Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe
Introduction COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare deli...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/8/7/e012268.full |
| _version_ | 1797766548427898880 |
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| author | Richard J Hayes Sarah Bernays Victoria Simms Chido Dziva Chikwari Katharina Kranzer Tsitsi Bandason Owen Mugurungi Rashida Abbas Ferrand Ethel Dauya Agnes Mahomva Constance R S Mackworth-Young Mandikudza Tembo Leyla Larsson Constancia Mavodza Tinotenda Taruvinga |
| author_facet | Richard J Hayes Sarah Bernays Victoria Simms Chido Dziva Chikwari Katharina Kranzer Tsitsi Bandason Owen Mugurungi Rashida Abbas Ferrand Ethel Dauya Agnes Mahomva Constance R S Mackworth-Young Mandikudza Tembo Leyla Larsson Constancia Mavodza Tinotenda Taruvinga |
| author_sort | Richard J Hayes |
| collection | DOAJ |
| description | Introduction COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns.Methods A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18–24 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression.Results 17 682 youth were recruited in the survey (n=10 742, 60.8% female). The median age of participants was 20 (IQR: 19–22) years. Almost two thirds (n=10 652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20–22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95% CI 1.58 to 1.80), increasing age (>22 years: OR=1.12, 95% CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95% CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95% CI 1.20 to 1.47).Conclusion This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups. |
| first_indexed | 2024-03-12T20:26:49Z |
| format | Article |
| id | doaj.art-dda15665be874d89a2ad8939e3e2c27d |
| institution | Directory Open Access Journal |
| issn | 2059-7908 |
| language | English |
| last_indexed | 2024-03-12T20:26:49Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj.art-dda15665be874d89a2ad8939e3e2c27d2023-08-02T00:30:07ZengBMJ Publishing GroupBMJ Global Health2059-79082023-07-018710.1136/bmjgh-2023-012268Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in ZimbabweRichard J Hayes0Sarah Bernays1Victoria Simms2Chido Dziva Chikwari3Katharina Kranzer4Tsitsi Bandason5Owen Mugurungi6Rashida Abbas Ferrand7Ethel Dauya8Agnes Mahomva9Constance R S Mackworth-Young10Mandikudza Tembo11Leyla Larsson12Constancia Mavodza13Tinotenda Taruvinga14Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UKSchool of Public Health, University of Sydney—Sydney Medical School Nepean, Sydney, New South Wales, AustraliaBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweDivision of Infectious Diseases and Tropical Medicine, Ludwig Maximilians University Munich, Munchen, GermanyBiomedical Research and Training Institute, Harare, ZimbabweMinistry of Health and Child Care, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweNational Response to the COVID-19 Pandemic, Zimbabwe Government Office of the President and Cabinet, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweBiomedical Research and Training Institute, Harare, ZimbabweIntroduction COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns.Methods A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18–24 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression.Results 17 682 youth were recruited in the survey (n=10 742, 60.8% female). The median age of participants was 20 (IQR: 19–22) years. Almost two thirds (n=10 652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20–22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95% CI 1.58 to 1.80), increasing age (>22 years: OR=1.12, 95% CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95% CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95% CI 1.20 to 1.47).Conclusion This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups.https://gh.bmj.com/content/8/7/e012268.full |
| spellingShingle | Richard J Hayes Sarah Bernays Victoria Simms Chido Dziva Chikwari Katharina Kranzer Tsitsi Bandason Owen Mugurungi Rashida Abbas Ferrand Ethel Dauya Agnes Mahomva Constance R S Mackworth-Young Mandikudza Tembo Leyla Larsson Constancia Mavodza Tinotenda Taruvinga Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe BMJ Global Health |
| title | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
| title_full | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
| title_fullStr | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
| title_full_unstemmed | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
| title_short | Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe |
| title_sort | addressing sociodemographic disparities in covid 19 vaccine uptake among youth in zimbabwe |
| url | https://gh.bmj.com/content/8/7/e012268.full |
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