COVID-19 Vaccine Acceptability and Adherence to Preventive Measures in Somalia: Results of an Online Survey.

COVID-19 Vaccine Acceptability and Adherence to Preventive Measures in Somalia: Results of an Online Survey.
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DOI:
10.3390/vaccines9060543
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发表时间:
2021-05-21
期刊:
影响因子:
7.8
通讯作者:
Siewe Fodjo JN
Siewe Fodjo JN
中科院分区:
医学3区
文献类型:
--
作者:
Ahmed MAM;Colebunders R;Gele AA;Farah AA;Osman S;Guled IA;Abdullahi AAM;Hussein AM;Ali AM;Siewe Fodjo JN

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大多数国家目前倾向于将疫苗接种作为遏制COVID-19传播的主要策略。2020年12月至2021年1月期间,我们在索马里进行了一项后续在线调查,以监测对COVID-19预防措施的遵守情况、COVID-19疫苗的可接受性以及疫苗犹豫的原因。通过基于四项措施(物理距离,口罩使用,手部卫生和咳嗽/打喷嚏时的口腔覆盖)的复合依从性评分来测量依从性。我们分析了4543份回复(平均年龄:23.5 ± 6.4岁,62.4%为男性)。此次调查的平均依从性得分低于2020年4月类似调查的得分。共有76. 8%的受访者愿意接种COVID-19疫苗。与以前的调查相比,本次调查中报告的流感样症状更频繁。多元逻辑回归显示,经历过流感样症状的参与者,医疗保健部门的参与者以及依从性评分较高的参与者的疫苗可接受性更高,而女性则降低了接种疫苗的意愿。总之,我们的数据表明,随着时间的推移,对COVID-19预防措施的依从性下降可能导致流感样症状增加。索马里对COVID-19疫苗的接受程度相对较高,但可以通过解决导致疫苗犹豫的因素来改善。
Most countries are currently gravitating towards vaccination as mainstay strategy to quell COVID-19 transmission. Between December 2020 and January 2021, we conducted a follow-up online survey in Somalia to monitor adherence to COVID-19 preventive measures, and COVID-19 vaccine acceptability and reasons for vaccine hesitancy. Adherence was measured via a composite adherence score based on four measures (physical distancing, face mask use, hand hygiene, and mouth covering when coughing/sneezing). We analyzed 4543 responses (mean age: 23.5 ± 6.4 years, 62.4% males). The mean adherence score during this survey was lower than the score during a similar survey in April 2020. A total of 76.8% of respondents were willing to receive the COVID-19 vaccine. Flu-like symptoms were more frequently reported in the current survey compared to previous surveys. Multiple logistic regression showed that participants who experienced flu-like symptoms, those in the healthcare sector, and those with higher adherence scores had higher odds for vaccine acceptability while being a female reduced the willingness to be vaccinated. In conclusion, our data suggest that the decreasing adherence to COVID-19 preventive measures may have caused increased flu-like symptoms over time. COVID-19 vaccine acceptance in Somalia is relatively high but could be improved by addressing factors that contribute to vaccine hesitancy.
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