Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey

BackgroundThe COVID-19 pandemic is an additional burden on Lebanon’s fragmented health care system and adds to its ongoing political, economic, and refugee crises. Vaccination is an important means of reducing the impact of the pandemic. ObjectiveOur study’s aims...

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Main Authors: Nadeem Elias Abou-Arraj, Diana Maddah, Vanessa Buhamdan, Roua Abbas, Nadine Kamel Jawad, Fatima Karaki, Nael H Alami, Pascal Geldsetzer
Format: Article
Language:English
Published: JMIR Publications 2022-12-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2022/12/e36827
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author Nadeem Elias Abou-Arraj
Diana Maddah
Vanessa Buhamdan
Roua Abbas
Nadine Kamel Jawad
Fatima Karaki
Nael H Alami
Pascal Geldsetzer
author_facet Nadeem Elias Abou-Arraj
Diana Maddah
Vanessa Buhamdan
Roua Abbas
Nadine Kamel Jawad
Fatima Karaki
Nael H Alami
Pascal Geldsetzer
author_sort Nadeem Elias Abou-Arraj
collection DOAJ
description BackgroundThe COVID-19 pandemic is an additional burden on Lebanon’s fragmented health care system and adds to its ongoing political, economic, and refugee crises. Vaccination is an important means of reducing the impact of the pandemic. ObjectiveOur study’s aims were to (1) assess the prevalences of intention to vaccinate and vaccine hesitancy in Lebanon; (2) determine how vaccine hesitancy in Lebanon varies by sociodemographic, economic, and geographic characteristics; and (3) understand individuals’ motivations for vaccinating as well as concerns and obstacles to vaccination. MethodsWe performed a cross-sectional study from January 29, 2021, to March 11, 2021, using an online questionnaire of open- and closed-ended questions in Arabic via convenience “snowball” sampling to assess the perceptions of adults residing in Lebanon. ResultsOf the 1185 adults who participated in the survey, 46.1% (95% CI: 43.2%-49.0%) intended to receive the SARS-CoV-2 vaccine when available to them, 19.0% (95% CI 16.8%-21.4%) indicated they would not, and 34.0% (95% CI 31.3%-36.8%) were unsure (with an additional 0.9% skipping this question). The most common reasons for hesitancy were concerns about safety, limited testing, side effects, and efficacy. Top motivations for vaccinating were to protect oneself, protect one’s family and the public, and end the pandemic. Despite financial hardships in Lebanon, barriers to vaccine access were not frequently described as concerns. Established health care facilities, rather than new temporary vaccination centers, were most frequently selected as preferred vaccination sites. ConclusionsVaccine hesitancy appears to be high in Lebanon. Disseminating clear, consistent, evidence-based safety and efficacy information on vaccines may help reduce vaccine hesitancy, especially among the large proportion of adults who appear to be unsure about (rather than opposed to) vaccination.
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spelling doaj.art-dca026991cc741d3acb5e4923515669d2023-08-28T23:26:27ZengJMIR PublicationsJMIR Formative Research2561-326X2022-12-01612e3682710.2196/36827Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online SurveyNadeem Elias Abou-Arrajhttps://orcid.org/0000-0002-9055-0318Diana Maddahhttps://orcid.org/0000-0003-3249-8854Vanessa Buhamdanhttps://orcid.org/0000-0001-6624-1147Roua Abbashttps://orcid.org/0000-0001-9743-1875Nadine Kamel Jawadhttps://orcid.org/0000-0003-0325-5319Fatima Karakihttps://orcid.org/0000-0002-9187-340XNael H Alamihttps://orcid.org/0000-0002-1802-8250Pascal Geldsetzerhttps://orcid.org/0000-0002-8878-5505 BackgroundThe COVID-19 pandemic is an additional burden on Lebanon’s fragmented health care system and adds to its ongoing political, economic, and refugee crises. Vaccination is an important means of reducing the impact of the pandemic. ObjectiveOur study’s aims were to (1) assess the prevalences of intention to vaccinate and vaccine hesitancy in Lebanon; (2) determine how vaccine hesitancy in Lebanon varies by sociodemographic, economic, and geographic characteristics; and (3) understand individuals’ motivations for vaccinating as well as concerns and obstacles to vaccination. MethodsWe performed a cross-sectional study from January 29, 2021, to March 11, 2021, using an online questionnaire of open- and closed-ended questions in Arabic via convenience “snowball” sampling to assess the perceptions of adults residing in Lebanon. ResultsOf the 1185 adults who participated in the survey, 46.1% (95% CI: 43.2%-49.0%) intended to receive the SARS-CoV-2 vaccine when available to them, 19.0% (95% CI 16.8%-21.4%) indicated they would not, and 34.0% (95% CI 31.3%-36.8%) were unsure (with an additional 0.9% skipping this question). The most common reasons for hesitancy were concerns about safety, limited testing, side effects, and efficacy. Top motivations for vaccinating were to protect oneself, protect one’s family and the public, and end the pandemic. Despite financial hardships in Lebanon, barriers to vaccine access were not frequently described as concerns. Established health care facilities, rather than new temporary vaccination centers, were most frequently selected as preferred vaccination sites. ConclusionsVaccine hesitancy appears to be high in Lebanon. Disseminating clear, consistent, evidence-based safety and efficacy information on vaccines may help reduce vaccine hesitancy, especially among the large proportion of adults who appear to be unsure about (rather than opposed to) vaccination.https://formative.jmir.org/2022/12/e36827
spellingShingle Nadeem Elias Abou-Arraj
Diana Maddah
Vanessa Buhamdan
Roua Abbas
Nadine Kamel Jawad
Fatima Karaki
Nael H Alami
Pascal Geldsetzer
Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
JMIR Formative Research
title Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
title_full Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
title_fullStr Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
title_full_unstemmed Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
title_short Perceptions of, and Obstacles to, SARS-CoV-2 Vaccination Among Adults in Lebanon: Cross-sectional Online Survey
title_sort perceptions of and obstacles to sars cov 2 vaccination among adults in lebanon cross sectional online survey
url https://formative.jmir.org/2022/12/e36827
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