COVID-19 vaccine acceptance among high-risk populations in Uganda

dc.contributor.authorBongomin, Felix
dc.contributor.authorOlum, Ronald
dc.contributor.authorAndia-Biraro, Irene
dc.contributor.authorNakwagala, Frederick Nelson
dc.contributor.authorHudow Hassan, Khalid
dc.contributor.authorNassozi, Dianah Rhoda
dc.contributor.authorKaddumukasa, Mark
dc.contributor.authorByakika-Kibwika, Pauline
dc.contributor.authorKiguli, Sarah
dc.contributor.authorKirenga, Bruce J.
dc.date.accessioned2023-11-30T10:54:48Z
dc.date.available2023-11-30T10:54:48Z
dc.date.issued2021
dc.description.abstractBackground: Immunization is an important strategy for controlling the COVID-19 pandemic. COVID-19 vaccination was recently launched in Uganda, with prioritization to healthcare workers and high-risk individuals. In this study, we aimed to determine the acceptability of COVID-19 vaccine among persons at high risk of COVID-19 morbidity and mortality in Uganda. Methods: Between 29 March and 14 April 2021, we conducted a cross-sectional survey consecutively recruiting persons at high risk of severe COVID-19 (diabetes mellitus, HIV and cardiovascular disease) attending Kiruddu National Referral Hospital outpatient clinics. A trained research nurse administered a semi-structured questionnaire assessing demographics, COVID-19 vaccine related attitudes and acceptability. Descriptive statistics, bivariate and multivariable analyses were performed using STATA 16. Results: A total of 317 participants with a mean age 51.5±14.1years were recruited. Of this, 184 (60.5%) were female. Overall, 216 (70.1%) participants were willing to accept the COVID-19 vaccine. The odds of willingness to accept COVID-19 vaccination were four times greater if a participant was male compared with if a participant was female [adjusted odds ratio (AOR): 4.1, 95% confidence interval (CI): 1.8–9.4, p=0.00]. Participants who agreed (AOR: 0.04, 95% CI: 0.01–0.38, p=0.003) or strongly agreed (AOR: 0.04, 95% CI: 0.01–0.59, p=0.005) that they have some immunity against COVID-19 were also significantly less likely to accept the vaccine. Participants who had a history of vaccination hesitancy for their children were also significantly less likely to accept the COVID-19 vaccine (AOR: 0.1, 95% CI: 0.01–0.58, p=0.016). Conclusion: The willingness to receive a COVID-19 vaccine in this group of high-risk individuals was comparable to the global COVID-19 vaccine acceptance rate. Increased sensitization, myth busting and utilization of opinion leaders to encourage vaccine acceptability is recommended.en_US
dc.description.sponsorshipFogarty International Center of the National Institutes of Health, U.S. Department of State’s Office of the U.S. Global AIDS Coordinator and Health Diplomacy (S/GAC), and President’s Emergency Plan for AIDS Relief (PEPFAR) under Award Number 1R25TW011213en_US
dc.identifier.citationBongomin, F., Olum, R., Andia-Biraro, I., Nakwagala, F. N., Hassan, K. H., Nassozi, D. R., ... & Kirenga, B. J. (2021). COVID-19 vaccine acceptance among high-risk populations in Uganda. Therapeutic Advances in Infectious Disease, 8, 20499361211024376.en_US
dc.identifier.otherhttps://doi.org/10.1177/20499361211024376
dc.identifier.urihttps://hdl.handle.net/20.500.14270/408
dc.language.isoenen_US
dc.publisherTherapeutic Advances in Infectious Diseaseen_US
dc.subject: COVID-19,en_US
dc.subjecthigh-risk population,en_US
dc.subjectUganda,en_US
dc.subjectvaccinesen_US
dc.titleCOVID-19 vaccine acceptance among high-risk populations in Ugandaen_US
dc.typeArticleen_US

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