Kabamba Nzaji Michel, Kabamba Ngombe Leon, Ngoie Mwamba Guillaume, Banza Ndala Deca Blood, Mbidi Miema Judith, Luhata Lungoyo Christophe, Lora Mwimba Bertin, Cikomola Mwana Bene Aimé, Mukamba Musenga Elisabeth
Department of Public Health, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of Congo.
Ministry of Health, National Expanded Program for Immunization, Operational Research Unit, Kinshasa, Democratic Republic of Congo.
Pragmat Obs Res. 2020 Oct 29;11:103-109. doi: 10.2147/POR.S271096. eCollection 2020.
This study aims to estimate the acceptability of a future vaccine against COVID-19 and associated factors if offered in Congolese health-care workers (HCWs), since they have the highest direct exposure to the disease.
We conducted an analytical cross-sectional study among 23 Congolese referral hospitals, including three university hospitals, located in three towns from March through 30 April 2020. The main outcome variable was healthcare workers' acceptance of a future vaccine against COVID-19. The associated factors of vaccination willingness were identified through a logistic regression analysis.
A sample of 613 HCWs participated in the study and completed the study questionnaire, including 312 (50.9%) men and 301 (49.1%) women. Only 27.7% of HCWs said that they would accept a COVID-19 vaccine if it was available. From the logistic regression analysis, male healthcare workers (ORa=1.17, 95% CI: 1.15-2.60), primarily doctors (ORa=1.59; 95% CI:1.03-2.44) and having a positive attitude towards a COVID-19 vaccine (ORa=11.49; 95% CI: 5.88-22.46) were significantly associated with reporting willingness to be vaccinated.
For acceptability of vaccination against COVID-19 among others education among HCWs is crucial because health professionals' attitudes about vaccines are an important determinant of their own vaccine uptake and their likelihood of recommending the vaccine to their patients.
本研究旨在评估未来针对新型冠状病毒肺炎（COVID-19）疫苗在刚果医护人员中的可接受性及相关因素，因为他们直接接触该疾病的风险最高。
2020年3月至4月30日，我们在刚果的23家转诊医院（包括3家位于三个城镇的大学医院）开展了一项分析性横断面研究。主要结局变量是医护人员对未来COVID-19疫苗的接受情况。通过逻辑回归分析确定疫苗接种意愿的相关因素。
613名医护人员参与了本研究并完成了调查问卷，其中男性312名（50.9%），女性301名（49.1%）。只有27.7%的医护人员表示，如果有COVID-19疫苗，他们愿意接种。逻辑回归分析显示，男性医护人员（优势比a=1.17，95%置信区间：1.15 - 2.60），主要是医生（优势比a=1.59；95%置信区间：1.03 - 2.44）以及对COVID-19疫苗持积极态度（优势比a=11.49；95%置信区间：5.88 - 22.46）与报告的接种意愿显著相关。
对于COVID-19疫苗接种的可接受性，医护人员的教育等因素至关重要，因为卫生专业人员对疫苗的态度是其自身接种疫苗以及向患者推荐疫苗可能性的重要决定因素。
