Evidence map›Paper›PMID 40921612›Full record

ArticleBMJ global health2025

Attitudes to malaria vaccination in children: what can be learned from their consistency with the temporal dynamics of COVID-19 vaccination intention? A prospective cohort study in rural Senegal (July 2020-November 2023).

Valerie Seror, Sebastien Cortaredona, El Hadji Ba, Gwenaelle Maradan, Cheikh Sokhna, CO3ELSER Group

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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Valerie SerorUniversité Paris Cité, URP 7328 FETUS, Paris, France valerie.seror@inserm.fr.ORCID 0000-0001-8002-435X
Sebastien CortaredonaAix-Marseille Univ, IRD, SSA, MINES, Marseille, France.
El Hadji BaAix-Marseille Univ, IRD, SSA, MINES, Marseille, France.
Gwenaelle MaradanORS PACA, Southeastern Health Regional Observatory, Marseille, France.
Cheikh SokhnaAix-Marseille Univ, IRD, SSA, MINES, Marseille, France.
CO3ELSER Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral sub-Saharan African countries are launching malaria vaccination programmes for children. We assessed how attitudes to malaria vaccination for children could be better understood by considering the individual dynamics of COVID-19 vaccine intention/uptake over the 2021-2023 campaigns, with a view to highlighting barriers likely to affect malaria vaccine uptake.

methodsWe conducted a six-wave telephone-based survey of 600 randomly selected Senegalese households. A latent class mixed model was used to assess temporal changes in COVID-19 vaccine intention/uptake and to identify clusters of individuals sharing similar intention/uptake patterns across the waves. Time-invariant and time-varying correlates were assessed using logistic and probit models. Attitudes to malaria vaccination (wave 6) were compared with the various COVID-19 patterns.

resultsOf the 600 households contacted, 558 (93.00%) agreed to participate in the study (558 heads of household and 457 spouses). Very strong positive attitudes to malaria vaccination (65.28% of participants) were associated with higher personal COVID-19 vaccine uptake (p<0.001). With regard to the individual dynamics of COVID-19 vaccination, three temporal patterns were identified: continuously strong intention (34.88% of participants), increasingly strong intention (33.40%) and increasingly less strong intention (31.72%). Along with socioeconomic factors, these patterns were explained by early levels of risk perception and trust in health authorities, and temporal fluctuations of these factors. Households where both surveyed members had continuously strong COVID-19 vaccination intention were also more likely to have strong positive attitudes to malaria vaccination for children (p=0.001).

conclusionFurther investigation would be necessary to assess the generalisability of using individual dynamics of COVID-19 vaccination as a reference for studying attitudes to newly offered vaccines. As regards the real-world dynamics of uptake of the four scheduled malaria vaccine doses, targeting of parents who need incentives to address barriers to compliance could be improved by accounting for their dynamics of COVID-19 vaccination.

Indexed as

COVID-19COVID-19 VaccinesHealth Knowledge, Attitudes, PracticeMalariaMalaria VaccinesVaccinationAdultChildChild, PreschoolFemaleHumansInfantIntentionMaleMiddle AgedProspective StudiesCOVID-19 VaccinesMalaria VaccinesAfrica South of the SaharaCOVID-19Decision MakingMalariaVaccines

Identifiers

PMID40921612
PMCPMC12421156

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.