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Peer reviewedCOVID-19SARS

Global misinformation, local consequences: conspiracy theory endorsement and a graded association with COVID-19 vaccine refusal across Nigeria

Vaccine·

Peter Mac Asaga, Axel Kroeger, Andrew Yako, James Makpo

DOI
10.1016/j.vaccine.2026.128827
PMID
42308979
PMCID
OpenAlex
W7164943986
Study type
Cross-sectional study
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

Documenting the strength of misinformation-driven immunization reluctance in a resource-limited context underscores the potential utility of tailored communication approaches for upcoming health crises.

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Structured evidence summary

Research question

How does endorsement of COVID-19 vaccine conspiracy narratives relate to immunization reluctance among Nigerian adults?

Study design

A peer-reviewed cross-sectional survey employing convenience sampling of adults across Nigeria, with statistical analysis performed using multivariable logistic regression.

Population and setting

Adult respondents selected via convenience sampling spanning all six geopolitical zones of Nigeria during a phase of sustained low national immunization rates.

Main findings

Most respondents demonstrated hesitancy and supported at least one false narrative, particularly regarding tracking devices. Incremental increases in conspiracy belief corresponded to markedly decreased likelihood of vaccine acceptance, surpassing the influence of standard demographic variables.

Public-health relevance

Documenting the strength of misinformation-driven immunization reluctance in a resource-limited context underscores the potential utility of tailored communication approaches for upcoming health crises.

Important limitations

The convenience sampling approach and reliance on self-reported interview responses may restrict broader applicability and introduce reporting bias. Because the provided materials lack explicit methodological caveats, this evaluation rests entirely on the supplied abstract and metadata, necessitating full-text examination for rigorous appraisal.

GIDS interpretation

This record offers regional context regarding information dissemination patterns and immunization attitudes, which can support bibliographic mapping efforts without implying integration into active epidemiological tracking systems.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

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