Belay Michu, Tsega Tilahun Degu, Molla Muluye, Teshome Muluken
Dejen Primary Hospital, Amhara regional Health Bureau, Dejen, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
PLOS Glob Public Health. 2024 Apr 3;4(4):e0002893. doi: 10.1371/journal.pgph.0002893. eCollection 2024.
Globally, the COVID-19 pandemic has significantly increased morbidity and mortality. Health professionals are at the frontline of COVID-19 pandemic exposure and are identified as a priority target group that needs to receive COVID-19 vaccines. Data on Ethiopian healthcare workers' use of the COVID-19 vaccine and associated factors, however, are scarce. Using a simple random sampling method, 398 health professionals were recruited through an institutional-based cross-sectional study design. Health professionals working in Debre Markos town public health facilities filled out a self-administered questionnaire that had been pretested to obtain the data. Then, the data were entered into Epi data version 4.2; and analyzed by SPSS 25. Descriptive statistics and multivariable logistic regression analysis were computed after model assumptions were checked. The adjusted odds ratio with 95% CI was calculated and statistical significance was declared at P-value < 0.05 after model adequacy was checked using the Hosmer-Lemeshow test. The uptake of the COVID-19 vaccine among health professionals was 61.56% (95% CI: 56.67%, 66.23%). Factors associated with the uptake of the COVID-19 vaccine were age > = 35 years (AOR: 4.39, 95% CI: 1.89, 10.19), having a higher income (>9056 Birr) (AOR: 1.79, 95% CI: 1.03, 3.10), who practiced COVID-19 Prevention methods (AOR: 2.39, 95% CI: 1.51, 3.77), Adulthood previous other immunization histories (AOR: 1.63, 95% CI: 1.15, 2.56) and having a chronic disease (AOR:1.90,95% CI: 1.07, 3.74). This study revealed that the uptake of the COVID-19 vaccine was low. Age > = 35 years, having a higher income, who practiced COVID-19 prevention methods, having adulthood previous immunization histories, and having chronic disease were statistically significantly identified factors for COVID-19 vaccine uptake. Therefore, policymakers and health managers should think about the requirement of immunization of healthcare workers and develop plans for administering the COVID-19 vaccine.
在全球范围内，新冠疫情显著增加了发病率和死亡率。卫生专业人员处于新冠疫情暴露的前线，被确定为需要接种新冠疫苗的优先目标群体。然而，关于埃塞俄比亚医护人员使用新冠疫苗及其相关因素的数据却很稀少。采用简单随机抽样方法，通过基于机构的横断面研究设计招募了398名卫生专业人员。在德布雷马科斯镇公共卫生机构工作的卫生专业人员填写了一份经过预测试的自填式问卷以获取数据。然后，将数据录入Epi数据4.2版本，并使用SPSS 25进行分析。在检查模型假设后，进行描述性统计和多变量逻辑回归分析。计算调整后的比值比及95%置信区间，并在使用Hosmer-Lemeshow检验检查模型拟合优度后，当P值<0.05时宣布具有统计学意义。卫生专业人员中新冠疫苗的接种率为61.56%（95%置信区间：56.67%，66.23%）。与新冠疫苗接种相关的因素包括年龄>=35岁（比值比：4.39，95%置信区间：1.89，10.19）、收入较高（>9056比尔）（比值比：1.79，95%置信区间：1.03，3.10）曾采取新冠预防措施（比值比：2.39，95%置信区间：1.51，3.77）、成年期有其他免疫史（比值比：1.63，95%置信区间：1.15，2.56）以及患有慢性病（比值比：1.90，95%置信区间：1.07，3.74）。本研究表明新冠疫苗接种率较低。年龄>=35岁、收入较高、采取新冠预防措施、有成年期免疫史以及患有慢性病是在统计学上显著确定的与新冠疫苗接种相关的因素。因此，政策制定者和卫生管理人员应考虑医护人员的免疫需求，并制定接种新冠疫苗的计划。
