This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Objectives.-The present study aimed to assess the prevalence of symptoms of anxiety and depressio... more Objectives.-The present study aimed to assess the prevalence of symptoms of anxiety and depression among health professionals in the three most affected regions in Cameroon. Materials and methods.-The study was a descriptive cross-sectional type. Participants were health care professionals working in the three chosen regions of Cameroon. The non_probability convinient sample technique and that of the snowball were valued via a web questionnaire. The non-exhaustive sample size was 292. The diagnosis of anxiety and depression was made by the HAD (Hospital Anxiety and Depression scale). Results.-The prevalence of symptoms of anxiety ranging from mild to severe and those of depression were 42.20% and 43.50% respectively. Anxiety symptoms were associated with the age of the participants (P = 0.006), fear of contamination (P = 0.019), fear of death (P = 0.000), and depressive symptoms associated to the fear of death (P = 0.000).
IntroductionCoronavirus disease 2019 (COVID-19) vaccination has emerged as a promising approach t... more IntroductionCoronavirus disease 2019 (COVID-19) vaccination has emerged as a promising approach to counter the harmful impacts of the pandemic. Understanding the psychological components that may impact an individual's attitude toward COVID-19 vaccination is crucial for generating evidence-based ways to minimize vaccine hesitancy. This study determined the psychological antecedents regarding vaccine acceptance among urban slum people of Bangladesh.MethodsFrom 5 July to 5 August 5, 2021, a face-to-face survey was conducted in the urban slum of two large cities in Bangladesh. The questionnaire considered socio-demographics, health-related characteristics, psychological determinants, sources of information, and conspiracy beliefs regarding COVID-19. The 5C sub-scales were used to assess psychological antecedents. Five stepwise binary logistic regression models evaluated significant predictors for confidence, complacency, calculation, constraints, and collective responsibility. Mult...
Although Bangladesh has been experiencing frequent flooding that has made colossal damages to liv... more Although Bangladesh has been experiencing frequent flooding that has made colossal damages to lives and properties, overseeing floods remains a difficult task. Due to the complexity, scale, and multidisciplinary nature of flood management, it is a multisectoral activity. Khulna and Satkhira districts, located in the south-western region of Bangladesh, are considered as one of the most vulnerable areas to flooding due to their economic potential, demographic makeup, and adaptive capacity of the population. This research focused on finding the most vulnerable areas to flooding for each polder within the study area. Water level data from fourteen stations of seven rivers (Sibsa, Rupsa-Pasur, Kobadak, Bhadra, Kobadak, Ichamati (Western Border), Betna-Kholpetua, and Satkhira Khal) were analyzed to calculate water levels for 2, 5, 10, 25, and 100-year return period applying normal distribution, Extreme Value Type-I (EV-I), and Log Person Type- III (LP-III) distribution methods. The EV-I d...
A total of 12 billion tons of concrete materials are produced annually, about 2 tons per person. ... more A total of 12 billion tons of concrete materials are produced annually, about 2 tons per person. More sustainable buildings are thus needed to decrease the carbon footprint of concrete infrastructures in the context of climate change. Crack formation is a major flaw of concrete structures. Although cracks are usually small and do not necessarily induce building collapse, cracks reduce the life span and sustainability of buildings. Therefore, research has developed self-healing materials that are capable of repairing narrow cracks automatically. Here we review self-healing technologies such as adding mineral mixtures, bacteria, and adhesive liquids. Mineral healing is economically positive, yet relies on suitable conditions such as the presence of water, and is less efficient to heal larger cracks. By contrast, the bacterial encapsulation is promising due to the uniform characteristics of bacteria in the alkaline environment of concrete.
