Knowledge and Attitude Towards COVID-19 Vaccination Among Urban Population

Author: Swapan Deep Dhanopia, Mansi Parekh, Dixita Parmar, Krupali Parmar, Rupal Parmar, Mansi Patel, Urvi Patel, Ankita Prajapati, Mona Prajapati, Vaibhav Prajapati, Krupali Rabari, Shilpa Thakor, Jonty Vankar Research & Reviews: A Journal of Medical Science and Technology-STM Journals Issn: 2319-3417 Date: 2023-11-08 10:19 Volume: 12 Issue: 03 Keyworde: Knowledge, Attitude, COVID-19 vaccination, Urban Population Full Text PDF Submit Manuscript Journals


COVID-19, short for Coronavirus Disease 2019, is a rapidly spreading global pandemic caused by a novel human coronavirus initially named 2019-nCov and now known as SARS-CoV-2. This outbreak was first identified in December 2019 when patients in Wuhan, China, displayed symptoms of viral pneumonia. Our understanding of COVID-19 vaccines is currently limited, and it is expected that people’s perspectives and attitudes toward these vaccines will vary widely among and within countries.These variations will depend on factors such as demographics, educational backgrounds, and overall knowledge about COVID-19 and the available vaccines. Our research employed a quantitative approach with a cross-sectional design, utilizing convenient non-probability sampling techniques to collect data from 200 participants who met the inclusion criteria. The tool was divided in to three sections. The first section contained demographic variable. The second part comprised a set of 10multiple-choice questions aimed at evaluating individuals’ understanding of COVID-19 vaccination.The third section contained five-point Likert scale for assessing the attitude regarding COVID-19vaccination. The data were examined and assessed in alignment with the study’s objectives. Both descriptive and inferential statistics were employed to analyze the data. Descriptive statistics were used for frequency and percentage while inferential statistics used to test hypothesis at p< 0.05 level of significance. The study concluded that 60% urban people having average knowledge regardingCOVID-19 vaccination and 99% people having positive attitude towards it. Hence, Awareness programs can be conducted to improve the knowledge of urban people regarding COVID-19vaccination.


COVID-19, a deadly viral disease, continues to impact numerous countries worldwide. It is caused by a novel coronavirus known as SARS-CoV-2,which emerged as a major global health concern.The pandemic has created unprecedented challenges and disruptions in healthcare systems[1]. The virus primarily affects the respiratory system, ranging from mild symptoms like runny noses to severe respiratory distress. It poses a higher risk to the elderly and individuals with underlying health conditions like hypertension, obesity,diabetes, and kidney disease. The World Health Organization declared it a pandemic in March 2020[2–5].

Vaccinations have long been considered a powerful tool to combat infectious diseases. However, recent efforts to undermine vaccination through rumors and conspiracy theories have placed additional pressure on healthcare authorities.Multiple COVID-19 vaccines have been developed and distributed in Europe and North America,prioritizing healthcare workers and high-risk populations [6]. Unfortunately, low- and middle-income countries face delays in vaccine distribution due to factors like public mistrust, limited resources, and vaccine shortages. This inequality may exacerbate their healthcare challenges and lead to humanitarian crises [7–10].

To achieve herd immunity and effectively control the virus’s spread, widespread vaccination is crucial, necessitating high acceptance rates and minimal hesitancy [11]. Identifying factors influencing vaccine acceptance and hesitancy is vital for policy changes and public health campaigns to increase awareness. Public confidence in vaccines has been eroding due to rumors and misinformation, posing a significant challenge for global health experts and policymakers. Addressing vaccine hesitancy,countering rumors, and promoting accurate information are essential, particularly in resource-constrained settings. These efforts can foster trust between the public and health authorities, ultimately leading to better pandemic control and reduced loss of life [12–17].

Need of the Study

Need of the Study Achieving a safe and effective COVID-19 vaccine, stemming from the SARS-CoV-2 virus, has been a global healthcare priority [18]. Vaccine development is a meticulous, time-consuming process,necessitating rigorous assessments of efficacy and safety, particularly in high-risk groups like the elderly, pregnant women, and those with underlying health conditions or immunodeficiencies [19–21].

Moreover, assessing the public’s willingness to adopt newly introduced vaccines is vital for a successful immunization campaign. The COVID-19 vaccine’s rapid development, hitting the market just nine months after the virus’s discovery, presents certain uncertainties. While initial data suggests the safety and effectiveness of approved vaccines, questions about their long-term efficacy and potential side effects linger [22–25].

Predictably, the acceptance of this novel vaccine is a source of uncertainty, not only among healthcare experts but also within the general public [26]. Complicating matters further is the pervasive presence of anti-vaccine movements, which have propagated various pseudo scientific conspiracy theories in the media. This environment of skepticism and misinformation may pose a significant challenge in the campaign to immunize against COVID-19 [27–30].

