COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy

Abstract Background Vaccine hesitancy is emerging as a significant challenge in many parts of the world in the fight against the COVID19 pandemic. The continued infection amongst the unvaccinated can lead to a heightened risk of further virus mutation, exposing even those vaccinated to new virus str...

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Autores principales:	Umakrishnan Kollamparambil, Adeola Oyenubi, Chijioke Nwosu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Vaccine hesitancy Health behaviour models, risk perception Efficacy COVID19 South Africa Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/51b458ec08c24249bff195fd4e034f54
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spelling	oai:doaj.org-article:51b458ec08c24249bff195fd4e034f542021-11-21T12:10:22ZCOVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy10.1186/s12889-021-12196-41471-2458https://doaj.org/article/51b458ec08c24249bff195fd4e034f542021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12196-4https://doaj.org/toc/1471-2458Abstract Background Vaccine hesitancy is emerging as a significant challenge in many parts of the world in the fight against the COVID19 pandemic. The continued infection amongst the unvaccinated can lead to a heightened risk of further virus mutation, exposing even those vaccinated to new virus strains. Therefore, there are social benefits in minimising vaccine hesitancy. The objective of this study is to assess the level of COVID19 vaccine hesitancy in South Africa, identify the socio-economic patterns in vaccine hesitancy and highlight insights from the national survey that can inform the development of a COVID-19 vaccination acceptance communication campaign. Methods The study uses the nationally representative National Income Dynamics Study - Coronavirus Rapid Mobile Survey (NIDS-CRAM) survey. The analysis combines univariate and bivariate statistics, as well as multivariate regression models like binomial/ordinal and multinomial logit. Results The study finds that vaccine acceptance is lower than that of non-pharmaceutical intervention like face-mask use. Only 55% fully accept the vaccine, while a further 16% are moderately accepting of vaccines. Together, vaccine acceptance is estimated at 70.8%, and vaccine hesitancy against COVID19 is estimated at 29.2% amongst the adult South African population. The study has identified the perceived risk of infection with the mediating role of efficacy as a key predictor of vaccine intention. Higher awareness of COVID19 related information and higher household income are correlated with lower vaccine hesitancy. The non-black African population group has significantly high vaccine hesitancy compared to black Africans. Conclusions There are other significant differences across socio-economic and demographic variables in vaccine hesitancy. From a communication perspective, it is imperative to continue risk messaging, hand in hand with clearer information on the efficacy of the vaccines.Umakrishnan KollamparambilAdeola OyenubiChijioke NwosuBMCarticleVaccine hesitancyHealth behaviour models, risk perceptionEfficacyCOVID19South AfricaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Vaccine hesitancy Health behaviour models, risk perception Efficacy COVID19 South Africa Public aspects of medicine RA1-1270
spellingShingle	Vaccine hesitancy Health behaviour models, risk perception Efficacy COVID19 South Africa Public aspects of medicine RA1-1270 Umakrishnan Kollamparambil Adeola Oyenubi Chijioke Nwosu COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
description	Abstract Background Vaccine hesitancy is emerging as a significant challenge in many parts of the world in the fight against the COVID19 pandemic. The continued infection amongst the unvaccinated can lead to a heightened risk of further virus mutation, exposing even those vaccinated to new virus strains. Therefore, there are social benefits in minimising vaccine hesitancy. The objective of this study is to assess the level of COVID19 vaccine hesitancy in South Africa, identify the socio-economic patterns in vaccine hesitancy and highlight insights from the national survey that can inform the development of a COVID-19 vaccination acceptance communication campaign. Methods The study uses the nationally representative National Income Dynamics Study - Coronavirus Rapid Mobile Survey (NIDS-CRAM) survey. The analysis combines univariate and bivariate statistics, as well as multivariate regression models like binomial/ordinal and multinomial logit. Results The study finds that vaccine acceptance is lower than that of non-pharmaceutical intervention like face-mask use. Only 55% fully accept the vaccine, while a further 16% are moderately accepting of vaccines. Together, vaccine acceptance is estimated at 70.8%, and vaccine hesitancy against COVID19 is estimated at 29.2% amongst the adult South African population. The study has identified the perceived risk of infection with the mediating role of efficacy as a key predictor of vaccine intention. Higher awareness of COVID19 related information and higher household income are correlated with lower vaccine hesitancy. The non-black African population group has significantly high vaccine hesitancy compared to black Africans. Conclusions There are other significant differences across socio-economic and demographic variables in vaccine hesitancy. From a communication perspective, it is imperative to continue risk messaging, hand in hand with clearer information on the efficacy of the vaccines.
format	article
author	Umakrishnan Kollamparambil Adeola Oyenubi Chijioke Nwosu
author_facet	Umakrishnan Kollamparambil Adeola Oyenubi Chijioke Nwosu
author_sort	Umakrishnan Kollamparambil
title	COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
title_short	COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
title_full	COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
title_fullStr	COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
title_full_unstemmed	COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy
title_sort	covid19 vaccine intentions in south africa: health communication strategy to address vaccine hesitancy
publisher	BMC
publishDate	2021
url	https://doaj.org/article/51b458ec08c24249bff195fd4e034f54
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COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy

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