Ahmed Mohammed A M, Colebunders Robert, Gele Abdi A, Farah Abdiqani A, Osman Shariff, Guled Ibraahim Abdullahi, Abdullahi Aweis Ahmed Moalim, Hussein Ahmed Mohamud, Ali Abdiaziz Mohamed, Siewe Fodjo Joseph Nelson
Department of Paediatrics, Faculty of Medicine and Surgery, Mogadishu University, Mogadishu P.O. Box 004, Somalia.
Department of Paediatric Cardiology, Uganda Heart Institute, Kampala P.O. Box 7051, Uganda.
Vaccines (Basel). 2021 May 21;9(6):543. doi: 10.3390/vaccines9060543.
Most countries are currently gravitating towards vaccination as mainstay strategy to quell COVID-19 transmission. Between December 2020 and January 2021, we conducted a follow-up online survey in Somalia to monitor adherence to COVID-19 preventive measures, and COVID-19 vaccine acceptability and reasons for vaccine hesitancy. Adherence was measured via a composite adherence score based on four measures (physical distancing, face mask use, hand hygiene, and mouth covering when coughing/sneezing). We analyzed 4543 responses (mean age: 23.5 ± 6.4 years, 62.4% males). The mean adherence score during this survey was lower than the score during a similar survey in April 2020. A total of 76.8% of respondents were willing to receive the COVID-19 vaccine. Flu-like symptoms were more frequently reported in the current survey compared to previous surveys. Multiple logistic regression showed that participants who experienced flu-like symptoms, those in the healthcare sector, and those with higher adherence scores had higher odds for vaccine acceptability while being a female reduced the willingness to be vaccinated. In conclusion, our data suggest that the decreasing adherence to COVID-19 preventive measures may have caused increased flu-like symptoms over time. COVID-19 vaccine acceptance in Somalia is relatively high but could be improved by addressing factors that contribute to vaccine hesitancy.
目前，大多数国家都倾向于将疫苗接种作为遏制新冠病毒传播的主要策略。2020年12月至2021年1月期间，我们在索马里开展了一项在线随访调查，以监测对新冠病毒预防措施的遵守情况、新冠病毒疫苗的可接受性以及疫苗犹豫的原因。遵守情况通过基于四项措施（保持社交距离、佩戴口罩、手部卫生以及咳嗽/打喷嚏时捂住口鼻）的综合遵守得分来衡量。我们分析了4543份回复（平均年龄：23.5±6.4岁，男性占62.4%）。本次调查期间的平均遵守得分低于2020年4月类似调查期间的得分。共有76.8%的受访者愿意接种新冠病毒疫苗。与之前的调查相比，本次调查中流感样症状的报告更为频繁。多元逻辑回归显示，出现流感样症状的参与者、医疗行业的参与者以及遵守得分较高的参与者接受疫苗的几率更高，而女性则降低了接种疫苗的意愿。总之，我们的数据表明，随着时间的推移，对新冠病毒预防措施遵守情况的下降可能导致了流感样症状的增加。索马里对新冠病毒疫苗的接受度相对较高，但可以通过解决导致疫苗犹豫的因素来加以改善。
