ABSTRACT
Nigeria has been affected by the COVID-19 pandemic, and vaccination is a key strategy. However, the country faces vaccination hesitancy, poor risk perception, and low acceptance. This study aimed to assess the direct and interactive impacts of COVID-19 vaccine risk perception and acceptability on COVID- 19 vaccination attitudes in the general Nigerian population. In a cross-sectional approach, participants completed a structured questionnaire including demographics, COVID-19 vaccine risk perception, acceptance, and vaccination attitude from April 2-30, 2021. The sample included 1,026 participants from different ethnicities across four regions (Southwest, South, Southeast, and North Central) in Nigeria, which were selected using the convenience sampling method. Multivariate analysis of variance results showed that the COVID-19 vaccine's risk perception and acceptability have separate and interactive effects on overall vaccination attitudes. Interactively, individuals with high-risk perceptions and low acceptance expressed more skepticism about its benefits, were concerned about its long-term body effects, believed more in its commercialization, and preferred natural immunity. Nigerians' apprehension about COVID-19 vaccination is impacted by their high-risk perception and low vaccine uptake.
ABSTRACT
We examined the differential effects of some socio-demographic; and the separate and interactive effects of types of adjustments on university students' mental health indicators (somatic symptoms, anxiety/insomnia, social dysfunction and depression). In a cross-sectional approach, we selected 603 undergraduates (Mage = 21.88, SD = 2.25) from a Nigerian university who answered a structured questionnaire that included measures of studied variables from June to August 2021. No gender difference was observed in students' mental health indicators. Social dysfunction was most reported by 3rd year students; while those from separated homes reported both anxiety and depression most. Somatic symptoms, social dysfunction, anxiety, and depression were higher among students with poor academic, social, emotional, or attachment adjustments. Students who struggled academically and socially reported more social symptoms; whereas those who struggled academically and emotionally were more depressed. Additionally, students with low social and attachment adjustments reported higher social dysfunction and depression; while those with low academic, emotional, and attachment adjustments reported higher anxiety and depression. Adjustment mechanisms are essential for students to enjoy good mental health during COVID-19 post-lockdown irrespective of their gender; especially those from broken homes. Psychological supports are regularly required to improve students' mental health during COVID-19 post-lockdown.
ABSTRACT
BACKGROUND: Research shows that trust in government is associated with the acceptance of COVID-19 vaccination. However, there is no empirical evidence suggesting the pathway by which this association is formed. This study examines how dimensional attitudes towards vaccination explain the relationship between mistrust in government and COVID-19 vaccination acceptance. METHODS: The study was an online cross-sectional survey involving 1026 adults (of which 58.9% are female) resident in Nigeria with a mean age of 26.09 (±8.46) years. Data were collected using structured questionnaires assessing the level of mistrust in government, dimensional attitudes towards vaccination, and acceptance to be vaccinated for COVID-19. Structural equation modeling was used to analyze data. RESULTS: Results show that 56.8% of participants mistrust the government, while COVID-19 vaccination acceptance rate was 28.2%. Mistrust in government was significantly associated with low acceptance of COVID-19 vaccination. Furthermore, mistrust in the government was predictive of negative attitudes towards COVID-19 vaccination which include worries about unforeseen future effects of vaccines, mistrust of vaccine benefits (MVB), concerns about commercial profiteering (CCP), and preference for natural immunity. The outcomes of indirect effect analyses indicated that mistrust in government was associated with high mistrust in vaccine benefits (MVB) and increased concerns about commercial profiteering (CCP), which in turn lead to low acceptance of COVID-19 vaccination. CONCLUSIONS: Mistrust in the government was high and was coupled with low vaccination acceptance. It is important to initiate culturally relevant awareness programs aiming at combating false notions about COVID-19 vaccination such as MVB and CCP arising from mistrust in government.