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@article{ Solís Arce2021,
 title = {COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries},
 author = {Solís Arce, Julio S. and Warren, Shana S. and Meriggi, Niccolò F. and Scacco, Alexandra and McMurry, Nina and Voors, Maarten and Syunyaev, Georgiy and Malik, Amyn Abdul and Aboutajdine, Samya and Adeojo, Opeyemi and Anigo, Deborah and Armand, Alex and Asad, Saher and Atyera, Martin and Augsburg, Britta and Awasthi, Manisha and Ayesiga, Gloria Eden and Bancalari, Antonella and Björkman Nyqvist, Martina and Borisova, Ekaterina and Bosancianu, Constantin Manuel and Cabra García, Magarita Rosa and Cheema, Ali and Collins, Elliott and Cuccaro, Filippo and Farooqi, Ahsan Zia and Fatima, Tatheer and Fracchia, Mattia and Galindo Soria, Mery Len and Guariso, Andrea and Hasanain, Ali and Jaramillo, Sofía and Kallon, Sellu and Kamwesigye, Anthony and Kharel, Arjun and Kreps, Sarah and Levine, Madison and Littman, Rebecca and Malik, Mohammad and Manirabaruta, Gisele and Mfura, Jean Léodomir Habarimana and Momoh, Fatoma and Mucauque, Alberto and Mussa, Imamo and Nsabimana, Jean Aime and Obara, Isaac and Otálora, María Juliana and Ouédraogo, Béchir Wendemi and Pare, Touba Bakary and Platas, Melina R. and Polanco, Laura and Qureshi, Javaeria Ashraf and Raheem, Mariam and Ramakrishna, Vasudha and Rendrá, Ismail and Shah, Taimur and Shaked, Sarene Eyla and Shapiro, Jacob N. and Svensson, Jakob and Tariq, Ahsan and Tchibozo, Achille Mignondo and Tiwana, Hamid Ali and Trivedi, Bhartendu and Vernot, Corey and Vicente, Pedro C. and Weissinger, Laurin B. and Zafar, Basit and Zhang, Baobao and Karlan, Dean and Callen, Michael and Teachout, Matthieu and Humphreys, Macartan and Mobarak, Ahmed Mushfiq and Omer, Saad B.},
 journal = {Nature Medicine},
 pages = {1385-1394},
 volume = {27},
 year = {2021},
 issn = {1546-170X},
 doi = {https://doi.org/10.1038/s41591-021-01454-y},
 abstract = {Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs.},
 keywords = {Epidemiologie; epidemiology; interdisziplinäre Forschung; interdisciplinary research; Epidemie; epidemic; Infektionskrankheit; contagious disease; Impfung; vaccination; Niedriglohnland; low-wage country; Akzeptanz; acceptance; Gesundheitswesen; health care delivery system}}