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成人慢性病患者对 COVID-19 疫苗的接种意愿及相关因素。一项在埃塞俄比亚西北部进行的横断面研究。

Willingness to receive COVID-19 vaccine and associated factors among adult chronic patients. A cross-sectional study in Northwest Ethiopia.

机构信息

Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

PLoS One. 2022 Jul 12;17(7):e0269942. doi: 10.1371/journal.pone.0269942. eCollection 2022.

DOI:10.1371/journal.pone.0269942
PMID:35819959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9275707/
Abstract

BACKGROUND

People with pre-existing chronic diseases are more likely to acquire COVID-19 infections, which can be fatal, and die from COVID-19 illness. COVID-19 vaccination will benefit those at a higher risk of developing complications and dying from the disease. This study aimed to determine chronic patients' willingness to receive a COVID-19 vaccine and the factors that influence their willingness.

METHOD

An institutional-based cross-sectional study was conducted among 423 adult chronic patients in the University of Gondar specialized hospital outpatient departments. The participants were chosen using systematic random sampling methods with an interval of 5. Face-to-face interviews were used to collect data from eligible respondents. Epi-data version 4.6 and SPSS version 25 were used for the data entry data analysis. Bivariable and multivariable binary logistic regression analyses were used to evaluate the relationship between the dependent and independent factors. An odds ratio with 95 percent confidence intervals and a P-value was used to determine the association's strength and statistical significance.

RESULT

Out of 401 respondents, 219 (54.6%) with [95% CI (49.7-59.5%)] of study participants were willing to receive the COVID-19 vaccination. Being a healthcare worker (AOR = 2.94, 95% CI: 1.24-6.96), Lost family members or friends due to COVID-19 (AOR = 2.47, 95% CI: 1.21-5.00), good knowledge about COVID-19 vaccine (AOR = 2.44, 95% CI: 1.37-4.33), favorable attitude towards COVID-19 vaccine (AOR = .8.56 95% CI: 4.76-15.38), perceived suitability of the COVID-19 infection (AOR = 2.94, 95% CI: 1.62-5.33) and perceived benefit of the COVID-19 vaccine (AOR = 1.89, 95% CI: 1.08-3.31), were found to be a significant association with the willingness to receive the COVID-19 vaccine among chronic patients.

CONCLUSION

This study confirms that around 55% of adult chronic patients were willing to receive the COVID-19 vaccine. Providing health education for chronic patients to emphasize the knowledge and attitude of the COVID-19 vaccine and raise patients' perceived risk of COVID-19 and the benefit of the COVID-19 vaccine could be recommended to improve their willingness to COVID-19 vaccination.

摘要

背景

患有慢性疾病的人更容易感染 COVID-19,这可能是致命的,并死于 COVID-19 疾病。COVID-19 疫苗接种将使那些更容易发生并发症和死于该疾病的人受益。本研究旨在确定慢性患者接受 COVID-19 疫苗的意愿以及影响他们意愿的因素。

方法

在贡德尔大学专科医院门诊部门,对 423 名成年慢性患者进行了基于机构的横断面研究。采用系统随机抽样方法,间隔为 5 名参与者。使用面对面访谈从合格的受访者那里收集数据。使用 Epi-data 版本 4.6 和 SPSS 版本 25 进行数据录入和分析。采用二变量和多变量二元逻辑回归分析评估因变量和自变量之间的关系。使用优势比和 95%置信区间和 P 值来确定关联的强度和统计学意义。

结果

在 401 名应答者中,有 219 名(54.6%[95%CI(49.7-59.5%)])表示愿意接受 COVID-19 疫苗接种。作为卫生保健工作者(优势比=2.94,95%置信区间:1.24-6.96)、因 COVID-19 失去家人或朋友(优势比=2.47,95%置信区间:1.21-5.00)、对 COVID-19 疫苗有较好的了解(优势比=2.44,95%置信区间:1.37-4.33)、对 COVID-19 疫苗有良好的态度(优势比=8.56,95%置信区间:4.76-15.38)、认为 COVID-19 感染合适(优势比=2.94,95%置信区间:1.62-5.33)和认为 COVID-19 疫苗有益(优势比=1.89,95%置信区间:1.08-3.31)与慢性患者接受 COVID-19 疫苗的意愿呈显著相关。

结论

本研究证实,约 55%的成年慢性患者愿意接种 COVID-19 疫苗。建议为慢性患者提供健康教育,强调 COVID-19 疫苗的知识和态度,提高患者对 COVID-19 的风险感知和 COVID-19 疫苗的益处,以提高他们对 COVID-19 疫苗接种的意愿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/7bf067a5c91b/pone.0269942.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/e888854ce6ff/pone.0269942.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/1eaf833904cc/pone.0269942.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/7bf067a5c91b/pone.0269942.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/e888854ce6ff/pone.0269942.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/1eaf833904cc/pone.0269942.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea8/9275707/7bf067a5c91b/pone.0269942.g003.jpg

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