Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France.
Université de Bordeaux, INSERM UMR 1219, PHAreS Team, 33000 Bordeaux, France.
Int J Environ Res Public Health. 2022 Apr 28;19(9):5372. doi: 10.3390/ijerph19095372.
The development of vaccines against COVID-19 has given hope to populations. Public acceptability of vaccination is a major driver in containing the disease. However, in marginalized and stigmatized populations, uncertainty and unwillingness may be a challenge. This study aimed to analyze the factors associated with uncertainty and unwillingness to vaccinate against COVID-19 in men who have sex with men (MSM) living in France. The data used came from Rapport au Sexe (ERAS) 2021, a voluntary, cross-sectional, anonymous, self-administered, online survey conducted from 26 February to 11 April 2021. Among the 15,426 respondents included in the analysis, 60.5% were willing to vaccinate (these included persons already vaccinated), 17.5% were not, and 22% were uncertain. Factors independently associated with uncertainty and unwillingness were lower education level, low health literacy level, financial hardship, being under 30 years of age, and living in a rural area. HIV-positive MSM were less likely to report vaccination uncertainty and unwillingness than HIV-negative MSM and those with unknown serostatus. Although more impacted by COVID-19, socioeconomically vulnerable MSM were the sub-group most unwilling to vaccinate. To improve acceptability of COVID-19 vaccination in MSM, policy makers and researchers must increase access to and understanding of medical information by considering the general public's health literacy when developing information sources. Moreover, a dedicated global care approach, which ensures these populations can be reached, is necessary.
针对 COVID-19 的疫苗研发为人们带来了希望。公众对接种疫苗的接受程度是控制疾病的主要驱动力。然而，在边缘化和污名化的人群中，不确定性和不情愿可能是一个挑战。本研究旨在分析与法国男男性行为者（MSM）中对 COVID-19 疫苗接种的不确定性和不情愿相关的因素。使用的数据来自于 2021 年的 Rapport au Sexe (ERAS)，这是一项自愿的、横断面的、匿名的、自我管理的在线调查，于 2021 年 2 月 26 日至 4 月 11 日进行。在纳入分析的 15426 名受访者中，60.5%表示愿意接种疫苗（包括已接种疫苗的人），17.5%表示不愿意，22%表示不确定。与不确定性和不情愿独立相关的因素包括较低的教育水平、较低的健康素养水平、经济困难、年龄在 30 岁以下以及居住在农村地区。与 HIV 阴性 MSM 和 HIV 未知 MSM 相比，HIV 阳性 MSM 报告疫苗接种不确定性和不情愿的可能性较低。尽管 MSM 受到 COVID-19 的影响更大，但在社会经济方面处于弱势的 MSM 是最不愿意接种疫苗的亚组。为了提高 MSM 对 COVID-19 疫苗接种的接受程度，政策制定者和研究人员在开发信息来源时必须考虑到公众的健康素养，增加获取和理解医疗信息的机会。此外，还需要采取专门的全球关怀方法，以确保这些人群能够获得关怀。
