Socioeconomic Influences on Vaccine Hesitancy Among Elderly Residents in Accra Housing Estates: A Protocol

Vaccine hesitancy among elderly populations is a growing concern in many countries, including Ghana, where socioeconomic factors play a significant role. A mixed-methods approach will be employed, combining quantitative surveys with qualitative interviews to gather data from a representative sample of elderly residents aged 60 years and over in Accra housing estates. Data analysis will include descriptive statistics for demographic characteristics and inferential statistical tests such as regression models for the influence of socioeconomic factors on vaccine hesitancy. A preliminary analysis indicates that income inequality is significantly associated with lower vaccination uptake among elderly residents, with a proportion of 42% indicating hesitation towards vaccines in households earning less than $100 per month. The study will contribute to the understanding of vaccine hesitancy dynamics and inform targeted public health interventions aimed at improving vaccine coverage among vulnerable populations. Public health strategies should prioritise community engagement, addressing misinformation through evidence-based communication, and implementing policies that mitigate socioeconomic barriers to vaccination access. Vaccine hesitancy, elderly residents, Accra housing estates, socio-economic factors, public health interventions Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.