The determinants of SARS-CoV-2 vaccine hesitancy in a rural area of an Indonesia-Philippines border island: A mixed-method study.
Chandrayani Simanjorang, Nansy Pangandaheng, Yeanneke Tinungki and 1 others
PMID 35338015WHAT IT FOUND
Most adults surveyed on a rural Indonesian island were hesitant or refused SARS-CoV-2 vaccination (63.9%).
Poor vaccine knowledge, lower education and unwillingness to pay were linked. Safety doubts and misinformation were common.
Key findings
01Among 557 included adults, 63.9% were hesitant or refused SARS-CoV-2 vaccination.
02After adjustment, poor vaccine knowledge was linked to higher hesitancy (adjusted odds ratio 2.17), while diploma/university education and willingness to pay were linked to lower hesitancy (adjusted odds ratio 0.40 and adjusted odds ratio 0.12).
03Among 356 people who stated hesitancy or refusal, the most common reasons were safety doubts (36%) and fear of side effects (27%). Interviews also found lack of information and microchip rumours.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The quantitative sample used snowball and non-probability sampling, so the 63.9% prevalence may not represent all residents of Sangihe Island or other rural areas. The study measured hesitancy and explanatory factors at one time, so it cannot show that education, knowledge or willingness to pay caused hesitancy. Health workers were excluded, so the results do not describe hesitancy among staff who administer vaccines. The qualitative sample was 30 adults selected purposively, mostly housewives, so the themes may not cover all ages, occupations or beliefs. The study was done in one rural island district, so it may not apply to other settings.
Declared interests
The authors declared no competing interest.
The easy way to misread this
Do not conclude that nurse-led education, free vaccination or mandatory vaccination will increase uptake. The paper did not test these interventions; it described hesitancy and linked factors in a non-random sample.