Factors Associated with COVID-19 Vaccine Intentions in Eastern Zimbabwe: A Cross-Sectional Study.
Factors Associated with COVID-19 Vaccine Intentions in Eastern Zimbabwe: A Cross-Sectional Study.
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DOI：
10.3390/vaccines9101109
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发表时间：
2021-09-29
期刊：
影响因子：
7.8
通讯作者：
Kanyangarara M
中科院分区：
文献类型：
--
作者：
McAbee L;Tapera O;Kanyangarara M
疫苗是预防传染病最有效的公共卫生策略之一，但疫苗犹豫已成为全球健康威胁。了解COVID-19知识和态度及其与疫苗接种意图的关系，有助于制定有针对性的策略，以增加疫苗接种率并实现群体免疫。本研究的目的是评估津巴布韦马尼卡兰省户主对COVID-19的知识、态度和行为，并确定与COVID-19疫苗接种意向相关的因素。2021年5月，我们对551个随机抽样的家庭进行了横断面调查。收集了关于社会人口特征以及关于COVID-19和疫苗的知识、态度和行为的数据。超过一半（55.7%）的受访者表示打算为自己或家人接种疫苗。多变量逻辑回归分析表明，疫苗接种意向的可能性与疫苗安全性的信心密切相关。此外，打算接种疫苗的几率在男性户主中显着更高，教育水平较高，并将接种疫苗和使用口罩确定为预防措施。在人们认为的接种疫苗的动机中，世界卫生组织的建议和免费提供疫苗增加了疫苗意向的可能性，而疫苗制造商的国家则对疫苗意向构成了障碍。随着津巴布韦疫苗推广工作的继续，增加COVID-19疫苗接种覆盖率和实现群体免疫的努力应针对女性和受教育程度较低的人群，并针对性地解决对疫苗安全性和生产国的担忧。
Vaccines are one of the most effective public health strategies to protect against infectious diseases, yet vaccine hesitancy has emerged as a global health threat. Understanding COVID-19 knowledge and attitudes and their association with vaccine intentions can help the targeting of strategies to increase vaccination uptake and achieve herd immunity. The goal of this study was to assess COVID-19 knowledge, attitudes, and behaviors, and identify factors associated with COVID-19 vaccine intentions among heads of households in Manicaland Province, Zimbabwe. A cross-sectional survey was conducted in May 2021 among 551 randomly selected households. Data were collected on socio-demographic characteristics, and knowledge, attitudes, and behaviors regarding COVID-19 and the vaccines. More than half (55.7%) of the respondents reported intending to vaccinate themselves or their households. Multivariate logistic regression indicated that the likelihood of vaccine intentions was most strongly associated with confidence in vaccine safety. Additionally, the odds of intending to get vaccinated were significantly higher among heads of households who were male, had a higher level of education, and identified vaccination and face mask usage as prevention measures. Among perceived motivators to vaccinate, recommendations from the World Health Organization and availability of the vaccine free of charge increased the likelihood of vaccine intentions, while country of vaccine manufacturer posed a barrier to vaccine intentions. As the vaccine rollout in Zimbabwe continues, efforts to increase COVID-19 vaccination coverage and achieve herd immunity should target females and less educated populations and be tailored to address concerns about vaccine safety and country of manufacturer.
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