Olowookere Samuel A, Abioye-Kuteyi Emmanuel A, Adekanle O
Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Vaccine. 2016 Nov 11;34(47):5758-5761. doi: 10.1016/j.vaccine.2016.10.004. Epub 2016 Oct 14.
Ebola viral disease (EVD) epidemic need to be contained through means which include vaccination of susceptible population. Vaccination has eradicated major killer diseases.
The study determined the health workers willingness to participate in EVD vaccine clinical trials and receive EVD vaccine.
A descriptive cross-sectional study design involving 370 consenting health workers of Obafemi Awolowo University, Ile-Ife that completed a self administered semi-structured questionnaire. Data analysed using descriptive and inferential statistics.
Mean age was 34.4±8.6years (range, 19-60years). Most were females (60.3%), and had worked <10years (74.3%). The health workers were mostly medical doctors (22.7%) and nurses (52.4%). EVD awareness (84.9%) was high among respondents with radio (37.2%) as major source of information. A higher proportion of respondents willing to participate in clinical trials were willing to receive vaccine (93% vs. 68%, p=0.0001). The significant variables associated with willingness to participate in EVD vaccine trials include being male [AOR 1.58, 95%CI 1.04-2.40, p=0.033], medical doctor [AOR 2.28, 95%CI 1.31-3.96, p=0.003] and having safe vaccine [AOR 2.10, 95% 1.58-3.98, p=0.0001] while the significant variable associated with willingness to receive EVD vaccine was vaccine safety [AOR 3.19, 95%CI 2.13-6.03, p=0.029].
Male gender, medical doctor and vaccine safety determine willingness to participate in Ebola vaccine trials while vaccine safety determines willingness to receive vaccine when ready. Researchers should ensure gender equality and vaccine safety in vaccine trials.
埃博拉病毒病(EVD)疫情需要通过包括对易感人群进行疫苗接种在内的手段加以控制。疫苗接种已根除了主要的致命疾病。
本研究确定了医护人员参与埃博拉病毒病疫苗临床试验并接种该疫苗的意愿。
采用描述性横断面研究设计,对伊费奥巴费米·阿沃洛沃大学370名同意参与的医护人员进行研究,这些人员完成了一份自行填写的半结构化问卷。数据采用描述性和推断性统计方法进行分析。
平均年龄为34.4±8.6岁(范围为19 - 60岁)。大多数为女性(60.3%),工作年限<10年(74.3%)。医护人员大多为医生(22.7%)和护士(52.4%)。受访者中埃博拉病毒病知晓率较高(84.9%),主要信息来源为广播(37.2%)。愿意参与临床试验的受访者中,更高比例的人愿意接种疫苗(93%对68%,p = 0.0001)。与参与埃博拉病毒病疫苗试验意愿相关的显著变量包括男性[AOR 1.58,95%CI 1.04 - 2.40,p = 0.033]、医生[AOR 2.28,95%CI 1.31 - 3.96,p = 0.003]以及拥有安全的疫苗[AOR 2.10,95% 1.58 - 3.98,p = 0.0001],而与愿意接种埃博拉病毒病疫苗相关的显著变量是疫苗安全性[AOR 3.19,95%CI 2.13 - 6.03,p = 0.029]。
男性、医生身份和疫苗安全性决定了参与埃博拉疫苗试验的意愿,而疫苗安全性决定了准备好时接种疫苗的意愿。研究人员应确保疫苗试验中的性别平等和疫苗安全性。