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一项在土耳其吉雷松市中心地区开展的社区研究:对 COVID-19 疫苗的犹豫。

A community-based study in the central district of Giresun: COVID-19 vaccine hesitancy.

机构信息

Public Health Specialist, Giresun Central Community Health Center, Giresun, Turkey.

Head of Central Community Health Center, Giresun Central Community Health Center, Giresun, Turkey.

出版信息

Hum Vaccin Immunother. 2022 Nov 30;18(6):2092362. doi: 10.1080/21645515.2022.2092362. Epub 2022 Jul 7.

Abstract

Thanks to immunization strategies, which is a multistakeholder process that includes scientific, political, and nongovernmental organizational pillars, deaths and the risk of severe disease caused by COVID-19 infection are prevented. However, to prevent the losses caused by vaccine hesitancy, it is important to reveal the causes. We aimed to determine the frequency of vaccine hesitancy in individuals registered in the central district of Giresun, Turkey, and to investigate the related factors. In this cross-sectional study, the sample was selected from the population aged over 18 years, who were eligible for COVID-19 vaccination but had not been vaccinated. The systematic sampling method was used to select the participants ( = 422) from a list of the entire population ( = 12,055). The dependent variable was "COVID-19 vaccine hesitancy." Data were analyzed using the SPSS 22 software; descriptive, Chi-square, and logistic regression analyses were conducted. The rate of vaccine hesitancy was 58.9%. Vaccine hesitancy was higher in those who were old, employed, and had not been infected with COVID-19. After being given information, 55.8% of those who hesitated and 12.4% of those who resisted were convinced. Distrust in vaccines was the most frequent cause of vaccine hesitancy (32.5%). It was found that vaccine hesitancy was two times higher in those who had not had COVID-19 [OR = 1.95; 95% CI: 1.13-3.369], and 1.7 times higher in those who were employed [OR = 1.70; 95% CI: 1.06-2.74]. The fight against vaccine hesitancy and resistance must be based on active information, guidance, confidence, and a thorough understanding of the reasons.

摘要

由于免疫战略是一个多利益攸关方的过程,包括科学、政治和非政府组织支柱,因此预防了 COVID-19 感染导致的死亡和严重疾病的风险。然而,为了防止疫苗犹豫造成的损失,揭示原因很重要。我们旨在确定在土耳其吉雷松中心区登记的个体中疫苗犹豫的频率,并调查相关因素。在这项横断面研究中,从有资格接种 COVID-19 疫苗但尚未接种疫苗的 18 岁以上人群中抽取样本。采用系统抽样方法从整个人群名单中选择参与者(n=422)。因变量是“COVID-19 疫苗犹豫”。使用 SPSS 22 软件分析数据;进行描述性、卡方和逻辑回归分析。疫苗犹豫的发生率为 58.9%。疫苗犹豫在年龄较大、就业和未感染 COVID-19 的人群中更高。在获得信息后,55.8%的犹豫者和 12.4%的抵制者被说服。对疫苗的不信任是疫苗犹豫的最常见原因(32.5%)。结果发现,未感染 COVID-19 的人疫苗犹豫的可能性高两倍[OR=1.95;95%CI:1.13-3.369],就业者疫苗犹豫的可能性高 1.7 倍[OR=1.70;95%CI:1.06-2.74]。与疫苗犹豫和抵制作斗争必须基于积极的信息、指导、信心和对原因的深入了解。

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