老年人对新冠病毒疾病（COVID-19）疫苗加强针的接受情况
COVID-19 Vaccine Booster Dose Acceptance among Older Adults.
作者信息
Sezerol Mehmet Akif, Davun Selin
机构信息
Epidemiology Program, Institute of Health Sciences, Medipol University, Istanbul 34810, Turkey.
Health Management Program, Graduate Education Institute, Maltepe University, Istanbul 34857, Turkey.
出版信息
Vaccines (Basel). 2023 Feb 24;11(3):542. doi: 10.3390/vaccines11030542.
This study aimed to determine the factors that cause individuals between the ages of 65 and 75 to not receive the third dose of a COVID-19 vaccination, to advise those who are hesitant, and to learn their thoughts about taking the third dose. (1) Material and Methods: This cross-sectional study was conducted between April and May 2022 among 2383 older adults aged between 65-75 who had never received a COVID-19 booster vaccination, according to the records of the District Health Directorate in the Sultanbeyli district of Istanbul. A three-part questionnaire prepared by researchers was given to the older adults via telephone. For statistical analysis of the data, the Chi-square test was used to compare variables; < 0.05 was considered statistically significant. (2) Results: This research was completed with 1075 participants, reaching 45% of people aged 65-75 who did not receive the third dose of the COVID-19 vaccine in the region. In total, 64.2% of the participants were female and 35.8% were male, and the mean age was 69.33 ± 2.88. Those who had previously received an influenza vaccine were 1.9 times (95% CI 1.22-2.99) more likely to seek vaccination. Educational status also played a role, as older adults who were uneducated were 0.5 times (95% CI 0.42-0.76) less likely to seek vaccination. In addition, those who stated that lack of time was the reason for not vaccinating were 1.4 times (95% CI 1.01-1.98), and those who did not have it due to forgetting, 5.6 times (95% CI 2.58-12.24), more likely to seek vaccination. (3) Conclusion: This study shows, in detail, the importance of informing older adults, who have not received the third dose of vaccine for COVID-19 and who are in the risk group, as well as those who are not fully vaccinated, about the risks of not being vaccinated. We believe that it is important to vaccinate older patients; further, since immunity conferred by vaccination may decline over time, mortality rates decrease with the administration of additional doses.
本研究旨在确定导致65至75岁人群未接种第三剂新冠疫苗的因素，为犹豫不决者提供建议，并了解他们对接种第三剂疫苗的想法。(1) 材料与方法：本横断面研究于2022年4月至5月间，根据伊斯坦布尔苏丹贝利区地方卫生管理局的记录，对2383名年龄在65至75岁之间、从未接种过新冠疫苗加强针的老年人进行。研究人员编制的一份三部分问卷通过电话发给老年人。对于数据的统计分析，采用卡方检验来比较变量；P<0.05被认为具有统计学意义。(2) 结果：本研究共纳入1075名参与者，占该地区65至75岁未接种第三剂新冠疫苗人群的45%。参与者中，女性占64.2%，男性占35.8%，平均年龄为69.33±2.88岁。既往接种过流感疫苗的人寻求接种的可能性是未接种者的1.9倍（95%可信区间1.22-2.99）。教育程度也有影响，未受过教育的老年人寻求接种的可能性是受过教育者的0.5倍（95%可信区间0.42-0.76）。此外，那些表示因没时间而未接种的人寻求接种的可能性是其他人的1.4倍（95%可信区间1.01-1.98），因忘记而未接种的人寻求接种的可能性是其他人的5.6倍（95%可信区间2.58-12.24）。(3) 结论：本研究详细表明，向未接种第三剂新冠疫苗的老年风险人群以及未完全接种疫苗的人群告知未接种疫苗的风险非常重要。我们认为给老年患者接种疫苗很重要；此外，由于疫苗产生的免疫力可能会随着时间下降，额外接种疫苗可降低死亡率。
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