In most countries, including India as of this article’s submission, COVID-19 vaccination remains a voluntary endeavor. Consequently, it is imperative to gauge the current sentiments and perspectives of local populations before launching large-scale vaccination programs. In India, regulatory approval for vaccines is still pending; however, there are expectations that vaccines such as Astra Zeneca’s may receive approval in early January 2021 [31–33].

The knowledge and attitudes surrounding COVID-19 vaccines have yet to be thoroughly explored.It is anticipated that these perspectives and attitudes will exhibit considerable variation across countries and even within countries. These differences will likely hinge on demographic factors, levels of education, and overall comprehension of COVID-19 and the available vaccines.As per the above said details researchers felt a need to assess knowledge and attitude regardingCOVID19 Vaccinations among urban populations of selected urban area of Gujarat [34–36].

Keyworde: Knowledge, Attitude, COVID-19 vaccination, Urban Population

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  • Pal M, Berhanu G, Desalegn C, Kandi V. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): an update. Cureus. 2020 Mar;12(3).
  • Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time.Lancet Infect Dis. 2020;20(5):533–4.
  • Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirusdisease 2019 in China. N Engl J Med. 2020;382(18):1708–20.
  • Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019Novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506.
  • Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK, et al. Covid-19 in criticallyill patients in the Seattle region-case series. N Engl J Med. 2020;382(21):2012–22.
  • Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al. Baselinecharacteristics and outcomes of 1591 patients infected with SARSCoV-2 admitted to ICUs of theLombardy region, Italy. JAMA. 2020;323(16):1574–81.
  • Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Bio Medica: AteneiParmensis.2020;91(1):157.
  • Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancyand healthcare providers. Vaccine. 2016;34(52):6700–6.
  • Lurie N, Saville M, Hatchett R, Halton J. Developing Covid-19 vaccines at pandemic speed. N EnglJ Med. 2020;382(21):1969–73.
  • Voysey M, Clemens SAC, Madhi SA, Weckx LY, Folegatti PM, Aley PK, et al. Safety and efficacyof the ChAdOx1 nCoV-19 vaccine (AZD1222) againstSARS-CoV-2: an interim analysis of fourrandomised controlled trials in Brazil, South Africa, and the UK. Lancet. 2021;397(10269):99–111.
  • Elhadi M, Msherghi A, Alkeelani M, et al. Concerns for low-resource countries, with under prepared intensive care units, facing the COVID-19 pandemic. Infect Dis Health. 2020;25(4):227–32.
  • Alliance GtV: New collaboration makes further 100 million doses of COVID-19 vaccine availableto low-and middle-income countries. 2020.
  • Sanche S, Lin YT, Xu C, Romero-Severson E, Hengartner N, Ke R. High contagiousness and rapidspread of severe acute respiratory syndrome corona virus 2. Emerg Infect Dis. 2020;26(7):1470
  • Wong MCS, Wong ELY, Huang J, Cheung AWL, Law K, Chong MKC, et al. Acceptance of theCOVID-19 vaccine based on the health belief model: a population-based survey in Hong Kong.Vaccine. 2021;39(7):1148–56.
  • Kumar D, Chandra R, Mathur M, Samdariya S, Kapoor N. Vaccine hesitancy: understanding betterto address better. Israel J Health Policy Res. 2016;5(1): 2.
  • Ghinai I, Willott C, Dadari I, Larson HJ. Listening to the rumours: what the northern Nigeria poliovaccine boycott can tell us ten years on. Glob Public Health. 2013;8(10):113850.
  • Heymann DL, Sutter RW, Aylward RB. Polio eradication: interrupting transmission, towards apolio-free world; 2006.
  • Chakraborty I, Maity P. COVID-19 outbreak: Migration, effects on society, global environmentand prevention. Sci Total Enviro. 2020;728:138882.
  • World Health Organization. WHO SAGE Roadmap for Prioritizing uses of COVID-19 Vaccines inthe context of limited supply. Geneva, switzerland; 2020.
  • Bohme S, Varghese E, Sabat I, Barros P, Brouwer W, van Exel J, et al. Once we have it, will weuse it? A European survey on willingness to be vaccinated against COVID-19. Eur J Health Econ.2020;21 (7):977–82.
