科威特国对新冠疫苗犹豫的决定因素：一项基于互联网的探索性调查。
Determinants of Hesitancy Towards COVID-19 Vaccines in State of Kuwait: An Exploratory Internet-Based Survey.
作者信息
Al-Ayyadhi Najla, Ramadan Marwa Mohsen, Al-Tayar Eman, Al-Mathkouri Radhia, Al-Awadhi Shaimaa
机构信息
Public Health Specialist, Directorate of Public Health, Ministry of Health, Kuwait City, State of Kuwait.
Lecturer of Community Medicine, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
出版信息
Risk Manag Healthc Policy. 2021 Dec 14;14:4967-4981. doi: 10.2147/RMHP.S338520. eCollection 2021.
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has wrought havoc upon healthcare and economic systems worldwide. COVID-19 vaccines considered a beacon of hope for normal life to return. We wished to understand the willingness of people in Kuwait to be vaccinated against COVID-19.
METHODS
An online, exploratory, cross-sectional study was conducted on 16-18 January 2021 using a validated structured questionnaire to collect data from adults aged 18 years or older living in Kuwait by applying a "snowball sampling" method.
RESULTS
A total of 7274 people received an online link of the survey on their smartphone or computer, and 6943 people enrolled in this study (95.4%). Kuwaiti nationals represented 79.7% of the study cohort, 54.8% were aged ≥40 years, and 66.7% were females. Hesitancy against a COVID-19 vaccine was remarkably high (74.3%), with 50.8% not planning to take it and 23.5% not sure about taking it. The overall mean perception score was 3.4 ± 2.8, with 66.8% having a negative attitude towards a COVID-19 vaccine. Multiple logistic regression analysis of the factors affecting the decision to take a COVID-19 vaccine was done. The decision to take a COVID-19 vaccine was significantly positively associated with younger age (OR = 1.219), being male (2.169), having a higher education level (1.362), vaccinated against seasonal influenza previously (2.706), being a non-Kuwaiti (1.329), being a healthcare worker (1.366), and working in the private sector (1.228). Options to encourage future COVID-19 vaccination were more studies showing the vaccine to be safe and efficacious (68.6%), physician recommendation (41.8%), mandatory travel requirements (39.8%), if a family or friend vaccinated (34.9%) and compulsory by government (33.1%) or for employment (29.8%).
CONCLUSION
Our data suggest that considerable vaccine hesitancy persists despite the widespread availability of highly efficacious and safe COVID-19 vaccines.
背景
2019年冠状病毒病（COVID-19）大流行给全球医疗保健和经济体系造成了严重破坏。COVID-19疫苗被视为恢复正常生活的希望之光。我们希望了解科威特民众接种COVID-19疫苗的意愿。
方法
于2021年1月16日至18日进行了一项在线探索性横断面研究，使用经过验证的结构化问卷，通过“滚雪球抽样”方法收集居住在科威特的18岁及以上成年人的数据。
结果
共有7274人在其智能手机或计算机上收到了调查的在线链接，6943人参与了本研究（95.4%）。科威特国民占研究队列的79.7%，54.8%的人年龄≥40岁，66.7%为女性。对COVID-19疫苗的犹豫程度非常高（74.3%），50.8%的人不打算接种，23.5%的人不确定是否接种。总体平均认知得分为3.4±2.8，66.8%的人对COVID-19疫苗持消极态度。对影响接种COVID-19疫苗决策的因素进行了多因素逻辑回归分析。接种COVID-19疫苗的决策与较年轻的年龄（比值比[OR]=1.219）、男性（2.169）、较高的教育水平（1.362）、以前接种过季节性流感疫苗（2.706）、非科威特人（1.329）、医护人员（1.366）以及在私营部门工作（1.228）显著正相关。鼓励未来接种COVID-19疫苗的选项包括更多显示疫苗安全有效的研究（68.6%）、医生推荐（41.8%）、强制旅行要求（39.8%）、家人或朋友接种（34.9%）以及政府强制要求（33.1%）或就业强制要求（29.8%）。
结论
我们的数据表明，尽管高效且安全的COVID-19疫苗已广泛供应，但仍有相当一部分人对疫苗犹豫不决。
Zotero 插件