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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...
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/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. |
format | Online Article Text |
id | pubmed-9266073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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