Acceptance of COVID-19 Vaccine in Undergraduate Students at Peshawar, Pakistan
DOI:
https://doi.org/10.36283/PJMD13-3/016Keywords:
Vaccine Acceptance, Misconceptions, Vaccine Hesitancy, Illiteracy, Ignorance, Vaccine Confidence.Abstract
Background: Although vaccines are an effective tool for tackling COVID-19, hesitancy exists in Pakistan. The objectives were to find the acceptance of COVID-19 vaccines and the causes of vaccine hesitancy among non-medical undergraduate students of Peshawar University.
Methods: This cross-sectional study, was conducted from March 2021 to July 2022, using a validated closed-ended structured questionnaire. A pilot study was done on 32 students (10% of the sample) at Agriculture University with Cronbach's alpha 0.7. By non-probability convenient sampling, 315 undergraduate students from the Psychology Department, Economics, and Institute of Management Studies of Peshawar University were included. The data was analyzed using SPSS v.23. Categorical variables were presented in the form of frequency and percentages. The chi-square test was applied with a p<0.05 as a significant.
Results: Among 315 participants, 45.7% (144) males and 54.3% (171) females of which 264(83.8%) were vaccinated. 45(14.3%) of the participants showed acceptance of COVID-19 vaccine. Acceptance of the COVID-19 vaccine didn’t show any statistical significance when compared with different age groups and gender with p=0.54 and p=0.86 respectively. Misconceptions, myths, and ignorance were the main factors for vaccine hesitancy. Studies showed that gender and COVID-19 vaccines were being promoted for the commercial gains of pharmaceutical companies with a p<0.001. Moreover, different departments considered fertility as a cause of hesitancy (p<0.001).
Conclusion: It is concluded that misconceptions, fear of needles, and commercial gains of pharmaceutical companies, were the reasons for vaccine hesitancy which can be addressed by providing mass health education and targeting the vulnerable population.
Keywords: COVID-19, Vaccines, Vaccination Hesitancy.
References
Nossier SA. Vaccine hesitancy: the greatest threat to COVID-19 vaccination programs. Journal of the Egyptian Public Health Association. 2021;96(1):1-3. https://doi.org/10.1186/s42506-021-00081-2
Razai MS, Osama T, McKechnie DG, Majeed A. Covid-19 vaccine hesitancy among ethnic minority groups. Bmj. 2021;372. https://doi.org/10.1136/bmj.n513
Ennab F, Qasba RK, Uday U, Priya P, Qamar K, Nawaz FA, Islam Z, Zary N. COVID-19 vaccine hesitancy: A narrative review of four South Asian countries. Frontiers in public health. 2022; 10:997884. https://doi.org/10.3389/fpubh.2022.997884
Khattak FA, Rehman K, Shahzad M, Arif N, Ullah N, Kibria Z, Arshad M, Afaq S, Ibrahimzai AK, ul Haq Z. Prevalence of Parental refusal rate and its associated factors in routine immunization by using WHO Vaccine Hesitancy tool: A Cross-sectional study at district Bannu, KP, Pakistan. International Journal of Infectious Diseases. 2021; 104:117-124. https://doi.org/10.1016/j.ijid.2020.12.029
Schuster M, Eskola J, Duclos P. Review of vaccine hesitancy: Rationale, remit, and methods. Vaccine. 2015;33(34):4157-4160. https://doi.org/10.1016/j.vaccine.2015.04.035
Zieneldien T, Kim J, Cao J, Cao C. COVID-19 vaccines: current conditions and prospects. Biology. 2021;10(10):960. https://doi.org/10.3390/biology10100960
MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4164. https://doi.org/10.1016/j.vaccine.2015.04.036
de Figueiredo A, Larson HJ. Exploratory study of the global intent to accept COVID-19 vaccinations. Communications medicine. 2021;1(1):1-10. https://doi.org/10.1038/s43856-021-00027-x
Genton B, Al-Yaman F, Beck HP, Hii J, Mellor S, Narara A, Gibson N, Smith T, Alpers MP. The epidemiology of malaria in the Wosera area, East Sepik Province, Papua New Guinea, in preparation for vaccine trials. I. Malariometric indices and immunity. Annals of Tropical Medicine & Parasitology. 1995;89(4):359-376. https://doi.org/10.1080/00034983.1995.11812965
Sallam M. COVID-19 vaccine hesitancy worldwide: a concise systematic review of vaccine acceptance rates. Vaccines. 2021;9(2):160. https://doi.org/10.3390%2Fvaccines9020160
Syed Alwi SA, Rafidah E, Zurraini A, Juslina O, Brohi IB, Lukas S. A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health. 2021;21(1):1-2 https://doi.org/10.1186/s12889-021-11071-6
Ramonfaur D, Hinojosa-González DE, Rodriguez-Gomez GP, Iruegas-Nuñez DA, Flores-Villalba E. COVID-19 vaccine hesitancy and acceptance in Mexico: a web-based nationwide survey. Rev Panam Salud Publica. 2021;45: e133. https://doi.org/10.26633/RPSP.2021.133
Hossain ME, Islam MS, Ghose TK, Jahan H, Chakrobortty S, Hossen MS, Ema NS. COVID-19 vaccine acceptability among public university students in Bangladesh: Highlighting knowledge, perceptions, and attitude. Human vaccines & immune-therapeutics. 2021:1-10. https://doi.org/10.1080%2F21645515.2021.2010426
Shuvo NA, Mondal MS. Factors associated with intention to take COVID-19 vaccine among the university students in Bangladesh. Clinical and Experimental Vaccine Research. 2022;11(3):274. https://doi.org/10.7774/cevr.2022.11.3.274
Chaudhary FA, Ahmad B, Khalid MD, Fazal A, Javaid MM, Butt DQ. Factors influencing COVID-19 vaccine hesitancy and acceptance among the Pakistani population. Human vaccines & immune-therapeutics. 2021;17(10):3365-3370. https://doi.org/10.1080/21645515.2021.1944743
Andrade G. Vaccine hesitancy and religiosity in a sample of university students in Venezuela. Human Vaccines & Immuno-therapeutics. 2021:1-6. https://doi.org/10.1080/21645515.2021.1981737
Ansar F, Naveed H, Khan M, Khattak A. COVID-19 Vaccination hesitancy and assisted factors among Pakistani Population. Review of Applied Management and Social Sciences. 2021;4(2):583-594 https://doi.org/10.47067/ramss.v4i2.160
Almalki MJ, Alotaibi AA, Alabdali SH, Zaalah AA, Maghfuri MW, Qirati NH, Jandali YM, Almalki SM. Acceptability of the COVID-19 vaccine and its determinants among university students in Saudi Arabia: a cross-sectional study. Vaccines. 2021;9(9):943. https://doi.org/10.3390/vaccines9090943
Gilbert-Esparza E, Brady A, Haas S, Wittstruck H, Miller J, Kang Q, Mulcahy ER. Vaccine Hesitancy in College Students. Vaccines. 2023;11(7):1243 https://doi.org/10.3390/vaccines11071243
Abbas Q, Mangrio F, Kumar S. Myths, beliefs, and conspiracies about COVID-19 Vaccines in Sindh, Pakistan: An online cross-sectional survey. Authorea Preprints. 2021.
Kanozia R, Arya R. “Fake news”, religion, and COVID-19 vaccine hesitancy in India, Pakistan, and Bangladesh. Media Asia. 2021;48(4):313-321.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Medicine and Dentistry
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access article distributed under the terms of the CreativeCommons Attribution License (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/