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A systematic review and meta-analysis of the global prevalence and determinants of COVID-19 vaccine acceptance and uptake in people living with HIV

Author

Listed:
  • Sahabi Kabir Sulaiman

    (Yobe State University Teaching Hospital)

  • Muhammad Sale Musa

    (Yobe State University Teaching Hospital)

  • Fatimah Isma’il Tsiga-Ahmed

    (Bayero University Kano/Aminu Kano Teaching Hospital)

  • Abdulwahab Kabir Sulaiman

    (Murtala Muhammad Specialist Hospital
    Kwanar Dawaki COVID-19 Isolation Center)

  • Abdulaziz Tijjani Bako

    (Houston Methodist)

Abstract

People living with HIV (PLHIV) are at higher risk of poor outcomes of SARS-CoV-2 infection. Here we report the pooled prevalence of COVID-19 vaccine acceptance/uptake and determinants among this vulnerable population of PLHIV based on a systematic review and meta-analysis of studies published by 25 August 2023. Among the 54 included studies (N = 167,485 participants), 53 (N = 166,455) provided data on vaccine acceptance rate, while 27 (N = 150,926) provided uptake data. The global prevalences of COVID-19 vaccine acceptance and uptake were 67.0% and 56.6%, respectively. Acceptance and uptake rates were 86.6% and 90.1% for the European Region, 74.9% and 71.6% for the Region of the Americas, 62.3% and 78.9% for the South-East Asian Region, 64.6% and 19.3% for the Eastern Mediterranean Region, 58.0% and 35.5% for the African Region, and 57.4% and 44.0% for the Western Pacific Region. The acceptance rate increased from 65.9% in 2020 to 71.0% in 2022, and the uptake rate increased from 55.9% in 2021 to 58.1% in 2022. Men, PLHIV aged ≥40 years and those who had recently received the influenza vaccine were more likely to accept and receive the COVID-19 vaccine. Factors associated with lower uptake included Black race, other races (Latinx/Hispanic/mixed race), low education level and being unemployed. Vaccine-related factors associated with higher acceptance included belief in vaccine effectiveness, vaccine trust, perceived high susceptibility to SARS-CoV-2 infection and fear of potential COVID-19 effect in PLHIV. Sustained efforts and targeted interventions are needed to reduce regional disparities in COVID-19 vaccine uptake among PLHIV.

Suggested Citation

  • Sahabi Kabir Sulaiman & Muhammad Sale Musa & Fatimah Isma’il Tsiga-Ahmed & Abdulwahab Kabir Sulaiman & Abdulaziz Tijjani Bako, 2024. "A systematic review and meta-analysis of the global prevalence and determinants of COVID-19 vaccine acceptance and uptake in people living with HIV," Nature Human Behaviour, Nature, vol. 8(1), pages 100-114, January.
    • Handle: RePEc:nat:nathum:v:8:y:2024:i:1:d:10.1038_s41562-023-01733-3
    DOI: 10.1038/s41562-023-01733-3
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