Assessment of COVID-19 vaccine knowledge, attitude and practice among the general population in Duhok Province, Kurdistan Region of Iraq: A retrospective cross-sectional study

Document Type : Original Articles

Authors

1 Department of Biomedical Sciences, College of Medicine, University of Zakho, Kurdistan Region, Iraq

2 Department of Biomedical sciences, College of Medicine, University of Zakho, Kurdistan region, Iraq Zakho Research Center, University of Zakho, Kurdistan Region, Iraq

3 Department of Biomedical sciences, College of Medicine, University of Zakho, Kurdistan Region, Iraq Zakho Research Center, University of Zakho, Kurdistan Region, Iraq

10.32592/ARI.2024.79.6.1241

Abstract

With the global significance of vaccinations, particularly in the context of the COVID-19 pandemic, this study delves into unexplored territory by examining the knowledge, attitudes, and practices surrounding COVID-19 vaccines. However, after the availability of COVID-19 vaccines, little information is available on the public knowledge, attitudes and practice towards the COVID-19 vaccines in Kurdistan-Iraq. Specifically conducted in Duhok province, Kurdistan-Iraq, the research aims to contribute valuable insights for informed decision-making, tailored public health interventions, and effective vaccination promotion in the region.

In Duhok province, Iraq, a retrospective cross-sectional study from October 1st to December 1st, 2022, included 759 participants aged 18 to 75. Face-to-face interviews used a structured questionnaire covering sociodemographic, knowledge, attitudes, and practices related to the COVID-19 vaccine. The participants, with an average age of 32.95 years (SD±12), included 52.3% males. About 55% had a history of COVID-19, and 25.3% were employed, with 18.3% having chronic diseases. Notably, 99.60% were aware of the COVID-19 vaccine, and 68% considered it safe. Additionally, 74.04% strongly agreed on the vaccine's importance. A significant portion (62.58%) believed in the vaccine's protective efficacy. Remarkably, 86.17% were aware of potential side effects, while 96.31% knew about the multi-dose requirement for vaccination. This study reveals widespread COVID-19 vaccine awareness (99.60%), cautioning against risks from unprofessional opinions on social media. Regional variations emphasize the need for tailored communication strategies. Identifying hesitancy factors, especially among healthcare personnel, is crucial for effective vaccination promotion. Notably, social media, while commonly used in , presents risks due to unprofessional opinions

