AccScience Publishing / IJPS / Volume 10 / Issue 1 / DOI: 10.36922/ijps.359
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RESEARCH ARTICLE

“Does a healthy man need vaccination?”: Attitudes of older adults toward COVID-19 vaccine in South-East Nigeria

Samuel O. Ebimgbo1* Yemi Adewoyin2,3 Chukwuedozie K. Ajaero2 Uzoma O. Okoye1
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1 Department of Social Work, Faculty of the Social Sciences, University of Nigeria, Nsukka, Enugu State, Nigeria
2 Department of Geography, Faculty of the Social Sciences, University of Nigeria, Nsukka, Enugu State, Nigeria
3 Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa
IJPS 2024, 10(1), 86–97; https://doi.org/10.36922/ijps.359
Submitted: 19 September 2022 | Accepted: 1 December 2023 | Published: 9 January 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

The COVID-19 pandemic appears to be impeding the progress of the United Nations’ Sustainable Development Goal and the African Union’s Agenda 2063 in achieving optimal health and well-being for individuals, particularly older adults. Numerous older adults have succumbed to the virus, exacerbating existing global health challenges. In response, scientists worldwide have developed a vaccine to alleviate the substantial disease burden. The Nigerian government has mandated the prioritized vaccination of older adults. This study aims to investigate the attitudes of older adults toward the COVID-19 vaccine. Data were collected from 32 older adults through in-depth interviews and focus group discussions. Thematic analysis was employed to derive meaningful patterns from the collected data. The findings reveal a prevailing lack of awareness among older adults regarding the COVID-19 vaccine. They asserted that they perceived no need for vaccinations, asserting their current state of health. In addition, concerns were raised about potential adverse effects of the vaccine, including the onset of other illnesses. This study suggests that the Nigerian government, through its orientation agencies, undertakes comprehensive public education campaigns highlighting the importance of COVID-19 vaccine uptake.

Keywords
COVID-19
Hesitancy
Older adults
Pandemic
Vaccine
Funding
None.
Conflict of interest
The authors declare no conflict of interest.
References

Abubakar, A.A., Shehu, A.U., Umar, A.A., Babandi, Z., Sokomba, A., Sadiku, S., et al. (2022). Willingness to accept Covid -19 vaccines in a rural community in Kaduna State, Northwestern Nigeria. International Journal of Infectious Diseases, 116:S1-S30.  https://doi.org/10.1016/j.ijid.2021.12.145

 

Adigwe, O.P. (2021). COVID-19 vaccine hesitancy and willingness to pay: Emergent factors from a cross-sectional study in Nigeria. Vaccine: X, 9:100112. https://doi.org/10.1016/j.jvacx.2021.100112

 

Al-Hanawi, M.K., Angawi, K., Alshareef, N., Qattan, A.M.N., Helmy, H.Z., Abudawood, Y., et al. (2020). Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: A cross-sectional study. Frontier in Public Health, 8:217. https://doi.org/10.3389/fpubh.2020.00217

 

Al-Mohaithef, M., & Padhi, B.K. (2020). Determinants of COVID-19 vaccine acceptance in Saudi Arabia: A web-based national survey. Journal of Multidisciplinary Healthcare, 13:1657-1663. https://doi.org/10.2147/JMDH.S276771

 

Amadasun, S. (2021). COVID-19 pandemic in Africa: What lessons for social work education and practice? International Social Work, 64(2):246-250. https://doi/10.1177/0020872820949620

 

Amadasun, S., & Omorogiuwa, T.B.E. (2020). 2019 Coronavirus and Social Work: Blueprint to Holistic Intervention. Preprints.  https://doi.org/10.31124/advance.12241226.v1

 

Anorue, L.I., Ugwu, A.C., Ugboaja, S.U., Nwabunze, U.O., Ugwulor-Onyinyechi, C.C., & Njoku, C. (2021). Communicating COVID-19 vaccine safety: Knowledge and attitude among residents of South East, Nigeria. Infection and Drug Resistance, 14:3785-3794. https://doi.org/10.2147/IDR.S329183

 

Armitage, R., & Nellums, L.B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5:e256. https://doi.org/10.1016/S2468-2667(20)30061-X

 

Bai, W., Cai, H., Liu, S., Liu, H., Qi, H., Chen, X., et al. (2021). Attitudes toward COVID-19 vaccines in Chinese college students. International Journal of Biological Sciences, 17(6):1469-1475. https://doi.org/10.7150/ijbs.58835

 

