School of Medicine, Kabale University, Kabale, Uganda.
Faculty of Clinical Medicine and Dentistry, Kampala International University, western Campus, Ishaka-Bushenyi, Uganda.
BMC Public Health. 2021 Jun 10;21(1):1106. doi: 10.1186/s12889-021-11197-7.
Health experts agree that widespread use of safe and effective vaccines will rapidly contain the COVID-19 pandemic. The big question is whether these vaccines can easily be accepted by their end-users. Our study aimed at determining sociodemographic factors associated with acceptance of vaccines and clinical trials of COVID-19 in western Uganda.
A simplified snowball sampling technique was used to select 1067 respondents of 18-70 years in western Uganda using an online questionnaire from July to September 2020. Vaccine acceptability and risk perception were assessed using odds ratio at 95% confidence interval in R software version 3.6.3.
There were 1067 participants in the study. The majority were males (73.2%) and age group 31-40 years (32.6%). The acceptance rate for COVID-19 vaccination was (53.6%; 572/1067) with those aged 18-20 years, males, elites at tertiary level of education (degree or diploma), students, Muslims, married, non-salary earners and rural dwellers having better odds and likeliness to accept vaccination. Only 44.6% (476/1067) showed interest in clinical trials among which; males, primary school leavers, students, Christians, un-married, respondents who didn't earn any salary and rural dwellers had better odds and likelihood to participate in clinical trials.
There was a low level of vaccine acceptance and clinical trial interest in western Uganda. Minority groups in the study i.e., Muslims, students, primary school leavers, un-married rural dwellers among others showed more interest in vaccination and clinical trials. We anticipated fears in the larger part of this community that health experts need to address through reassurance of the community that vaccines are tested and that they are safe and important if we are to rapidly contain the COVID-19 pandemic.
健康专家一致认为,广泛使用安全有效的疫苗将迅速控制 COVID-19 大流行。最大的问题是这些疫苗是否能被最终使用者轻易接受。我们的研究旨在确定与乌干达西部 COVID-19 疫苗接种和临床试验接受度相关的社会人口学因素。
2020 年 7 月至 9 月,我们采用简化的雪球抽样技术,通过在线问卷在乌干达西部选择了 1067 名 18-70 岁的受访者。使用 R 软件版本 3.6.3 中的比值比和 95%置信区间评估疫苗接受度和风险感知。
本研究共有 1067 名参与者。大多数是男性(73.2%)和 31-40 岁年龄组(32.6%)。COVID-19 疫苗接种的接受率为(53.6%;572/1067),其中 18-20 岁、男性、高等教育(学位或文凭)精英、学生、穆斯林、已婚、非工资收入者和农村居民更有可能接受接种。只有 44.6%(476/1067)对临床试验感兴趣,其中男性、小学辍学者、学生、基督徒、未婚、无薪受访者和农村居民更有可能参与临床试验。
乌干达西部的疫苗接种和临床试验接受率较低。研究中的少数群体,如穆斯林、学生、小学辍学者、未婚农村居民等,对疫苗接种和临床试验表现出更大的兴趣。我们预计,在更大一部分社区中存在恐惧,这需要卫生专家通过向社区保证疫苗经过测试并且安全和重要来解决,以便我们迅速控制 COVID-19 大流行。