Keywords

Main Subjects


  1. Wu F, Zhao S, Yu B, Chen Y-M, Wang W, Song Z-G, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020;579(7798):265-9.
  2. Hussein NR, Musa DH, Ibrahim N, Naqid IA, Saleem ZSM, Jacksi K. Impact of Covid-19 pandemic on surgical practice in Kurdistan, Iraq: An online cross-sectional survey. International Journal of Surgery Open. 2020;27:47-51.
  3. Hussein NR, Saleem ZSM, Ibrahim N, Musa DH, Naqid IA. The impact of COVID-19 pandemic on the care of patients with kidney diseases in Duhok City, Kurdistan Region of Iraq. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(6):1551-3.
  4. Hussein NR, Naqid IA, Saleem ZSM. A Retrospective Descriptive Study Characterizing Coronavirus Disease Epidemiology among People in the Kurdistan Region, Iraq. Mediterr J Hematol Infect Dis. 2020;12(1):e2020061-e.
  5. Phua J, Weng L, Ling L, Egi M, Lim CM, Divatia JV, et al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. The Lancet Respiratory medicine. 2020;8(5):506-17.
  6. Hussein NR, Naqid I. Strict social distancing measures helped early control of SARS-CoV-2 spread in Duhok city, Iraq. Journal of infection in developing countries. 2022;16(8):1370-1.
  7. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of Surgery. 2020;78:185-93.
  8. Hussein NR, Naqid IA, Saleem ZSM, Dildar HM, Ibrahim N. The Impact of Breaching Lockdown on the Spread of COVID-19 in Kurdistan Region, Iraq. Avicenna Journal of Clinical Microbiology and Infection. 2020;7(1):34-5.
  9. Hajj Hussein I, Chams N, Chams S, El Sayegh S, Badran R, Raad M, et al. Vaccines Through Centuries: Major Cornerstones of Global Health. Frontiers in public health. 2015;3:269.
  10. Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomedica Atenei Parmensis. 2020;91(1):157-60.
  11. El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan. PloS one. 2021;16(4):e0250555.
  12. Hussein NR, Naqid IA, Saleem ZSM. A retrospective descriptive study characterizing coronavirus disease epidemiology among people in the Kurdistan Region, Iraq. Mediterr J Hematol Infect Dis. 2020;12(1).
  13. Hussein N, Abdulkareem W, Rasheed N, Ameen M. The Efficacy and Safety of Heterologous Immunization with Pfizer-BioNTech (Pfizer) to Individuals Who Have Completed A Primary Vaccination Schedule with Sinopharm (BBIBP-CorV). J Pure Appl Microbiol. 2023;17(3):1783-90.
  14. Hussein NR, Rasheed BN, Naqid IA, Dirbaz AM, Saleem ZSM, Ibrahim N, et al. A study of SARS-CoV-2 delta variant breakthrough infections and side effects of the Oxford-AstraZeneca vaccine. Public Health in Practice. 2022;4:100303.
  15. Ali SH, Foreman J, Tozan Y, Capasso A, Jones AM, DiClemente RJ. Trends and Predictors of COVID-19 Information Sources and Their Relationship With Knowledge and Beliefs Related to the Pandemic: Nationwide Cross-Sectional Study. JMIR Public Health Surveill. 2020;6(4):e21071.
  16. Praveen SV, Boby R, Shaji R, Chandran D, Hussein NR, Ahmed SK, et al. Twitter-Based Sentiment Analysis and Topic Modeling of Social Media Posts using Natural Language Processing, to Understand People’s Perspectives Regarding COVID-19 Omicron Subvariants XBB.1.5 and BF.7. Journal of Pure and Applied Microbiology. 2023;17(1):515-23.
  17. Iyamu I, Apantaku G, Yesufu Z, Oladele EA, Eboreime E, Afirima B, et al. Is social media, as a main source of information on COVID-19, associated with perceived effectiveness of face mask use? Findings from six sub-Saharan African countries. Glob Health Promot. 2022;29(3):86-96.
  18. Hong J, Xu XW, Yang J, Zheng J, Dai SM, Zhou J, et al. Knowledge about, attitude and acceptance towards, and predictors of intention to receive the COVID-19 vaccine among cancer patients in Eastern China: A cross-sectional survey. J Integr Med. 2022;20(1):34-44.
  19. Islam MS, Siddique AB, Akter R, Tasnim R, Sujan MSH, Ward PR, et al. Knowledge, attitudes and perceptions towards COVID-19 vaccinations: a cross-sectional community survey in Bangladesh. BMC Public Health. 2021;21(1):1851.
  20. Abebe H, Shitu S, Mose A. Understanding of COVID-19 Vaccine Knowledge, Attitude, Acceptance, and Determinates of COVID-19 Vaccine Acceptance Among Adult Population in Ethiopia. Infect Drug Resist. 2021;14:2015-25.
  21. Al-kafarna M, Matar SG, Almadhoon HW, Almaghary BK, Zaazouee MS, Elrashedy AA, et al. Public knowledge, attitude, and acceptance toward COVID-19 vaccines in Palestine: a cross-sectional study. BMC Public Health. 2022;22(1):529.
  22. Al-Marshoudi S, Al-Balushi H, Al-Wahaibi A, Al-Khalili S, Al-Maani A, Al-Farsi N, et al. Knowledge, Attitudes, and Practices (KAP) toward the COVID-19 Vaccine in Oman: A Pre-Campaign Cross-Sectional Study. Vaccines (Basel). 2021;9(6).
  23. Zahid HM, Alsayb MA. Assessing the Knowledge and Attitude toward COVID-19 Vaccination in Saudi Arabia. Int J Environ Res Public Health. 2021;18(15).
  24. Ledda C, Costantino C, Cuccia M, Maltezou HC, Rapisarda V. Attitudes of Healthcare Personnel towards Vaccinations before and during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(5).
  25. Alatrany SSJ, Falaiyah AM, Zuhairawi RHM, Ogden R, H ALSA, Alatrany ASS, et al. A cross-sectional analysis of the predictors of COVID-19 vaccine uptake and vaccine hesitancy in Iraq. PloS one. 2023;18(3):e0282523.
  26. Mannan DKA, Farhana KM. Knowledge, attitude and acceptance of a COVID-19 vaccine: A global cross-sectional study. International Research Journal of Business and Social Science. 2020;6(4).