Factors influencing COVID-19 vaccine acceptance and hesitancy among rural community in Bangladesh: A cross-sectional survey-based study

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Hum Immunother Vaccine. 2022 May 17:1-9. doi: 10.1080/21645515.2022.2064685. Online ahead of print.

ABSTRACT

Although more than one hundred million beneficiaries have received the COVID-19 vaccine till February 20, 2022 in Bangladesh; however, proportionately, low uptake has been recorded in rural areas and a substantial gap exists between people living in rural and urban areas regarding vaccination uptake. This study aims to investigate the intention of COVID-19 vaccine acceptance and identify potential factors influencing vaccine acceptance and hesitancy among the rural community of Bangladesh. A bilingual self-administered anonymous questionnaire was developed and data was collected between June 10, 2021 and August 14, 2021 through face-to-face interviews. 655 rural people participated in this cross-sectional study, and the sampling was done randomly. Descriptive statistics and binary logistic regressions were used to explore and rationalize study objectives. Of 655 rural participants, 552 (84.3%, 95% CI 81.2─86.8) responded by accepting the COVID-19 vaccine; however, minor fractions (n=5, n%=0.8, 95% CI 0.12-1.4) of the rural community were willing to pay (WTP) for a COVID-19 vaccine. The result of the binary regression showed that ‘safety’, ‘side effects’, ‘efficacy’ and ‘trust’ had highly significant effects (p<.01> and positively correlated with intention to accept the vaccine. “Rumour” had a moderately significant effect (p<.05> and a negative association while ‘gender’ had an insignificant correlation with intention to accept the vaccine. Easy and constant access to factual and reliable information on the consequences of vaccination is imperative for remote people without resources. Health communication regarding vaccine safety, side effects and efficacy has been identified as the most important predictor for converting vaccines into vaccines and ensuring mass vaccination against COVID-19 in Bangladesh.

PMID:35580319 | DOI:10.1080/21645515.2022.2064685

About Keneth T. Graves

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