anthony
Kharel, Arjun
Kreps, Sarah
Levine, Madison
Littman, Rebecca
Malik, Mohammad
Manirabaruta, Gisele
Mfura, Jean Léodomir Habarimana
Momoh, Fatoma
Mucauque, Alberto
Mussa, Imamo
Nsabimana, Jean Aime
Obara, Isaac
Otálora, María Juliana
Ouédraogo, Béchir Wendemi
Pare, Touba Bakary
Platas, Melina R.
Polanco, Laura
Qureshi, Javaeria Ashraf
Raheem, Mariam
Ramakrishna, Vasudha
Rendrá, Ismail
Shah, Taimur
Shaked, Sarene Eyla
Shapiro, Jacob N.
Svensson, Jakob
Tariq, Ahsan
Tchibozo, Achille Mignondo
Tiwana, Hamid Ali
Trivedi, Bhartendu
Vernot, Corey
Vicente, Pedro C.
Weissinger, Laurin B.
Zafar, Basit
Zhang, Baobao
Karlan, Dean
Callen, Michael
Teachout, Matthieu
Humphreys, Macartan
Mobarak, Ahmed Mushfiq
Omer, Saad B.
author_facet Solís Arce, Julio S.
Warren, Shana S.
Meriggi, Niccolò F.
Scacco, Alexandra
McMurry, Nina
Voors, Maarten
Syunyaev, Georgiy
Malik, Amyn Abdul
Aboutajdine, Samya
Adeojo, Opeyemi
Anigo, Deborah
Armand, Alex
Asad, Saher
Atyera, Martin
Augsburg, Britta
Awasthi, Manisha
Ayesiga, Gloria Eden
Bancalari, Antonella
Björkman Nyqvist, Martina
Borisova, Ekaterina
Bosancianu, Constantin Manuel
Cabra García, Magarita Rosa
Cheema, Ali
Collins, Elliott
Cuccaro, Filippo
Farooqi, Ahsan Zia
Fatima, Tatheer
Fracchia, Mattia
Galindo Soria, Mery Len
Guariso, Andrea
Hasanain, Ali
Jaramillo, Sofía
Kallon, Sellu
Kamwesigye, Anthony
Kharel, Arjun
Kreps, Sarah
Levine, Madison
Littman, Rebecca
Malik, Mohammad
Manirabaruta, Gisele
Mfura, Jean Léodomir Habarimana
Momoh, Fatoma
Mucauque, Alberto
Mussa, Imamo
Nsabimana, Jean Aime
Obara, Isaac
Otálora, María Juliana
Ouédraogo, Béchir Wendemi
Pare, Touba Bakary
Platas, Melina R.
Polanco, Laura
Qureshi, Javaeria Ashraf
Raheem, Mariam
Ramakrishna, Vasudha
Rendrá, Ismail
Shah, Taimur
Shaked, Sarene Eyla
Shapiro, Jacob N.
Svensson, Jakob
Tariq, Ahsan
Tchibozo, Achille Mignondo
Tiwana, Hamid Ali
Trivedi, Bhartendu
Vernot, Corey
Vicente, Pedro C.
Weissinger, Laurin B.
Zafar, Basit
Zhang, Baobao
Karlan, Dean
Callen, Michael
Teachout, Matthieu
Humphreys, Macartan
Mobarak, Ahmed Mushfiq
Omer, Saad B.
author_sort Solís Arce, Julio S.
collection PubMed
description Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs.
format Online
Article
Text
id pubmed-8363502
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Nature Publishing Group US
record_format MEDLINE/PubMed
spelling pubmed-83635022021-08-30 COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries Solís Arce, Julio S. Warren, Shana S. Meriggi, Niccolò F. Scacco, Alexandra McMurry, Nina Voors, Maarten Syunyaev, Georgiy Malik, Amyn Abdul Aboutajdine, Samya Adeojo, Opeyemi Anigo, Deborah Armand, Alex Asad, Saher Atyera, Martin Augsburg, Britta Awasthi, Manisha Ayesiga, Gloria Eden Bancalari, Antonella Björkman Nyqvist, Martina Borisova, Ekaterina Bosancianu, Constantin Manuel Cabra García, Magarita Rosa Cheema, Ali Collins, Elliott Cuccaro, Filippo Farooqi, Ahsan Zia Fatima, Tatheer Fracchia, Mattia Galindo Soria, Mery Len Guariso, Andrea Hasanain, Ali Jaramillo, Sofía Kallon, Sellu Kamwesigye, Anthony Kharel, Arjun Kreps, Sarah Levine, Madison Littman, Rebecca Malik, Mohammad Manirabaruta, Gisele Mfura, Jean Léodomir Habarimana Momoh, Fatoma Mucauque, Alberto Mussa, Imamo Nsabimana, Jean Aime Obara, Isaac Otálora, María Juliana Ouédraogo, Béchir Wendemi Pare, Touba Bakary Platas, Melina R. Polanco, Laura Qureshi, Javaeria Ashraf Raheem, Mariam Ramakrishna, Vasudha Rendrá, Ismail Shah, Taimur Shaked, Sarene Eyla Shapiro, Jacob N. Svensson, Jakob Tariq, Ahsan Tchibozo, Achille Mignondo Tiwana, Hamid Ali Trivedi, Bhartendu Vernot, Corey Vicente, Pedro C. Weissinger, Laurin B. Zafar, Basit Zhang, Baobao Karlan, Dean Callen, Michael Teachout, Matthieu Humphreys, Macartan Mobarak, Ahmed Mushfiq Omer, Saad B. Nat Med Article Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs. Nature Publishing Group US 2021-07-16 2021 /pmc/articles/PMC8363502/ /pubmed/34272499 http://dx.doi.org/10.1038/s41591-021-01454-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Solís Arce, Julio S.
