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Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors
COVID-19 vaccines have met varying levels of acceptance and hesitancy in different parts of the world, which has implications for eliminating the COVID-19 pandemic. The aim of this systematic review is to examine how and why the rates of COVID-19 vaccine acceptance and hesitancy differ across countr...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779795/ https://www.ncbi.nlm.nih.gov/pubmed/35062771 http://dx.doi.org/10.3390/vaccines10010110 |
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author | Shakeel, Choudhary Sobhan Mujeeb, Amenah Abdul Mirza, Muhammad Shaheer Chaudhry, Beenish Khan, Saad Jawaid |
author_facet | Shakeel, Choudhary Sobhan Mujeeb, Amenah Abdul Mirza, Muhammad Shaheer Chaudhry, Beenish Khan, Saad Jawaid |
author_sort | Shakeel, Choudhary Sobhan |
collection | PubMed |
description | COVID-19 vaccines have met varying levels of acceptance and hesitancy in different parts of the world, which has implications for eliminating the COVID-19 pandemic. The aim of this systematic review is to examine how and why the rates of COVID-19 vaccine acceptance and hesitancy differ across countries and continents. PubMed, Web of Science, IEEE Xplore and Science Direct were searched between 1 January 2020 and 31 July 2021 using keywords such as “COVID-19 vaccine acceptance”. 81 peer-reviewed publications were found to be eligible for review. The analysis shows that there are global variations in vaccine acceptance among different populations. The vaccine-acceptance rates were the highest amongst adults in Ecuador (97%), Malaysia (94.3%) and Indonesia (93.3%) and the lowest amongst adults in Lebanon (21.0%). The general healthcare workers (HCWs) in China (86.20%) and nurses in Italy (91.50%) had the highest acceptance rates, whereas HCWs in the Democratic Republic of Congo had the lowest acceptance (27.70%). A nonparametric one-way ANOVA showed that the differences in vaccine-acceptance rates were statistically significant (H (49) = 75.302, p = 0.009*) between the analyzed countries. However, the reasons behind vaccine hesitancy and acceptance were similar across the board. Low vaccine acceptance was associated with low levels of education and awareness, and inefficient government efforts and initiatives. Furthermore, poor influenza-vaccination history, as well as conspiracy theories relating to infertility and misinformation about the COVID-19 vaccine on social media also resulted in vaccine hesitancy. Strategies to address these concerns may increase global COVID-19 vaccine acceptance and accelerate our efforts to eliminate this pandemic. |
format | Online Article Text |
id | pubmed-8779795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87797952022-01-22 Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors Shakeel, Choudhary Sobhan Mujeeb, Amenah Abdul Mirza, Muhammad Shaheer Chaudhry, Beenish Khan, Saad Jawaid Vaccines (Basel) Review COVID-19 vaccines have met varying levels of acceptance and hesitancy in different parts of the world, which has implications for eliminating the COVID-19 pandemic. The aim of this systematic review is to examine how and why the rates of COVID-19 vaccine acceptance and hesitancy differ across countries and continents. PubMed, Web of Science, IEEE Xplore and Science Direct were searched between 1 January 2020 and 31 July 2021 using keywords such as “COVID-19 vaccine acceptance”. 81 peer-reviewed publications were found to be eligible for review. The analysis shows that there are global variations in vaccine acceptance among different populations. The vaccine-acceptance rates were the highest amongst adults in Ecuador (97%), Malaysia (94.3%) and Indonesia (93.3%) and the lowest amongst adults in Lebanon (21.0%). The general healthcare workers (HCWs) in China (86.20%) and nurses in Italy (91.50%) had the highest acceptance rates, whereas HCWs in the Democratic Republic of Congo had the lowest acceptance (27.70%). A nonparametric one-way ANOVA showed that the differences in vaccine-acceptance rates were statistically significant (H (49) = 75.302, p = 0.009*) between the analyzed countries. However, the reasons behind vaccine hesitancy and acceptance were similar across the board. Low vaccine acceptance was associated with low levels of education and awareness, and inefficient government efforts and initiatives. Furthermore, poor influenza-vaccination history, as well as conspiracy theories relating to infertility and misinformation about the COVID-19 vaccine on social media also resulted in vaccine hesitancy. Strategies to address these concerns may increase global COVID-19 vaccine acceptance and accelerate our efforts to eliminate this pandemic. MDPI 2022-01-12 /pmc/articles/PMC8779795/ /pubmed/35062771 http://dx.doi.org/10.3390/vaccines10010110 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Shakeel, Choudhary Sobhan Mujeeb, Amenah Abdul Mirza, Muhammad Shaheer Chaudhry, Beenish Khan, Saad Jawaid Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title | Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title_full | Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title_fullStr | Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title_full_unstemmed | Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title_short | Global COVID-19 Vaccine Acceptance: A Systematic Review of Associated Social and Behavioral Factors |
title_sort | global covid-19 vaccine acceptance: a systematic review of associated social and behavioral factors |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779795/ https://www.ncbi.nlm.nih.gov/pubmed/35062771 http://dx.doi.org/10.3390/vaccines10010110 |
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