Sociodemographic and Clinical Determinants of Adherence to Covid-19 Vaccination among Health Personnel of the Cite Verte Health District in Yaounde Cameroon
Keywords:sociodemographic determinants, clinical determinants, adherence, Covid-19 vaccination, health personnel, Cameroon
Purpose: The aim of this study is to identify the socio-demographic and clinical determinants of adherence to Covid-19 vaccination among health personnel of the Cite-verte health district.
Problem: With daunting health challenges caused by the Covid-19 pandemic disease, it is surprising to see that many health personnel have not adhered to a preventive therapy that will assist in reducing its spread. Despite strategies put in place by the World Health Organization and the Ministry of Public Health of Cameroon in making available vaccines, the population seem not to adhere.
Methods: We used a quantitative cross-sectional prospective study for descriptive purposes from April to November 2021. Data was collected among 247 health personnel using structured questionnaires.
Results: Analysis revealed that the mean age of health personnel in our study was 36.76 years and a median of 37.00 ± 1.009 years. 12.6% are completely vaccinated, 14.6% incompletely vaccinated and 72.8% are not vaccinated. Also, age and religion influences adherence levels to Covid-19 vaccination at the 5% confidence level.
Everything else being equal, health personnel aged 50 years and more are 12.33 [95%, 1.89-30.49, P-value=0.009] times more likely to be fully vaccinated than not vaccinated, compared to their 30–39-year-old counterparts. This chance decreases to 8.66 [95%, 1.38-24.22, P-value=0.021] times when comparing incompletely vaccinated to unvaccinated cases. Also, health personnel following other religions (Pentecostal, Atheist and Jehovah witness), are 95% less likely to be fully vaccinated than their Christian counterparts [RR=0.05; 0.002-0.89; P-value=0.042]. To add, clinical determinants such as history of respiratory problems, and comorbidities did not influence adherence levels to Covid-19 vaccination as the plus value was 0.558 (fully vaccinated) and 0.987 (incompletely vaccinated).
Conclusion: We can conclude that health personnel are aware of the necessity of vaccination, but age and religious beliefs greatly impacts on adherence despite efforts from the government in improving on vaccination coverage.
“Immunité collective, confinement et COVID-19.” https://www.who.int/fr/news-room/questions-and-answers/q-a-detail/herd-immunity-lockdowns-and-covid-19 (accessed Dec. 05, 2021).
“One year on, vaccines still most acceptable weapon against Covid-19- The New Indian Express.” https://www.newindianexpress.com/nation/2022/jan/16/one-year-on-vaccines-still-most-acceptable-weapon-against-covid-19-2407447.html (accessed Sep. 22, 2022).
H. C. Maltezou, “Vaccination of healthcare personnel in the COVID-19 era: A call for actions,” Vaccine, vol. 39, no. 51, pp. 7363–7365, Dec. 2021, doi: 10.1016/j.vaccine.2021.10.078.
A. Staff, “WHO’S top 10 threats to global health in 2019,” ANMJ, May 03, 2019. https://anmj.org.au/whos-top-10-threats-to-global-health-in-2019/ (accessed Dec. 05, 2021).
H. L. Moline, “Effectiveness of COVID-19 Vaccines in Preventing Hospitalization Among Adults Aged ?65 Years — COVID-NET, 13 States, February–April 2021,” MMWR Morb. Mortal. Wkly. Rep., vol. 70, 2021, doi: 10.15585/mmwr.mm7032e3.
“COVID-19 vaccines.” https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines (accessed Sep. 22, 2022).
M. Li et al., “Healthcare workers’ (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review,” Postgrad. Med. J., no. Journal Article, p. postgradmedj-2021-140195, 2021, doi: 10.1136/postgradmedj-2021-140195.
K. T. Bolsewicz, M. S. Steffens, B. Bullivant, C. King, and F. Beard, “‘To Protect Myself, My Friends, Family, Workmates and Patients …and to Play My Part’: COVID-19 Vaccination Perceptions among Health and Aged Care Workers in New South Wales, Australia,” Int. J. Environ. Res. Public. Health, vol. 18, no. 17, p. 8954, 2021, doi: 10.3390/ijerph18178954.
CDC, “COVID-19 and Your Health,” Centers for Disease Control and Prevention, Feb. 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html (accessed Dec. 12, 2021).
C. Dong et al., “Determinants of Vaccine Acceptance against COVID-19 in China: Perspectives on Knowledge and DrVac-COVID19S Scale,” Int. J. Environ. Res. Public. Health, 2021, doi: 10.3390/ijerph182111192.
P. Jiang et al., “Energy, environmental, economic and social equity (4E) pressures of COVID-19 vaccination mismanagement: A global perspective,” Energy Oxf., vol. 235, no. Journal Article, pp. 121315–121315, 2021, doi: 10.1016/j.energy.2021.121315.
I. E. Gozum, H. G. Capulong, J. M. Gopez, and J. R. Galang, “Culture, Religion and the State: Towards a Multidisciplinary Approach to Ensuring Public Health During the COVID-19 Pandemic (and Beyond),” Risk Manag. Healthc. Policy, vol. 14, pp. 3395–3401, Aug. 2021, doi: 10.2147/RMHP.S318716.
C.-W. Fan et al., “Extended theory of planned behavior in explaining the intention to COVID-19 vaccination uptake among mainland Chinese university students: an online survey study,” Hum. Vaccines Immunother., vol. 17, no. 10, pp. 3413–3420, 2021, doi: 10.1080/21645515.2021.1933687.
D. Byrne and G. L. Clore, “A reinforcement model of evaluative responses,” Personal. Int. J., vol. 1, no. 2, pp. 103–128, 1970.
C. Mangurian and M. C. Halley, “Caring for the Caregivers — Covid-19 Vaccination for Essential Members of the Health Care Team,” N. Engl. J. Med., vol. 384, no. 9, pp. e33–e33, 2021, doi: 10.1056/NEJMpv2101339.
How to Cite
Copyright (c) 2022 International Scientific Research and Researchers Association (ISRRA)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who submit papers with this journal agree to the following terms.