@article{Sols_Arce_J-2021_40442,
title = {COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries},
author = {Solís Arce, J. and Warren, S. and Meriggi, N. and Scacco, A. and McMurry, N. and Voors, M. and Syunyaev, G. and Malik, A. and Aboutajdine, S. and Adeojo, O. and Anigo, D. and Armand, A. and Asad, S. and Atyera, M. and Augsburg, B. and Awasthi, M. and Ayesiga, G. and Bancalari, A. and Björkman Nyqvist, M. and Borisova, E. and Bosancianu, C. and Cabra García, M. and Cheema, A. and Collins, E. and Cuccaro, F. and Farooqi, A. and Fatima, T. and Fracchia, M. and Galindo Soria, M. and Guariso, A. and Hasanain, A. and Jaramillo, S. and Kallon, S. and Kamwesigye, A. and Kharel, A. and Kreps, S. and Levine, M. and Littman, R. and Malik, M. and Manirabaruta, G. and Mfura, J. and Momoh, F. and Mucauque, A. and Mussa, I. and Nsabimana, J. and Obara, I. and Otálora, M. and Ouédraogo, B. and Pare, T. and Platas, M. and Polanco, L. and Qureshi, J. and Raheem, M. and Ramakrishna, V. and Rendrá, I. and Shah, T. and Shaked, S. and Shapiro, J. and Svensson, J. and Tariq, A. and Tchibozo, A. and Tiwana, H. and Trivedi, B. and Vernot, C. and Vicente, P. and Weissinger, L. and Zafar, B. and Zhang, B. and Karlan, D. and Callen, M. and Teachout, M. and Humphreys, M. and Mobarak, A. and Omer, S.},
month = {jul},
year = {2021},
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.},
pages = {1385-1394},
volume = {27},
journal = {Nature Medicine},
publisher = {Springer Nature},
url = {https://doi.org/10.1038/s41591-021-01454-y},
}
