COVID-19 Vaccine Hesitancy and Uptake Among Nigerian University Students: A Case Study of ABU Zaria
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Abstract
Background: The COVID-19 pandemic has impacted various sectors, including education. While vaccines were developed to curb the virus's spread, studies and anecdotal evidence show low uptake among undergraduate students, largely due to concerns about side effects and conspiracy theories. This study assessed the level of knowledge, uptake, and the factors influencing COVID-19 vaccination decisions among undergraduate students.
Methods: A cross-sectional survey used electronic questionnaires to gather responses from 417 undergraduate students at Ahmadu Bello University (ABU), Zaria, Nigeria, through stratified random sampling. Data were analyzed with SPSS version 27. Descriptive statistics were presented in frequency tables and percentages. Multivariate logistic regression determined independent predictors of COVID-19 vaccine uptake.
Results: Most students (78.2%) had good knowledge of COVID-19, but only 9.7% were fully vaccinated. Uptake was facilitated by perceived severity (OR = 2.12, p = .017), sufficient information (OR = 2.50, p < .001), and mandatory requirements (OR = 3.89, p < .001), while side-effect concerns (OR = 0.27, p < .001), mistrust, and misinformation were key barriers. Health-related students were more likely to be vaccinated (OR = 2.85, p = .009), while other socio-demographic factors, including age, gender, religion, ethnicity, parental education, and academic level, were not significant predictors of vaccination (all p > 0.05).
Conclusions: There is a significant disconnect between the high level of knowledge and vaccine uptake among the study population. This was mainly due to conspiracy theories and fear of side effects. Therefore, targeted campaigns and vaccination mandates for university registration were recommended.
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References
1. Alizadeh H, Sharifi A, Damanbagh S, Nazarnia H, Nazarnia M. Impacts of the COVID-19 pandemic on the social sphere and lessons for crisis management: a literature review. Natural Hazards [Internet]. 2023;117(3):2139–64. Available from: https://link.springer.com/article/10.1007/s11069-023-05959-2
2. Khawaja S, Anjos E, Qureshi F. The Impact of the Pandemic (COVID-19) on Higher Education Students: Challenges, Adaptations, and Future Perspectives. Creative Education [Internet]. 2023 Jan 1;14(11):2207–27. Available from: https://www.scirp.org/journal/paperinformation?paperid=129133
3. Okagbue EF, Ezeachikulo UP, Nchekwubemchukwu IS, Chidiebere IE, Kosiso O, Ouattaraa CAT, et al. The effects of Covid-19 pandemic on the education system in Nigeria: The role of competency-based education. International Journal of Educational Research Open [Internet]. 2022; 4:100219. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9743797/
4. COVID-19 put 1.6 billion children out of school. Here’s how to upgrade education post-pandemic [Internet]. World Economic Forum. 2024. Available from: https://www.weforum.org/stories/2020/12/covid19-education-innovation-outcomes/
5 United Nations Educational, Scientific and Cultural Organization (UNESCO). One year into COVID-19 education disruption: Where do we stand? UNESCO [Internet]. 2023; Available from: https://www.unesco.org/en/articles/one-year-covid-19-education-disruption-where-do-we-stand
6. Eze UN, Sefotho MM, Onyishi CN, Eseadi C. Impact of COVID-19 pandemic on Education in Nigeria: Implications for Policy and Practice of e-learning. Zenodo (CERN European Organization for Nuclear Research) [Internet]. 2021 Jun 30; Available from: https://zenodo.org/record/6809200
7. NPHCDA. COVID-19 Vaccination Update [Internet]. NPHCDA -. 2023 [cited 2023 Apr 1]. Available from: https://nphcda.gov.ng/
8. Nigerian health workers take country’s first COVID-19 vaccine | WHO | Regional Office for Africa [Internet]. WHO | Regional Office for Africa. 2024. Available from: https://www.afro.who.int/news/nigerian-health-workers-take-countrys-first-covid-19-vaccine
9. Olawade DB, Wada OZ, Odetayo A, Akeju OO, Asaolu FT, Owojori GO. COVID-19 vaccine hesitancy among Nigerian youths. Journal of Education and Health Promotion [Internet]. 2022 Jan 1;11(1):244. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9514270/
10. Akinsunmade O, Ogunyemi A, Isikekpei B, Maduafokwa B, Otokpa E, Okerinde S. Perceptions and Uptake of COVID-19 Vaccines amongst Undergraduate Students in a Tertiary Institution in Lagos State. Nigerian Postgraduate Medical Journal [Internet]. 2023 Apr 1;30(2):104–9. Available from: https://journals.lww.com/npmj/pages/articleviewer.aspx?year=2023&issue=30020&article=00003&type=Fulltext
11. Mustapha M, Lawal BK, Sha’aban A, Jatau AI, Wada AS, Bala AA, et al. Factors associated with acceptance of COVID-19 vaccine among University health sciences students in Northwest Nigeria. PLoS ONE [Internet]. 2021 Nov 29;16(11):e0260672. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260672
12. Shallangwa MM, Musa SS, Iwenya HC, Manirambona E, Lucero-Prisno DE III, Tukur BM. Assessment of COVID-19 vaccine hesitancy among people living with HIV/AIDS: a single-centered study. PAMJ - One Health [Internet]. 2023 Jan 1;10. Available from: https://www.one-health.panafrican-med-journal.com/content/article/10/2/full/
13. Gidado S, Musa M, Ba’aba AI, Francis MR, Okeke LA, Bukar FL, et al. Knowledge, risk perception and uptake of COVID-19 vaccination among internally displaced persons in complex humanitarian emergency setting, Northeast Nigeria. BMC Public Health [Internet]. 2024 Feb 28;24(1). Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18164-y
14. Aliyu SA, Zakaria A. Muktar A. Ahmadu Bello University, Zaria: Student Life Experience Survey. 2023. Available from https://acentdfb.abu.edu.ng/assets/uploads/DLI 7.5.5/Student_report_2023.pdf
15. Alyafei A, Easton-Carr R. The health belief model of behavior change [Internet]. StatPearls - NCBI Bookshelf. 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK606120/
16Ahmadu Bello University. About Us [Internet]. ABU. 2024 [cited 2024 Mar 1]. Available from: https://abu.edu.ng/
17. Management Information System (M.I.S) Unit, ABU, Zaria. Statistics of Newly Admitted and Returning Students by Faculty, Department and Category 2023/2024 Academic Session as at (18/04/2024). 2024 Apr.
