Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda

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dc.contributor.authorLogie, Carmen H.
dc.contributor.authorOkumu, Moses
dc.contributor.authorMusoke, Daniel Kibuuka
dc.contributor.authorKyambadde, Peter
dc.date.accessioned2023-05-22T17:53:47Z
dc.date.available2023-05-22T17:53:47Z
dc.date.issued2023
dc.description.abstractScant studies have explored COVID-19 vaccine acceptability among refugees. However, contexts of forced migration may elevate COVID-19 vulnerabilities, and suboptimal refugee immunisation rates are reported for other vaccine-preventable diseases. We conducted a multi-methods study to describe COVID-19 vaccine acceptability among urban refugee youth in Kampala, Uganda. This study uses cross-sectional survey data from a cohort study with refugees aged 16–24 in Kampala to examine socio-demographic factors associated with vaccine acceptability. A purposively sampled cohort subset (n = 24) participated in semi-structured in-depth individual interviews, as did key informants (n = 6), to explore COVID-19 vaccine acceptance. Among 326 survey participants (mean age: 19.9; standard deviation 2.4; 50.0% cisgender women), vaccine acceptance was low (18.1% reported they were very likely to accept an effective COVID-19 vaccine). In multivariable models, vaccine acceptance likelihood was significantly associated with age and country of origin. Qualitative findings highlighted COVID-19 vaccine acceptability barriers and facilitators spanning social-ecological levels, including fear of side effects and mistrust (individual level), misinformed healthcare, community and family attitudes (community level), tailored COVID-19 services for refugees (organisational and practice setting), and political support for vaccines (policy environment). These data signal the urgent need to address social-ecological factors shaping COVID-19 vaccine acceptability among Kampala’s young urban refugees.en_US
dc.identifier.citationLogie, C. H., Okumu, M., Berry, I., McAlpine, A., Musoke, D. K., Hakiza, R., ... & Kyambadde, P. (2023). Multi-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Uganda. Global public health, 18(1), 2185800.https://doi.org/10.1080/17441692.2023.2185800en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8783
dc.language.isoenen_US
dc.publisherGlobal public healthen_US
dc.subjectRefugeesen_US
dc.subjectYouthen_US
dc.subjectCOVID-19en_US
dc.subjectMulti-methodsen_US
dc.titleMulti-method findings on COVID-19 vaccine acceptability among urban refugee adolescents and youth in Kampala, Ugandaen_US
dc.typeArticleen_US
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