Acceptance of the coronavirus disease-2019 vaccine among medical students in Uganda

被引:119
作者
Kanyike, Andrew Marvin [1 ]
Olum, Ronald [2 ]
Kajjimu, Jonathan [3 ]
Ojilong, Daniel [1 ]
Akech, Gabriel Madut [1 ]
Nassozi, Dianah Rhoda [4 ]
Agira, Drake [5 ]
Wamala, Nicholas Kisaakye [6 ]
Asiimwe, Asaph [7 ]
Matovu, Dissan [8 ]
Nakimuli, Ann Babra [9 ]
Lyavala, Musilim [10 ]
Kulwenza, Patricia [10 ]
Kiwumulo, Joshua [11 ]
Bongomin, Felix [12 ,13 ]
机构
[1] Busitema Univ, Fac Hlth Sci, Mbale, Uganda
[2] Makerere Univ, Sch Med, Coll Hlth Sci, Kampala, Uganda
[3] Mbarara Univ Sci & Technol, Fac Med, Mbarara, Uganda
[4] Makerere Univ, Sch Hlth Sci, Coll Hlth Sci, Kampala, Uganda
[5] Kabale Univ, Sch Med, Kabale, Uganda
[6] Kampala Int Univ, Fac Clin Med & Dent, Ishaka, Bushenyi, Uganda
[7] Soroti Univ, Sch Hlth Sci, Soroti, Uganda
[8] King Ceaser Univ, Fac Biol Med & Hlth, Kampala, Uganda
[9] Uganda Christian Univ, Sch Hlth Sci, Mukono, Uganda
[10] Islamic Univ Uganda, Fac Med, Mbale, Uganda
[11] Gulu Univ, Fac Med, Gulu, Uganda
[12] Gulu Univ, Dept Med Microbiol & Immunol, Fac Med, Gulu, Uganda
[13] Makerere Univ, Coll Hlth Sci, Dept Med, Kampala, Uganda
关键词
COVID-19; Vaccine acceptance; Vaccine hesitancy; Medical students;
D O I
10.1186/s41182-021-00331-1
中图分类号
R188.11 [热带医学];
学科分类号
摘要
Background COVID-19 is still a major global threat for which vaccination remains the ultimate solution. Uganda reported 40,751 cases and 335 deaths as of 9 April 2021 and started its vaccination program among priority groups like health workers, teachers, those with chronic diseases among others in early March 2021. Unanimous uptake of the COVID-19 vaccine is required to subsequently avert its spread; therefore, we assessed COVID-19 vaccine acceptability, hesitancy, and associated factors among medical students in Uganda. Methods This study employed an online descriptive cross-sectional survey among medical students across 10 medical schools in Uganda. A structured questionnaire via Google Form was conveniently sent to eligible participants via WhatsApp. Each medical school had a coordinator who consistently shared the data tool in the WhatsApp groups. Chi-square or Fisher's exact test, and logistic regression were used to assess the association between vaccine acceptability with demographics, COVID-19 risk perception, and vaccine hesitancy. Results We surveyed 600 medical students, 377 (62.8%) were male. COVID-19 vaccine acceptability was 37.3% and vaccine hesitancy 30.7%. Factors associated with vaccine acceptability were being male (adjusted odds ratio (aOR) = 1.9, 95% CI 1.3-2.9, p=0.001) and being single (aOR= 2.1, 95% CI 1.1-3.9, p=0.022). Very high (aOR= 3.5, 95% CI 1.7-6.9, p<0.001) or moderate (aOR =2.2, 95% CI 1.2-4.1, p=0.008) perceived risk of getting COVID-19 in the future, receiving any vaccine in the past 5 years (aOR= 1.6, 95% CI 1.1-2.5, p=0.017), and COVID-19 vaccine hesitancy (aOR 0.6, 95% CI 0.4-0.9, p=0.036). Conclusions This study revealed low levels of acceptance towards the COVID-19 vaccine among medical students, low self-perceived risks of COVID-19, and many had relied on social media that provided them with negative information. This poses an evident risk on the battle towards COVID-19 in the future especially when these future health professions are expected to be influencing decisions of the general public towards the same.
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页数:11
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