Strategies for transdisciplinary research on peri-urban groundwater management in the Ganges delt... more Strategies for transdisciplinary research on peri-urban groundwater management in the Ganges delta Leon Hermans (1), Wil Thissen (1), Sharlene Gomes (1), Poulomi Banerjee (2), Vishal Narain (2), Mashfiqus Salehin (3), Rezaul Hasan (3), Anamika Barua (2), Shah Alam Khan (3), Samir Bhattacharya (2), Remi Kempers (4), Parthasarathi Banerjee (5), Zakir Hossain (6), Binoy Majumdar (5), and Riad Hossain (6)
The COVID-19 pandemic has increased the risk of global public health and has the potential to cau... more The COVID-19 pandemic has increased the risk of global public health and has the potential to cause severe food and water insecurity due to economic recession during lockdown for people living in low-middle income countries like Bangladesh where capital resources are scarce. There is growing evidence that household food and water insecurity has been associated with poor psychological outcomes. The objective of this study was to determine the association between household food and water insecurity with mental health and whether these differed among urban-rural households. A cross-sectional online survey was conducted with 545 participants immediately after the COVID-19 lockdown period in Bangladesh (August 1-September 30, 2020). Household food and water security were determined using a 9-item Household Food Insecurity Access Scale (HFIAS) (score range 0-27) and a 12-item Household Water Insecurity Experiences (HWISE) scale (score range 0-36), respectively. The Perceived Stress Scale (PSS) was used to evaluate mental health. Multivariable logistic regression examined the association
Vulnerability to hazards not only relies on the extent of natural hazards but also depends on the... more Vulnerability to hazards not only relies on the extent of natural hazards but also depends on the social and economic conditions of the communities. Therefore, this study intends to construct a household-level social vulnerability at the microscale in the nine wards of Chalna Municipality (CM), Dacope upazila, in southwest coastal Bangladesh by employing the social vulnerability index (SoVI). We surveyed 30 households from each ward to collect data on 33 vulnerability indicators. Of these, seven indicators were extracted by principal component analysis (PCA), which explained 96.34% of the total variance. The PCA results indicate that high population density, poor economic condition, the presence of vulnerable groups, unstable income generating sources, unplanned urban and poor infrastructure, lack of services, and lack of adequate sewage systems are the key drivers of social vulnerability of the CM. The SoVI score was generated using seven PCA outcomes for the respective wards. Results revealed that 44.45% of the areas are medium-high to high (wards 2, 4, 5, and 6) vulnerable. The highest level of social vulnerability was distributed in ward 5, while ward 8 was identified as the least vulnerable. About 33.33% of the CM was found as medium vulnerable areas (wards 1, 7, and 9). Ward 3 was categorized as a low-medium vulnerable area. The findings of the study will provide useful information for decision-makers and disaster managers to develop sustainable disaster management plans for coastal Bangladesh to reduce social vulnerability as well as to decrease the impacts of natural disasters.
A novel coronavirus disease, known as COVID-19 has spread globally and brought a public health em... more A novel coronavirus disease, known as COVID-19 has spread globally and brought a public health emergency to all the nations. This study aimed to evaluate the mental health status of the university student of Bangladesh during the COVID-19 pandemic. A total of 544 respondents participated in the study through a self-reported questionnaire and their mental health was assessed by the Generalized Anxiety Disorder (GAD-7) scale. Results found that about 78% of the students were afflicted with mental disorders during the COVID-19 lockdown. COVID-19 stressors including financial hardship, academic delays, worry about family member’s health and social media exposure were positively correlated with the anxiety levels of the students. Multivariate logistic regression results showed that the gender and educational status of the students were significant predictors for their anxiety level. These findings will help both the government and university authority to implement the appropriate mental health interventions during the pandemic.