Warren, Shana S.
Meriggi, Niccolò F.
Scacco, Alexandra
McMurry, Nina
Voors, Maarten
Syunyaev, Georgiy
Malik, Amyn Abdul
Aboutajdine, Samya
Adeojo, Opeyemi
Anigo, Deborah
Armand, Alex
Asad, Saher
Atyera, Martin
Augsburg, Britta
Awasthi, Manisha
Ayesiga, Gloria Eden
Bancalari, Antonella
Björkman Nyqvist, Martina
Borisova, Ekaterina
Bosancianu, Constantin Manuel
Cabra García, Magarita Rosa
Cheema, Ali
Collins, Elliott
Cuccaro, Filippo
Farooqi, Ahsan Zia
Fatima, Tatheer
Fracchia, Mattia
Galindo Soria, Mery Len
Guariso, Andrea
Hasanain, Ali
Jaramillo, Sofía
Kallon, Sellu
Kamwesigye, Anthony
Kharel, Arjun
Kreps, Sarah
Levine, Madison
Littman, Rebecca
Malik, Mohammad
Manirabaruta, Gisele
Mfura, Jean Léodomir Habarimana
Momoh, Fatoma
Mucauque, Alberto
Mussa, Imamo
Nsabimana, Jean Aime
Obara, Isaac
Otálora, María Juliana
Ouédraogo, Béchir Wendemi
Pare, Touba Bakary
Platas, Melina R.
Polanco, Laura
Qureshi, Javaeria Ashraf
Raheem, Mariam
Ramakrishna, Vasudha
Rendrá, Ismail
Shah, Taimur
Shaked, Sarene Eyla
Shapiro, Jacob N.
Svensson, Jakob
Tariq, Ahsan
Tchibozo, Achille Mignondo
Tiwana, Hamid Ali
Trivedi, Bhartendu
Vernot, Corey
Vicente, Pedro C.
Weissinger, Laurin B.
Zafar, Basit
Zhang, Baobao
Karlan, Dean
Callen, Michael
Teachout, Matthieu
Humphreys, Macartan
Mobarak, Ahmed Mushfiq
Omer, Saad B.
COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title_full COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title_fullStr COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title_full_unstemmed COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title_short COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
title_sort covid-19 vaccine acceptance and hesitancy in low- and middle-income countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363502/
https://www.ncbi.nlm.nih.gov/pubmed/34272499
http://dx.doi.org/10.1038/s41591-021-01454-y
work_keys_str_mv AT solisarcejulios covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT warrenshanas covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT merigginiccolof covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT scaccoalexandra covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT mcmurrynina covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT voorsmaarten covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT syunyaevgeorgiy covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT malikamynabdul covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT aboutajdinesamya covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT adeojoopeyemi covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT anigodeborah covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT armandalex covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT asadsaher covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT atyeramartin covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT augsburgbritta covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT awasthimanisha covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT ayesigagloriaeden covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT bancalariantonella covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT bjorkmannyqvistmartina covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT borisovaekaterina covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT bosancianuconstantinmanuel covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT cabragarciamagaritarosa covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT cheemaali covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT collinselliott covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT cuccarofilippo covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT farooqiahsanzia covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT fatimatatheer covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT fracchiamattia covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT galindosoriamerylen covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT guarisoandrea covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT hasanainali covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT jaramillosofia covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT kallonsellu covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT kamwesigyeanthony covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT kharelarjun covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT krepssarah covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT levinemadison covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT littmanrebecca covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT malikmohammad covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT manirabarutagisele covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT mfurajeanleodomirhabarimana covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT momohfatoma covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT mucauquealberto covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT mussaimamo covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT nsabimanajeanaime covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT obaraisaac covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT otaloramariajuliana covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT ouedraogobechirwendemi covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT paretoubabakary covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT platasmelinar covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT polancolaura covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT qureshijavaeriaashraf covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT raheemmariam covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT ramakrishnavasudha covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT rendraismail covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT shahtaimur covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT shakedsareneeyla covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT shapirojacobn covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT svenssonjakob covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT tariqahsan covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT tchibozoachillemignondo covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT tiwanahamidali covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT trivedibhartendu covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT vernotcorey covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT vicentepedroc covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT weissingerlaurinb covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT zafarbasit covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT zhangbaobao covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT karlandean covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT callenmichael covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT teachoutmatthieu covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT humphreysmacartan covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT mobarakahmedmushfiq covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries
AT omersaadb covid19vaccineacceptanceandhesitancyinlowandmiddleincomecountries