Choudhary Rajkamal, Choudhary Raj Rani, Pervez Anjum
Department of Medicine, Jawaharlal Nehru Medical College, Bhagalpur, IND.
Department of Obstetrics and Gynaecology, Nalanda Medical College, Patna, IND.
Cureus. 2023 Apr 12;15(4):e37490. doi: 10.7759/cureus.37490. eCollection 2023 Apr.
The important variables that influence how many people are vaccinated against coronavirus disease (COVID-19) in India include vaccine skepticism, socioeconomic status, and multi-dimensional deprivation. Our preliminary research suggests that uncertainty about the safety of the COVID-19 vaccine has a large and detrimental effect on immunization rates.
The Crucial Subsets Survey (CSS) is performed daily on Facebook to recruit participants for cross-section surveys by academic institutions, the Delphi Research Center, and the University of Maryland's Joint Program in Survey Methodology. Facebook will notify a portion of its daily users to take a vote. CSS adds behavior, attitude toward policy and preventive measures, economic consequences, and critical indicators to official reporting data.
It has been estimated that a 30% drop in vaccination coverage may be attributed to a 1% rise in vaccine skepticism. Similarly, higher rates of multidimensional poverty are associated with lower rates of COVID-19 vaccine coverage. When the multidimensional poverty index (MPI), or the percentage of persons living in extreme poverty, rises by one unit, immunization rates fall by around half. It suggests that higher rates of socioeconomic hardship have unfavorable effects on health outcomes like vaccination rates. We also showed that gender is a major factor in influencing how internet availability affects vaccination rates and hesitation. We discovered that male vaccination rates went up in tandem with male internet use. This might be because of the digital divide and India's reliance on digital technologies like the COVID Vaccine Intelligence Network (COWIN), AAROGYA SETU, and Imphal, India, to assign and register for COVID-19 vaccinations, while males have greater digital excess than females. While male internet access is significantly and positively correlated with coverage, female internet access is significantly and negatively correlated with coverage. Women are less likely to seek medical care and have more vaccination reluctance than men, both of which contribute to this trend.
The government's strategy for disseminating information about the COVID-19 vaccination should prioritize reaching out to women. In order to recruit more women to vaccination clinics, it is important to raise public awareness about the need for immunization among women via the media and community outreach.
影响印度有多少人接种新冠病毒病（COVID-19）疫苗的重要变量包括疫苗怀疑论、社会经济地位和多维度贫困。我们的初步研究表明，对COVID-19疫苗安全性的不确定性对免疫接种率有很大的不利影响。
关键子集调查（CSS）每天在脸书上进行，以招募参与者参与学术机构、德尔菲研究中心和马里兰大学调查方法联合项目的横断面调查。脸书会通知其部分每日用户进行投票。CSS将行为、对政策和预防措施的态度、经济后果以及关键指标添加到官方报告数据中。
据估计，疫苗怀疑论上升1%可能导致疫苗接种覆盖率下降30%。同样，多维度贫困率越高，COVID-19疫苗接种覆盖率越低。当多维度贫困指数（MPI）或极端贫困人口百分比上升一个单位时，免疫接种率下降约一半。这表明社会经济困难程度越高，对疫苗接种率等健康结果有不利影响。我们还表明，性别是影响互联网可用性如何影响疫苗接种率和犹豫程度的一个主要因素。我们发现男性疫苗接种率与男性互联网使用同步上升。这可能是由于数字鸿沟以及印度依赖COVID疫苗情报网络（COWIN）、 Aarogya Setu和印度英帕尔等数字技术来分配和登记COVID-19疫苗接种，而男性比女性有更多的数字资源。虽然男性互联网接入与覆盖率显著正相关，但女性互联网接入与覆盖率显著负相关。女性比男性更不愿意寻求医疗护理且疫苗接种意愿更低，这两者都促成了这一趋势。
政府传播COVID-19疫苗接种信息的策略应优先考虑覆盖女性。为了吸引更多女性前往疫苗接种诊所，通过媒体和社区宣传提高公众对女性免疫接种必要性的认识很重要。