A flu-like disease (COVID-19) caused by a novel coronavirus has emerged in Wuhan, China in Decemb... more A flu-like disease (COVID-19) caused by a novel coronavirus has emerged in Wuhan, China in December, 2019 that is shortly turned into a public health concern globally. The effect of climatic variables on COVID-19 transmission is of paramount importance. However, the interactions are still controversial. This study investigated the association between climatic factors and COVID-19 spread in Dhaka megacity, Bangladesh. Data on the daily confirmed new cases of COVID-19 and climate parameters were collected from March 8, 2020 to April 30, 2020 in Dhaka City, Bangladesh. A log-linked negative binomial regression model was applied to estimate the association between climatic factors and transmission of COVID-19 cases. The daily new confirmed cases of COVID-19 were found positively associated with 14-days moving average of the daily average temperature (AvgT) and Relative Humidity (RH). Each 1°C increase of AvgT was associated with 2.76 times increase of daily confirmed new cases whereas 1% increase of RH was linked to an increase of 18% of the daily confirmed new cases of COVID-19. The study also found RH to be the stronger predictor and moderator between the AvgT and the daily cases of COVID-19 in Dhaka City. The results provide no evidence that COVID-19 could fade out itself when warmer season arrives. Thus, effective public health control measures must be implemented to prevent the further transmission of COVID-19.
International Journal of Environmental Research and Public Health
A novel coronavirus disease known as COVID-19 has spread globally and brought a public health eme... more A novel coronavirus disease known as COVID-19 has spread globally and brought a public health emergency to all nations. To respond to the pandemic, the Bangladesh Government imposed a nationwide lockdown that may have degraded mental health among residents, in particular, university students and working professionals. We examined clinically significant anxiety levels with the Generalized Anxiety Disorder (GAD-7) scale and perceived stress levels with the Perceived Stress Scale (PSS-4) in an online cross-sectional study with 744 adults. Approximately 70% of respondents were afflicted with clinically significant anxiety levels, and more than 43.82% were afflicted with moderate or high perceived stress levels. Multivariate logistic regression models showed that postgraduates (OR = 2.78, 95% confidence interval [CI] = 1.03–8.75, p < 0.05) were more likely to experience anxiety than their student counterparts. No such differences emerged for working professionals, however. Living with...
Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. Th... more Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In fully adjusted models, students and respondents with more normal body weights...
Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. Th... more Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In jully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination rates in many populations.
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Objectives.-The present study aimed to assess the prevalence of symptoms of anxiety and depressio... more Objectives.-The present study aimed to assess the prevalence of symptoms of anxiety and depression among health professionals in the three most affected regions in Cameroon. Materials and methods.-The study was a descriptive cross-sectional type. Participants were health care professionals working in the three chosen regions of Cameroon. The non_probability convinient sample technique and that of the snowball were valued via a web questionnaire. The non-exhaustive sample size was 292. The diagnosis of anxiety and depression was made by the HAD (Hospital Anxiety and Depression scale). Results.-The prevalence of symptoms of anxiety ranging from mild to severe and those of depression were 42.20% and 43.50% respectively. Anxiety symptoms were associated with the age of the participants (P = 0.006), fear of contamination (P = 0.019), fear of death (P = 0.000), and depressive symptoms associated to the fear of death (P = 0.000).
IntroductionCoronavirus disease 2019 (COVID-19) vaccination has emerged as a promising approach t... more IntroductionCoronavirus disease 2019 (COVID-19) vaccination has emerged as a promising approach to counter the harmful impacts of the pandemic. Understanding the psychological components that may impact an individual's attitude toward COVID-19 vaccination is crucial for generating evidence-based ways to minimize vaccine hesitancy. This study determined the psychological antecedents regarding vaccine acceptance among urban slum people of Bangladesh.MethodsFrom 5 July to 5 August 5, 2021, a face-to-face survey was conducted in the urban slum of two large cities in Bangladesh. The questionnaire considered socio-demographics, health-related characteristics, psychological determinants, sources of information, and conspiracy beliefs regarding COVID-19. The 5C sub-scales were used to assess psychological antecedents. Five stepwise binary logistic regression models evaluated significant predictors for confidence, complacency, calculation, constraints, and collective responsibility. Mult...
