Research Department, Zanmi Lasante/Partners in Health Mirebalais: Hopital Universitaire de Mirebalais, Mirebalais, Haiti.
Strategic Information Systems, Partners in Health, Boston, MA, USA.
Hum Vaccin Immunother. 2023 Dec 31;19(1):2204048. doi: 10.1080/21645515.2023.2204048.
Vaccines are the most effective mechanism for ending the COVID-19 pandemic. However, reluctance to accept vaccines has hindered the efforts of health authorities to combat the virus. In Haiti, as of July 2021, less than 1% of the country's population has been fully vaccinated in part due to vaccine hesitancy. Our goal was to assess Haitian attitudes toward COVID-19 vaccination and investigate the primary reasons for Moderna vaccine hesitancy. We conducted a cross-sectional survey across three rural Haitian communities, in September 2021. The research team used electronic tablets to collect quantitative data from 1,071 respondents, selected randomly across the communities. We report descriptive statistics and identify variables associated with vaccine acceptance using logistic regression built using a backward stepwise approach. Among 1,071 respondents, the overall acceptance rate was 27.0% (n = 285). The most common reason for vaccine hesitancy was "concern about side effects" (n = 484, 67.1%) followed by "concern about contracting COVID-19 from the vaccine" (n = 472, 65.4%). Three-quarters of respondents (n = 817) identified their healthcare workers as their most trustworthy source for information related to the vaccine. In the bivariate analysis, male gender ( = .06) and no history of drinking alcohol ( < .001) were significantly associated with being more likely to take the vaccine. In the final reduced model, only those with a history of drinking alcohol were significantly more likely to take the vaccine (aOR = 1.47 (1.23, 1.87) < .001). The acceptance rate for the COVID-19 vaccine is low, and public health experts should design and strengthen vaccination campaigns to combat misinformation and public distrust.
疫苗是终结新冠疫情大流行的最有效手段。然而，人们对接种疫苗的犹豫，阻碍了卫生当局抗击病毒的努力。在海地，截至 2021 年 7 月，由于疫苗犹豫，全国只有不到 1%的人完全接种了疫苗。我们的目标是评估海地人对新冠疫苗接种的态度，并调查对 Moderna 疫苗犹豫不决的主要原因。我们于 2021 年 9 月在三个海地农村社区进行了一项横断面调查。研究小组使用电子平板电脑从社区内随机选择的 1071 名受访者那里收集定量数据。我们报告描述性统计数据，并使用向后逐步方法构建的逻辑回归来确定与疫苗接种接受度相关的变量。在 1071 名受访者中，总体接受率为 27.0%（n=285）。疫苗犹豫的最常见原因是“担心副作用”（n=484，67.1%），其次是“担心从疫苗中感染新冠病毒”（n=472，65.4%）。四分之三的受访者（n=817）将医疗工作者视为与疫苗相关信息最值得信赖的来源。在单变量分析中，男性（ = .06）和不饮酒史（ < .001）与更有可能接种疫苗显著相关。在最终的简化模型中，只有饮酒史与更有可能接种疫苗显著相关（调整后的优势比 = 1.47（1.23，1.87） < .001）。新冠疫苗的接种率较低，公共卫生专家应设计并加强疫苗接种活动，以对抗错误信息和公众的不信任。
