Covid-19 vaccine anxieties

Exploring social and political drivers of vaccine attitudes in Kono District, Sierra Leone

Dados Bibliográficos

ID21342672
AutoresLiza J Malcolm (College of Charleston), Kristen E Mclean (0000-0002-3733-6953, College of Charleston, autor correspondente)
Ano2025
Volume57
Fascículo2
Páginas179-194
Data de publicação2025-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Biosocial Science (JOURNAL)
Identificadores do periódicoISSN: 0021-9320 • E-ISSN: 1469-7599
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0021932024000373
PMID39773779
OpenAlexW4406184442
IdiomaEN
Referências citadas38

As COVID-19 spread rapidly during the early months of the pandemic, many communities around the globe anxiously waited for a vaccine. At the start of the pandemic, it was widely believed that Africa would be a significant source of infection, and thus, vaccinating African communities became a primary goal among local and global health authorities. However, when the COVID-19 vaccine became available in March 2021 in Sierra Leone, many people viewed it with scepticism and hesitation. While much literature has focused on access and distribution-related challenges for vaccination in the region, a growing number of studies discuss vaccine hesitancy as driving low vaccine uptake. Shifting attention to understanding the determinants of vaccine hesitancy remains fundamental to increasing vaccination rates, as negative vaccine perceptions tend to delay or prevent vaccination. This study sought to do this by assessing, through semi-structured qualitative interviews, vaccine-related attitudes and experiences of residents of Sierra Leone’s Kono District. In contrast to studies that utilise “knowledge-deficit” models of belief, however, this study drew upon the vaccine anxieties framework (Leach and Fairhead, 2007), which views vaccines as being imbued with personal, historical, and political meaning. Findings suggest that important bodily, social, and political factors, including fear of side effects, the spread of misinformation prompted by poor messaging strategies, and distrust of government and international actors, influenced people’s COVID-19 vaccine attitudes and behaviours. It is hoped that the study’s findings will inform future policies and interventions related to vaccine uptake in Africa and globally

Coronavirus disease 2019 (COVID-19) · Development economics · Disease · Distrust · Misinformation · Pandemic · Political science · Politics · Psychological intervention · Sierra leone · Socioeconomics · Sociology · Vaccination · COVID-19 epidemiological studies · Immunology · Medicine · SARS-CoV-2 and COVID-19 Research · Vaccine Coverage and Hesitancy