Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage.
Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage.
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DOI：
10.1371/journal.pone.0250495
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Hossain A
中科院分区：
文献类型：
--
作者：
Abedin M;Islam MA;Rahman FN;Reza HM;Hossain MZ;Hossain MA;Arefin A;Hossain A
尽管已批准的 COVID-19 疫苗已被证明是安全有效的，但孟加拉国人民的大规模疫苗接种仍然是一个挑战。作为一项疫苗接种工作，该研究通过孟加拉国成年人的社会人口统计、临床和地区差异提供了疫苗接种意愿的经验证据。这项横断面分析是在 2020 年 12 月 12 日至 2021 年 1 月 7 日期间对孟加拉国 8 个地区的 3646 名 18 岁或以上成年人进行的家庭调查中进行的。多项回归研究了社会人口、临床和医疗保健相关因素对犹豫和不愿接种 COVID-19 疫苗的影响。在 3646 名受访者中（2212 名男性 [60.7%]；平均 [sd] 年龄，37.4 [13.9] 岁），74.6% 的人表示愿意在有安全有效的免费疫苗时接种 COVID-19 疫苗，而 8.5% 的人不愿意接种疫苗。在收取最低费用的情况下，46.5%的受访者表示愿意接种疫苗。在受访者中，16.8% 的人表示充分遵守了健康安全法规，35.5% 的人表示对国家的医疗保健系统充满信心。在老年人、农村、城乡结合部和贫民窟社区、农民、临时工、家庭主妇、低教育群体以及对国家医疗保健系统信心不足的人群中，拒绝接种 COVID-19 疫苗的比例明显较高。此外，老年人口、低教育群体、临时工、慢性病患者以及对国家医疗保健系统信心不足的人群对疫苗犹豫的比例也很高。在孟加拉国的农村人口和贫民窟居民中，拒绝接种和犹豫不决的现象普遍存在。农村社区和贫民窟居民的文化水平较低，对健康安全法规的遵守率较低，对医疗保健系统的信心较低。正在进行的基于应用程序的疫苗接种登记增加了低教育群体的犹豫和不情愿。对于农村、城乡结合部和贫民窟居民，可以建立疫苗接种外展中心，以确保就近可获得疫苗并限制相关的旅行费用。在农村地区，可以利用社区卫生工作者、有价值的社区领袖和非政府组织来激励和教育人们接种 COVID-19 疫苗。此外，应向老年人和病人提供量身定制的健康信息和医疗保健专业人员的保证。媒体可以在疫苗教育计划中发挥负责任的作用，消除疫苗接种的社会耻辱。最后，疫苗接种应继续免费，因此孟加拉国的新冠疫苗接种计划可以成为其他低收入和中等收入国家的典范。
Although the approved COVID-19 vaccine has been shown to be safe and effective, mass vaccination in Bangladeshi people remains a challenge. As a vaccination effort, the study provided an empirical evidence on willingness to vaccinate by sociodemographic, clinical and regional differences in Bangladeshi adults. This cross-sectional analysis from a household survey of 3646 adults aged 18 years or older was conducted in 8 districts of Bangladesh, from December 12, 2020, to January 7, 2021. Multinomial regression examined the impact of socio-demographic, clinical and healthcare-releated factors on hesitancy and reluctance of vaccination for COVID-19. Of the 3646 respondents (2212 men [60.7%]; mean [sd] age, 37.4 [13.9] years), 74.6% reported their willingness to vaccinate against COVID-19 when a safe and effective vaccine is available without a fee, while 8.5% were reluctant to vaccinate. With a minimum fee, 46.5% of the respondents showed intent to vaccinate. Among the respondents, 16.8% reported adequate adherence to health safety regulations, and 35.5% reported high confidence in the country’s healthcare system. The COVID-19 vaccine refusal was significantly high in elderly, rural, semi-urban, and slum communities, farmers, day-laborers, homemakers, low-educated group, and those who had low confidence in the country’s healthcare system. Also, the prevalence of vaccine hesitancy was high in the elderly population, low-educated group, day-laborers, people with chronic diseases, and people with low confidence in the country’s healthcare system. A high prevalence of vaccine refusal and hesitancy was observed in rural people and slum dwellers in Bangladesh. The rural community and slum dwellers had a low literacy level, low adherence to health safety regulations and low confidence in healthcare system. The ongoing app-based registration for vaccination increased hesitancy and reluctancy in low-educated group. For rural, semi-urban, and slum people, outreach centers for vaccination can be established to ensure the vaccine’s nearby availability and limit associated travel costs. In rural areas, community health workers, valued community-leaders, and non-governmental organizations can be utilized to motivate and educate people for vaccination against COVID-19. Further, emphasis should be given to the elderly and diseased people with tailored health messages and assurance from healthcare professionals. The media may play a responsible role with the vaccine education program and eliminate the social stigma about the vaccination. Finally, vaccination should be continued without a fee and thus Bangladesh’s COVID vaccination program can become a model for other low and middle-income countries.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
通讯作者：
Webb FJ
影响因子：
2.3
作者：
Islam MT;Talukder AK;Siddiqui MN;Islam T
通讯作者：
Islam T
影响因子：
4.5
作者：
Das S;Mia MN;Hanifi SM;Hoque S;Bhuiya A
通讯作者：
Bhuiya A
DOI：
10.1007/s10389-020-01432-7
发表时间：
2023
期刊：
Zeitschrift fur Gesundheitswissenschaften = Journal of public health
影响因子：
--
作者：
Banik R;Rahman M;Sikder MT;Rahman QM;Pranta MUR
通讯作者：
Pranta MUR
影响因子：
5.2
作者：
Harapan, Harapan;Wagner, Abram L.;Mudatsir, Mudatsir
通讯作者：
Mudatsir, Mudatsir