AUTHOR=Ojewale Lucia Yetunde , Afolabi Rotimi Felix , Ogunniyi Adesola 

TITLE=COVID-19 Vaccine Attitude and Its Predictors Among People Living With Chronic Health Conditions in Ibadan, Nigeria

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604811

DOI=10.3389/ijph.2022.1604811

ISSN=1661-8564

ABSTRACT=<p><bold>Objective:</bold> To assess vaccination attitude and its associated factors among people with chronic health conditions.</p><p><bold>Methods:</bold> In this cross-sectional study, participants were 423 patients with chronic medical conditions. Data were collected on socio-demographic and COVID-19-related characteristics, <italic>via</italic> Open Data Kit software. A Vaccination Attitudes Examination (VAX) Scale was adopted. The main outcome was vaccine attitude status defined as positive if a VAX sum score was above the median value; otherwise, non-positive. Data were analysed using Chi-square and multivariate logistic regression analyses, at 5% level of significance.</p><p><bold>Results:</bold> Overall proportion of patients with a positive attitude towards COVID-19 vaccination uptake was 46.6%. The most influential factor towards positive attitude was rating the government high in handling the pandemic. Other factors were education, income, COVID-19 knowledge and living room arrangement (<italic>p</italic> &lt; 0.05).</p><p><bold>Conclusion:</bold> Less than half of people living with a chronic medical condition had a positive attitude towards the COVID-19 vaccine. The attitudes are strongly mediated by confidence in the government. The government could promote a positive vaccine attitude by improving the clarity of health instructions that shows government transparency and effective communication. These are critical tools for maintaining public trust and confidence.</p>