COVID-19 Vaccines Status, Acceptance and Hesitancy among Maintenance Hemodialysis Patients: A Cross-Sectional Study and the Implications for Pakistan and Beyond

• Published in: Vaccines (Basel) Vol. 11; no. 5; p. 904
• Main Authors: Amjad, Zara, Maryam, Iqra, Munir, Maria, Salman, Muhammad, Baraka, Mohamed A, Mustafa, Zia Ul, Khan, Yusra Habib, Mallhi, Tauqeer Hussain, Hasan, Syed Shahzad, Meyer, Johanna C, Godman, Brian
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 27.04.2023; MDPI
• Subjects: acceptance; awareness; Bacterial infections; Coronaviruses; COVID-19 vaccines; Cross-sectional studies; Disease prevention; Disease transmission; Drug therapy; False information; Health risks; Hemodialysis; Hemodialysis patients; hesitancy; high-risk; Hospitals; Immunization; Infections; Maintenance; Medical personnel; Mortality; Older people; Pandemics; Public health; Risk; Severe acute respiratory syndrome coronavirus 2; Social distancing; Vaccines; Pakistan; Punjab Pakistan; COVID-19 vaccines; Pakistan; acceptance; awareness; hemodialysis; hesitancy; high-risk
• ISSN: 2076-393X; 2076-393X
• DOI: 10.3390/vaccines11050904

COVID-19 vaccine hesitancy continues to be a widespread problem in Pakistan due to various conspiracy beliefs, myths and misconceptions. Since the hemodialysis population is at a higher risk of contracting infections, we sought to investigate the current COVID-19 immunization status and reasons for any vaccine hesitancy among these patients in Pakistan. This cross-sectional study was conducted among maintenance hemodialysis patients at six hospitals in the Punjab Province of Pakistan. Data were collected anonymously using a questionnaire. A total of 399 hemodialysis patients took part in the survey, the majority of them were male (56%) and aged 45-64 years. A calculated 62.4% of the patients reported receiving at least one dose of the COVID-19 vaccine. Of those vaccinated (249), 73.5% had received two doses and 16.9% had received a booster dose. The most common reasons for vaccination were "being aware they were at high risk" (89.6%), "fear of getting infected" (89.2%) and "willingness to fight against COVID-19-pandemic" (83.9%). Of the 150 patients who had not yet been vaccinated, only 10 showed a willingness to take the COVID-19 vaccine. The major reasons for refusal included "COVID-19 is not a real problem" (75%), the "corona vaccine is a conspiracy (72.1%)" and "I don't need the vaccine" (60.7%). Our study revealed that only 62% patients receiving hemodialysis were partially or completely vaccinated against COVID-19. Consequently, there is a need to initiate aggressive approaches to educate this high-risk population in order to address their concerns with vaccine safety and efficacy as well as correct current myths and misconceptions to improve the COVID-19 immunization status in this population.