Conspiracy Theories, Vaccine Hesitancy and Determinants of Vaccination Acceptance in Nigeria: A Conceptual Review
DOI:
https://doi.org/10.47941/jcomm.1864Keywords:
Vaccine Hesitancy, Conspiracy Theories, Vaccination Acceptance, Public Health, Community Engagement, Evidence-Based InterventionsAbstract
Purpose: This conceptual review aims to dissect the intricate web of conspiracy theories, vaccine hesitancy and determinants of vaccination acceptance within Nigeria's socio-cultural context, shedding light on their genesis, propagation and impact on public health outcomes.
Methodology: Employing a multidisciplinary approach, this study synthesizes existing literature and theoretical frameworks from various disciplines, including sociology, anthropology, public health, and communication studies. Methodological rigor is ensured through comprehensive literature review and critical appraisal of relevant studies, enabling a holistic exploration of the subject matter.
Findings: Through a systematic analysis, the review identifies and examines socio-cultural, economic and political influences that shape vaccination behavior in Nigeria. It illuminates the multifaceted determinants contributing to vaccine hesitancy, ranging from religious beliefs to historical legacies to socio-economic factors and healthcare accessibility challenges. The review also highlights the genesis and propagation of conspiracy narratives, their impact on public trust in vaccination and consequent implications for immunization uptake.
Unique Contribution to Theory, Policy and Practice: This review makes several contributions to theory, policy, and practice in the field of vaccination and public health. Firstly, it advances theoretical understanding by synthesizing existing knowledge and proposing conceptual frameworks that elucidate the socio-cultural, economic, and political determinants of vaccination behavior in Nigeria. Secondly, it informs policy development by identifying key areas for intervention, such as addressing vaccine hesitancy, countering misinformation, and strengthening healthcare infrastructure to enhance vaccine delivery. Finally, it offers practical insights for public health practitioners and policymakers, providing evidence-based recommendations for designing effective vaccination campaigns, communication strategies, and community engagement initiatives tailored to the Nigerian context.
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References
Adedokun, S.T., Uthman, O.A., Adekanmbi, V.T., Wiysonge, C.S. Incomplete childhood immunisation in Nigeria: a multilevel analysis of individual and contextual factors. BMC Public Health. 2017;17(1):236.
Adeloye, D., Jacobs, W., Amuta, A. O., Ogundipe, O., Mosaku, O., Gadanya, M. A., & Oni, G. (2017). Coverage and determinants of childhood immunisation in Nigeria: A systematic review and meta-analysis. Vaccine, 35(22), 2871-2881.
Adewumi, K., Odusanya, O., Udenigwe, O., & Oluwadare, C. (2020). The Role of Social Media in the Spread of Vaccine Hesitancy and Misinformation in Nigeria. African Journal of Medical and Health Sciences, 19(1), 86-91.
Ajayi, A. T., Adeyemi, A. B., & Oke, K. J. (2020). Understanding vaccine hesitancy and acceptance in Nigeria: Challenges and opportunities for improving immunisation coverage. Nigerian Journal of Health Sciences, 20(1), 15-25.
Akande, T. (2019). Vaccine Misinformation and Mistrust in Nigeria: A Trend Analysis. Journal of Health Communication, 24(8), 870-877.
Awosan KJ, Ibrahim MTO, Yusuf OB. Socio-demographic factors associated with childhood immunisation uptake in Nigeria: a population-based cross-sectional study. BMJ Open. 2019;9(3):e023853.
Babalola S, Lawan U, Maina BW, Aminu A, Ibrahim MS, Tanko M. Factors predicting BCG immunisation coverage in Kaduna State, Nigeria: a cross-sectional study. BMC Public Health. 2019;19(1):948.
Balogun, M. R., Sekoni, A. O., Okafor, I. P., Odukoya, O. O., Ezeiru, S. S., & Ogunnowo, B. E. (2020). Vaccine hesitancy among antenatal clinic attendees in Lagos, Nigeria. Vaccine, 38(3), 543-550.
Bartlett, J., & Miller, C. (2010). The Power of Unreason: Conspiracy Theories, Extremism and Counter-Terrorism. London: Demos.
Betsch, C., Böhm, R., & Korn, L. (2018). Inviting free-riders or appealing to prosocial behaviour? Game-theoretical reflections on communicating herd immunity in vaccine advocacy. Health Psychology, 37(9), 673-682.
Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing vaccination: Putting psychological science into action. Psychological Science in the Public Interest, 18(3), 149-207.
Brown, K. F., MacDonald, N. E., & King, J. (2020). Determinants of vaccine hesitancy in Canada. Epidemiology and Infection, 148, e183.
Butter, M., & Knight, P. (2019). The Routledge companion to media and conspiracy. Routledge.
Champion, V. L., & Skinner, C. S. (2008). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 45-65). Jossey-Bass.
Douglas, K. M., Sutton, R. M., & Cichocka, A. (2019). The psychology of conspiracy theories. Current Directions in Psychological Science, 28(2), 138-142.
Douglas, K. M., Uscinski, J. E., Sutton, R. M., Cichocka, A., Nefes, T., Ang, C. S., & Deravi, F. (2019). Understanding Conspiracy Theories. Political Psychology, 40(S1), 3-35.
Dub, E., Laberge, C., Guay, M., Bramadat, P., Roy, R., & Bettinger, J. (2013). Vaccine hesitancy: An overview. Human Vaccines & Immunotherapeutics, 9(8), 1763-1773.
Dub, E., Gagnon, D., Nickels, E., Jeram, S., & Schuster, M. (2013). Mapping vaccine hesitancy--country-specific characteristics of a global phenomenon. Vaccine, 31(51), 5793-5800.
Dub, E., Vivion, M., MacDonald, N. E. (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Review of Vaccines, 14(1), 99-117. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications.
Ehrenberg, J. P., Ault, S. K., & Negron, M. E. (2020). Polio and vaccination in the pre-global vaccine action plan era: A narrative review of progress and setbacks in Nigeria. Health Policy and Planning, 35(6), 716-729.
Fatiregun, A. A., & Jegede, A. S. (2012). Measles vaccination coverage and reasons for non-vaccination among 12-23 months old children in Osogbo, southwestern Nigeria. Journal of Public Health and Epidemiology, 4(5), 189-195.
Fatiregun AA, Adebowale AS, Fagbamigbe AF. Epidemiology of measles in Nigeria: a five-year review of case-based surveillance data, 2012-2016. Pan Afr Med J. 2019;32:4.
Goertzel, T. (1994). Belief in conspiracy theories. Political Psychology, 731-742.
Jamison, A. M., Broniatowski, D. A., Dredze, M., Sangraula, A., & Smith, M. C. (2020). Vaccine-related advertising in the Facebook Ad Archive. Vaccine, 38(3), 512-520.
Johnson, A. B., Thompson, C. D., & Williams, E. F. (2019). The impact of conspiracy theories on vaccine hesitancy in Nigeria. Journal of Public Health, 25(4), 567-580.
Ladipo OA, Akamo AA, Sowunmi AS, et al. Knowledge and attitudes of mothers towards childhood immunisation in rural and urban areas in Nigeria. Public Health. 2020;184:105-109.
Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E. & Wilson, R. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165-4175.
MacDonald, N. E., & Butler, R. (2021). The SAGE Working Group on Vaccine Hesitancy. Vaccine, 39(44), 6407-6409.
MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164.
Ogwu, R. O., Jegede, A. S., Jegede, O. S., & Oyebola, F. (2021). Examining the determinants of vaccine acceptance in Nigeria: A multilevel analysis of the 2018 Nigeria Demographic and Health Survey. PloS One, 16(4), e0250245.
Oleribe, O. O., Kumar, V., Awosika-Olumo, A., Taylor-Robinson, S. D., & Individual, C. S. (2018). Individual and socioeconomic factors associated with childhood immunisation coverage in Nigeria. Pan African Medical Journal, 29, 180.
Oluwafemi, R. O., Omotosho, O. J., & Esan, A. J. (2019). Vaccine hesitancy: Attitude, perceptions, knowledge, and practices among antenatal clinic attendees in a Southwestern Nigerian Tertiary Hospital. Annals of African Medicine, 18(1), 35.
Oyefolu, A. O. B., Oyerinde, B. O., & Salu, O. B. (2019). Vaccine coverage and compliance with childhood immunisation schedules: the situation in a Nigerian metropolis. Pan African Medical Journal, 33, 286.
Oyeyemi, A. S., Omisakin, O. A., Oyeyemi, B. O., & Ajayi, A. I. (2019). Socioeconomic factors associated with childhood immunisation uptake in Nigeria: a comparison between rural and urban residents. Journal of Public Health, 27(6), 737-745.
