Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda
Name
fgwh-05-1356609.pdf
Description
Published version
Size
741.94 KB
Format
Adobe PDF
Checksum (MD5)
d117811f61d10558abd686400ff06ca0
Author(s)
Ndejjo, Rawlance
Chen, Nuole
Kabwama, Steven N
Bamgboye, Eniola A
Bosonkie, Marc
Bassoum, Oumar
Kiwanuka, Suzanne N
Salawu, Mobolaji M
Egbende, Landry
Sougou, Ndeye Mareme
Date Issued
June 12, 2024
Journal
Frontiers in Global Women's Health
Publisher
Frontiers Media SA
Citation
Ndejjo R, Chen N, Kabwama SN, Bamgboye EA, Bosonkie M, Bassoum O, Kiwanuka SN, Salawu MM, Egbende L, Sougou NM, Afolabi RF, Leye MMM, Bello S, Adebowale AS, Dairo MD, Seck I, Fawole OI, Mapatano MA, Tsai LL and Wanyenze RK (2024) Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda. Front. Glob. Womens Health 5:1356609.
Version
Final published version
Abstract
The introduction of vaccines marked a game changer in the fight against COVID-19. In sub-Saharan Africa, studies have documented the intention to vaccinate and the uptake of COVID-19 vaccines. However, little is documented about how sex differences could have impacted COVID-19 vaccination. We conducted a multi-country cross-sectional study to assess the sex differences in COVID-19 vaccine uptake and intention to vaccinate in the Democratic Republic of Congo (DRC), Nigeria, Senegal, and Uganda. This study involved analysis of data from mobile surveys conducted between March and June 2022 among nationally constituted samples of adults in each country. Bivariate and multivariable logistic regression models were run. The self-reported uptake of COVID-19 vaccines was not significantly different between males and females (p = 0.47), while the intention to vaccinate was significantly higher among males (p = 0.008). Among males, obtaining COVID-19 information from health workers, testing for COVID-19, and having high trust in the Ministry of Health were associated with higher vaccination uptake. Among females, having high trust in the government was associated with higher vaccination uptake. For intention to vaccinate, males who resided in semi-urban areas and females who resided in rural areas had significantly higher vaccination intention compared to their counterparts in urban areas. Other factors positively associated with vaccination intention among males were trust in the World Health Organization and perceived truthfulness of institutions, while males from households with a higher socio-economic index and those who had declined a vaccine before had a lower vaccine intention. Overall, the factors differentiating vaccine uptake and intention to vaccinate among males and females were mostly related to trust in government institutions, perceived truthfulness of institutions, and respondent's residence. These factors are key in guiding the tailoring of interventions to increase COVID-19 vaccine uptake in sub-Saharan Africa and similar contexts.
MIT Department
Massachusetts Institute of Technology. Department of Political Science
Terms of Use
Creative Commons Attribution
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DOI of Published Version
https://doi.org/10.3389/fgwh.2024.1356609
