scholarly journals What is the extent of COVID-19 vaccine hesitancy in Bangladesh? : A cross-sectional rapid national survey

2021 ◽  
Author(s):  
Mohammad Ali ◽  
Ahmed Hossain
Keyword(s):  
Logistic Regression ◽  
General Population ◽  
Low Income ◽  
Univariate Analysis ◽  
Vaccine Hesitancy ◽  
List Type ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Wide Range

AbstractobjectivesTo assess COVID-19 vaccine hesitancy in Bangladesh and identify population subgroups with higher odds of vaccine hesitancy.designA nationally representative cross-sectional survey was used. Univariate analysis was employed to compute vaccine hesitancy proportions and compare them across groups and multiple logistic regression analyses were performed to compute the adjusted odds ratio.settingBangladeshparticipantsA total of 1134 participants from the general population, aged 18 years and above.outcome measuresPrevalence and predictors of vaccine hesitancy.results32.5% of participants showed COVID-19 vaccine hesitancy. Hesitancy was high among respondents who were males, over age 60, unemployed, from low-income families, from central Bangladesh including Dhaka, living in rented houses, tobacco users, politically affiliated, participants who did not believe in the vaccine’s effectiveness for Bangladeshis and those who did not have any physical illnesses in the last year. In the multilevel logistic regression models, respondents who were transgender (AOR= 3.62), married (AOR=1.49), tobacco users (AOR=1.33), those who did not get any physical illnesses in the last year (AOR=1.49), those with political affiliations with opposition parties (AOR= 1.48), those who believed COVID-19 vaccines will not be effective for Bangladeshis (AOR= 3.20), and those who were slightly concerned (AOR = 2.87) or not concerned at all (AOR = 7.45) about themselves or a family member getting infected with COVID-19 in the next one year were significantly associated with vaccine hesitancy (p < 0.05).conclusionsGiven the high prevalence of COVID-19 vaccine hesitancy, it is important to promote evidence-based communication, mass media campaigns, and policy initiatives across Bangladesh to reduce vaccine hesitancy among the Bangladeshi population.Strengths and Limitations of the studyThis study is the first its kind to measure COVID-19 vaccine hesitancy in Bangladesh.In this study, randomly selected participants were interviewed face to face, enabling a nearly true representative sample of the Bangladeshi general population.This study identified a wide range of sub-groups of the general population with higher odds of COVID-19 vaccine hesitancy relating to their sociodemographic characteristics in Bangladesh; thus, providing baseline evidence for the low and middle-income and low-resourced countries worldwide.Traditional media and social media influence on COVID-19 vaccine hesitancy was not measured which is a major limitation of this study.

scholarly journals What is the extent of COVID-19 vaccine hesitancy in Bangladesh? A cross-sectional rapid national survey

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e050303
Author(s):  
Mohammad Ali ◽  
Ahmed Hossain
Keyword(s):  
Logistic Regression ◽  
Low Income ◽  
Vaccine Hesitancy ◽  
Multiple Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Past ◽  
Nationally Representative ◽  
The Government

ObjectivesTo assess COVID-19 vaccine hesitancy in Bangladesh and identify population subgroups with higher odds of vaccine hesitancy.DesignA nationally representative cross-sectional survey was used for this study. Descriptive analyses helped to compute vaccine hesitancy proportions and compare them across groups. Multiple logistic regression analyses were performed to compute the adjusted OR.SettingBangladesh.ParticipantsA total of 1134 participants from the general population, aged 18 years and above participated in this study.Outcome measuresPrevalence and predictors of vaccine hesitancy.ResultsOf the total participants, 32.5% showed COVID-19 vaccine hesitancy. Hesitancy was high among respondents who were men, over 60, unemployed, from low-income families, from central Bangladesh, including Dhaka, living in rented houses, tobacco users, politically affiliated, doubtful of the vaccine’s efficacy for Bangladeshis and those who did not have any physical illnesses in the past year. In the multiple logistic regression models, transgender respondents (adjusted OR, AOR=3.62), married individuals (AOR=1.49), tobacco users (AOR=1.33), those who had not experienced any physical illnesses in the past year (AOR=1.49), those with political affiliations with opposition parties (AOR=1.48), those who believed COVID-19 vaccines would not be effective for Bangladeshis (AOR=3.20), and those who were slightly concerned (AOR=2.87) or not concerned at all (AOR=7.45) about themselves or a family member getting infected with COVID-19 in the next year were significantly associated with vaccine hesitancy (p<0.05).ConclusionsGiven the high prevalence of COVID-19 vaccine hesitancy, in order to guarantee that COVID-19 vaccinations are widely distributed, the government and public health experts must be prepared to handle vaccine hesitancy and increase vaccine awareness among potential recipients. To address these issues and support COVID-19 immunisation programs, evidence-based educational and policy-level initiatives must be undertaken especially for the poor, older and chronically diseased individuals.