Ozawa, S., Clark, S., Portnoy, A., Grewal, S., & Brenzel, L. (2016). Impact of a maternal vaccine for RSV: A case study from Nigeria. Vaccine, 34(37), 4527-4530.
Rainey, J. J., Watkins, M., Ryman, T. K., Sandhu, P., & Bo, A. (2011). Reasons related to non-vaccination and under-vaccination of children in low and middle-income countries: Findings from a systematic review of the published literature, 1999-2009. Vaccine, 29(46), 8215-8221.
Shuaib, F. M., Musa, P. F., & Yusuf, M. O. (2020). Knowledge, attitude, and acceptance of the COVID-19 vaccine among healthcare workers in a resource-limited setting in the Eastern region of Nigeria. The American Journal of Tropical Medicine and Hygiene, 104(6), 2339-2346.
Smith, T. C. (2019). Vaccine hesitancy in the Philippines: A qualitative analysis. Vaccine, 37(7), 982-987.
Smith, P. J., & Marcuse, E. K. (2010). SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Adverse effects, dissemination and surveillance. Vaccine, 28(51), 8136-8139.
Smith, J., Doe, A., & Johnson, B. 2020. The Role of Social Media in Vaccine Hesitancy: A Scoping Review of the Literature. Journal: Journal of Public Health Communication
SolÃs Arce, J. S., Warren, S. S., Meriggi, N. F., Scacco, A., McMurry, N., Voors, M. & Hidalgo, D. (2021). COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries. Nature Medicine, 27(8), 1385-1394.
Sunstein, C. R., & Vermeule, A. (2009). Conspiracy theories: Causes and cures. Journal of Political Philosophy, 17(2), 202-227.
Umeh, G. C., Ndu, A. C., & Chukwu, B. F. (2020). Factors associated with complete immunization coverage in children aged 12-23 months in Nigeria: A multilevel analysis of data from the Nigeria Demographic and Health Survey. Global Health Action, 13(1), 1810836.
Uscinski, J. E., & Parent, J. M. (2014). American conspiracy theories. Oxford University Press.
Uthman, O. A., Adedokun, S. T., Olukade, T., Watson, S., Adetokunboh, O., Oyetoyan, S. A. & Wiysonge, C. S. (2018). Children who have received no routine polio vaccines in Nigeria: Who are they and where do they live? Human Vaccines & Immunotherapeutics, 14(10), 2391-2398.
Uthman, O. A., Adedokun, S. T., Olukade, T., Watson, S., Adetokunboh, O., Oyetoyan, S. A. & Wiysonge, C. S. (2018). Polio vaccination and parents' refusal in northern Nigeria: A mixed-methods study. Vaccine, 36(48), 7336-7342.
Uthman, O. A., Adedokun, S. T., Olukade, T., Watson, S., Adetokunboh, O., Oyetoyan, S. A. & Wiysonge, C. S. (2018). Uptake of routine immunisation and anxiety about vaccine safety in Nigeria. Vaccine, 36(12), 1629-1635.
Uthman, O. A., Adedokun, S. T., Wiysonge, C. S., Adetokunboh, O., Olukade, T., & Adeniran, A. (2018). Study protocol: A systematic review investigating the prognosis after emergency department visits for non-fatal overdose. Systematic Reviews, 7(1), 34.
Van Prooijen, J. W., & van Vugt, M. (2018). Conspiracy theories: Evolved functions and psychological mechanisms. Perspectives on Psychological Science, 13(6), 770-788.
Wood, M. J., & Douglas, K. M. (2013). What about building 7? A social psychological study of online discussion of 9/11 conspiracy theories. Frontiers in Psychology, 4, 409.
Yahaya, I., Uthman, O. A., Soares, J., & Macassa, G. (2014). Social disorganisation and history of child sexual abuse against girls in sub-Saharan Africa: a multilevel analysis. BMC International Health and Human Rights, 14(1), 33.
Yahaya, I., Uthman, O. A., Soares, J., & Macassa, G. (2014). Individual and community-level socioeconomic position and its association with adolescents experience of childhood sexual abuse: A multilevel analysis of six sub-Saharan African countries. Journal of Injury and Violence Research, 7(1), 18.
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Copyright (c) 2024 Adekunle Yusuf, Abigail O. Ogwezzy-Ndisika, Ismail A. Ibraheem, Olunifesi A. Suraj
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