  • Islam MS, Siddique AB, Akter R, Tasnim R, Sujan MS, Ward PR, Sikder MT. Knowledge, attitudesand perceptions towards COVID-19 vaccinations: a cross-sectional community survey inBangladesh. medRxiv. 2021 Jan 1.
  • Elhadi M, Alsoufi A, Alhadi A, Hmeida A, Alshareea E, Dokali M, Abodabos S, Alsadiq O,Abdelkabir M, Ashini A, Shaban A. Knowledge, attitude, and acceptance of healthcare workers andthe public regarding the COVID-19 vaccine: a cross-sectional study. BMC public health. 2021Dec;21(1):1–21.
  • Ciardi F, Menon V, Jensen JL, Shariff MA, Pillai A, Venugopal U, Kasubhai M, Dimitrov V, KannaB, Poole BD. Knowledge, Attitudes and Perceptions of COVID-19 Vaccination among HealthcareWorkers of an Inner-City Hospital in New York. Vaccines. 2021 May;9(5):516.
  • Gadhave S, Gore M, Saraf A. Determinants of COVID-19 Vaccine Acceptancy: Scoping Reviewof Literature. NVEO-NATURAL VOLATILES & ESSENTIAL OILS Journal| NVEO. 2021 Nov11:4289–302.
  • Hossain MB, Alam M, Islam M, Sultan S, Faysal M, Rima S, Hossain M, Mamun AA. HealthBelief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?. Frontiers in Public Health.2021:1172.
  • El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance andattitudes toward COVID-19 vaccines: a cross-sectional study from Jordan. Plos one. 2021 Apr23;16(4):e0250555.
  • Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health. 2021 Dec;21(1):1–0.
  • Erfani A, Shahriarirad R, Ranjbar K, Mirahmadizadeh A, Moghadami M. Knowledge, attitude andpractice toward the novel coronavirus (COVID-19) outbreak: a population-based survey in Iran.Bull world Health organ. 2020 Mar 30;30(10.2471).
  • Masoud AT, Zaazouee MS, Elsayed SM, Ragab KM, Kamal EM, Alnasser YT, Assar A, NoureldenAZ, Istatiah LJ, Abd-Elgawad MM, Abdelsattar AT. KAP-COVIDGLOBAL: a multinationalsurvey of the levels and determinants of public knowledge, attitudes and practices towards COVID-19. BMJ open. 2021 Feb 1;11(2):e 043971.
  • Ferdous MZ, Islam MS, Sikder MT, Mosaddek AS, Zegarra-Valdivia JA, Gozal D. Knowledge,attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PloS one. 2020 Oct 9;15(10):e0239254.
  • Maheshwari S, Gupta PK, Sinha R, Rawat P. Knowledge, attitude, and practice towards coronavirusdisease 2019 (COVID-19) among medical students: A cross-sectional study. Journal of AcuteDisease. 2020 May 1;9(3):100.
  • Qutob N, Awartani F. Knowledge, attitudes and practices (KAP) towards COVID-19 amongPalestinians during the COVID-19 outbreak: A cross-sectional survey. PLoS One. 2021 Jan5;16(1):e0244925.
  • Christy JS, Kaur K, Gurnani B, Hess OM, Narendran K, Venugopal A, Anuja J, Manohar D, RamanR, Venkatesh R. Knowledge, attitude and practise toward COVID-19 among patients presenting tofive tertiary eye care hospitals in South India-A multicentre questionnaire-based survey. IndianJournal of Ophthalmology. 2020 Nov;68(11):2385.
  • Alrasheedy AA, Abdulsalim S, Farooqui M, Alsahali S, Godman B. Knowledge, attitude andpractice about coronavirus disease (COVID-19) pandemic and its psychological impact on studentsand their studies: a cross-sectional study among pharmacy students in Saudi Arabia. RiskManagement and Healthcare Policy. 2021;14:729.
  • Al-Hanawi MK, Angawi K, Alshareef N, Qattan AM, Helmy HZ, Abudawood Y, Alqurashi M,Kattan WM, Kadasah NA, Chirwa GC, Alsharqi O. Knowledge, attitude and practice towardCOVID-19 among the public in the Kingdom of Saudi Arabia: A cross-sectional study. Front PublicHealth. 2020; 8: 217.
  • Okello G, Izudi J, Teguzirigwa S, Kakinda A, Van Hal G. Findings of a cross-sectional survey onknowledge, attitudes, and practices about COVID-19 in Uganda: implications for public healthprevention and control measures. BioMed research international. 2020 Dec 4;2020.
  • Shukla, S., & Deotale, P. (2020). Knowledge, attitude and practices towards COVID-19 pandemicin the community: a cross-sectional web-based survey in India. International Journal of Researchin Medical Sciences, 8(10), 3652–3656.
  • Balvir Singh Tomar, Pratima Singh, Supriya Suman, Preeti Raj, Deepak Nathiya, Sandeep Tripathi,Dushyant Singh Chauhan medRxiv 2020.05.05.20092122.
  • Bhartiya, Shibal et al. Knowledge, attitude and practice towards COVID-19 vaccination acceptancein West India. International Journal Of Community Medicine And Public Health, [S.l.], v. 8, n. 3,p. 1170–1176, feb. 2021. ISSN 2394–6040.
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