Although Bangladesh has been experiencing frequent flooding that has made colossal damages to liv... more Although Bangladesh has been experiencing frequent flooding that has made colossal damages to lives and properties, overseeing floods remains a difficult task. Due to the complexity, scale, and multidisciplinary nature of flood management, it is a multisectoral activity. Khulna and Satkhira districts, located in the south-western region of Bangladesh, are considered as one of the most vulnerable areas to flooding due to their economic potential, demographic makeup, and adaptive capacity of the population. This research focused on finding the most vulnerable areas to flooding for each polder within the study area. Water level data from fourteen stations of seven rivers (Sibsa, Rupsa-Pasur, Kobadak, Bhadra, Kobadak, Ichamati (Western Border), Betna-Kholpetua, and Satkhira Khal) were analyzed to calculate water levels for 2, 5, 10, 25, and 100-year return period applying normal distribution, Extreme Value Type-I (EV-I), and Log Person Type- III (LP-III) distribution methods. The EV-I d...
A total of 12 billion tons of concrete materials are produced annually, about 2 tons per person. ... more A total of 12 billion tons of concrete materials are produced annually, about 2 tons per person. More sustainable buildings are thus needed to decrease the carbon footprint of concrete infrastructures in the context of climate change. Crack formation is a major flaw of concrete structures. Although cracks are usually small and do not necessarily induce building collapse, cracks reduce the life span and sustainability of buildings. Therefore, research has developed self-healing materials that are capable of repairing narrow cracks automatically. Here we review self-healing technologies such as adding mineral mixtures, bacteria, and adhesive liquids. Mineral healing is economically positive, yet relies on suitable conditions such as the presence of water, and is less efficient to heal larger cracks. By contrast, the bacterial encapsulation is promising due to the uniform characteristics of bacteria in the alkaline environment of concrete.
Strategies for transdisciplinary research on peri-urban groundwater management in the Ganges delt... more Strategies for transdisciplinary research on peri-urban groundwater management in the Ganges delta Leon Hermans (1), Wil Thissen (1), Sharlene Gomes (1), Poulomi Banerjee (2), Vishal Narain (2), Mashfiqus Salehin (3), Rezaul Hasan (3), Anamika Barua (2), Shah Alam Khan (3), Samir Bhattacharya (2), Remi Kempers (4), Parthasarathi Banerjee (5), Zakir Hossain (6), Binoy Majumdar (5), and Riad Hossain (6)
The COVID-19 pandemic has increased the risk of global public health and has the potential to cau... more The COVID-19 pandemic has increased the risk of global public health and has the potential to cause severe food and water insecurity due to economic recession during lockdown for people living in low-middle income countries like Bangladesh where capital resources are scarce. There is growing evidence that household food and water insecurity has been associated with poor psychological outcomes. The objective of this study was to determine the association between household food and water insecurity with mental health and whether these differed among urban-rural households. A cross-sectional online survey was conducted with 545 participants immediately after the COVID-19 lockdown period in Bangladesh (August 1-September 30, 2020). Household food and water security were determined using a 9-item Household Food Insecurity Access Scale (HFIAS) (score range 0-27) and a 12-item Household Water Insecurity Experiences (HWISE) scale (score range 0-36), respectively. The Perceived Stress Scale (PSS) was used to evaluate mental health. Multivariable logistic regression examined the association
Vulnerability to hazards not only relies on the extent of natural hazards but also depends on the... more Vulnerability to hazards not only relies on the extent of natural hazards but also depends on the social and economic conditions of the communities. Therefore, this study intends to construct a household-level social vulnerability at the microscale in the nine wards of Chalna Municipality (CM), Dacope upazila, in southwest coastal Bangladesh by employing the social vulnerability index (SoVI). We surveyed 30 households from each ward to collect data on 33 vulnerability indicators. Of these, seven indicators were extracted by principal component analysis (PCA), which explained 96.34% of the total variance. The PCA results indicate that high population density, poor economic condition, the presence of vulnerable groups, unstable income generating sources, unplanned urban and poor infrastructure, lack of services, and lack of adequate sewage systems are the key drivers of social vulnerability of the CM. The SoVI score was generated using seven PCA outcomes for the respective wards. Results revealed that 44.45% of the areas are medium-high to high (wards 2, 4, 5, and 6) vulnerable. The highest level of social vulnerability was distributed in ward 5, while ward 8 was identified as the least vulnerable. About 33.33% of the CM was found as medium vulnerable areas (wards 1, 7, and 9). Ward 3 was categorized as a low-medium vulnerable area. The findings of the study will provide useful information for decision-makers and disaster managers to develop sustainable disaster management plans for coastal Bangladesh to reduce social vulnerability as well as to decrease the impacts of natural disasters.
