Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia

Background: Vaccine hesitancy has been identified by the World Health Organization (WHO) as a major worldwide health threat. Home Health Care (HHC) service recipients represent a vulnerable group and were prioritized to receive coronavirus disease (COVID-19) vaccination during the national vaccine c...

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Main Authors: Walid A. Alkeridy, Hisham Alquaydheb, Shadan Almuhaidib, Nawal A. Sindi, Arwa Aljasser, Janet Kushner Kow, Amani S. Alqahtani
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/9/1436
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author Walid A. Alkeridy
Hisham Alquaydheb
Shadan Almuhaidib
Nawal A. Sindi
Arwa Aljasser
Janet Kushner Kow
Amani S. Alqahtani
author_facet Walid A. Alkeridy
Hisham Alquaydheb
Shadan Almuhaidib
Nawal A. Sindi
Arwa Aljasser
Janet Kushner Kow
Amani S. Alqahtani
author_sort Walid A. Alkeridy
collection DOAJ
description Background: Vaccine hesitancy has been identified by the World Health Organization (WHO) as a major worldwide health threat. Home Health Care (HHC) service recipients represent a vulnerable group and were prioritized to receive coronavirus disease (COVID-19) vaccination during the national vaccine campaigns in Saudi Arabia. We aimed to investigate the most frequent reasons for vaccine hesitancy among home health care recipients in Saudi Arabia. Methods: This cross-sectional survey was conducted among home health care (HHC) service recipients in Saudi Arabia from February 2022 to September 2022. The behavioral and social drivers (BeSD) model developed by the WHO was used to understand the factors affecting vaccination decision making in our cohort. Results: Of the 426 HHC service recipients enrolled in the study, a third were hesitant to complete the COVID-19 vaccination series. The most prevalent reported reason for COVID-19 vaccine refusal was concerns about the vaccine side effects (41.6%). Factors independently associated with COVID-19 vaccination hesitancy were: having chronic conditions (odds ratio [OR] = 2.59; 95% confidence interval [CI] = 1.33–5.05, <i>p</i> = 0.005), previous COVID-19 diagnosis (OR = 0.48; 95% CI: 0.28–0.82, <i>p</i> = 0.008), ease of getting the COVID-19 vaccine by themselves (OR = 0.49; 95% CI: 0.28–0.89, <i>p</i> = 0.018), belief in the importance of COVID-19 vaccine in protecting their health (OR = 0.60; 95% CI: 0.38–0.96, <i>p</i> = 0.032), and confidence in the safety of COVID-19 vaccination (OR = 0.38; 95% CI: 0.21–0.69, <i>p</i> = 0.001). Conclusion: Only one-third of the study participants were hesitant to complete the series of COVID-19 vaccination. Understanding the factors underpinning vaccine hesitancy among this group would help healthcare workers and policymakers in developing personalized health awareness campaigns aimed at improving vaccine acceptance levels.
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spelling doaj.art-2bf4644d1dbe458e933000176c3f42982023-11-19T13:18:56ZengMDPI AGVaccines2076-393X2023-08-01119143610.3390/vaccines11091436Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi ArabiaWalid A. Alkeridy0Hisham Alquaydheb1Shadan Almuhaidib2Nawal A. Sindi3Arwa Aljasser4Janet Kushner Kow5Amani S. Alqahtani6Department of Medicine, College of Medicine, King Saud University, Riyadh 12372, Saudi ArabiaDepartment of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaScientific Research Center, Ministry of Defense Health Services, Riyadh 12426, Saudi ArabiaGeneral Administration of Home Health Care, Therapeutic Affairs Deputyship, Riyadh 12382, Saudi ArabiaDepartment of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 12372, Saudi ArabiaDepartment of Medicine, Geriatric Division, University of British Columbia, Vancouver, BC V6T 1Z4, CanadaSaudi Food and Drug Authority, Riyadh 13513, Saudi ArabiaBackground: Vaccine hesitancy has been identified by the World Health Organization (WHO) as a major worldwide health threat. Home Health Care (HHC) service recipients represent a vulnerable group and were prioritized to receive coronavirus disease (COVID-19) vaccination during the national vaccine campaigns in Saudi Arabia. We aimed to investigate the most frequent reasons for vaccine hesitancy among home health care recipients in Saudi Arabia. Methods: This cross-sectional survey was conducted among home health care (HHC) service recipients in Saudi Arabia from February 2022 to September 2022. The behavioral and social drivers (BeSD) model developed by the WHO was used to understand the factors affecting vaccination decision making in our cohort. Results: Of the 426 HHC service recipients enrolled in the study, a third were hesitant to complete the COVID-19 vaccination series. The most prevalent reported reason for COVID-19 vaccine refusal was concerns about the vaccine side effects (41.6%). Factors independently associated with COVID-19 vaccination hesitancy were: having chronic conditions (odds ratio [OR] = 2.59; 95% confidence interval [CI] = 1.33–5.05, <i>p</i> = 0.005), previous COVID-19 diagnosis (OR = 0.48; 95% CI: 0.28–0.82, <i>p</i> = 0.008), ease of getting the COVID-19 vaccine by themselves (OR = 0.49; 95% CI: 0.28–0.89, <i>p</i> = 0.018), belief in the importance of COVID-19 vaccine in protecting their health (OR = 0.60; 95% CI: 0.38–0.96, <i>p</i> = 0.032), and confidence in the safety of COVID-19 vaccination (OR = 0.38; 95% CI: 0.21–0.69, <i>p</i> = 0.001). Conclusion: Only one-third of the study participants were hesitant to complete the series of COVID-19 vaccination. Understanding the factors underpinning vaccine hesitancy among this group would help healthcare workers and policymakers in developing personalized health awareness campaigns aimed at improving vaccine acceptance levels.https://www.mdpi.com/2076-393X/11/9/1436vaccine hesitancyhome health careSaudi Arabia
spellingShingle Walid A. Alkeridy
Hisham Alquaydheb
Shadan Almuhaidib
Nawal A. Sindi
Arwa Aljasser
Janet Kushner Kow
Amani S. Alqahtani
Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
Vaccines
vaccine hesitancy
home health care
Saudi Arabia
title Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
title_full Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
title_fullStr Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
title_full_unstemmed Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
title_short Determinants of Vaccine Hesitancy among Home Health Care Service Recipients in Saudi Arabia
title_sort determinants of vaccine hesitancy among home health care service recipients in saudi arabia
topic vaccine hesitancy
home health care
Saudi Arabia
url https://www.mdpi.com/2076-393X/11/9/1436
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