Main Article Content

COVID-19 vaccine acceptance and associated factors among people living with HIV in the Middle East and North Africa region


Rahma Mohamed
Trenton M. White
Jeffrey V. Lazarus
Amany Salem
Reham Kaki
Wafa Marrakchi
Sara G.M. Kheir
Ibrahim Amer
Fida M. Ahmed
Maie A. Khayat
Nabeela Al-Abdullah
Batool Ali
Roaa Sultan
Bandar Alamri
Anouf Abdulmajid
Ikbal Kooli
Mohamed Chakroun
Tariq A. Madani
Gamal Esmat
Ahmed Cordie

Abstract

Background: Identifying coronavirus disease 2019 (COVID-19) vaccine acceptance and associated factors among people living with HIV (PLHIV) in the  Middle East and North Africa region is important to meet the need for broad-scale vaccination against COVID-19.


Objectives: To investigate the COVID-19 vaccine acceptance rate and factors among PLHIV in the Middle East and North Africa region.


Method: An online cross-sectional survey was conducted among PLHIV currently living in Egypt, Tunisia and Saudi Arabia between March 2021 and  August 2021.


Results: Of the 540 respondents, 19.3% reported already being vaccinated against COVID-19 (n = 104), 32.0% responded ‘definitely yes’ (n = 173), and  13.3% responded ‘probably yes’ (n = 72) for intention to receive a COVID-19 vaccine, with an overall COVID-19 vaccine acceptance rate of 64.6% among  PLHIV in the region. The most significant predictors of COVID-19 vaccine acceptance included feeling less worried about COVID-19 transmission post-  vaccination (221.0% higher odds), and believing the disease is vaccine-preventable (160.0% higher odds). Reported barriers to COVID-19 vaccine  acceptance include concerns about vaccine effectiveness and belief that HIV medications protect against COVID-19 transmission, living in a rural area and  reporting less-frequent engagement with HIV care. Nine out of 10 participants reported that the chances of them getting COVID-19 vaccine would  increase if given adequate information and if their doctor recommended it.


Conclusion: Findings of the study can help researchers, health officials, and other health system actors understand the predictors and barriers to  COVID-19 vaccine acceptance reported by PLHIV. This understanding could inform the future planning of interventions tailored to PLHIV. 


Journal Identifiers


eISSN: 2078-6751
print ISSN: 1608-9693