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International Journal of
            Population Studies                                            Attitudes of older adults toward COVID-19 vaccine




            Table 3. Guide of questions for focus group discussion and in‑depth interviews, emerged themes, and sub‑themes
            Serial number  Key questions         Emerged Themes       Sub‑Themes
            1.           What is your view regarding the   Attitudes toward COVID-19   a. Non-compliance of older adults to the vaccine uptake, their
                         COVID-19 vaccine that older   vaccine uptake  b. Rejection of COVID-19 vaccine uptake
                         adults are meant to take?                    c. Unwilling to encourage others to vaccine uptake
            2.           What factors encourage older   Reasons for the rejection of   a. It causes other sicknesses
                         adults to reject covid-19 vaccine?   COVID-19 vaccine   b. Negative reactions on the body
                                                                      c. Fulfillment of God’s word (A mark of the beast; 666)


            They advised us to do so, but I did not because God was   and treatment. I  won’t take the vaccine. Let them
            with me, and I wasn’t suffering from COVID-19. People   continue taking.” (Mr. Ken; Idemili-South).
            are going, but I have not, for 1 day, attempted to go because   In addition, one participant highlighted a perspective
            God has given me sound health, but if I am sick, I will go   suggesting  that  COVID-19  has  existed  for  some  time
            to the hospital for treatment.”                    but has not been acknowledged in other countries. He

            3.1.2. Rejection of COVID-19 vaccine uptake        revealed that COVID-19 is essentially common malaria,
                                                               a longstanding affliction in Africans. This viewpoint is
            Given that almost all participants conveyed that they   articulated in the following quote:
            had not received the COVID-19 vaccine, our inquiry
            extended to discerning their willingness to accept the      “I will not take the vaccine… well, I am healthy. For me,
            vaccine in the future. It appears that almost all participants   COVID or whatever they call it, has been in existence
            in the study demonstrated indifferent attitudes toward   for a long time, but it has not been experienced by the
            COVID-19  vaccine uptake. With  the exception of one   whites (Westerners) because our bodies and theirs are
            male participant expressing a conditional willingness to   not the same. The sickness is just malaria that has been
            accept the vaccine if available in the community, all other   ravaging us before now. It is malaria, but because we
            participants stated their unwillingness to take the vaccine.   are not the same as the whites, it is affecting them so
            During the FGD involving male older adults, a unanimous   much.” (Mr. Sim; Nnewi-North)
            indifferent attitude toward the vaccine was observed.   3.1.3. Unwillingness to encourage others to vaccine
            Participants in the FGD thought that the local climate   uptake
            (Nigeria) was too hot for the virus to survive. In the same
            vein, the IDI participants overwhelmingly demonstrated   We also sought to ascertain if older adults would encourage
            negative attitudes toward COVID-19 vaccine uptake. They   or support others to accept the COVID-19 vaccine, whether
            expressed their unwillingness to accept the vaccine. Mrs.   they are their fellow older adults or other sub-populations
            Graco from Idemili-South stated, “I will not take it, even   in society. However, the participants revealed that they are
            if they bring it to my house, I will not take it… laughs…”   neither willing to support nor encourage anyone to accept
            In addition, a participant, a lawyer by profession, went   the  COVID-19  vaccine.  During  the  FGD  sessions,  all
            to the extent of canceling all his foreign trips rather than   participants expressed their unwillingness to offer support
            taking the vaccine. He reflected, “No, no, no, I don’t have   or encouragement for COVID-19 vaccine acceptance. In
            any vaccines. If people want it, it’s their decision. For me,   the same vein, with the exception of only two participants
            I don’t have it. Even if I want to travel, I will suspend it.   in the IDI study who are willing to support others,
            I won’t take it.”                                  every  other  participant  declined  to  provide  support  or
                                                               encouragement for vaccine acceptance. Mrs. Fel, a female
              Several participants emphasized their perception   participant, said, “If others can take, let them go ahead, but
            of good healthy as a reason for rejecting the vaccines,   as for me, I will not encourage anybody to take the vaccine.
            asserting that they saw no necessity for vaccination. They   If you people (researchers) can take the vaccine, it’s your
            expressed a preference for seeking medical attention   business; I am not part of it.” Another participant, Mrs.
            at a hospital in the event of any health challenges. One   Anth, a widow, stated, “Eeh, I don’t support ohh! Because
            participant’s perspective on this matter was reflected in the   my daughter called me and instructed me not to take the
            following quote:                                   vaccine.” Mr. Geo from Nnewi-North rhetorically asked,
               “I will not take the vaccine, ho ha. No, I refuse to take   “Why should I support a healthy man to take an injection?
               it. If I am sick or have a headache, I have my hospital   Is it a vaccine food or what? My advice is, if they don’t have
               card, and I will visit the hospital for proper diagnosis   food, they should get something and eat.”


            Volume 10 Issue 1 (2024)                        91                         https://doi.org/10.36922/ijps.359
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