Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/236517
Authors: 
Solís Arce, Julio S.
Warren, Shana S.
Meriggi, Niccolò F.
Scacco, Alexandra
McMurry, Nina
Voors, Maarten
Syunyaev, Georgiy
Malik, Amyn Abdul
Aboutajdine, Samya
Adeojo, Opeyemi
Anigo, Deborah
Armand, Alex
Asad, Saher
Atyera, Martin
Augsburg, Britta
Awasthi, Manisha
Ayesiga, Gloria Eden
Bancalari, Antonella
Björkman Nyqvist, Martina
Borisova, Ekaterina
Bosancianu, Constantin Manuel
Cabra García, Magarita Rosa
Cheema, Ali
Collins, Elliott
Cuccaro, Filippo
Farooqi, Ahsan Zia
Fatima, Tatheer
Fracchia, Mattia
Galindo Soria, Mery Len
Guariso, Andrea
Hasanain, Ali
Jaramillo, Sofía
Kallon, Sellu
Kamwesigye, Anthony
Kharel, Arjun
Kreps, Sarah
Levine, Madison
Littman, Rebecca
Malik, Mohammad
Manirabaruta, Gisele
Mfura, Jean Léodomir Habarimana
Momoh, Fatoma
Mucauque, Alberto
Mussa, Imamo
Nsabimana, Jean Aime
Obara, Isaac
Otálora, María Juliana
Ouédraogo, Béchir Wendemi
Pare, Touba Bakary
Platas, Melina R.
Polanco, Laura
Qureshi, Javaeria Ashraf
Raheem, Mariam
Ramakrishna, Vasudha
Rendrá, Ismail
Shah, Taimur
Shaked, Sarene Eyla
Shapiro, Jacob N.
Svensson, Jakob
Tariq, Ahsan
Tchibozo, Achille Mignondo
Tiwana, Hamid Ali
Trivedi, Bhartendu
Vernot, Corey
Vicente, Pedro C.
Weissinger, Laurin B.
Zafar, Basit
Zhang, Baobao
Karlan, Dean
Callen, Michael
Teachout, Matthieu
Humphreys, Macartan
Mobarak, Ahmed Mushfiq
Omer, Saad B.
Year of Publication: 
2021
Citation: 
[Journal:] Nature Medicine [ISSN:] 1546-170X [Publisher:] Springer Nature [Place:] New York, NY [Volume:] 27 [Year:] 2021
Publisher: 
Springer Nature, New York, NY
Abstract: 
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.
Subjects: 
epidemiology
interdisciplinary studies
Persistent Identifier of the first edition: 
Creative Commons License: 
https://creativecommons.org/licenses/by/4.0/
Document Type: 
Article
Document Version: 
Published Version

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