Baker, J.O., Perry, S.L., & Whitehead, A.L. (2020). Crusading for moral authority: Christian nationalism and opposition to science. Sociological Forum, 35(3):587-607. https://doi.org/10.1111/socf.12619

 

Bates, B.R., Tami, A., Carvajal, A., & Grijalva, M.J. (2021). Knowledge, attitudes, and practices towards COVID-19 among Venezuelans during the 2020 epidemic: An online cross-sectional survey. PLoS One, 16(4):e0249022. https://doi.org/10.1371/journal.pone.0249022

 

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3:77-101. https://doi.org/10.1191/1478088706qp063oa

 

Centers for Disease Control and Prevention. (n.d). Vaccines: The Basics. Available from: https://www.cdc.gov/vaccines/vpd/ vpdvac-basics.html [Last accessed on 2022 Mar 21].

 

Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide through Qualitative Analysis. London, UK: Sage Publications Inc.

 

Corcoran, K.E., Scheitle, C.P., & DiGregorio, B.D. (2021). Christian nationalism and COVID-19 vaccine hesitancy and uptake. Vaccine, 39:6614-6621. https://doi.org/10.1016/j.vaccine.2021.09.074

 

Cordina, M., Lauri, M.A., & Lauri, J. (2021). Attitudes towards COVID-19 vaccination, vaccine hesitancy and intention to take the vaccine. Pharmacy Practice, 19(1):2317. https://doi.org/10.18549/PharmPract.2021.1.2317

 

Coustasse, A., Kimble, C., & Maxik, K. (2021). COVID-19 and vaccine hesitancy: A challenge the United States must overcome. Journal of Ambulatory Care Management, 44(1):71-75. https://doi.org/10.1097/JAC.0000000000000360

 

Cucinotta, D., & Vanelli, M. (2020). WHO declares COVID-19 a pandemic. Acta Biomedica, 91(1):57-60. https://doi.org/10.23750/abm.v91i1.9397

 

Dula, J., Mulhanga, A., Nhanombe, A., Cumbi, L., Júnior, A., Gwatsvaira, J., et al. (2021). COVID-19 vaccine acceptability and its determinants in Mozambique: An online survey. Vaccines, 9:828. https://doi.org/10.3390/vaccines9080828

 

El-Elimat, T., AbuAlSamen, M.M., Almomani, B.A., Al-Sawalha, N.A., & Alali, F.Q. (2021). Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan. PLoS One, 16(4):e0250555. https://doi.org/10.1371/journal.pone.0250555

 

Eniade, O.D., Olarinmoye, A., Otovwe, A., Akintunde, F.E., Okedare, O.O., & Aniyeloye, A.O. (2021). Willingness to accept covid-19 vaccine and its determinants among Nigeria citizens: A web-based cross-sectional study. Journal of Advances in Medicine and Medical Research, 33(8):13-22. https://doi.org/10.9734/jammr/2021/v33i830881

 

Enitan, S.S., Oyekale, A.O., Akele, R.Y., Olawuyi, K.A., Olabisi, E.O., Nwankiti, A.J., et al. (2020). Assessment of knowledge, perception and readiness of Nigerians to participate in the COVID-19 vaccine trial. International Journal of Vaccine and Immunization, 4(1):1-13. https://doi.org/10.16966/2470-9948.123

 

Ezema, S., Chukwu, N., & Ajibo, H. (2023). Perception of students and lecturers of University of Nigeria, Nsukka (UNN) of factors contributing to Covid-19 vaccine hesitancy (VH) and role of social workers. Journal of Social Work in Developing Societies, 5(1):73-88.

 

Figueiredo, A.E.B., Ceccon, R.F., & Figueiredo, J.H.C. (2021). Chronic non-communicable diseases and their implications in the life of dependente eldery people. Ciência and Saúde Coletiva, 26(1):77-78. https://doi.org/10.1590/1413-81232020261.33882020

 

Flett, G.L., & Heisel, M.J. (2020). Aging and feeling valued versus expendable during the COVID-19 pandemic and beyond: A review and commentary of why mattering is fundamental to the health and well-being of older adults. International Journal of Mental Health and Addiction, 19:2443-2469. https://doi.org/10.1007/s11469-020-00339-4

 

Garcia, L.L., & Yap, J.F.C. (2021). The role of religiosity in COVID-19 vaccine hesitancy. Journal of Public Health, 43(2):e529-e530. https://doi.org/10.1093/pubmed/fdab192

 

