COVID-19 vaccine hesitancy in rural South Africa: Deepening understanding to increase uptake and access.
COVID-19 vaccine hesitancy in rural South Africa: Deepening understanding to increase uptake and access.
复制标题
DOI：
10.7189/jogh.12.05013
复制
发表时间：
2022-05-14
影响因子：
7.2
通讯作者：
Tollman, Stephen
中科院分区：
文献类型：
--
作者：
Kahn, Kathleen;Pettifor, Audrey;Mataboge, Palesa;Kelly, Nicole K.;Mashinini, Duduzile P.;Nair, Harish;Campbell, Harry;Cohen, Cheryl;Gomez-Olive, F. Xavier;Tollman, Stephen
迄今为止，非洲区域的COVID-19疫苗覆盖率远远低于全球目标。提高疫苗接种率需要了解疫苗接种的障碍，以便能够实施有效的干预措施，敏感而有效地解决疫苗接种的障碍。为了评估COVID-19疫苗接种水平并确定疫苗接种的主要障碍，我们于2021年8月25日至10月29日在南非姆普马兰加省阿金科特健康和社会人口监测系统（AHDSS）地区对1662名18岁及以上成年人进行了基于人群的横断面调查。一半的参与者报告接种了COVID-19疫苗（50.4%），其中41.1%完全接种了疫苗，9.3%部分接种了疫苗；49.6%未接种疫苗。接种疫苗的女性多于男性（55.5% vs 42.8%, P < 0.001），年龄较大的人群比年龄较小的人群更有可能接种疫苗（P < 0.001）。在未接种疫苗的人群中，69.0%的人计划尽快接种疫苗，14.7%的人表示绝对不想接种疫苗。接种疫苗的主要障碍包括缺乏接种资格（12.3%）或接种地点（13.0%）的信息，对副作用的担忧（12.5%）以及接种时间和地点不方便（11.0%）。接种疫苗组对COVID-19疫苗安全性和有效性的置信度高于未接种疫苗组（75.3%对51.2%，75.8%对51.0%，P均< 0.001）。在南非增加超过目前水平的疫苗接种将需要协调一致的努力，以解决对疫苗安全性的关切并增强对疫苗效力的信心。澄清资格并确保在方便年轻人、男性和其他弱势群体的时间和地点获得疫苗是必要的。
To date, COVID-19 vaccine coverage in the African region falls far too short of global goals. Increasing vaccination rates requires understanding barriers to vaccination so that effective interventions that sensitively and effectively address barriers to vaccination can be implemented. To assess COVID-19 vaccination levels and identify major barriers to vaccine uptake we conducted a population-based, cross-sectional survey among 1662 adults 18 and older from August 25 to October 29 2021 in the Agincourt Health and Socio-Demographic Surveillance System (AHDSS) area, Mpumalanga, South Africa. Half of participants reported receiving a COVID-19 vaccine (50.4%) with 41.1% being fully vaccinated and 9.3% being partially vaccinated; 49.6% were unvaccinated. More women than men were vaccinated (55.5% vs 42.8%, P < 0.001), and older age groups were more likely to be vaccinated than younger age groups (P < 0.001). Among the unvaccinated, 69.0% planned to get vaccinated as soon as possible, while 14.7% reported definitely not wanting the vaccine. Major barriers to vaccination included lacking information on eligibility (12.3%) or where to get vaccinated (13.0%), concerns about side effects (12.5%), and inconvenient hours and locations for vaccination (11.0%). Confidence in the safety and efficacy of COVID-19 vaccines was higher among those vaccinated than unvaccinated (75.3% vs 51.2%, 75.8% vs 51.0%, both P < 0.001, respectively). Increasing vaccination in South Africa beyond current levels will require a concerted effort to address concerns around vaccine safety and increase confidence in vaccine efficacy. Clarifying eligibility and ensuring access to vaccines at times and places that are convenient to younger populations, men, and other vulnerable groups is necessary.
登录
查看更多内容
影响因子：
25.4
作者：
Brewer, Noel T.;Chapman, Gretchen B.;Kempe, Allison
通讯作者：
Kempe, Allison
影响因子：
7.7
作者：
Kahn K;Collinson MA;Gómez-Olivé FX;Mokoena O;Twine R;Mee P;Afolabi SA;Clark BD;Kabudula CW;Khosa A;Khoza S;Shabangu MG;Silaule B;Tibane JB;Wagner RG;Garenne ML;Clark SJ;Tollman SM
通讯作者：
Tollman SM
影响因子：
6.2
作者：
Wiysonge, Charles S.;Alobwede, Samuel M.;Shey, Muki S.
通讯作者：
Shey, Muki S.
影响因子：
3.1
作者：
Brewer, Noel T.
通讯作者：
Brewer, Noel T.
DOI：
10.1016/s0140-6736(21)02752-5
发表时间：
2021-12-18
期刊：
Lancet (London, England)
影响因子：
--
作者：
Mendelson M;Venter F;Moshabela M;Gray G;Blumberg L;de Oliveira T;Madhi SA
通讯作者：
Madhi SA