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新冠疫苗接种意愿的决定因素:对提高印度人疫苗接种比例的启示

Determinants of Willingness for COVID-19 Vaccine: Implications for Enhancing the Proportion of Vaccination Among Indians.

作者信息

Jacob Jaison, Stephen Shine, Issac Alwin, Krishnan Nadiya, Vadakkethil Radhakrishnan Rakesh, R Vijay V, Dhandapani Manju, Jose Sam, Sm Azhar, Nair Anoop S

机构信息

College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, IND.

Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, IND.

出版信息

Cureus. 2021 May 27;13(5):e15271. doi: 10.7759/cureus.15271.

DOI:10.7759/cureus.15271
PMID:34194875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8234562/
Abstract

Objective To assess willingness for the coronavirus disease 2019 (COVID-19) vaccine and identify the factors attributing to the willingness. Design A cross-sectional study was conducted, adopting an exponential, non-discriminative snowball sampling technique. The questionnaire collected the socio-demographic profile, history of COVID-19 infection, presence of co-morbidities (diabetes mellitus, hypertension, chronic obstructive pulmonary disease (COPD), asthma, cancer), willingness, and preference of vaccine among participants. An online platform (Google Forms) was used to collect data from all over India. A total of 2032 Indian adults aged above 18 years were included in the study. Results Around 1598 (78.6%) expressed willingness to receive the COVID vaccine, and among the healthcare providers (HCPs), 579 (80.3%) were willing for COVID vaccination. Factors like the belief that the vaccine is necessary (aOR=1.68, 95% CI =1.34 to 2.11), respondents having no history of COVID infection (aOR=0.71, 95% CI: 0.52 to 0.97), having trust in the government (aOR=6.09, CI: 4.59 to 7.98), people who felt the cost of the vaccine didn't matter (aOR=4.92, CI: 3.80 to 6.37), and respondents with no perceived risk of COVID infection (aOR=0.63; CI: 0.47 to 0.83) were more associated with willingness for COVID vaccination. Conclusions An effective vaccine should be well-received by the public. The responsibility lies with the government, health authorities, and manufacturers to take appropriate steps to dispel rumors in order to ensure people's understanding and acceptance.

摘要

目的 评估2019冠状病毒病(COVID-19)疫苗的接种意愿,并确定影响接种意愿的因素。 设计 采用指数型、无歧视性滚雪球抽样技术进行横断面研究。问卷收集了参与者的社会人口学特征、COVID-19感染史、合并症(糖尿病、高血压、慢性阻塞性肺疾病(COPD)、哮喘、癌症)情况、接种意愿以及对疫苗的偏好。通过在线平台(谷歌表单)从印度各地收集数据。本研究共纳入2032名年龄在18岁以上的印度成年人。 结果 约1598人(78.6%)表示愿意接种COVID疫苗,在医疗保健提供者(HCPs)中,579人(80.3%)愿意接种COVID疫苗。认为疫苗有必要(调整后比值比[aOR]=1.68,95%置信区间[CI]=1.34至2.11)、无COVID感染史(aOR=0.71,95%CI:0.52至0.97)、信任政府(aOR=6.09,CI:4.59至7.98)、认为疫苗成本无关紧要(aOR=4.92,CI:3.80至6.37)以及无COVID感染感知风险的受访者(aOR=0.63;CI:0.47至0.83)与COVID疫苗接种意愿的相关性更强。 结论 一种有效的疫苗应能被公众广泛接受。政府、卫生当局和制造商有责任采取适当措施消除谣言,以确保人们的理解和接受。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/6326429d7b6d/cureus-0013-00000015271-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/e8f3f79d4b44/cureus-0013-00000015271-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/b3e1b12f6fff/cureus-0013-00000015271-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/6326429d7b6d/cureus-0013-00000015271-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/e8f3f79d4b44/cureus-0013-00000015271-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/b3e1b12f6fff/cureus-0013-00000015271-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6106/8234562/6326429d7b6d/cureus-0013-00000015271-i03.jpg

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