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Health
04 February 2025

COVID-19 Vaccine Hesitancy And Mental Health Among Nigerian Healthcare Workers

Study reveals links between gender, anxiety, and vaccine hesitancy among hospital staff

A recent study conducted among healthcare workers at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in Nigeria has uncovered significant insights related to COVID-19, its psychological impact on medical professionals, and concerns over vaccine hesitancy. The research involved assessing the levels of COVID-19-related stress and anxiety among 849 health workers and identifying factors associated with their hesitance to receive vaccinations against the virus.

Despite the global emphasis on vaccination as the primary tool to combat COVID-19, vaccine hesitancy remains prevalent, particularly within low- and middle-income countries. This study defined vaccine hesitancy as the delay or refusal to accept vaccines, even when available. Among the respondents at OAUTHC, approximately 27.8% exhibited hesitancy toward the COVID-19 vaccine, emphasizing challenges to achieving optimal vaccination coverage.

The study utilized several validated assessment tools, including the Vaccine Hesitancy Scale (VHS) and the Stress and Anxiety to Viral Epidemics scale (SAVE-6), to measure vaccine hesitancy alongside stress and anxiety levels. Findings indicated only 11.3% of healthcare workers reported high levels of stress and anxiety related to work during the pandemic. This highlights the psychological toll the pandemic has taken on medical professionals, alongside the skepticism surrounding vaccines.

Notably, the results pointed out gender as a significant factor influencing vaccine hesitancy. Female healthcare workers were found to have greater odds of being vaccine hesitant compared to their male counterparts, with adjusted odds ratios indicating vulnerability based on gender and marital status. This points to the wider societal influences on individual decisions about vaccination, especially under the pressures created by the pandemic.

Interestingly, the data revealed no significant association between COVID-19-related anxiety and vaccine hesitancy, challenging commonly-held assumptions about the interrelatedness of mental health issues and vaccine acceptance. The researchers suggested the need for targeted interventions to educate healthcare staff about vaccine safety and efficacy, fostering higher vaccination rates which are pivotal for controlling virus spread.

This substantial research highlights the dual need for mental health support and effective communication strategies to curb vaccine hesitancy. With healthcare workers at the frontline of vaccination efforts, ensuring their confidence and health is critically important not only for their well-being but also for public health.

Health authorities are encouraged to implement training programs aimed at strengthening healthcare workers’ knowledge about COVID-19 vaccines and addressing their concerns. Such interventions should also focus on creating supportive work environments, easing vaccine hesitancy through open discussions on related fears and misconceptions.

Overall, as healthcare workers embody the first respondants to public health crises, mitigating obstacles like vaccine hesitancy among them proves integral to maximizing vaccination uptake, thereby fostering collective immunity against COVID-19 and bolstering the resilience of healthcare systems for future challenges.