Graeber, D., Schmidt-Petri, C., & Schro¨der, C. (2021). Attitudes on voluntary and mandatory vaccination against COVID-19: Evidence from Germany. PLoS One, 16(5):e0248372. https://doi.org/10.1371/journal.pone.0248372

 

Iguacel, I., Maldonado, L.A., Ruiz-Cabello, A.L., Samatán, E., Alarcón, J., Orte., A.M., et al., (2021). Attitudes of healthcare professionals and general population toward vaccines and the intention to be vaccinated against COVID-19 in Spain. Frontiers in Public Health, 9:739003. https://doi.org/10.3389/fpubh.2021.739003

 

Islam, M.S., Kamal, A.H.M., Kabir, A., Southern, D.L., Khan, S.H., Hasan, S.M., et al. (2021). COVID-19 vaccine rumors and conspiracy theories: The need for cognitive inoculation against misinformation to improve vaccine adherence. PLoS One, 16(5):e0251605. https://doi.org/10.1371/journal.pone.0251605

 

Jamal, U. (2020). Why is Indonesia concerned about a halal COVID-19 vaccine? ASEAN Today.

 

James, B.C., Ede, S.S., Aroh, C.M., Okoh, C.F., Kanokwan, C., Rasip, M.L., et al. (2022). Attitudes and perceptions of Nigerians regarding receiving COVID-19 vaccines: An online cross-sectional study. Pan African Medical Journal, 41:247. https://doi.org/10.11604/pamj.2022.41.247.33286

 

Josiah, B.O., & Kantaris, M. (2021). Perception of covid-19 and acceptance of vaccination in Delta State Nigeria. The Nigerian Health Journal, 21(2):60-86.

 

Kasstan, B. (2021). “If a rabbi did say ‘you have to vaccinate’, we wouldn’t”: Unveiling the secular logics of religious exemption and opposition to vaccination. Social Science and Medicine, 280:114052. https://doi.org/10.1016/j.socscimed.2021.114052

 

Krueger, R.A. (1994). Focus Groups: A Practical Guide for Applied Research. Thousand Oaks, CA: Sage Publications Inc.

 

Kumari, A., Ranjan, P., Choppa, S., Kaur, D., Kaur, T., Kalanidhi, K.B., et al. (2021). What Indians think of the COVID-19 vaccine: A qualitative study comprising focus group discussions and thematic analysis. Diabetes and Metabolic Syndrome, 15(3):676-682. https://doi.org/10.1016/j.dsx.2012.03.021

 

Lazarus, J.V., Ratzan, S.C., Palayew, A., Gostin, L.O., Larson, H.J., Rabin, K., et al. (2020). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27:225-228. https://doi.org/10.1038/s41591-020-1124-9

 

Lindholt, M.F., Jørgensen, F., Bor, A., & Petersen, M.B. (2021). Public acceptance of COVID-19 vaccines: Cross-national evidence on levels and individual-level predictors using observational data. BMJ Open, 11:e048172. https://doi.org/10.1136/bmjopen-2020-048172

 

Liu, S., Yang, L., Zhang, C., Xiang, Y., Liu, Z., Hu, S., et al. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4):e17-e18. https://doi.org/10.1016/S2215-0366(20)30077-8

 

Lopez, K.A., & Willis, D.G. (2004). Descriptive versus interpretive phenomenology: Their contributions to nursing knowledge. Qualitative Health Research, 14(5):726-735. https://doi.org/10.1177/1049732304263638

 

Lucia, V.C., Kelekar, A., & Afonso, N.M. (2020). Covid-19 vaccine hesitancy among medical students. Journal of Public Health, 43(3):445-449. https://doi.org/10.1093/pubmed/fdaa230

 

Mohamadi, M., Lin, Y., Vulliet, M.V.S., Flahault, A., Rozanova, L., & Fabre, G. (2021). COVID-19 vaccination STRATEGY in China: A case study. Epidemiologia, 2:402-405. https://doi.org/10.3390/epidemiologia2030030

 

Mohamed, N.A., Solehan, H.M., Mohd Rani, M.D., Ithnin, M., & Che Isahak, C.I. (2021). Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: A web-based survey. PLoS One, 16(8):e0256110. https://doi.org/10.1371journal.pone.0256110

 

Mukhtar, S. (2020). Mental health and psychosocial aspects of coronavirus outbreak in Pakistan: Psychological intervention for public mental health crisis. Asian Journal of Psychiatry, 51:102069. https://doi.org/10.1016/j.ajp.2020.102069

 

Murphy, J., Vallières, F., Bentall, R.P., Shevlin, M., McBride, O., Hartman, T.K., et al. (2021). Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nature Communications, 12:29. https://doi.org/10.1038/s41467-020-20226-9

 

Nakajima, R., Watanabe, F., & Kamei, M. (2021). Factors associated with medication non-adherence among patients with lifestyle-related non-communicable diseases. Pharmacy (Basel), 9:90. https://doi.org/10.3390/pharmacy9020090

 

National Population Commission. (2010). Federal Republic of Nigeria 2006 Population and Housing Census: Priority Table Volume IV, Population Distribution by Age and Sex (State and Local Government Area). Abuja, Nigeria: National Population Commission.

