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2019冠状病毒病疫苗的可接受性、潜在接种的决定因素以及公众的犹豫态度:呼吁进行有效的健康沟通。

COVID-19 vaccine acceptability, determinants of potential vaccination, and hesitancy in public: A call for effective health communication.

作者信息

Kumar Rajesh, Bairwa Mukesh, Beniwal Kalpana, Kant Ravi

机构信息

Department of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

J Educ Health Promot. 2021 Oct 29;10:392. doi: 10.4103/jehp.jehp_327_21. eCollection 2021.

DOI:10.4103/jehp.jehp_327_21
PMID:34912928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8641716/
Abstract

BACKGROUND

Coronavirus disease rapidly spreads across the entire world in < 2 months and gravely jeopardizes the regular human routine. The medical fraternity recommends a vaccine as one of the best solutions to save the universe. However, to be effective, the population should reflect an encouraging attitude to accept it. The study aimed to measure vaccine acceptability and reason for hesitancy among the public.

MATERIALS AND METHODS

Eight hundred and forty one adults visiting a tertiary care hospital responded to a pretested validated questionnaire on vaccine acceptability and hesitancy. The Chi-square test and independent -test, followed by multinomial logistic regression, were used to analyze the findings.

RESULTS

Overall, 53.4% ( = 445) of participants interested to take vaccine, 27.2% ( = 229) were not sure, and the remaining 19.4% ( = 163) did not intent to vaccinate. Gender ( = 0.013), information on the vaccine ( = 0.022), chances to get coronavirus disease in the next 6 months ( < 0.001), awareness on India COVID-19 vaccine ( < 0.001), Indian manufacturing company of vaccine ( < 0.001), family history of the laboratory-confirmed case ( < 0.001), and health status ( = 0.011) found a significant association with intention to vaccination (a response "yes" vs. "no" and "not sure"). Reasons for vaccine hesitancy included specific antivaccine attitudes and beliefs, a concern of fear and phobia, lack of information, and safety issues on the vaccine.

CONCLUSIONS

This institute-specific survey revealed that approximately every 4 in 8 people were not sure to take the vaccine, and one in five people refused to be vaccinated. The study recommends using target-based health education to understand and address vaccine-specific concerns to enhance vaccine coverage, and boost confidence among the population.

摘要

背景

冠状病毒病在不到两个月的时间内迅速蔓延至全球,严重危及正常的人类生活。医学界推荐疫苗作为拯救世界的最佳解决方案之一。然而,要使疫苗有效,民众应表现出接受疫苗的积极态度。本研究旨在衡量公众对疫苗的接受程度以及犹豫的原因。

材料与方法

841名前往三级护理医院就诊的成年人对一份经过预测试验证的关于疫苗可接受性和犹豫程度的问卷做出了回应。采用卡方检验和独立样本t检验,随后进行多项逻辑回归分析结果。

结果

总体而言,53.4%(n = 445)的参与者有兴趣接种疫苗,27.2%(n = 229)不确定,其余19.4%(n = 163)不打算接种。性别(P = 0.013)、疫苗信息(P = 0.022)、未来6个月感染冠状病毒病的几率(P < 0.001)、对印度新冠疫苗的认知(P < 0.001)、疫苗的印度生产公司(P < 0.001)、实验室确诊病例的家族史(P < 0.001)以及健康状况(P = 0.011)与接种意愿(回答“是”与“否”和“不确定”)存在显著关联。疫苗犹豫的原因包括特定的反疫苗态度和信念、恐惧和恐惧症担忧、信息缺乏以及疫苗安全问题。

结论

这项针对该机构的调查显示,大约每8人中就有4人不确定是否接种疫苗,五分之一的人拒绝接种。该研究建议采用基于目标的健康教育来理解和解决与疫苗相关的具体担忧,以提高疫苗接种覆盖率,并增强民众信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31fc/8641716/46ca5ba42776/JEHP-10-392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31fc/8641716/46ca5ba42776/JEHP-10-392-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31fc/8641716/46ca5ba42776/JEHP-10-392-g001.jpg

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