{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T18:11:36Z","timestamp":1789323096379,"version":"build-2803163510"},"reference-count":49,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["206316\/Z\/17\/Z"],"award-info":[{"award-number":["206316\/Z\/17\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2023,6,17]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18\u201324 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>17\u2009682 youth were recruited in the survey (n=10\u2009742, 60.8% female). The median age of participants was 20 (IQR: 19\u201322) years. Almost two thirds (n=10\u2009652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (&lt;19 years: 57.5%, 20\u201322: 61.5%, &gt;23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95%\u2009CI 1.58 to 1.80), increasing age (&gt;22 years: OR=1.12, 95%\u2009CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95%\u2009CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95%\u2009CI 1.20 to 1.47).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjgh-2023-012268","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T16:41:49Z","timestamp":1688575309000},"page":"e012268","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"nct03719521","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4869-4630","authenticated-orcid":false,"given":"Leyla","family":"Larsson","sequence":"first","affiliation":[{"name":"Biomedical Research and Training Institute, Harare, Zimbabwe"},{"name":"Division of Infectious Diseases and Tropical Medicine, Ludwig Maximilians University Munich, Munchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chido","family":"Dziva Chikwari","sequence":"additional","affiliation":[{"name":"Biomedical Research and Training Institute, Harare, Zimbabwe"},{"name":"Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Simms","sequence":"additional","affiliation":[{"name":"Biomedical Research and Training Institute, Harare, Zimbabwe"},{"name":"Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4520-3317","authenticated-orcid":false,"given":"Mandikudza","family":"Tembo","sequence":"additional","affiliation":[{"name":"Biomedical Research and Training Institute, Harare, Zimbabwe"},{"name":"Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Mahomva","sequence":"additional","affiliation":[{"name":"National Response to the COVID-19 Pandemic, Zimbabwe Government Office of the President and Cabinet, Harare, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owen","family":"Mugurungi","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance R S","family":"Mackworth-Young","sequence":"additional","affiliation":[{"name":"Biomedical 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