Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey

Identifying the factors driving vaccine hesitancy can improve vaccine attitudes and motivate individuals to have the recommended vaccinations. However, failure to address the issue directly, or worse, ignoring it, could deepen such concerns, resulting in lower vaccination rates, leading to elevated...

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Main Authors: Mohammed Khaled Al-Hanawi, Noor Alshareef, Rehab H. El-Sokkary
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/11/1257
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author Mohammed Khaled Al-Hanawi
Noor Alshareef
Rehab H. El-Sokkary
author_facet Mohammed Khaled Al-Hanawi
Noor Alshareef
Rehab H. El-Sokkary
author_sort Mohammed Khaled Al-Hanawi
collection DOAJ
description Identifying the factors driving vaccine hesitancy can improve vaccine attitudes and motivate individuals to have the recommended vaccinations. However, failure to address the issue directly, or worse, ignoring it, could deepen such concerns, resulting in lower vaccination rates, leading to elevated rates of illness and vaccine-preventable deaths among older adults. The aim of this study was to explore the rate of acceptance of the COVID-19 vaccine among older adults in Saudi Arabia, along with the associated predicting factors and reasons for hesitancy. This study extracted data from a cross-sectional online survey on the acceptability of COVID-19 vaccination in Saudi Arabia, which was conducted from 8 to 14 December 2020. The sample of the study included 488 older adults aged 50 and older. The major data analytic tools employed in the study were bivariate and multivariable regression analyses. Among the 488 participants, 214 (43.85%) reported willingness to accept the COVID-19 vaccine when available. Older men were more likely to be willing to be vaccinated (adjusted odds ratio (aOR): 2.277; 95% confidence interval (CI): 1.092–4.745) than older women. High levels of education were significantly associated with willingness to be vaccinated. Older adults who had previously refused any vaccine were less likely to take the COVID-19 vaccine (aOR: 0.358; 95% CI: 0.154–0.830). Those who expressed a high or very high level of concern related to becoming infected were more likely to accept the vaccine against COVID-19 (aOR: 4.437; 95% CI: 2.148–9.168). Adverse side effects (27.01%), and safety and efficacy concerns (22.63%) were the most commonly cited reasons for vaccine hesitancy. The vaccination acceptance rate among older adults in Saudi Arabia is low. Interventions designed specifically for older adults addressing worries and concerns related to the vaccine are of paramount importance. In particular, these interventions should be tailored to address gender-based and health literacy level differences.
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spelling doaj.art-cc53bc317e8b4a39949da8acace22d802023-11-23T01:51:51ZengMDPI AGVaccines2076-393X2021-10-01911125710.3390/vaccines9111257Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based SurveyMohammed Khaled Al-Hanawi0Noor Alshareef1Rehab H. El-Sokkary2Department of Health Services and Hospital Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 80200, Saudi ArabiaDepartment of Health Services and Hospital Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 80200, Saudi ArabiaMedical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig 44519, EgyptIdentifying the factors driving vaccine hesitancy can improve vaccine attitudes and motivate individuals to have the recommended vaccinations. However, failure to address the issue directly, or worse, ignoring it, could deepen such concerns, resulting in lower vaccination rates, leading to elevated rates of illness and vaccine-preventable deaths among older adults. The aim of this study was to explore the rate of acceptance of the COVID-19 vaccine among older adults in Saudi Arabia, along with the associated predicting factors and reasons for hesitancy. This study extracted data from a cross-sectional online survey on the acceptability of COVID-19 vaccination in Saudi Arabia, which was conducted from 8 to 14 December 2020. The sample of the study included 488 older adults aged 50 and older. The major data analytic tools employed in the study were bivariate and multivariable regression analyses. Among the 488 participants, 214 (43.85%) reported willingness to accept the COVID-19 vaccine when available. Older men were more likely to be willing to be vaccinated (adjusted odds ratio (aOR): 2.277; 95% confidence interval (CI): 1.092–4.745) than older women. High levels of education were significantly associated with willingness to be vaccinated. Older adults who had previously refused any vaccine were less likely to take the COVID-19 vaccine (aOR: 0.358; 95% CI: 0.154–0.830). Those who expressed a high or very high level of concern related to becoming infected were more likely to accept the vaccine against COVID-19 (aOR: 4.437; 95% CI: 2.148–9.168). Adverse side effects (27.01%), and safety and efficacy concerns (22.63%) were the most commonly cited reasons for vaccine hesitancy. The vaccination acceptance rate among older adults in Saudi Arabia is low. Interventions designed specifically for older adults addressing worries and concerns related to the vaccine are of paramount importance. In particular, these interventions should be tailored to address gender-based and health literacy level differences.https://www.mdpi.com/2076-393X/9/11/1257COVID-19older adultshesitancySaudi Arabiavaccine
spellingShingle Mohammed Khaled Al-Hanawi
Noor Alshareef
Rehab H. El-Sokkary
Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
Vaccines
COVID-19
older adults
hesitancy
Saudi Arabia
vaccine
title Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
title_full Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
title_fullStr Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
title_full_unstemmed Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
title_short Willingness to Receive COVID-19 Vaccination among Older Adults in Saudi Arabia: A Community-Based Survey
title_sort willingness to receive covid 19 vaccination among older adults in saudi arabia a community based survey
topic COVID-19
older adults
hesitancy
Saudi Arabia
vaccine
url https://www.mdpi.com/2076-393X/9/11/1257
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AT nooralshareef willingnesstoreceivecovid19vaccinationamongolderadultsinsaudiarabiaacommunitybasedsurvey
AT rehabhelsokkary willingnesstoreceivecovid19vaccinationamongolderadultsinsaudiarabiaacommunitybasedsurvey