Department of Reproductive Health and Nutrition, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Hum Vaccin Immunother. 2021 Dec 2;17(12):4838-4845. doi: 10.1080/21645515.2021.2011651.
Acceptance of a vaccine or hesitancy has great public health implications as these partly determine the extent to which people are exposed to infections that could have otherwise been prevented. There is a high need for a more updated understanding of the behavioral intention of the public toward COVID-19 vaccines and associated factors in light of the COVID-19 pandemic to give appropriate public health messages or actions. Thus, the study aimed to assess behavioral intention and its predictors toward COVID-19 vaccine among people most at risk of exposure in Ethiopia. A population-based anonymous online survey was conducted on individuals aged greater than 18 years from May 01, 2021 to June 30, 2021. The data were collected using a convenient sampling method through an online self-administered, structured questionnaire that was created onto Google survey tool (Google Forms) and disseminated to the public on different social media channels through online sharable platforms. Descriptive statistics were done. Bivariateand multivariable logistic regression was done to show the association of behavioral intention toward the COVID-19 vaccine. The associations of variables were declared with the use of 95% CI and -value. A total of 1080 participants were included in this survey. Seven hundred one (64.9%) of the respondents had a behavioral intention to receive the COVID-19 vaccine. Males (AOR = 1.41 (95% CI = 1.004-2.53)), degree in level of education (AOR = 0.815 (95% CI = 0.254-0.916)), good knowledge (AOR = 4.21 (95% CI = 2.871-6.992)), attitude (AOR = 2.78 (95% CI = 1.654-4.102)), subjective norm (AOR = 1.214 (95% CI = 1.008-4.309)) and perceived behavioral control (AOR = 3.531 (95%CI = 1.689-5.201)) were found to be significantly associated with behavioral intention toward COVID-19 vaccine. Generally, the prevalence of behavioral intention in Ethiopia is low. Males, degree level of education, knowledge about vaccine, attitude toward vaccine subjective norm and perceived behavioral control were found to be significantly associated with intention to receive COVID-19 vaccine. Health education and communication from government sources are very crucial methods to alleviate the negative attitude, poor knowledge, and action need to improve or change the attitude and behavior of influential people within the community or organization to improve intention to take the vaccine.
人们对疫苗的接受程度或犹豫态度对公共卫生有重大影响，因为这在一定程度上决定了人们接触到本可预防的感染的程度。鉴于 COVID-19 大流行，需要更深入地了解公众对 COVID-19 疫苗的行为意向及其相关因素，以便提供适当的公共卫生信息或采取行动。因此，本研究旨在评估埃塞俄比亚高危人群对 COVID-19 疫苗的行为意向及其预测因素。这是一项基于人群的匿名在线调查，于 2021 年 5 月 1 日至 6 月 30 日期间对年龄大于 18 岁的个人进行。通过方便抽样法收集数据，使用在线自我管理的结构化问卷通过谷歌调查工具（Google 表单）收集，并通过在线共享平台在不同的社交媒体渠道上向公众传播。进行了描述性统计。进行了双变量和多变量逻辑回归以显示 COVID-19 疫苗行为意向的关联。使用 95%CI 和 -值宣布了行为意向与 COVID-19 疫苗之间关联的变量。这项调查共纳入了 1080 名参与者。701 名（64.9%）受访者有接种 COVID-19 疫苗的行为意向。男性（AOR=1.41（95%CI=1.004-2.53））、教育程度（AOR=0.815（95%CI=0.254-0.916））、良好的知识（AOR=4.21（95%CI=2.871-6.992））、态度（AOR=2.78（95%CI=1.654-4.102））、主观规范（AOR=1.214（95%CI=1.008-4.309））和感知行为控制（AOR=3.531（95%CI=1.689-5.201））与 COVID-19 疫苗的行为意向显著相关。总体而言，埃塞俄比亚的行为意向率较低。男性、教育程度、疫苗知识、对疫苗的态度、主观规范和感知行为控制与接种 COVID-19 疫苗的意愿显著相关。政府来源的健康教育和宣传是缓解负面态度、改善知识不足以及需要改变或改变社区或组织内有影响力的人的态度和行为以提高接种意愿的关键方法。
