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  • Callen, MichaelLondon School of Economics and Political Science (GB) (author)

COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • Springer Nature,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:hhs.se:1155002050006056
  • https://research.hhs.se/esploro/outputs/journalArticle/COVID-19-vaccine-acceptance-and-hesitancy-in/991001480230806056URI
  • https://doi.org/10.1038/s41591-021-01454-yDOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-197195URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Open Access
  • http://creativecommons.org/licenses/by/4.0/
  • Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs. © 2021, The Author(s).

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By the author/editor
Callen, Michael
Karlan, Dean S.
Teachout, Matthi ...
Vernot, Corey
Vicente, Pedro C ...
Zafar, Basit
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Zhang, Baobao
Weissinger, Laur ...
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About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
and Public Health Gl ...
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Nature Medicine
By the university
Stockholm School of Economics
Stockholm University

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