University of Nebraska Medical Center, Omaha, NE, USA.
University of Gezira, Wadmedani-Gezira State, Sudan.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241234868. doi: 10.1177/21501319241234868.
Sudanese American and other immigrant and refugee communities are at greater risk for exposure to COVID-19. This survey sought to better characterize COVID-19 vaccination practices, motivators, and drivers for hesitancy among Sudanese Americans.
We developed an online, cross-sectional survey in English and Arabic distributed by Sudanese American community leaders in April 2022 with data stored anonymously in REDCap. Inclusion criteria were self-reporting being born within Sudan and living in the US within the last 2 years. Descriptive analysis tested survey responses for possible associations between the primary outcome, self-reported vaccination status, and questions regarding vaccination history, perspectives on vaccination, and demographic characteristics using Fishers Exact and Chi Squared Tests.
Of 111 survey responses received, 107 met inclusion criteria. 93% of respondents reported COVID-19 vaccine uptake with the primary motivation to protect oneself from disease. The most cited reason for vaccine hesitancy was belief it had not been studied enough. The group that reported vaccination had higher levels of education (.032) and were more likely to perceive that COVID-19 vaccinations were able to reduce spread (.001), decrease severe outcomes (.004), and benefits outweighing their risks (.004).
This survey population of Sudanese Americans demonstrated high levels of vaccine uptake (93%), far greater than either the corresponding US (78%) or Sudanese population (15%). It is likely that high levels of educational attainment moderated vaccine uptake, though our survey may not have had the power to fully evaluate vaccine hesitancy.
苏丹裔美国人和其他移民和难民社区面临更大的 COVID-19 暴露风险。本调查旨在更好地描述苏丹裔美国人的 COVID-19 疫苗接种实践、动机和犹豫因素。
我们用英语和阿拉伯语开发了一个在线的、横断面的调查,由苏丹裔美国社区领袖于 2022 年 4 月分发,数据匿名存储在 REDCap 中。纳入标准为自我报告出生于苏丹,并在过去 2 年内居住在美国。描述性分析使用 Fisher 精确检验和卡方检验测试主要结局(自我报告的疫苗接种状况)和关于疫苗接种史、对疫苗接种的看法以及人口统计学特征的问题之间的调查结果的可能关联。
在收到的 111 份调查回复中,有 107 份符合纳入标准。93%的受访者报告了 COVID-19 疫苗接种率,主要动机是保护自己免受疾病侵害。疫苗犹豫的最主要原因是认为它的研究还不够充分。报告接种疫苗的人群受教育程度较高(.032),并且更有可能认为 COVID-19 疫苗接种能够减少传播(.001)、降低严重后果(.004),并且受益大于风险(.004)。
本调查的苏丹裔美国人的疫苗接种率(93%)远远高于相应的美国(78%)或苏丹(15%)。高水平的教育可能调节了疫苗接种率,尽管我们的调查可能没有足够的能力来全面评估疫苗犹豫。