Division and Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.
Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.
Swiss Med Wkly. 2021 Nov 29;151:w30079. doi: 10.4414/smw.2021.w30079. eCollection 2021 Nov 22.
This study aimed to assess the public perception of COVID-19 vaccination certificates as well as potential differences between individuals.
Between 17 March and 1 April 2021, a self-administered online questionnaire was proposed to all persons aged 18 years and older participating in the longitudinal follow-up of SARS-CoV-2 seroprevalence studies in Geneva, Switzerland. The questionnaire covered aspects of individual and collective benefits, and allowed participants to select contexts in which vaccination certificates should be presented. Results were presented as the proportion of persons agreeing or disagreeing with the implementation of vaccination certificates, selecting specific contexts where certificates should be presented, and agreeing or disagreeing with the potential risks related to certificates. Logistic regression was used to calculate odds ratios for factors associated with certificate non-acceptance.
Overall, 4067 individuals completed the questionnaire (response rate 77.4%; mean age 53.3 ± standard deviation 14.4 years; 56.1% were women). About 61.0% of participants agreed or strongly agreed that a vaccination certificate was necessary in certain contexts and 21.6% believed there was no context where vaccination certificates should be presented. Contexts where a majority of participants perceived a vaccination certificate should be presented included jobs where others would be at risk of COVID-related complications (60.7%), jobs where employees would be at risk of getting infected (58.7%), or to be exempt from quarantine when travelling abroad (56.0%). Contexts where fewer individuals perceived the need for vaccination certificates to be presented were participation in large gatherings (36.9%), access to social venues (35.5%), or sharing the same workspace (21.5%). Younger age, no intent for vaccination, and not believing vaccination to be an important step in surmounting the pandemic were factors associated with certificate non-acceptance.
This large population-based study showed that the general adult population in Geneva, Switzerland, agreed with the implementation of vaccination certificates in work-related and travel-related contexts. However, this solution was perceived as unnecessary for access to large gatherings or social venues, or to share the same workspace. Differences were seen with age, sex, education, socioeconomic status, and vaccination willingness and perception, highlighting the importance of taking personal and sociodemographic variation into consideration when predicting acceptance of such certificates.
本研究旨在评估公众对 COVID-19 疫苗接种证书的看法，以及个体之间可能存在的差异。
2021 年 3 月 17 日至 4 月 1 日期间，向瑞士日内瓦参加 SARS-CoV-2 血清流行率纵向研究的所有 18 岁及以上的人员提出了一份自我管理的在线问卷。问卷涵盖了个人和集体利益的各个方面，并允许参与者选择应出示疫苗接种证书的情况。结果以同意或不同意实施疫苗接种证书、选择应出示证书的具体情况以及同意或不同意与证书相关的潜在风险的人数比例表示。使用逻辑回归计算与不接受证书相关的因素的优势比。
共有 4067 人完成了问卷（应答率 77.4%；平均年龄 53.3 ± 14.4 岁；56.1%为女性）。约 61.0%的参与者同意或强烈同意在某些情况下需要疫苗接种证书，21.6%的人认为没有需要出示证书的情况。大多数参与者认为应出示疫苗接种证书的情况包括在工作场所存在他人感染 COVID-19 相关并发症风险（60.7%）、员工有感染风险的工作场所（58.7%），或出国旅行时可免除隔离（56.0%）。认为不需要出示疫苗接种证书的情况包括参加大型聚会（36.9%）、进入社交场所（35.5%）或共享同一工作空间（21.5%）。年轻、不打算接种疫苗以及不认为接种疫苗是克服大流行的重要步骤是与不接受证书相关的因素。
这项基于人群的大型研究表明，瑞士日内瓦的一般成年人群体同意在工作场所和旅行相关的情况下实施疫苗接种证书。然而，人们认为在进入大型聚会或社交场所或共享同一工作空间时，不需要出示该证书。在年龄、性别、教育、社会经济地位以及接种意愿和认知方面存在差异，这突显了在预测对这些证书的接受程度时，考虑个人和社会人口统计学差异的重要性。
