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不可靠信息与恐惧:中国炎症性肠病患者的疫苗接种障碍

Unreliable information and fear: Barriers to vaccination among IBD patients in China.

作者信息

Liu Jingwen, Yan Zelin, Hu Wen, Li Shuyan, Chen Yan

机构信息

Center of Inflammatory Bowel Disease, Department of Gastroenterology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Gastroenterology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Key Laboratory of Gastrointestinal Diseases Pathophysiology, Hangzhou, China.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2446071. doi: 10.1080/21645515.2024.2446071. Epub 2025 Jan 24.

Abstract

Vaccination plays a crucial role in safeguarding individuals with inflammatory bowel disease (IBD) from potential epidemics. In light of the resurgence of COVID-19 in China, unvaccinated IBD patients are vulnerable to infection and potentially serious complications. The aim of this study is to assess the vaccination uptake and willingness among IBD patients, as well as to explore the factors influencing their decision to decline vaccination. An online questionnaire was distributed and analyzed. Bivariate analyses and logistic regression models were used to identify relevant factors. Two hundred and three patients from 243 non-vaccinated respondents were included in the analysis. A total of 167 (82.3%) respondents continued to decline vaccination, with individuals holding stable employment and higher family income displaying significantly lower intent ( < .05). The primary factors contributing to their hesitancy were misinformation and apprehension regarding potential side effects. Obtaining vaccine information from online sources, particularly text-based content, and apprehensions surrounding the adverse effects of COVID-19 vaccination were also found to significantly diminish willingness to receive the vaccine ( < .01). The present study revealed that unreliable information about vaccines is a key factor of hesitancy among non-vaccinated IBD patients. Making efforts to spread true information about the COVID-19 vaccine is of great importance.

摘要

疫苗接种在保护炎症性肠病(IBD)患者免受潜在疫情影响方面发挥着关键作用。鉴于中国新冠疫情的卷土重来,未接种疫苗的IBD患者易受感染并可能出现严重并发症。本研究旨在评估IBD患者的疫苗接种率和接种意愿,并探讨影响他们拒绝接种疫苗决定的因素。我们发放并分析了一份在线调查问卷。采用双变量分析和逻辑回归模型来确定相关因素。分析纳入了来自243名未接种疫苗受访者中的203名患者。共有167名(82.3%)受访者继续拒绝接种疫苗,就业稳定且家庭收入较高的个体接种意愿显著较低(<0.05)。导致他们犹豫不决的主要因素是对潜在副作用的错误信息和担忧。从网络来源,特别是基于文本的内容获取疫苗信息,以及对新冠疫苗不良反应的担忧,也被发现会显著降低接种疫苗的意愿(<0.01)。本研究表明,关于疫苗的不可靠信息是未接种疫苗的IBD患者犹豫不决的关键因素。努力传播关于新冠疫苗的真实信息非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e05/11776460/f090835d9436/KHVI_A_2446071_F0001_OC.jpg

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