Sarkar Arnab, Dalui Anirban, Sarkar Paramita, Das Manisha, Basu Rivu, Sardar Jadab Chandra
Public Health Expert, Swasthya Bhawan, Department of Health and Family Welfare, Government of West Bengal, India.
Assistant Professor, Department of Community Medicine, Barasat Government Medical College, Kolkata, West Bengal, India.
Indian J Public Health. 2023 Jan-Mar;67(1):21-27. doi: 10.4103/ijph.ijph_130_22.
On January 16, 2021, India rolled out the COVID vaccination drive. A successful and effective vaccination campaign requires much more than the availability of a safe and effective vaccine. This includes identifying vulnerable populations with lower vaccine confidence and identifying the drivers of vaccine hesitancy.
This study aims to find out vaccine hesitancy among the tribal population regarding COVID-19 vaccination.
It was an observational descriptive cross-sectional study, conducted at Manindranagar and Hatinagar gram panchayat of Berhampore Block of Murshidabad district, West Bengal, from June 2021-November 2021, among tribal people aged >18 years. A total of 198 tribal people were selected by applying the probability proportional to size sampling method. Participants were interviewed using predesigned, pretested, and semi-structured schedules. Potential predictors of hesitancy were investigated using the multivariate logistic regression model.
Vaccine hesitancy was present among 36.9% of the study participants. Fear of side effects (78.1%) was the most common reason of vaccine hesitancy. Only 30.8% of them received at least one dose of vaccine. Vaccine hesitancy was associated with decreased family income in the last 1 year (adjusted odds ratio [AOR] = 8.23), knowledge regarding vaccine (AOR = 0.41), adherence to COVID-appropriate behavior (AOR = 0.45), and trust on the local health-care worker (AOR = 0.32).
Vaccine hesitancy among the tribal population is driven by a lack of knowledge and awareness. Their economic status, attitudes toward the health system, and accessibility factors may also play a major role in vaccine hesitancy. Extensive information, education, and communication activity, more involvement of health-care workers in the awareness campaign, and establishment of vaccination centers in tribal villages may be helpful.
2021年1月16日，印度启动了新冠疫苗接种工作。一场成功且有效的疫苗接种运动所需的远不止是有安全有效的疫苗。这包括识别疫苗信心较低的脆弱人群以及找出疫苗犹豫的驱动因素。
本研究旨在了解部落人群对新冠疫苗接种的犹豫情况。
这是一项观察性描述性横断面研究，于2021年6月至2021年11月在西孟加拉邦穆尔希达巴德区贝汉布尔街区的马尼德拉纳加尔和哈蒂纳加尔村开展，研究对象为18岁以上的部落人群。采用按规模大小成比例概率抽样方法共选取了198名部落人群。使用预先设计、预先测试且半结构化的问卷对参与者进行访谈。使用多变量逻辑回归模型调查犹豫的潜在预测因素。
36.9%的研究参与者存在疫苗犹豫情况。对副作用的恐惧（78.1%）是疫苗犹豫最常见的原因。其中只有30.8%的人接种了至少一剂疫苗。疫苗犹豫与过去1年家庭收入减少（调整后优势比[AOR]=8.23）、对疫苗的了解（AOR=0.41）、遵守新冠防护行为（AOR=0.45）以及对当地医护人员的信任（AOR=0.32）有关。
部落人群中的疫苗犹豫是由知识和意识缺乏导致的。他们的经济状况、对卫生系统的态度以及可及性因素在疫苗犹豫中也可能起主要作用。开展广泛的信息、教育和宣传活动，让医护人员更多地参与到宣传活动中，以及在部落村庄设立疫苗接种中心可能会有所帮助。