18. Kirkwood B, Sterne J. Essential Medical Statistics. 2nd ed. Hoboken, NJ, United States: Wiley; 2010.
19. Yamane T. Elementary Sampling Theory [Internet]. 2nd ed. Prentice-Hall; 1970. Available from: https://www.google.com/books/edition/_/ylA2kqly7FUC?sa=X&ved=2ahUKEwiS3N335Z6IAxUmhv0HHYchDfoQ8fIDegQIDxAE
20. Olapegba PO, Iorfa SK, Kolawole SO, Oguntayo R, Gandi JC, Ottu IFA, et al. Survey data of COVID-19-related Knowledge, Risk Perceptions and Precautionary Behavior among Nigerians. Data in Brief [Internet]. 2020 Jun 1;30:105685. Available from: https://doi.org/10.1016/j.dib.2020.105685
21. Bashirian S, Jenabi E, Khazaei S, Barati M, Karimi-Shahanjarini A, Zareian S, et al. Factors associated with preventive behaviours of COVID-19 among hospital staff in Iran in 2020: an application of the Protection Motivation Theory. Journal of Hospital Infection. 2020 Jul 1;105(3):430–3.
22. Lee MJ, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health [Internet]. 2021 Feb 5;21(1). Available from: https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-021-10285-y
23. Wu J, Li Q, Silver Tarimo C, Wang M, Gu J, Wei W, et al. COVID-19 Vaccine Hesitancy Among Chinese Population: A Large-Scale National Study. Frontiers in Immunology [Internet]. 2021 Nov 29;12. Available from: http://dx.doi.org/10.3389/fimmu.2021.781161
24. Zhang J, Dean J, Yin Y, Wang D, Sun Y, Zhao Z, et al. Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China. Frontiers in Public Health [Internet]. 2022 Jan 6;9. Available from: http://dx.doi.org/10.3389/fpubh.2021.777565
25. Dunkwu-Okafor A, Elimian KO. COVID-19 Vaccine Uptake and Hesitancy amongst University Students in a Tertiary Institution in Edo State, Nigeria [Internet]. 2023. Available from: https://www.ajol.info/index.php/jasem/article/view/250274
26. Ojo TO, Ojo AO, Ojo OE, Akinwalere BO, Akinwumi AF. Determinants of COVID-19 vaccine uptake among Nigerians: evidence from a cross-sectional national survey. Archives of Public Health [Internet]. 2023 May 26;81(1). Available from: https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-023-01107-1
27. Kalu ME, Oyinlola O, Ibekaku MC, Adandom II, Iwuagwu AO, Ezulike CJ, et al. A Mapping Review on the Uptake of the COVID-19 Vaccine among Adults in Africa Using the 5As Vaccine Taxonomy. The American Journal of Tropical Medicine and Hygiene [Internet]. 2022 Jun 15;106(6):1688–97. Available from: https://doi.org/10.4269/ajtmh.21-0515
28. Mudhune V, Ondenge K, Otieno F, Otieno D, Bulinda CM, Okpe I, et al. Determinants of COVID-19 Vaccine Acceptability among Healthcare Workers in Kenya—A Mixed Methods Analysis. Vaccines [Internet]. 2023 Jul 27;11(8):1290. Available from: https://doi.org/10.3390/vaccines11081290
29. Finney Rutten LJ, Zhu X, Leppin AL, Ridgeway JL, Swift MD, Griffin JM, et al. Evidence-Based Strategies for Clinical Organizations to Address COVID-19 Vaccine Hesitancy. Mayo Clinic Proceedings [Internet]. 2021 Mar;96(3):699–707. Available from: http://dx.doi.org/10.1016/j.mayocp.2020.12.024
30. Peters MDJ. Addressing vaccine hesitancy and resistance for COVID-19 vaccines. International Journal of Nursing Studies [Internet]. 2022 Jul;131:104241. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2022.104241