Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Department of Public Health, Utkal University, Bhubaneswar, India.
Front Public Health. 2021 Dec 15;9:735902. doi: 10.3389/fpubh.2021.735902. eCollection 2021.
Students act as messengers in delivering effective messages for better uptake of health-promoting behavior. Understanding their knowledge about coronavirus disease 2019 (COVID-19), intentions to use the COVID-19 vaccine, and its associated factors will help develop promising strategies in vaccine promotion concerning the current COVID-19 pandemic. A cross-sectional online survey was carried out among students in the healthcare and non-healthcare sectors to assess their intentions to get vaccinated against the COVID-19. A non-probability snowball sampling technique was used to recruit study participants ( = 655) through social media platforms and emails. Study participants were recruited across the country, including six major geographical regions (Eastern, Western, Northern, Southern, North-east, and Central) in India between November 2020 and January 2021 before the introduction of the COVID-19 vaccine. Descriptive statistics were used to present the sociodemographic, and vaccine-related behaviors of the study participants. Key determinants that likely predict vaccine acceptance among students were modeled using logistic regression analysis. For each analysis, < 0.05 was considered significant. A total of 655 students were recruited, 323 from healthcare and 332 from non-healthcare sectors, to assess their intentions to receive the COVID-19 vaccine. Of the 655 students, 63.8% expressed intentions to receive the COVID-19 vaccine. The acceptance was higher among non-healthcare students (54.07 vs. 45.93%). At the time of the study, 27.8% of the students indicated that they had been exposed to a confirmed COVID-19 patient. A vast majority (93.4%) of the students knew about the COVID-19 virus, and most (89.3%) of them were aware of the development of a COVID-19 vaccine. The history of vaccine hesitancy was found to be low (17.1%). Only one-third (33.4%) of the students showed concern about contracting COVID-19. Trust in the healthcare system [adjusted odds ratio (aOR): 4.13; (95% CI: 2.83-6.04), < 0.00] and trust in domestic vaccines [aOR: 1.46; (95% CI: 1.02-2.08), < 0.05] emerged as the significant predictors of student's intention to get vaccinated. Higher acceptance for vaccine was observed among students in the non-healthcare [aOR: 1.982; 95% CI: 1.334-2.946, < 0.00]. This study shows that the Indian college students had relatively high levels of positive intentions to receive COVID-19 vaccines, although about one-third were not sure or unwilling to receive the vaccine, highlighting possible vaccine hesitancy. Informational campaigns and other strategies to address vaccine hesitancy are needed to promote uptake of COVID-19 vaccines.
学生在传递有效的信息以促进促进健康行为方面发挥着重要作用。了解他们对 2019 年冠状病毒病 (COVID-19) 的认识、接种 COVID-19 疫苗的意愿及其相关因素,将有助于制定针对当前 COVID-19 大流行的疫苗推广的有前途的策略。本研究在医疗保健和非医疗保健领域的学生中进行了横断面在线调查,以评估他们接种 COVID-19 疫苗的意愿。采用非概率雪球抽样技术,通过社交媒体平台和电子邮件招募研究参与者(=655)。研究参与者在全国范围内招募,包括印度六个主要地理区域(东部、西部、北部、南部、东北部和中部),招募时间为 2020 年 11 月至 2021 年 1 月,即在 COVID-19 疫苗推出之前。使用描述性统计数据来展示研究参与者的社会人口统计学和疫苗相关行为。使用逻辑回归分析对可能预测学生疫苗接受程度的关键决定因素进行建模。对于每个分析, < 0.05 被认为是显著的。共招募了 655 名学生,其中 323 名来自医疗保健部门,332 名来自非医疗保健部门,以评估他们接种 COVID-19 疫苗的意愿。在 655 名学生中,63.8%表示有意愿接种 COVID-19 疫苗。非医疗保健学生的接受率更高(54.07%比 45.93%)。在研究时,27.8%的学生表示他们曾接触过确诊的 COVID-19 患者。绝大多数(93.4%)的学生了解 COVID-19 病毒,大多数(89.3%)的学生了解 COVID-19 疫苗的开发情况。疫苗犹豫的历史被发现很低(17.1%)。只有三分之一(33.4%)的学生表示担心感染 COVID-19。对医疗保健系统的信任[调整后的优势比(aOR):4.13;95%可信区间(CI):2.83-6.04),<0.00]和对国产疫苗的信任[aOR:1.46;95%CI:1.02-2.08),<0.05]是学生接种疫苗意愿的重要预测因素。非医疗保健学生的疫苗接种接受率较高[aOR:1.982;95%CI:1.334-2.946,<0.00]。本研究表明,印度大学生对 COVID-19 疫苗的接种意愿相对较高,尽管约有三分之一的学生不确定或不愿意接种疫苗,这突显了可能存在的疫苗犹豫。需要开展信息宣传活动和其他策略来解决疫苗犹豫问题,以促进 COVID-19 疫苗的接种。
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