A knowledge and preventive approach to COVID-19 and vaccination acceptance among Afghan immigrants in Iran

Purpose- Considering the importance of knowledge, attitudes and practice (KAP) in communities toward COVID-19 and the acceptance of COVID-19 vaccination in the control of this disease, this study aims to evaluate and compare the KAP level toward COVID-19 and the acceptance rate of COVID-19 vaccination between the Afghan immigrant population and IraniansDesign/methodology/approach- This cross-sectional descriptive study was conducted in 2021 on Afghan immigrants, Afghan-neighboring Iranians and Afghan nonneighboring Iranians. Of the 885 people who participated in the survey, 295 from each group were randomly selected. Data collection tools were the following questionnaires: KAP toward COVID-19 and acceptance and attitude toward COVID-19 vaccination.Findings- A total of 837 participants were included for data analysis. According to the findings, the KAP score on COVID-19 in Afghan immigrants was lower than the group of Iranians. Compared with Iranians, the score of nonneighboring Iranians was higher than the neighboring Iranians with Afghan immigrants. This difference in the mean scores suggests a statistically significant difference in the three groups (p < 0.0001). Among demographic data, the relationship between gender, education, type of job, income level and age with KAP indicated a significant difference in the total population studied. In the group of Afghan immigrants, the most likely reason for accepting the vaccination was the employer's recommendation (55.63%). In comparison, the neighboring and nonneighboring Iranian groups with Afghan immigrants stated that they would receive the vaccine as soon as possible (49.22% and 63.22%, respectively).Originality/value- Considering the low KAP score in the immigrant population in this study, these people are more vulnerable to the health and socioeconomic effects of COVID-19; therefore, the host countries have more challenges and responsibilities to protect these populations.