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Vol.:(0123456789)
Journal of Population Ageing
https://doi.org/10.1007/s12062-023-09410-z
1 3
Why I Have Not Taken theCOVID‑19 Vaccine” aDescriptive
Qualitative Study ofOlder Adults’ Perceived Views
ofCOVID‑19 Vaccine Uptake inNigeria
AnthonyObinnaIwuagwu1 · DanielRayner2· ChristopherNdubuisiNgwu1·
MichealEbeKalu3
Received: 24 July 2022 / Accepted: 16 January 2023
© The Author(s), under exclusive licence to Springer Nature B.V. 2023
Abstract
Globally, the COVID-19 vaccine uptake is increasing, but slowly among older
adults residing in lower and middle-income countries, including Nigeria. Following
this, we explored the perceived views of older adults on the uptake of the COVID-
19 vaccine in Nigeria. We adopted a qualitative descriptive study design and pur-
posively selected and interviewed 16 retirees of older adults. Data were analyzed
using conventional content analysis. Findings show that older adults’ willingness
to receive the COVID-19 vaccine was dissuaded by their past experiences with the
government, religion, and Western media, including affordability and accessibility
problems related to vaccination campaigns. Findings also show that the uncertainty
about the COVID-19 virus existence and perceptions about COVID-19 vaccine risks
influence older adults’ decisions regarding vaccine uptake. Finally, older adults’
views on getting vaccinated for COVID-19 were positively influenced by the trust
they placed in their physicians and other members of their healthcare system. The
government should incentivize healthcare workers to serve as a nudge to increase
COVID-19 vaccine uptake among older adults in Nigeria.
Keywords COVID-19· Older adults· Vaccination uptake· Nigeria
* Anthony Obinna Iwuagwu
anthony.iwuagwu@unn.edu.ng
1 Department ofSocial Work, University ofNigeria, Nsukka, Nigeria
2 Department ofHealth Research methods, Evidence, andImpact, Faculty ofHealth Sciences,
McMaster University, Hamilton, Ontario, Canada
3 School ofrehabilitation Science, McMaster University, Hamilton, Ontario, Canada
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