Federal Institute for Population Research (BiB), Wiesbaden, Germany.
Global Health. 2023 Sep 6;19(1):68. doi: 10.1186/s12992-023-00968-z.
This paper analyzes associations of socio-demographic factors with the uptake of COVID-19 vaccines, the refusal to get vaccinated against COVID-19, and various reasons stated for refusing vaccination against COVID-19 among a representative sample of Ugandan women.
This paper utilizes a representative cross-sectional survey collected among women aged 15-49 years in Uganda between September and November 2021. Regression analyses are used to study the associations of a broad range of socio-demographic characteristics with COVID-19 vaccine uptake, refusal of vaccination, and reasons for refusal among the respondents.
4211 women were included in the analysis. 11% of them were vaccinated against COVID-19, 76% were willing to get vaccinated, 13% were unwilling to get vaccinated. Fear of side effects was the most commonly stated reason for refusing vaccination (69%). Factors significantly and positively associated with being vaccinated against COVID-19 were age, higher education, urban residency, having savings, partial instead of complete income loss during the pandemic, and usage of modern contraceptives. Factors significantly and positively associated with refusing vaccination against COVID-19 were urban residency and current pregnancy, while age, having savings, and using modern contraceptives were factors associated with a lower likelihood of refusing vaccination, albeit with varying statistical significance. Few factors were strongly related to the stated reasons for refusing the vaccines; the fear of side effects significantly increased with age, while having received negative information on the vaccines was significantly less common among women with higher education.
This study documents a low COVID-19 vaccination rate and a high willingness to get vaccinated among Ugandan women. Positive age and education gradients in vaccine uptake point to inequity in access to vaccination, potentially resulting from prioritizations of groups at particularly high risk. Refusal to be vaccinated was relatively low and systematic factors behind vaccine refusal were hardly to be found, even less so for particular reasons given for refusal.
本研究分析了社会人口因素与 COVID-19 疫苗接种率、COVID-19 疫苗接种拒绝率以及乌干达女性代表性样本中拒绝 COVID-19 疫苗接种的各种原因之间的关联。
本研究利用了 2021 年 9 月至 11 月间在乌干达 15-49 岁女性中进行的一项代表性横断面调查。回归分析用于研究广泛的社会人口特征与 COVID-19 疫苗接种率、接种拒绝率以及受访者拒绝接种的原因之间的关联。
共纳入 4211 名女性进行分析。其中 11%的人接种了 COVID-19 疫苗，76%的人愿意接种疫苗，13%的人不愿意接种疫苗。担心副作用是拒绝接种的最常见原因（69%）。与接种 COVID-19 疫苗呈显著正相关的因素包括年龄、更高的教育程度、城市居住、有储蓄、大流行期间部分而非完全收入损失以及使用现代避孕药具。与拒绝接种 COVID-19 疫苗呈显著正相关的因素包括城市居住和当前怀孕，而年龄、有储蓄和使用现代避孕药具则是与拒绝接种疫苗的可能性较低相关的因素，尽管其统计学意义不同。很少有因素与拒绝接种疫苗的原因密切相关；对副作用的恐惧随着年龄的增长而显著增加，而受过高等教育的女性中，收到有关疫苗的负面信息的情况明显较少。
本研究记录了乌干达女性 COVID-19 疫苗接种率较低和接种意愿较高的情况。疫苗接种率与年龄和教育程度呈正相关，这表明在获得疫苗方面存在不平等，这可能是由于优先考虑特别高风险群体所致。拒绝接种疫苗的比例相对较低，而且几乎找不到疫苗接种拒绝的系统性因素，更不用说拒绝接种的具体原因了。