 

Nigeria Center for Disease Control. (2020). COVID-19 in Nigeria: Confirmed Cases by States. Available from : https:// covid19.ncdc.gov.ng [Last accessed on 2020 Dec 15].

 

Nwangwu, C.N., Ngwu, L.U., Nwosuji, E.P., Ayuk, C., & Ezeh, I.L. (2021). Knowledge, attitudes and practices toward COVID-19 prevention among university students in Enugu State University of Science and Technology. Journal of Social Sciences and Humanities, 6(1):62-67.

 

Ogueji, I.A., & Okoloba, M.M. (2022). Underlying factors in the willingness to receive and barriers to receiving the COVID-19 vaccine among residents in the UK and Nigeria: A qualitative study. Current Psychology, 2022(1):1-12. https://doi.org/10.1007/s12144-021-02498-6

 

Olagoke, A.A., Olagoke, O.O., & Hughes, A.M. (2021). Intention to vaccinate against the novel 2019 coronavirus disease: The role of health locus of control and religiosity. Journal of Religion and Health, 60(1):65-80. https://doi.org/10.1007/s10943-020-01090-9

 

Olu-Abiodun, O., Abiodun, O., & Okafor, N. (2022). COVID-19 vaccination in Nigeria: A rapid review of vaccine acceptance rate and the associated factors. PLoS One, 17(5):e0267691. https://doi.org/10.1371/journal.pone.0267691

 

Onalu, C.E., Atama, C.S., Ebimgbo, S.O., Nwachukwu, S.T., Idowu, B.O., & Nwafor, N.F. (2022). It is a hoax: Attitude of south-eastern Nigerian toward covid-19 and vaccine: The need for social workers. Social Work in Public Health, 37:523-535. https://doi.org/10.1080/19371918.2022.2048936

 

Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2021). COVID-19 Vaccine Uptake in Ontario: December 14, 2020 to December 19, 2021. Toronto, ON: Queen’s Printer for Ontario.

 

Plohl, N., & Musil, B. (2021). Modeling compliance with COVID-19 prevention guidelines: The critical role of trust in science. Psychology, Health and Medicine, 26(1):1-12. https://doi.org/10.1080/13548506.2020.1772988

 

Qasim, P., Shah, H., Sultan, A., Yaqoob, M., Haroon, R., Mistry, S., et al. 2022. Exploring the beliefs and experiences with regard to COVID-19 vaccine hesitancy and acceptance in a slim of Karachi, Pakistan. Health Promotion International, 37(6):daac 140. https://doi.org/10.1093/haepro/daac/140

 

Reiter, P.L., Pennell, M.L., & Katz, M.L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine, 38:6500-65007. https://doi.org/10.1016/j.vaccine.2020.08.043

 

Ritchie, J., & Spencer, L. (1994). Qualitative data analysis for applied policy research. In: Bryman, A., & Burgess, R. (eds.), Analysing Qualitative Data. United Kingdom: Routledge.

 

Rodrigues, C.M.C., & Plotkin, S.A. (2020). Impact of vaccines; health, economic and social perspectives. Frontiers in Microbiology, 11:1526. https://doi.org/10.3389/fmicb.2020.01526

 

Rzymski, P., Zeyland, J., Poniedziałek, B., Małecka, I., & Wysocki, J. (2021). The perception and attitudes toward COVID-19 Vaccines: A cross-sectional study in Poland. Vaccines, 9:382. https://doi.org/10.3390/vaccines9040382

 

Shahid, Z., Kalayanamitra, R., McClafferty, B., Kepko, D., Ramgobin, D., Patel, R., et al. 2020. COVID-19 and older adults: What we know. Journal of the American Geriatrics Society, 68(5):926-929. https://doi.org/10.1111/jgs.16472

 

