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伊朗医护人员对 COVID-19 疫苗接受度的决定因素:全国性调查。

Determinants of COVID-19 vaccine acceptance in healthcare workers in Iran: National Survey.

机构信息

School of Public Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.

Social Medicine, School of Medicine, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

BMC Infect Dis. 2022 Aug 22;22(1):703. doi: 10.1186/s12879-022-07675-x.

Abstract

BACKGROUND AND AIM

It seems that acceptance of COVID-19 vaccination is the most effective way to tackle the COVID-19 pandemic now. Health care workers (HCWs) are one of the most important groups who are at risk for COVID-19 infection. This study aimed to assess the COVID-19 vaccine acceptance among HCWs in Iran and its determinants.

METHODS

A cross-sectional survey was carried out among 3600 HCWs in Iran. Data were collected through a self-administered questionnaire by a trained team from February to March 2021. Multi-stage cluster sampling method was used for selecting respondents of the study. Multivariate logistic regression analysis was used to determine the key factors of COVID-19 vaccine acceptance among participants. P-value < 0.05 was considered statistically significant.

RESULTS

Out of the 3536 respondents, 2191 (62.1%) intended to uptake the COVID-19 vaccine. Only about 10 percent of respondents said they did not trust any vaccine (domestic or foreign). Willing to accept a COVID-19 vaccine was relatively high among males, doctors, and those who had a history of hospitalization due to COVID-19 infection. The multivariate regression analysis showed respondents who were 40-50 years (aOR: 1.56; 95% CI: 1.47-1.66), had a history of COVID-19 infection (aOR: 0.85; 95% CI: 0.83-0.88), and hospitalized due to COVID-19 infection (aOR: 2.18; 95% CI: 1.97-2.39), were significantly associated with vaccine acceptance (p < 0.05).

CONCLUSION

Our study showed moderate acceptance of COVID-19 vaccination in the HCWs in the Islamic Republic of Iran. The most important factor in the acceptance of the COVID-19 vaccine by the health staff is having a history of hospitalization. Further training and justification of health personnel is needed to increase the acceptance of COVID 19 vaccine.

摘要

背景与目的

目前,似乎接受 COVID-19 疫苗接种是应对 COVID-19 大流行最有效的方法。医护人员(HCWs)是感染 COVID-19 风险最高的人群之一。本研究旨在评估伊朗 HCWs 对 COVID-19 疫苗的接受程度及其决定因素。

方法

对伊朗 3600 名 HCWs 进行了横断面调查。数据通过训练有素的团队于 2021 年 2 月至 3 月期间通过自填式问卷收集。采用多阶段聚类抽样方法选择研究对象。采用多变量逻辑回归分析确定参与者 COVID-19 疫苗接种接受的关键因素。P 值<0.05 被认为具有统计学意义。

结果

在 3536 名受访者中,2191 名(62.1%)表示打算接种 COVID-19 疫苗。只有约 10%的受访者表示他们不相信任何疫苗(国产或进口)。男性、医生和因 COVID-19 感染住院的人更愿意接种 COVID-19 疫苗。多变量回归分析显示,年龄在 40-50 岁的受访者(OR:1.56;95%CI:1.47-1.66)、有 COVID-19 感染史的受访者(OR:0.85;95%CI:0.83-0.88)和因 COVID-19 感染住院的受访者(OR:2.18;95%CI:1.97-2.39)与疫苗接种接受度显著相关(p<0.05)。

结论

我们的研究表明,伊朗伊斯兰共和国的 HCWs 对 COVID-19 疫苗接种的接受程度为中等。卫生人员接受 COVID-19 疫苗的最重要因素是有住院史。需要进一步培训和说明卫生人员,以提高 COVID-19 疫苗的接受率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2d/9396880/94075bee7990/12879_2022_7675_Fig1_HTML.jpg

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