Knowledge, attitude, intentional practice and individualized determinants of COVID-19 vaccine uptake among adults: A cross-sectional study in Tanzania.
Amimu A Nassoro, Walter C Millanzi, Patricia Z Herman
PMID 38773765WHAT IT FOUND
Only 41 of 312 Tanzanian adults were vaccinated against COVID-19. 180 had inadequate vaccine knowledge and 192 had negative attitudes.
Rural adults had limited media access.
Key findings
01Only 41 of 312 adults were vaccinated against COVID-19.
02180 adults had inadequate knowledge and 192 had negative attitudes toward the vaccine.
0350 adults were willing to be vaccinated, while 199 were not.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was 312 adults from a single region of Tanzania, so it may not represent other populations. Participants were recruited from health facilities, and people with health problems or disabilities were excluded, so the findings may not apply to sicker or disabled adults. Data were self-reported at a single time point, so the study cannot show whether knowledge, attitude or demographics caused vaccine uptake. The paper's text and tables are not always consistent, and several reported adjusted associations have confidence intervals that include the null value. The authors note possible recall problems about previous vaccination and did not use triangulation.
Declared interests
No specific funding was received, and the authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that vaccine education will increase uptake. This was a cross-sectional survey of adults' reported knowledge, attitudes and vaccination status, not a test of an education programme.