COVID-19 vaccine hesitancy and its determinants among Sub-Saharan African adolescents

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dc.contributor.authorWang, Dongqing
dc.contributor.authorChukwu, Angela
dc.contributor.authorMwanyika-Sando, Mary
dc.contributor.authorAbubakar, Sulemana Watara
dc.contributor.authorAssef, Nega
dc.contributor.authorMadzorera, Isabel
dc.contributor.authorHemler, Elena C.
dc.contributor.authorIsmai, Abbas
dc.contributor.authorLankoande, Bruno
dc.contributor.authorMapendo, Frank
dc.contributor.authorMillogo, Ourohire´
dc.contributor.authorWorkneh, Firehiwot
dc.contributor.authorAzemraw, Temesgen
dc.contributor.authorFebir, Lawrence Gyabaa
dc.contributor.authorJames, Christabel
dc.contributor.authorTinkasimile, Amani
dc.contributor.authorAsant, Kwaku Poku
dc.contributor.authorBaernighausen, Till
dc.contributor.authorBerhane, Yemane
dc.contributor.authorKillewo, Japhet
dc.contributor.authorOduola, Ayoade M. J.
dc.contributor.authorSie, Ali
dc.contributor.authorSmith, Emily R.
dc.contributor.authorSoura, Abdramane Bassiahi
dc.contributor.authorRaj, Tajudeen
dc.contributor.authorVuai, Said
dc.contributor.authorFawzi, Wafaie W.
dc.date.accessioned2023-04-01T13:48:26Z
dc.date.available2023-04-01T13:48:26Z
dc.date.issued2022
dc.descriptionFull text article. Also available at: https://doi.org/10.1371/journal.pgph.0000611en_US
dc.description.abstractCOVID-19 vaccine hesitancy among adolescents poses a challenge to the global effort to control the pandemic. This multi-country survey aimed to assess the prevalence and determinants of COVID-19 vaccine hesitancy among adolescents in sub-Saharan Africa between July and December 2021. The survey was conducted using computer-assisted telephone interviewing among adolescents in five sub-Saharan African countries, Burkina Faso, Ethiopia, Ghana, Nigeria, and Tanzania. A rural area and an urban area were included in each country (except Ghana, which only had a rural area), with approximately 300 adolescents in each area and 2662 in total. Sociodemographic characteristics and perceptions and attitudes on COVID-19 vaccines were measured. Vaccine hesitancy was defined as definitely not getting vaccinated or being undecided on whether to get vaccinated if a COVID-19 vaccine were available. Log-binomial models were used to calculate the adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) for associations between potential determinants and COVID-19 vaccine hesitancy. The percentage of COVID-19 vaccine hesitancy was 14% in rural Kersa, 23% in rural Ibadan, 31% in rural Nouna, 32% in urban Ouagadougou, 37% in urban Addis Ababa, 48% in rural Kintampo, 65% in urban Lagos, 76% in urban Dar es Salaam, and 88% in rural Dodoma. Perceived low necessity, concerns about vaccine safety, and concerns about vaccine effectiveness were the leading reasons for hesitancy. Healthcare workers, parents or family members, and schoolteachers had the greatest impacts on vaccine willingness. Perceived lack of safety (aPR: 3.52; 95% CI: 3.00, 4.13) and lack of effectiveness (aPR: 3.46; 95% CI: 2.97, 4.03) were associated with greater vaccine hesitancy. The prevalence of COVID-19 vaccine hesitancy among adolescents is alarmingly high across the five sub-Saharan African countries, especially in Tanzania. COVID-19 vaccination campaigns among sub-Saharan African adolescents should address their concerns and misconceptions about vaccine safety and effectiveness.en_US
dc.identifier.citationWang, D., Chukwu, A., Mwanyika-Sando, M., Abubakari, S. W., Assefa, N., Madzorera, I., ... & Fawzi, W. W. (2022). COVID-19 vaccine hesitancy and its determinants among sub-Saharan African adolescents. PLOS Global Public Health, 2(10), e0000611, 2(10), 1-17. https://doi.org/10.1371/journal.pgph.0000611en_US
dc.identifier.otherURL: https://doi.org/10.1371/journal.pgph.0000611
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3682
dc.language.isoenen_US
dc.publisherPLOSen_US
dc.subjectCOVID-19en_US
dc.subjectCOVID-19 vaccineen_US
dc.subjectCOVID-19 vaccine hesitancyen_US
dc.subjectVaccine hesitancyen_US
dc.subjectAdolescentsen_US
dc.subjectSub-Saharan Africaen_US
dc.subjectAdolescents vaccinationen_US
dc.titleCOVID-19 vaccine hesitancy and its determinants among Sub-Saharan African adolescentsen_US
dc.typeArticleen_US
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