scholarly journals HIV-1 seroprevalence in the general population of Salvador, Bahia State, Northeast Brazil

2007 ◽  
Vol 23 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Inês Dourado ◽  
Craig A. Milroy ◽  
Marco Antônio Gomes Mello ◽  
Geraldo Argolo Ferraro ◽  
Humberto Castro-Lima Filho ◽  
...  
Keyword(s):  
General Population ◽  
Minimum Wage ◽  
Family Income ◽  
Dna Amplification ◽  
Income Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Subtype B ◽  
Wide Range ◽  
Hiv 1

To estimate HIV-1 seroprevalence in the general population of Salvador, Bahia, Brazil, we conducted a cross-sectional survey of 3,437 residents from 1998 to 2000. Subjects were drawn from 30 sentinel areas representing a wide range of living conditions. Plasma samples were screened for HIV-1 antibodies by ELISA and confirmed by immunofluorescent assay. Subtype determination by HMA was performed after proviral DNA amplification. Phylogenetic analysis using parsimony was performed with the neighbor-joining method. Overall HIV-1 seroprevalence was 0.55% (19/3,446): 0.8% for men and 0.36% for women. Seroprevalence was higher in the 31-45-year age group (1%) and among persons with family income less than twice the minimum wage (0.78%) as compared to 0.33% for the higher income group. Syphilis was detected in 37% of HIV seropositive individuals. Phylogenetic inferences identified 10 samples as subtype B in the env region and 2 samples with Benv/Fgag/Fpol and Fenv/Bgag. Age > 30 years, male gender, and income < 2 times the minimum wage were identified as risk factors for HIV-1 infection. Extrapolating the proportion of seropositive individuals to Salvador, the number of HIV-1 infected individuals was estimated at 13,750.

scholarly journals Acceptance Rates and Beliefs toward COVID-19 Vaccination among the General Population of Pakistan: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Farah Yasmin ◽  
Waleed Asghar ◽  
Maryam Salma Babar ◽  
Hiba Khan ◽  
Shoaib Ahmad ◽  
...  
Keyword(s):  
General Population ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public ◽  
Polio Vaccination ◽  
Acceptance Rates ◽  
To Receive ◽  
Do So

Developing countries like Pakistan have previously suffered from barriers to acceptance of vaccination by the public because of financial and belief barriers. This study aims to explore these beliefs and highlight concerns regarding vaccine hesitancy in the general population of Pakistan since they are a hindrance to an effective coronavirus disease-19 (COVID-19) immunization in the country. A cross-sectional study was performed involving 1,778 participants from all four provinces of Pakistan. Results from the study showed more than half of the participants to be unsure of the safety (50%) and efficacy (51%) of the vaccine, whereas 42% were concerned about the side effects of the vaccine. About 72% of the respondents planned to get vaccinated, whereas 28% refused to do so. Internationally made imported vaccines were more trusted by the participants. Forty-four percent of the participants agreed to receive the vaccine upon recommendation from a physician. Lastly, participants who believed in the efficacy of the polio vaccination also considered the COVID-19 vaccine to be safe and effective.

scholarly journals Syrian mothers, why to accept or to refuse HPV vaccine for their teen girls

2018 ◽  
Vol 1 (1) ◽  
pp. 7-13
Author(s):  
Mohammed Al Saad ◽  
Saad Ahmed Ali Jadoo
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Hpv Vaccine ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Gynecological Examination

