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Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach

Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conduct...

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Autores principales: Osuagwu, Uchechukwu Levi, Langsi, Raymond, Ovenseri-Ogbomo, Godwin, Mashige, Khathutshelo Percy, Abu, Emmanuel Kwasi, Envuladu, Esther Awazzi, Goson, Piwuna Christopher, Ekpenyong, Bernadine Nsa, Oloruntoba, Richard, Miner, Chundung Asabe, Charwe, Deborah Donald, Timothy, Chikasirimobi Goodhope, Ishaya, Tanko, Amiebenomo, Onyekachukwu Mary-Anne, Lim, David, Agho, Kingsley E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266073/
https://www.ncbi.nlm.nih.gov/pubmed/35805551
http://dx.doi.org/10.3390/ijerph19137875
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author Osuagwu, Uchechukwu Levi
Langsi, Raymond
Ovenseri-Ogbomo, Godwin
Mashige, Khathutshelo Percy
Abu, Emmanuel Kwasi
Envuladu, Esther Awazzi
Goson, Piwuna Christopher
Ekpenyong, Bernadine Nsa
Oloruntoba, Richard
Miner, Chundung Asabe
Charwe, Deborah Donald
Timothy, Chikasirimobi Goodhope
Ishaya, Tanko
Amiebenomo, Onyekachukwu Mary-Anne
Lim, David
Agho, Kingsley E.
author_facet Osuagwu, Uchechukwu Levi
Langsi, Raymond
Ovenseri-Ogbomo, Godwin
Mashige, Khathutshelo Percy
Abu, Emmanuel Kwasi
Envuladu, Esther Awazzi
Goson, Piwuna Christopher
Ekpenyong, Bernadine Nsa
Oloruntoba, Richard
Miner, Chundung Asabe
Charwe, Deborah Donald
Timothy, Chikasirimobi Goodhope
Ishaya, Tanko
Amiebenomo, Onyekachukwu Mary-Anne
Lim, David
Agho, Kingsley E.
author_sort Osuagwu, Uchechukwu Levi
collection PubMed
description Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conducted in March–May 2021, corresponding to most Sub-Saharan African (SSA) countries’ early vaccine rollout period. Participants were those aged ≥18 years with self-reported DM in 11 Sub-Saharan African (SSA) countries. Responses to comments on the reasons for vaccine hesitancy and facilitators for vaccine uptake were analyzed. Of the 73 participants with DM, 65.8% were males, older than 35 years (86.3%), had postsecondary education (90%), and a significant proportion were from South Africa (39.7%), Nigeria (28.8%) and Ghana (13.7%). At the time of this study, 64.4% experienced COVID-19 symptoms, 46.6% were tested for COVID-19, of which 19.2% tested positive. Few participants (6.8%) had received a COVID-19 vaccination, 65.8% were willing to take the vaccine when it becomes available in their country, while 26.0% either refused or remained hesitant towards taking the vaccine. The main identified reasons for not taking the vaccine were: advice from religious leaders; concerns about the safety, effects, and efficacy of the vaccines; mistrust of the pharmaceutical companies producing the vaccines and the process of production; the conspiracy theories around the vaccines; and the personal belief of the participants regarding vaccination. However, participants stated they would take the vaccine if they were more educated about it, received positive feedback from those vaccinated, were rewarded for taking the vaccine, or if vaccination became a condition for travel and employment. In conclusion, this study shows that the uptake of the COVID-19 vaccine was very low in this high-risk group. Efforts to increase the uptake of COVID-19 vaccines among people with diabetes are imperative, such as the provision of education and relevant information.
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spelling pubmed-92660732022-07-09 Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach Osuagwu, Uchechukwu Levi Langsi, Raymond Ovenseri-Ogbomo, Godwin Mashige, Khathutshelo Percy Abu, Emmanuel Kwasi Envuladu, Esther Awazzi Goson, Piwuna Christopher Ekpenyong, Bernadine Nsa Oloruntoba, Richard Miner, Chundung Asabe Charwe, Deborah Donald Timothy, Chikasirimobi Goodhope Ishaya, Tanko Amiebenomo, Onyekachukwu Mary-Anne Lim, David Agho, Kingsley E. Int J Environ Res Public Health Article Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conducted in March–May 2021, corresponding to most Sub-Saharan African (SSA) countries’ early vaccine rollout period. Participants were those aged ≥18 years with self-reported DM in 11 Sub-Saharan African (SSA) countries. Responses to comments on the reasons for vaccine hesitancy and facilitators for vaccine uptake were analyzed. Of the 73 participants with DM, 65.8% were males, older than 35 years (86.3%), had postsecondary education (90%), and a significant proportion were from South Africa (39.7%), Nigeria (28.8%) and Ghana (13.7%). At the time of this study, 64.4% experienced COVID-19 symptoms, 46.6% were tested for COVID-19, of which 19.2% tested positive. Few participants (6.8%) had received a COVID-19 vaccination, 65.8% were willing to take the vaccine when it becomes available in their country, while 26.0% either refused or remained hesitant towards taking the vaccine. The main identified reasons for not taking the vaccine were: advice from religious leaders; concerns about the safety, effects, and efficacy of the vaccines; mistrust of the pharmaceutical companies producing the vaccines and the process of production; the conspiracy theories around the vaccines; and the personal belief of the participants regarding vaccination. However, participants stated they would take the vaccine if they were more educated about it, received positive feedback from those vaccinated, were rewarded for taking the vaccine, or if vaccination became a condition for travel and employment. In conclusion, this study shows that the uptake of the COVID-19 vaccine was very low in this high-risk group. Efforts to increase the uptake of COVID-19 vaccines among people with diabetes are imperative, such as the provision of education and relevant information. MDPI 2022-06-27 /pmc/articles/PMC9266073/ /pubmed/35805551 http://dx.doi.org/10.3390/ijerph19137875 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 Article
Osuagwu, Uchechukwu Levi
Langsi, Raymond
Ovenseri-Ogbomo, Godwin
Mashige, Khathutshelo Percy
Abu, Emmanuel Kwasi
Envuladu, Esther Awazzi
Goson, Piwuna Christopher
Ekpenyong, Bernadine Nsa
Oloruntoba, Richard
Miner, Chundung Asabe
Charwe, Deborah Donald
Timothy, Chikasirimobi Goodhope
Ishaya, Tanko
Amiebenomo, Onyekachukwu Mary-Anne
Lim, David
Agho, Kingsley E.
Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title_full Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title_fullStr Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title_full_unstemmed Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title_short Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach
title_sort analysis of perception, reasons, and motivations for covid-19 vaccination in people with diabetes across sub-saharan africa: a mixed-method approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266073/
https://www.ncbi.nlm.nih.gov/pubmed/35805551
http://dx.doi.org/10.3390/ijerph19137875
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