Infection and Drug Resistance (Aug 2023)

Barriers and Intention to Get Vaccinated for COVID-19 and Associated Factors Among Adults in Southwest Ethiopia: A Theory of Planned Behavior Approach

  • Sisay AL,
  • Getahun HA,
  • Getachew N,
  • Gebremedhin T,
  • Sebero FM,
  • Birhanu A,
  • Gizaw AT

Journal volume & issue
Vol. Volume 16
pp. 5741 – 5754

Abstract

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Assefa Legesse Sisay,1 Habtamu Abebe Getahun,1 Nigusu Getachew,2 Tadesse Gebremedhin,1 Feyissa Mama Sebero,3 Addis Birhanu,1 Abraham Tamirat Gizaw4 1Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia; 2Department of Health Policy and Management, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia; 3Jimma Emergency Operation Center, Jimma University, Jimma, Ethiopia; 4Department of Health, Behavior and Society, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Assefa Legesse Sisay, Email [email protected]; [email protected]: Different vaccines have been approved for use against coronavirus disease and distributed globally in different regions. Efforts should be made on the vaccination to control the spread and impacts of the coronavirus pandemic. However, the general population’s attitudes and intention to uptake coronavirus disease 2019 (COVID-19) vaccinations were poor.Objective: This study aimed to assess the barriers to and intention to be vaccinated against COVID-19 and the associated factors among adults in the Jimma zone, Ethiopia.Methods: A community-based cross-sectional study with multistage sampling was conducted with 621 participants from 16 April to 17 May 2022. Multivariable logistic regression was used to identify factors associated with the outcome of interest. Statistical p-value ≤ 0.05 was set at p ≤ 0.05. Qualitative data were supplemented with quantitative results.Results: The majority of the study participants (382 [61.5%]) intended to uptake the COVID-19 vaccine. In this study, travel history (Adjusted Odds Ratio (AOR) = 2.18, 95% CI 1.23– 3.87), vaccination history (AOR = 2.64, 95% CI 1.69– 4.12), perceptions of infection prevention for COVID-19 (AOR = 1.97, 95% CI 1.28– 3.03), subjective norm (AOR = 2.27, 95% CI 1.52– 3.39), and perceived behavioral control (PBC) (AOR = 2.30, 95% CI 1.55– 3.41) were significantly associated with the intention to be vaccinated against COVID-19.Conclusion: More than half of the adult participants intended to be vaccinated against COVID-19. The study participant’s traveling history, vaccination history, perception of infection prevention for COVID-19, subjective norms, and Perceived Behavioral Control were significantly associated with the intention to be vaccinated.Keywords: barrier, COVID-19 vaccine, intention, theory of planned behavior, vaccine acceptance, Ethiopia

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