Background: Cervical cancer (CC) ranks the eighth most frequent cancer among Syrian women with crude incidence rates 1.4 per 100, 000 populations per year. This study aimed to test the acceptance of the human papillomavirus (HPV) vaccine among mothers of schoolgirls in sixth-grade class. Methods: A cross-sectional survey was conducted through a structured and self-administrated questionnaire. A total of 400 Syrian mothers of schoolgirls were selected randomly by the cluster sampling method in Aleppo city, Syria, in 2011. Significant variables from univariate analysis were included in an enter technique multiple logistic regression analysis. Results: The response rate was 86%. If the vaccine was free, 282 (81.7%) mothers would accept the vaccine for themselves and 236 (68.4%) for their daughters, respectively. However, the acceptance rate grossly decreased to 24.6% and 15.1%, respectively, if the vaccine was not provided free. The high cost of the HPV vaccine and lack of knowledge were the significant barriers for mothers' acceptance of the HPV vaccine. Protection of daughters and the trust with health authority were the main encouraging reasons to accept the HPV vaccine. Findings from logistic regression analysis revealed that the employed mothers (odds ratio = 2.4; 95% CI: 1.3–4.4), with a positive history of gynecological examination (OR = 2.1; 95% CI: 1.6–2.9) and having sound knowledge (OR = 2.4; 95% CI: 1.0–5.7) are independent factors related to the acceptance of the HPV vaccine for their daughters. Conclusion: The results from this study suggest that mothers from different cultural backgrounds, including Syrian mothers, are holding different beliefs on privacy and health that may affect their willingness to accept the HPV vaccine.

scholarly journals Parental Influence in Forming Preschool Children’s Eating Behaviors—A Cross-Sectional Survey in Chongqing, China

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 140 ◽  
Author(s):  
Hu ◽  
Yang ◽  
Tan ◽  
Zhao ◽  
Du ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Preschool Children ◽  
Eating Behavior ◽  
Low Income ◽  
Body Shape ◽  
Parental Influence ◽  
Eating Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis

Children’s eating habits are closely related to their health problems and the outlook for children’s nutritional statuses appears poor. A cross-sectional survey was conducted among parents of preschool children from December 2018 to January 2019. Sixteen representative kindergartens in 6 districts of Chongqing, China, were included in the study. We took 2200 samples and collected information by questionnaire and after screening, 1781 questionnaires were valid and finally included in the data analysis (n = 1781). Ordinal logistic regression analysis found that age, fathers’ education level, forced diet and perception of children’s body shape were factors associated with children’s eating behaviors (ordered logistic regression/three-level eating behavior; odds ratios p < 0.05). 80.24% of preschool children may have unhealthy eating behavior in this survey and 80.35% of parents had forced their children to eat. Eating behaviors of preschool children in Chongqing are closely related to family factors. This study provides important insight for parents and health care workers in China to improve preschool-aged children’s nutritional behaviors. Intervention programs should focus on parents with low income, low education levels, coercive dietary behaviors and deviated body shape perceptions to reduce children’s eating behavioral problems.

scholarly journals Nocebo-Prone Behavior Associated with SARS-CoV-2 Vaccine Hesitancy in Healthcare Workers

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1179
Author(s):  
Dimos D. Mitsikostas ◽  
Konstantina Aravantinou-Fatorou ◽  
Christina Deligianni ◽  
Evrydiki Kravvariti ◽  
Eleni Korompoki ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Healthcare Workers ◽  
Logistic Regression Model ◽  
Vaccine Hesitancy ◽  
Multivariate Logistic Regression Model ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Independent Variables

