尼日利亚中北部一家三级医院社区中 COVID-19 疫苗接种的预测因素。

Predictors of COVID-19 Vaccine Uptake in a Tertiary Hospital Community, North Central, Nigeria.

机构信息

Department of Family Medicine, Federal Medical Centre, Makurdi, Benue State. Email:

出版信息

West Afr J Med. 2024 May 31;41(5):542-547.

PMID:39207905

Abstract

BACKGROUND

COVID-19 vaccine uptake is cardinal in the control of COVID-19 pandemic. COVID-19 vaccine uptake is hindered by misinformation, conspiracy theory, and religious beliefs globally. This has posed a threat in curbing the spread of this highly infectious virus. Hence, knowledge of COVID-19 vaccine uptake predictors would help mitigate the burden of COVID-19 disease.

OBJECTIVE

To determine the predictors of COVID-19 vaccine uptake at the Federal Medical Centre, Makurdi.

MATERIALS AND METHODS

The study was a descriptive crosssectional study over 3 months from January to March 2022. The sample size was 384 at 50% prevalence. A self-administered questionnaire was employed using convenience sampling. Data analysis was done using SPSS version 23. The level of statistical significance was set at p<0.05.

RESULTS

The mean age of the participants was 39.97±5.56. The majority were aged 21-40 (52.9%, n=203). There were more males (57.6%, n=221). The proportion of COVID-19 uptake was 21.6%. There was a statistically significant relationship between taking the COVID-19 vaccine and age, marital status, education, occupation, job discipline, monthly income, type of family, place of residence, childhood vaccination, immunization as an adult, and family members/close contact with COVID-19. In addition, COVID-19 vaccine uptake was also significantly associated with the belief that the COVID-19 vaccine has not been thoroughly tested, that they could rely on the vaccine to stop severe disease and that pharmaceutical companies use COVID-19 to make money. The predictors of COVID-19 vaccine uptake were marital status (p-value= 0.001, aoR=0.286, 95% CI= 0.146-0.563), family type (p-value= 0.001, AoR=6.346, 95% CI= 2.700-14.912), those residing in an urban area (p-value= 0.024, AoR= 3.130, 95% CI= 1.164-8.416) and those who believe COVID 19 vaccine could stop the severe form of the disease (p-value= 0.001, AoR= 2.448, 95% CI= 1.560-3.841).

CONCLUSION

The COVID-19 vaccine uptake rate was low. The predictors of COVID-19 vaccine uptake were married respondents in a nuclear setting, residing in urban areas and believing that COVID 19 vaccine could stop the severe form of the disease.

摘要

背景

COVID-19 疫苗接种对于控制 COVID-19 大流行至关重要。全球范围内，COVID-19 疫苗接种受到错误信息、阴谋论和宗教信仰的阻碍。这对遏制这种高度传染性病毒的传播构成了威胁。因此，了解 COVID-19 疫苗接种的预测因素将有助于减轻 COVID-19 疾病的负担。

目的

确定联邦医疗中心 Makurdi COVID-19 疫苗接种的预测因素。

材料和方法

这是一项描述性的横断面研究，时间为 2022 年 1 月至 3 月，共 3 个月。采用 50%的患病率进行样本量为 384 例的便利抽样。使用自行设计的问卷进行问卷调查。数据分析使用 SPSS 版本 23。统计学意义水平设定为 p<0.05。

结果

参与者的平均年龄为 39.97±5.56 岁。年龄在 21-40 岁的占多数（52.9%，n=203）。男性占 57.6%（n=221）。COVID-19 接种率为 21.6%。接种 COVID-19 疫苗与年龄、婚姻状况、教育程度、职业、工作纪律、月收入、家庭类型、居住地、儿童期疫苗接种、成人期免疫接种以及与 COVID-19 的家庭成员/密切接触之间存在统计学显著关系。此外，COVID-19 疫苗接种还与以下信念显著相关：COVID-19 疫苗尚未经过充分测试、疫苗可以阻止严重疾病以及制药公司利用 COVID-19 赚钱。COVID-19 疫苗接种的预测因素包括婚姻状况（p 值=0.001，aoR=0.286，95%CI=0.146-0.563）、家庭类型（p 值=0.001，AoR=6.346，95%CI=2.700-14.912）、居住在城市地区（p 值=0.024，AoR=3.130，95%CI=1.164-8.416）和相信 COVID-19 疫苗可以阻止严重疾病（p 值=0.001，AoR=2.448，95%CI=1.560-3.841）。