Sherman, S.M., Smith, L.E., Sim, J., Amloˆt, R., Cutts, M., Dasch, H., et al. (2020). COVID-19 vaccination intention in the UK: Results from the COVID-19 Vaccination Acceptability Study (CoVAccS), a nationally representative cross-sectional survey. Human Vaccines Immunotherapeutics, 17:1612-1621. https://doi.org/10.1080/21645515.2020.1846397

 

Soares, P., Rocha, J.V., Moniz, M., Gama, A., Laires, P.A., Pedro, A.R., et al. (2021). Factors associated with COVID- 19 vaccine hesitancy. Vaccines, 9(3):300. https://doi.org/10.3390/vaccines9030300

 

Szilagyi, P.G., Thomas, K., Shah, M.D., Vizueta, N., Cui, Y., Vangala, S., et al. (2020). National trends in the US Public’s likelihood of getting a COVID-19 vaccine. April 1 to December 8, 2020. Journal of the American Medical Association, 325(4):396-398. https://doi.org/10.1001/jama.2020.264194

 

Thinane, J.S. (2022). Religious Perspectives on Vaccination: Mandatory COVID-19 Vaccine for SA Churches. Available from: https://www.researchgate.net/publication/357403973_ religious_perspectives _on_vaccination_mandatory_covid- 19_vaccine_for_sa_churches/download [Last accessed on 2022 Apr 28].

 

Upenieks, L., Ford-Robertson, J., & Robertson, J.E. (2022). Trust in God and/or science? Sociodemographic differences in the effects of beliefs in an engaged God and mistrust of the COVID-19 vaccine. Journal of Religion and Health, 61:657-686. https://doi.org/10.1007/s10943-021-01466-513

 

Uzochukwu, I.C., Eleje, G.U., Nwankwo, C.H., Chukwuma, G.O., Uzuke, C.A., Uzochukwu, C.E., et al. (2021). COVID-19 vaccine hesitancy among staff and students in a Nigerian tertiary educational institution. Therapeutic Advances in Infectious Disease, 8:1-12. https://doi.org/10.1177/20499361211054923

 

Wand, A.P.F., Zhong, B.L., Chiu, K.F.K., Draper, B., & De Leo, D. (2020). COVID-19: The implications for suicide in older adults. International Psychogeriatrics, 32(10):1225-1230. https://doi.org/10.1017/S1041610220000770

 

Whitehead, A.L., & Perry, S.L. (2020). How culture wars delay herd immunity: Christian nationalism and anti-vaccine attitudes. Socius, 6:2378023120977727.

 

WHO. (2020a). Weekly Bulletin on Outbreaks and Other Emergencies. Geneva: WHO. Available from: https://apps. who.int/iris/bitstream/handle/10665/331892/OEW17- 2026042020.pdf [Last accessed on 2021 Feb 20].

 

WHO. (2020b). Mental Health and Psychosocial Considerations during the COVID-19 Outbreak. Geneva: WHO. Available from: https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations. pdf?sfvrsn=6d3578af_8 [Last accessed on 2021 Feb 20].

 

WHO. (2022). WHO Coronavirus (COVID-19) Dashboard. Geneva: WHO. Available from: https://covid19.who.int [Last accessed on 2022 Jun 18].

 

Willis, D.G., Sullivan-Bolyai, S., Knafl, K., & Cohen, M.Z. (2016). Distinguishing features and similarities between descriptive phenomenological and qualitative description research. Western Journal of Nursing Research, 38(9):1185-1204. https://doi.org/10.1177/0193945916645499

 

Wu, F., Zhao, S., Yu, B., Chen, Y.M., Wang, W., Song, Z.G., et al. (2020). A new coronavirus associated with human respiratory disease in China. Nature, 579(7798):265-269. https://doi.org/10.1038/s41586-020-2008-3

 

Yamey, G., Schäferhoff, M., Hatchett, R., Pate, M., Zhao, F., & McDade, K.K. (2020). Ensuring global access to COVID-19 vaccines. Lancet, 395:1405-1406. https://doi.org/10.1016/S0140-6736(20)30763-7

 

Zheng, W., Yan, X., Zhao, Z., Yang, J., & Yu, H. (2021). COVID-19 vaccination program in the mainland of China: A subnational descriptive analysis on target population size and current progress. Infectious Disease of Poverty, 10:124. https://doi.org/10.1186/s40249-021-00909-1

 

Zimmer, C., Corum, J., & Wee, S.L. (2020). Coronavirus Vaccine Tracker US. New York: The New York Times. Available from: https://www.nytimes.com/interactive/2020/science/ coronavirusvaccine-tracker.html [Last accessed on 2021 May 20].

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