Among healthcare workers (HCWs), SARS-CoV-2 vaccine hesitancy may be linked to a higher susceptibility to nocebo effects, i.e., adverse events (AEs) experienced after medical treatments due to negative expectations. To investigate this hypothesis a cross-sectional survey was performed with a self-completed questionnaire that included a tool (Q-No) for the identification of nocebo-prone individuals. A total of 1309 HCWs (67.2%women; 43.4% physicians; 28.4% nurses; 11·5% administrative staff; 16·6% other personnel) completed the questionnaires, among whom 237 (18.1%) had declined vaccination. Q-No scores were ≥15 in 325 participants (24.8%) suggesting nocebo-prone behavior. In a multivariate logistic regression model with Q-No score, age, gender, and occupation as independent variables, estimated odds ratios (ORs) of vaccination were 0.43 (i.e., less likely, p < 0.001) in participants with Q-No score ≥15 vs. Q-No score < 15, 0.58 in females vs. males (p = 0.013), and 4.7 (i.e., more likely) in physicians vs. other HCWs (p < 0.001), independent of age, which was not significantly associated with OR of vaccination. At least one adverse effect (AE) was reported by 67.5% of vaccinees, mostly local pain and flu-like symptoms. In a multivariate logistic regression model, with Q-No score, age, gender, and occupation as independent variables, estimated ORs of AE reporting were 2.0 in females vs. males (p < 0.001) and 1.47 in physicians vs. other HCWs (p = 0.017) independently of age and Q-No score, which were not significantly associated with OR of AE. These findings suggest that nocebo-prone behavior in HCWs is associated with SARS-CoV-2 vaccination hesitancy indicating a potential benefit of a campaign focused on nocebo-prone people.

scholarly journals COVID-19 Vaccine Hesitancy in Underserved Communities of North Carolina

2021 ◽  
Author(s):  
Irene A. Doherty ◽  
William Pilkington ◽  
Laurin Brown ◽  
Victoria Billings ◽  
Undi Hoffler ◽  
...  
Keyword(s):  
North Carolina ◽  
Health Care Providers ◽  
The United States ◽  
Vaccine Hesitancy ◽  
List Type ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Underserved Communities ◽  
Safety Concerns

AbstractBackgroundIn the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19, and widespread vaccination is critical for curbing this pandemic. This study sought to estimate the prevalence of COVID-19 vaccine hesitancy, describe attitudes related to vaccination, and identify correlates among racial minority and marginalized populations across 9 counties in North Carolina.MethodsWe conducted a cross-sectional survey with a self-administered questionnaire distributed at free COVID-19 testing events in underserved rural and urban communities from August 27 – December 15, 2020. Vaccine hesitancy was defined as the response of “no” or “don’t know/not sure” to whether the participant would get the COVID-19 vaccine as soon as it became available.ResultsThe sample comprised 948 participants including 27.7% Whites, 59.6% Blacks, 12.7% Latinx, and 63% female. Thirty-two percent earned <$20K annually, 60% owned a computer and ∼80% had internet access at home. The prevalence of vaccine hesitancy was 68.9% including 62.7%, 74%, and 59.5% among Whites, Blacks, and Latinx, respectively. Between September and December, the largest decline in vaccine hesitancy occurred among Whites (27.5 percentage points), followed by Latinx (17.6) and the smallest decline was among Black respondents (12.0). 51.2% of the respondents reported vaccine safety concerns, 23.7% wanted others to get of the respondents reported they would trust health care providers with information about the COVID-19 vaccine. Factors associated with hesitancy in multivariable logistic regression included being female (OR=1.90 95%CI[1.36, 2.64]), being Black (OR=1.68 [1.106 2.45]), calendar month (OR=0.76 [0.63, 0.92]), safety concerns (OR=4.28 [3.06, 5.97]), and government distrust (OR=3.57 [2.26, 5.63]).ConclusionsThis study reached underserved minority populations in a number of different locations to investigate COVID-19 vaccine hesitancy. We built on existing relationships and further engaged the community, stake holders and health department to provide free COVID-19 testing. This direct approach permitted assessment of vaccine hesitancy (which was much higher than national estimates), distrust, and safety concerns.HighlightsThis study surveyed 948 adults at COVID-19 testing sites in 9 counties of North Carolina between August 27 and December 15, 2020 where vaccine hesitancy was widespread including 74% in Blacks, 62.7% in Whites and 59.5% in Latinx.Vaccine hesitancy declined over time but remained high for Blacks.On-site surveys conducted in underserved areas that were paper-based and self-administered permitted reaching adults with no internet (17%), no cell phone (20%), no computer (40%) and yearly incomes less than 20K (31%).Widespread vaccine hesitancy in predominately minority communities of NC must be addressed to successfully implement mass COVID-19 vaccination programs.

scholarly journals Sociodemographic and access-related correlates of sanitary pads among college students in Lucknow during Covid19

