Department of Public Health, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Department of Public Health, Institute of Health Sciences, Istanbul University, Üsküdar Provincial Health Directorate, Istanbul, Turkey.
Int J Clin Pract. 2021 Aug;75(8):e14336. doi: 10.1111/ijcp.14336. Epub 2021 May 26.
The frequency of vaccine refusal and hesitation, which is associated with many factors, is increasing worldwide. The purpose of this study is to estimate the frequency of vaccine refusal against COVID-19 vaccines and to identify the underlying factors for refusal or hesitation.
This is a cross-sectional study carried out in a district of Istanbul from 25 to 30 December 2020. A sample of people from the ages of 20 to 85 in the district was selected, and a total of 384 people were enrolled. A questionnaire about the COVID-19 vaccine was administered to the participants by phone. The questionnaire consisted of questions about the sociodemographic characteristics of participants and their thoughts about possible COVID-19 vaccines.
45.3% of the participants were hesitant about getting the COVID-19 vaccine, which was declared appropriate by the Ministry of Health. The rate of those who think that the COVID-19 vaccine will be effective in preventing and controlling the disease was 51.6%. 89.6% of the participants were hesitant about getting their children vaccinated. Those who do not consider COVID-19 disease as a risk to their health were 22.9%, and 32.8% thought that they would be protected from the disease by natural and traditional ways. The median score of the participants' risk perception was 7 (IQR: 6-8; Mean: 6.8; SD: 1.7). The median value of risk perception score of those who accept the vaccine was 6 (IQR: 4-6), while the median value for those who did not accept the vaccine was 4 (IQR: 4-6) (P < .01). Factors affecting vaccine acceptance were determined as the perception of risk (OR: 1.26% 95CI 1.03-1.55) and age (OR: 0.94% 95CI: 0.91-0.98) in logistic regression analysis.
Half of the participants were hesitant about the COVID-19 vaccines. The success of COVID-19 vaccination programmes largely depends on the public willingness to accept the vaccine.
疫苗拒绝和犹豫的频率与许多因素有关，在全球范围内正在增加。本研究的目的是估计对 COVID-19 疫苗的拒绝率，并确定拒绝或犹豫的潜在因素。
这是一项 2020 年 12 月 25 日至 30 日在伊斯坦布尔一个区进行的横断面研究。从该地区选择了年龄在 20 至 85 岁的人群样本，共纳入 384 人。通过电话向参与者发放了一份关于 COVID-19 疫苗的问卷。问卷包括参与者的社会人口特征和他们对可能的 COVID-19 疫苗的想法。
45.3%的参与者对接种 COVID-19 疫苗犹豫不决，而卫生部宣布该疫苗是合适的。认为 COVID-19 疫苗将有效预防和控制疾病的比例为 51.6%。89.6%的参与者对接种儿童疫苗犹豫不决。那些不认为 COVID-19 疾病对自己的健康构成风险的人占 22.9%，而 32.8%的人认为他们将通过自然和传统方式免受疾病的侵害。参与者风险感知的中位数评分为 7（IQR：6-8；平均值：6.8；标准差：1.7）。接受疫苗的人的风险感知评分中位数为 6（IQR：4-6），而不接受疫苗的人的评分中位数为 4（IQR：4-6）（P<.01）。逻辑回归分析确定影响疫苗接种接受率的因素为风险感知（OR：1.26%95CI 1.03-1.55）和年龄（OR：0.94%95CI：0.91-0.98）。
一半的参与者对接种 COVID-19 疫苗犹豫不决。COVID-19 疫苗接种计划的成功在很大程度上取决于公众对接种疫苗的意愿。
