波兰对新冠病毒疫苗接种的态度。在波兰全民疫苗接种计划开始前及开始两个月后进行的一项纵向研究。
Attitudes toward Vaccination against COVID-19 in Poland. A Longitudinal Study Performed before and Two Months after the Commencement of the Population Vaccination Programme in Poland.
作者信息
Babicki Mateusz, Mastalerz-Migas Agnieszka
机构信息
Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland.
出版信息
Vaccines (Basel). 2021 May 13;9(5):503. doi: 10.3390/vaccines9050503.
Despite the fact that more than a year has passed since the WHO declared the pandemic, there is still no effectivetreatment of COVID-19. According to current knowledge, the only method to stop the virus from spreading is prophylactic vaccination of the population. However, to achieve herd immunity, 60-72% of the population needs to be vaccinated, which is a significant challenge for current healthcare systems. As it has already been proven, having an effective vaccine is not the same as using it. Public acceptance is essential here. The study aimed to assess the changes in the attitudes of online respondents toward vaccination against COVID-19 over time. In the research, a questionnaire designed by the author of the study was used and it was distributed via the Internet in two stages. The questionnaire included a section assessing a sociodemographic status as well as the questions, designed by the author, evaluating the willingness of the respondents to get vaccinated and their main concerns associated with it. The first stage covered the period before the commencement of the population vaccination programme in Poland, i.e., 14-27 December 2020. Then, the survey was redistributed 2 months after the vaccination programme was started, i.e., 1-19 March 2021. Participation in the study was fully anonymous, voluntary and there was a possibility to opt out at any stage of the research. A total of 2048 respondents were surveyed and 26 persons refused to be involved in the research. A total number of 2022 responses were analysed. Stage I of the research involved 22.9% of the respondents (463 persons). The questions were answered by 1559 persons (72.9%) after the survey was redistributed. Among the participants of stage II of the study, 422 (27.1%) persons have already been vaccinated against COVID-19. A comparison of the responses that were collected from both stages of the study showed a slight increase in the willingness to get vaccinated against COVID-19 over time. It turned out that women, residents of large cities, people with a higher level of education and healthcare workers showed a more favourable attitude toward vaccination. According to the results of the survey, chronic diseases do not have a significant impact on the attitude toward vaccinations ( = 0.155). As the social vaccination promotion campaign continued, a slight increase in the willingness to get vaccinated was observed. According to the survey, women, residents of large cities and those with higher education demonstrated more favourable attitudes toward getting vaccinated against COVID-19. It should be stressed that despite the passage of time and the increasing experience with the new types of vaccines against COVID-19, the percentage of people who are afraid of the complications after the vaccination has not decreased significantly and the concern related to the ineffectiveness of vaccination has dramatically increased. This demonstrates the limited effectiveness of the current information system regarding passing the knowledge on of the safety and efficiency of vaccination and it indicates a necessity to modernise it as soon as possible.
尽管世界卫生组织宣布大流行已过去一年多,但目前仍没有针对新冠病毒病的有效治疗方法。根据目前的认知,阻止病毒传播的唯一方法是对人群进行预防性接种。然而,要实现群体免疫,需要60%-72%的人口接种疫苗,这对当前的医疗系统来说是一项重大挑战。事实证明,拥有有效的疫苗并不等同于使用它。公众的接受度在这里至关重要。该研究旨在评估在线受访者对新冠病毒疫苗接种态度随时间的变化。在研究中,使用了由研究作者设计的问卷,并分两个阶段通过互联网进行分发。问卷包括一个评估社会人口统计学状况的部分,以及由作者设计的评估受访者接种意愿及其主要相关担忧的问题。第一阶段涵盖波兰全民疫苗接种计划开始前的时期,即2020年12月14日至27日。然后,在疫苗接种计划开始2个月后,即2021年3月1日至19日,重新进行了调查。参与研究完全匿名、自愿,并且在研究的任何阶段都有可能退出。总共对2048名受访者进行了调查,26人拒绝参与研究。共分析了2022份回复。研究的第一阶段涉及22.9%的受访者(463人)。重新分发调查问卷后,有1559人(72.9%)回答了问题。在研究第二阶段的参与者中,422人(27.1%)已经接种了新冠病毒疫苗。对研究两个阶段收集的回复进行比较后发现,随着时间的推移,接种新冠病毒疫苗的意愿略有增加。结果表明,女性、大城市居民、教育程度较高的人和医护人员对疫苗接种表现出更积极的态度。根据调查结果,慢性病对疫苗接种态度没有显著影响(P = 0.155)。随着社会疫苗接种推广活动的持续,观察到接种意愿略有增加。根据调查,女性、大城市居民和受过高等教育的人对接种新冠病毒疫苗表现出更积极的态度。应该强调的是,尽管时间推移以及对新型新冠病毒疫苗的经验不断增加,但害怕接种后出现并发症的人群比例并没有显著下降,而对接种无效性的担忧却大幅增加。这表明当前关于疫苗安全性和有效性知识传播的信息系统效果有限,也表明有必要尽快对其进行现代化改进。