乌干达利拉区5至17岁儿童家长为其子女接种新冠疫苗的意愿及其相关因素
Parents' Readiness to Vaccinate Their Children Aged 5 to 17 Years Against Covid-19 and Its Associated Factors in Lira District, Uganda.
作者信息
Puleh Sean Steven, Kigongo Eustes, Opio Innocent Ojok, Akech Stella Immaculate, Opollo Marc Sam, Achan Everlyne, Acen Joy, Anyolitho Maxson Kenneth, Acup Walter, Kabunga Amir
机构信息
Department of Epidemiology and Biostatistics, Lira University, Lira City, Uganda.
Department of Environmental Health and Disease Control, Lira University, Lira City, Uganda.
出版信息
Pediatric Health Med Ther. 2023 Apr 20;14:131-139. doi: 10.2147/PHMT.S404620. eCollection 2023.
BACKGROUND
Data on parents' readiness to vaccinate their children aged 5 to 17 years against COVID-19 is still scarce. This study assessed parents' readiness to vaccinate their children aged 5 to 17 years against COVID-19 and factors associated in Lira district, Uganda.
METHODS AND MATERIALS
A cross-sectional survey employing quantitative methods was conducted between October and November 2022 among 578 parents of children aged 5-17 years in 3 sub-counties in Lira district. An interviewer-administered questionnaire was used to collect data. Data was analyzed using descriptive statistics including means, percentages, frequencies, and odds ratios. Logistic regression was used to determine associations between the factors and the readiness of parents at a 95% level of significance.
RESULTS
Out of 634 participants, 578 responded to the questionnaire, giving a response rate of 91.2%. The majority of the parents (327, 56.8%) were female, had children aged between 12 and 15 years (266, 46.4%), and had completed primary education (351, 60.9%). Most of the parents were Christian (565, 98.4%), married (499, 86.6%), and had been vaccinated against COVID-19 (535, 92.6%). Results also indicated that 75.6% (ranging from 71.9% to 78.9%) of the parents were unwilling to vaccinate their children for the COVID-19 virus. The predictors of readiness were the age of the child (AOR: 2.02; 95% CI: 0.97-4.20; p=0.05) and lack of trust in the vaccine (AOR: 3.33; 95% CI: 1.95-5.71; p0.001).
CONCLUSION
Our study shows that parents' readiness to vaccinate their children aged 5 to 17 years was only 24.6%, which is suboptimal. The predictors of hesitancy were the age of the child and a lack of trust in the vaccine. Based on our results, the Ugandan authorities should provide health education interventions targeting parents to combat mistrust with respect to COVID-19 and the COVID-19 vaccine and highlight the benefits of the vaccines.
背景
关于父母为5至17岁儿童接种新冠疫苗意愿的数据仍然匮乏。本研究评估了乌干达利拉区父母为5至17岁儿童接种新冠疫苗的意愿及相关因素。
方法与材料
2022年10月至11月期间，在利拉区3个乡对578名5至17岁儿童的父母进行了一项采用定量方法的横断面调查。通过访谈员管理的问卷收集数据。使用描述性统计方法分析数据，包括均值、百分比、频率和比值比。采用逻辑回归分析确定各因素与父母意愿之间在95%显著性水平下的关联。
结果
在634名参与者中，578人回应了问卷，回应率为91.2%。大多数父母（327人，56.8%）为女性，孩子年龄在12至15岁之间（266人，46.4%），且完成了小学教育（351人，60.9%）。大多数父母是基督教徒（565人，98.4%），已婚（499人，86.6%），并且已接种新冠疫苗（535人，92.6%）。结果还表明，75.6%（范围为71.9%至78.9%）的父母不愿意为其孩子接种新冠病毒疫苗。意愿接种疫苗的预测因素为孩子的年龄（调整后比值比：2.02；95%置信区间：0.97 - 4.20；p = 0.05）以及对疫苗缺乏信任（调整后比值比：3.33；95%置信区间：1.95 - 5.71；p < 0.001）。
结论
我们的研究表明，父母为5至17岁儿童接种疫苗的意愿仅为24.6% ，这并不理想。犹豫接种疫苗的预测因素为孩子的年龄以及对疫苗缺乏信任。基于我们的研究结果，乌干达当局应针对父母提供健康教育干预措施以消除对新冠病毒和新冠疫苗的不信任，并强调疫苗的益处。
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