Djuikoue Cecile Ingrid, Kamga Wouambo Rodrigue, Pahane Majeste Mbiada, Demanou Fenkeng Blaise, Seugnou Nana Cedric, Djamfa Nzenya Joelle, Fotso Kamgne Flore, Ngalani Toutcho Cedric, Thumamo Pokam Benjamin D, Apalata Teke
Department of Public Health, Faculty of Health Sciences, Université des Montagnes, Bangangte BP 208, Cameroon.
Foundation Prevention and Control, Bangangte BP 208, Cameroon.
Vaccines (Basel). 2023 Mar 10;11(3):625. doi: 10.3390/vaccines11030625.
The COVID-19 pandemic rapidly evolved in December 2019 and to prevent its spread, effective vaccines were produced and made available to the population. Despite their availability so far in Cameroon, the vaccination coverage remains low. This study aimed at describing the epidemiology of the acceptance of vaccines against COVID-19 in some urban and rural areas of Cameroon. A cross-sectional, descriptive and analytical survey was conducted from March 2021 to August 2021 targeting unvaccinated individuals from urban and rural area. After receiving appropriate administrative authorizations and an ethical clearance from the Institutional Review Board (or Ethics Committee) of Douala University (N° 3070CEI-Udo/05/2022/M), a cluster sampling at many degrees was performed and a language-adapted questionnaire was completed by each consenting participant. Data were analyzed using Epi info version 7.2.2.6 software and for -values < 0.05, the difference was considered as statistically significant. Out of 1053 individuals, 58.02% (611/1053) participants were residing in urban and 41.98% (442/1053) in rural areas. Good knowledge relative to COVID-19 was significantly higher in urban areas as compared to rural areas (97.55% vs. 85.07, < 0.000). The proportion of respondents who intended to accept the anti COVID-19 vaccine was significantly higher in urban areas than rural areas (42.55% vs. 33.26, = 0.0047). Conversely, the proportion of anti COVID-19 reluctant respondents thinking that the vaccine can induce a disease was significantly higher in rural areas than urban areas (54 (35.07 vs. 8.84, < 0.0001). The significant determinants of anti-COVID-19 acceptance were the level of education ( = 0.0001) and profession in the rural areas ( ≤ 0.0001), and only the profession ( = 0.0046) in the urban areas. This study globally showed that anti-COVID-19 vaccination remains a major challenge in urban as well as rural areas in Cameroon. We should continue sensitizing and educating the population about vaccine importance in preventing the COVID-19 spread.
2019年12月，新冠疫情迅速演变，为防止其传播，有效的疫苗被研发出来并提供给民众。尽管目前喀麦隆已有疫苗，但疫苗接种覆盖率仍然很低。本研究旨在描述喀麦隆一些城乡地区新冠疫苗接种接受情况的流行病学特征。2021年3月至2021年8月，针对城乡未接种疫苗的个体开展了一项横断面、描述性和分析性调查。在获得杜阿拉大学机构审查委员会（或伦理委员会）的适当行政授权和伦理批准（编号3070CEI-Udo/05/2022/M）后，进行了多阶段整群抽样，每位同意参与的参与者完成了一份语言适配问卷。使用Epi info 7.2.2.6软件进行数据分析，对于p值<0.05的情况，差异被认为具有统计学意义。在1053名个体中，58.02%（611/1053）的参与者居住在城市，41.98%（442/1053）居住在农村。与农村地区相比，城市地区对新冠的了解程度显著更高（97.55%对85.07%，p<0.000）。打算接受新冠疫苗的受访者比例在城市地区显著高于农村地区（42.55%对33.26%，p = 0.0047）。相反，认为疫苗会引发疾病而不愿接种新冠疫苗的受访者比例在农村地区显著高于城市地区（54（35.07%对8.84%，p<0.0001）。在农村地区，接受新冠疫苗接种的显著决定因素是教育水平（p = 0.0001）和职业（p≤0.0001），而在城市地区仅职业是显著决定因素（p = 0.0046）。这项研究总体表明，在喀麦隆的城市和农村地区，新冠疫苗接种仍然是一项重大挑战。我们应继续提高民众对疫苗在预防新冠传播方面重要性的认识并开展教育。
