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

Logie, Carmen H, Okumu, Moses, Berry, Isha, McAlpine, Alyssa, Musoke, Daniel Kibuuka, Hakiza, Robert, Perez-Brumer, Amaya, Baral, Stefan, Kyambadde, Peter and Omondi, Beldine, (2023). Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda. Global Public Health, 18 1, 2185800-n/a

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  • Sub-type Journal article
    Author Logie, Carmen H
    Okumu, Moses
    Berry, Isha
    McAlpine, Alyssa
    Musoke, Daniel Kibuuka
    Hakiza, Robert
    Perez-Brumer, Amaya
    Baral, Stefan
    Kyambadde, Peter
    Omondi, Beldine
    Title Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda
    Appearing in Global Public Health
    Volume 18
    Publication Date 2023-01-18
    Place of Publication London
    Publisher Taylor & Francis
    Start page 1, 2185800
    End page n/a
    Language eng
    Abstract ABSTRACTScant 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.
    Keyword COVID-19
    Refugee
    Uganda
    multi-methods
    vaccines
    youth
    Copyright Holder author(s)
    Copyright Year 2023
    Copyright type Creative commons
    DOI 10.1080/17441692.2023.2185800
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    Created: Fri, 20 Sep 2024, 04:44:45 JST by Haideh Beigi on behalf of UNU INWEH