Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda

Scant studies have explored COVID-19 vaccine acceptability among refugees. However, contexts of forced migration may elevate COVID-19 vulnerabilities, and suboptimal refugee immunisation rates are reported for other vaccine-preventable diseases. We conducted a multi-methods study to describe COVID-1...

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Vydáno v:Global public health Ročník 18; číslo 1; s. 2185800
Hlavní autoři: Logie, Carmen H., Okumu, Moses, Berry, Isha, McAlpine, Alyssa, Musoke, Daniel Kibuuka, Hakiza, Robert, Perez-Brumer, Amaya, Baral, Stefan, Kyambadde, Peter
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Taylor & Francis 2023
Taylor & Francis Ltd
Taylor & Francis Group
Témata:
Acceptability
Acceptance
Adolescent
Adolescents
Adult
Attitudes
Avoidable
Cisgender
Cohort analysis
Cohort Studies
Country of origin
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 Vaccines
Cross-Sectional Studies
Demography
Ecological effects
Ecology
Environmental aspects
Female
Forced migration
Health care
Health services
Humans
Immunization
Migration
multi-methods
Polls & surveys
Refugee
Refugees
Registration
Side effects
Social factors
Sociodemographics
Uganda
Urban areas
Vaccines
Women
Young Adult
Youth
Uganda
Kampala Uganda
COVID-19
Refugee
Uganda
multi-methods
vaccines
youth
ISSN:1744-1692, 1744-1706, 1744-1706
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Shrnutí:Scant studies have explored COVID-19 vaccine acceptability among refugees. However, contexts of forced migration may elevate COVID-19 vulnerabilities, and suboptimal refugee immunisation rates are reported for other vaccine-preventable diseases. We conducted a multi-methods study to describe COVID-19 vaccine acceptability among urban refugee youth in Kampala, Uganda. This study uses cross-sectional survey data from a cohort study with refugees aged 16-24 in Kampala to examine socio-demographic factors associated with vaccine acceptability. A purposively sampled cohort subset (n = 24) participated in semi-structured in-depth individual interviews, as did key informants (n = 6), to explore COVID-19 vaccine acceptance. Among 326 survey participants (mean age: 19.9; standard deviation 2.4; 50.0% cisgender women), vaccine acceptance was low (18.1% reported they were very likely to accept an effective COVID-19 vaccine). In multivariable models, vaccine acceptance likelihood was significantly associated with age and country of origin. Qualitative findings highlighted COVID-19 vaccine acceptability barriers and facilitators spanning social-ecological levels, including fear of side effects and mistrust (individual level), misinformed healthcare, community and family attitudes (community level), tailored COVID-19 services for refugees (organisational and practice setting), and political support for vaccines (policy environment). These data signal the urgent need to address social-ecological factors shaping COVID-19 vaccine acceptability among Kampala's young urban refugees. Trial registration: ClinicalTrials.gov identifier: NCT04631367 .
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1744-1692
1744-1706
1744-1706
DOI:10.1080/17441692.2023.2185800