Abstract
BackgroundEffective and safe COVID 19 vaccines have been approved for emergency use since the end of 2020 and countries are actively vaccinating their people. Nevertheless, hesitancy towards the vaccines exist globally.ObjectivesWe conducted this study to understand the attitudes towards COVID 19 vaccines and hesitancy to accept it among urban and rural communities in Tamil Nadu, India.MethodsWe conducted a community based cross sectional study in urban and rural communities among 564 persons who had not been vaccinated yet, selected through multistage random sampling. The vaccine attitude scale (VAX) was used to measure attitudes towards the vaccines and their acceptance of the vaccine was captured by responses to a direct question.ResultsMore than 50% of the respondents had positive attitudes towards the COVID 19 vaccines. Based on their attitudes, they were segmented into four clusters, first with preference for natural immunity compared to vaccines and low concern regarding adverse effects. Second with high level of trust in vaccines and low mistrust. The third cluster members had high level of concern regarding the adverse effects and low levels of mistrust in vaccines and the fourth had high trust in vaccines and low preference for natural immunity. Older individuals with higher education and occupation were more likely to belong to cluster four with high trust in the vaccines. Younger individuals, women, rural residents, belonging to low income labourer class were highly mistrusting of the vaccines. The prevalence of vaccine hesitancy was 40.7% (95% CI – 36.67 - 44.73%), while 19.5% (95% CI = 16.23 - 22.77%) of the respondents were vaccine deniers. While vaccine acceptance was greatest in cluster 1, it was least in cluster 3.ConclusionsVaccine hesitancy was high in urban and rural Tamil Nadu. The population could be effectively segmented into groups based on their attitudes and this understanding can be used to develop targeted behaviour change communication campaigns.
Highlights
The SARS CoV2 pandemic has disrupted the life of people globally [1]
We assumed the prevalence of vaccine hesitancy to be 42% which was the data obtained from a survey conducted in Tamil Nadu in January 2021 [21]
In this community based survey of attitudes towards COVID 19 vaccines and vaccine hesitancy in urban and rural Tamil Nadu, we found that about half the population had a positive attitude towards the vaccines
Summary
The SARS CoV2 pandemic has disrupted the life of people globally [1] Amidst this grim situation, one of the positive signs of human resilience is the development of effective and safe vaccines, within a year of onset of the pandemic [2]. As of 04 September 2019, India has vaccinated 67.6 crore people amounting to about 11% of the population fully vaccinated [7]. This rate of vaccination is not sufficient to halt the pandemic. Effective and safe COVID 19 vaccines have been approved for emergency use since the end of 2020 and countries are actively vaccinating their people.
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