2020 ◽  
Author(s):  
Surbhi Garg ◽  
Ruqayya Alvi ◽  
Suman Gupta ◽  
Absar Ahmad
Keyword(s):  
College Students ◽  
Low Income ◽  
List Type ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Menstrual Hygiene ◽  
Sanitary Napkin ◽  
Bivariate Logistic Regression ◽  
Sanitary Pads ◽  
Low Income Families

AbstractIntroductionSanitary napkin is an essential aspect of the Menstrual management materials for women and adolescent girls between menarche and menopause. Despite being an important issue concerning women and girls in the menstruating age group, access to menstrual hygiene products neglected during the COVID19 pandemic. Further, there is no evidence of the practice of menstrual hygiene products in Indian settings during this period. This paper investigates the prevalence of socio-demographic correlations of access to sanitary napkins among college students in Lucknow.MethodsAn online retrospective cross-sectional survey was conducted in Lucknow in September 2020. In total, 1439 participants took part in the survey. After removing 55 participants, those quit the survey by clicking on the disagree button and 13 were not satisfying inclusion criteria. So the final samples were 1371, which were included in the analysis. Students of UG and PG currently studying in colleges in the Lucknow were eligible to participate. The data collection was anonymous. Responses were analysed using descriptive and bivariate logistic regression.ResultsIn this study, 1371 students were included, making a response rate of 96.2 percent. Nearly 12.5 percent of students reported about difficulty encountered during the lockdown. Muslims, Father education illiterate or upto12th, father occupation as farmer, monthly salary less than 25 thousand, residence as rural, and history of reusable clothes were more likely to face problems to access sanitary pads during the lockdown in Lucknow (P < .05).ConclusionsDuring COVID-19 lockdown, about 12.5 % of girls were dependent on either locally available resources as absorbents during menstruation or paid more to access in Lucknow. Because of the lockdown, many people have lost their livelihood. More than ever, economically low-income families are reluctant to spend on sanitary pads, which is why few college girls were going back to their previous handling periods by using rags.HighlightsThe prevalence of menstrual management products during Covid19 were unknownWomen and Adolescents in India suffer the shortages of Sanitary napkin during lockdownPrevalence of access to sanitary pads should emphasis different focal points

Influenza vaccination policies for health workers in low-income and middle-income countries: A cross-sectional survey, January-March 2020

Vaccine ◽  
2020 ◽  
Vol 38 (47) ◽  
pp. 7433-7439
Author(s):  
Helena C. Maltezou ◽  
Kalliopi Theodoridou ◽  
Maria Tseroni ◽  
Vasilios Raftopoulos ◽  
Amanda Bolster ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Low Income ◽  
Health Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries

scholarly journals How Do Health and Social Networks Compare between Low-Income Multiproblem Households and the General Population?

2019 ◽  
Vol 16 (24) ◽  
pp. 4967 ◽  
Author(s):  
Gera E. Nagelhout ◽  
Latifa Abidi ◽  
Hein de Vries
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
General Population ◽  
The Netherlands ◽  
Low Income ◽  
Multiple Logistic Regression Analysis ◽  
Group Versus ◽  
Perceived Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

Multiproblem households that receive social care for multiple problems, such as debts, psychiatric disorders, and domestic violence, may also be disadvantaged in terms of health and social networks. This study examines whether low-income multiproblem households and the general population differ in self-perceived health, mental health, health behaviors, and social networks. We performed a cross-sectional survey among respondents from low-income multiproblem households (n = 105) and the general population (n = 99) in the municipality of Apeldoorn in the Netherlands. Comparisons with national statistics data indicated that our sample of multiproblem households is more disadvantaged in terms of self-perceived health and mental health than low socioeconomic groups in general in the Netherlands. A multiple logistic regression analysis showed that being part of the multiproblem household group versus the general population group was associated with a lower educational level, a lower likelihood of being in paid employment, a lower score with respect to mental health, less alcohol consumption, and less fruit consumption. There were also differences between the groups on other variables, but these were not significant in adjusted analyses. In conclusion, multiproblem households in Apeldoorn had lower scores on mental health, drank fewer alcoholic drinks per week, and ate less fruit than the general population.

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