A novel coronavirus disease, known as COVID-19 has spread globally and brought a public health em... more A novel coronavirus disease, known as COVID-19 has spread globally and brought a public health emergency to all the nations. This study aimed to evaluate the mental health status of the university student of Bangladesh during the COVID-19 pandemic. A total of 544 respondents participated in the study through a self-reported questionnaire and their mental health was assessed by the Generalized Anxiety Disorder (GAD-7) scale. Results found that about 78% of the students were afflicted with mental disorders during the COVID-19 lockdown. COVID-19 stressors including financial hardship, academic delays, worry about family member’s health and social media exposure were positively correlated with the anxiety levels of the students. Multivariate logistic regression results showed that the gender and educational status of the students were significant predictors for their anxiety level. These findings will help both the government and university authority to implement the appropriate mental health interventions during the pandemic.
A flu-like disease (COVID-19) caused by a novel coronavirus has emerged in Wuhan, China in Decemb... more A flu-like disease (COVID-19) caused by a novel coronavirus has emerged in Wuhan, China in December, 2019 that is shortly turned into a public health concern globally. The effect of climatic variables on COVID-19 transmission is of paramount importance. However, the interactions are still controversial. This study investigated the association between climatic factors and COVID-19 spread in Dhaka megacity, Bangladesh. Data on the daily confirmed new cases of COVID-19 and climate parameters were collected from March 8, 2020 to April 30, 2020 in Dhaka City, Bangladesh. A log-linked negative binomial regression model was applied to estimate the association between climatic factors and transmission of COVID-19 cases. The daily new confirmed cases of COVID-19 were found positively associated with 14-days moving average of the daily average temperature (AvgT) and Relative Humidity (RH). Each 1°C increase of AvgT was associated with 2.76 times increase of daily confirmed new cases whereas 1% increase of RH was linked to an increase of 18% of the daily confirmed new cases of COVID-19. The study also found RH to be the stronger predictor and moderator between the AvgT and the daily cases of COVID-19 in Dhaka City. The results provide no evidence that COVID-19 could fade out itself when warmer season arrives. Thus, effective public health control measures must be implemented to prevent the further transmission of COVID-19.
International Journal of Environmental Research and Public Health
A novel coronavirus disease known as COVID-19 has spread globally and brought a public health eme... more A novel coronavirus disease known as COVID-19 has spread globally and brought a public health emergency to all nations. To respond to the pandemic, the Bangladesh Government imposed a nationwide lockdown that may have degraded mental health among residents, in particular, university students and working professionals. We examined clinically significant anxiety levels with the Generalized Anxiety Disorder (GAD-7) scale and perceived stress levels with the Perceived Stress Scale (PSS-4) in an online cross-sectional study with 744 adults. Approximately 70% of respondents were afflicted with clinically significant anxiety levels, and more than 43.82% were afflicted with moderate or high perceived stress levels. Multivariate logistic regression models showed that postgraduates (OR = 2.78, 95% confidence interval [CI] = 1.03–8.75, p < 0.05) were more likely to experience anxiety than their student counterparts. No such differences emerged for working professionals, however. Living with...
Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. Th... more Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In fully adjusted models, students and respondents with more normal body weights...
Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. Th... more Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In jully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination rates in many populations.
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associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered
questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In jully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also
more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination
rates in many populations.
associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered
questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In jully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also
more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination
rates in many populations.