Ditekemena John D, Nkamba Dalau M, Mutwadi Armand, Mavoko Hypolite M, Siewe Fodjo Joseph Nelson, Luhata Christophe, Obimpeh Michael, Van Hees Stijn, Nachega Jean B, Colebunders Robert
Kinshasa School of Public Health, University of Kinshasa, Kinshasa 7948, Democratic Republic of the Congo.
Pôle d'Épidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain (UCLouvain), 1348 Brussels, Belgium.
Vaccines (Basel). 2021 Feb 14;9(2):153. doi: 10.3390/vaccines9020153.
We investigated the level of willingness for COVID-19 vaccination in the Democratic Republic of Congo (DRC). Data were collected between 24 August 2020 and 8 September 2020 through an online survey. A total of 4131 responses were included; mean age of respondents was 35 years (standard deviation: 11.5); 68.4% were females; 71% had elementary or secondary school education. One fourth (24.1%) were convinced that COVID-19 did not exist. Overall, 2310 (55.9%) indicated they were willing to be vaccinated. In a multivariable regression model, belonging to the middle and high-income category (OR = 1.85, CI: 1.46-2.35 and OR = 2.91, CI: 2.15-3.93, respectively), being tested for COVID-19 (OR = 4.71, CI: 3.62-6.12; < 0.001), COVID-19 community vaccine acceptance (OR = 14.45, CI: 2.91-71.65; = 0.001) and acknowledging the existence of COVID-19 (OR = 6.04, CI: 4.42-8.23; < 0.001) were associated with an increased willingness to be vaccinated. Being a healthcare worker was associated with a decreased willingness for vaccination (OR = 0.46, CI: 0.36-0.58; < 0.001). In conclusion, the current willingness for COVID-19 vaccination among citizens of the DRC is too low to dramatically decrease community transmission. Of great concern is the low intention of immunization among healthcare workers. A large sensitization campaign will be needed to increase COVID-19 vaccine acceptance.
我们调查了刚果民主共和国（DRC）民众对新冠疫苗接种的意愿水平。数据于2020年8月24日至2020年9月8日通过在线调查收集。共纳入4131份回复；受访者的平均年龄为35岁（标准差：11.5）；68.4%为女性；71%接受过小学或中学教育。四分之一（24.1%）的人坚信新冠病毒不存在。总体而言，2310人（55.9%）表示愿意接种疫苗。在多变量回归模型中，属于中高收入类别（OR分别为1.85，CI：1.46 - 2.35和OR为2.91，CI：2.15 - 3.93）、接受过新冠病毒检测（OR = 4.71，CI：3.62 - 6.12；P < 0.001）、社区对新冠疫苗的接受度（OR = 14.45，CI：2.91 - 71.65；P = 0.001）以及承认新冠病毒的存在（OR = 6.04，CI：4.42 - 8.23；P < 0.001）与接种意愿增加相关。身为医护人员与接种意愿降低相关（OR = 0.46，CI：0.36 - 0.58；P < 0.001）。总之，刚果民主共和国公民目前对新冠疫苗接种的意愿过低，无法显著降低社区传播。医护人员中较低的免疫意愿令人极为担忧。需要开展大规模的宣传活动以提高对新冠疫苗的接受度。
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