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埃塞俄比亚西北部阿姆哈拉地区转诊医院卫生保健工作者对 COVID-19 疫苗犹豫不决的决定因素:一项横断面研究。

Determinants of COVID-19 vaccine hesitancy among health care workers in Amhara region referral hospitals, Northwest Ethiopia: a cross-sectional study.

机构信息

Department of Medical nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia.

出版信息

Epidemiol Infect. 2021 Oct 14;149:e225. doi: 10.1017/S0950268821002259.

Abstract

Vaccine hesitancy remains a serious global threat to achieve herd immunity, and this study aimed to assess the magnitude and associated factors of coronavirus disease-19 (COVID-19) vaccine hesitancy among healthcare workers (HCWs) in Amhara regional referral hospitals. A web-based anonymised survey was conducted among 440 HCWs in the Amhara region referral hospitals. The questionnaire was designed using Google Forms and distributed using telegram and e-mail from 15 May to 10 June 2021 to the randomly selected participants in each hospital. The data were analysed with Stata 14.0 and described using frequency tables. A multivariable binary logistic regression model was fitted and model fitness was checked with the Hosmer-Lemeshow goodness of fit test. Out of 440 participants, 418 were willing to participate in the study and the mean age was about 30 years. Overall, 45.9% (n = 192) of participants reported vaccine hesitancy. After applying multivariate analysis, age ≤25 years (adjusted odds ratio (aOR) = 5.6); do not wear a mask (aOR = 2.4); not compliance with physical distancing (aOR = 3.6); unclear information by public health authorities (aOR = 2.5); low risk of getting COVID-19 infection (aOR = 2.8); and not sure about the tolerability of the vaccine (aOR = 3.76) were associated with COVID-19 vaccine hesitancy. A considerable proportion of HCWs were hesitant towards COVID-19 vaccine, and this can be tackled with the provision of clear information about the vaccine.

摘要

疫苗犹豫仍然是实现群体免疫的一个严重的全球性威胁,本研究旨在评估阿姆哈拉地区转诊医院医护人员(HCWs)对 COVID-19 疫苗的犹豫程度及其相关因素。在阿姆哈拉地区转诊医院的 440 名 HCWs 中进行了一项基于网络的匿名调查。问卷是使用 Google 表单设计的,并于 2021 年 5 月 15 日至 6 月 10 日通过电报和电子邮件分发给每个医院的随机选择的参与者。使用 Stata 14.0 对数据进行分析,并使用频率表进行描述。拟合了多变量二项逻辑回归模型,并使用 Hosmer-Lemeshow 拟合优度检验检查模型拟合度。在 440 名参与者中,有 418 人愿意参与研究,平均年龄约为 30 岁。总体而言,45.9%(n=192)的参与者报告了疫苗犹豫。经过多变量分析,年龄≤25 岁(调整后的优势比(aOR)=5.6);不戴口罩(aOR=2.4);不遵守身体距离(aOR=3.6);公共卫生当局提供的信息不清楚(aOR=2.5);感染 COVID-19 的风险低(aOR=2.8);不确定疫苗的耐受性(aOR=3.76)与 COVID-19 疫苗犹豫有关。相当一部分 HCWs 对 COVID-19 疫苗犹豫不决,这可以通过提供有关疫苗的明确信息来解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3eb/8548232/1caecfa72dee/S0950268821002259_fig1.jpg

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