Cross-Sectional Study of University Students' Attitudes to 'On Campus' Delivery of COVID-19, MenACWY and MMR Vaccines and Future-Proofing Vaccine Roll-Out Strategies.
Cross-Sectional Study of University Students' Attitudes to 'On Campus' Delivery of COVID-19, MenACWY and MMR Vaccines and Future-Proofing Vaccine Roll-Out Strategies.
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DOI：
10.3390/vaccines10081287
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发表时间：
2022-08-10
期刊：
影响因子：
7.8
通讯作者：
Bayliss, Christopher D.
中科院分区：
文献类型：
--
作者：
Webb, Adam;Gogoi, Mayuri;Weidman, Sarah;Woolf, Katherine;Zavala, Maria;Ladhani, Shamez N.;Pareek, Manish;Gies, Lieve;Bayliss, Christopher D.
大学生是新冠肺炎、脑膜炎双球菌疾病以及麻疹、腮腺炎和风疹疫苗接种计划的关键群体。我们的目的是评估大学生对疫苗接种犹豫不决的危险因素和对校园接种疫苗的看法。数据是通过2021年6月对本科生进行的横断面匿名在线问卷调查获得的，并通过单变量和多变量测试进行分析，以检测关联性。827名参与者获得了完整的数据(应答率为7.6%)。对新冠肺炎疫苗状况的自我报告显示，三分之二(%；527/827)的人表示接受，23%(194/827)的人愿意接种，5%(40/827)的人拒绝接种，8%(66/827)的人表示结果不确定。对新冠肺炎疫苗的犹豫比例为5%(40/761)。不愿接种新冠肺炎与黑人种族(AOR，7.01，95%CI，1.8-27.3)和对疫苗副作用的担忧(AOR，1.72；95%CI，1.23-2.39)有关。对于MMR(11%)和MenACWY(26%)疫苗，经常观察到疫苗状态的不确定性。英国学生(肯定有45%；有16%)和英国国际学生(肯定有62%；有12%)更喜欢与校园相关的新冠肺炎疫苗接种活动。这项研究的局限性是使用横断面方法、对应答队列的自我选择、人口统计学上的轻微偏见以及对疫苗迟疑性的严格定义。疫苗的犹豫不决和疫苗状态的不确定性是有效疫苗规划的关切。扩大获取疫苗信息的数字平台的能力，并在全部门范围内实施校园疫苗交付，是提高学生接种疫苗的战略。未来对学生中疫苗迟疑的研究应该着眼于将我们的观察扩展到更广泛的大学环境中的学生群体，并对疫苗迟疑有更广泛的定义。
University students are a critical group for vaccination programmes against COVID-19, meningococcal disease (MenACWY) and measles, mumps and rubella (MMR). We aimed to evaluate risk factors for vaccine hesitancy and views about on-campus vaccine delivery among university students. Data were obtained through a cross-sectional anonymous online questionnaire study of undergraduate students in June 2021 and analysed by univariate and multivariate tests to detect associations. Complete data were obtained from 827 participants (7.6% response-rate). Self-reporting of COVID-19 vaccine status indicated uptake by two-thirds (64%; 527/827), willing for 23% (194/827), refusal by 5% (40/827) and uncertain results for 8% (66/827). Hesitancy for COVID-19 vaccines was 5% (40/761). COVID-19 vaccine hesitancy was associated with Black ethnicity (aOR, 7.01, 95% CI, 1.8–27.3) and concerns about vaccine side-effects (aOR, 1.72; 95% CI, 1.23–2.39). Uncertainty about vaccine status was frequently observed for MMR (11%) and MenACWY (26%) vaccines. Campus-associated COVID-19 vaccine campaigns were favoured by UK-based students (definitely, 45%; somewhat, 16%) and UK-based international students (definitely, 62%; somewhat, 12%). Limitations of this study were use of use of a cross-sectional approach, self-selection of the response cohort, slight biases in the demographics and a strict definition of vaccine hesitancy. Vaccine hesitancy and uncertainty about vaccine status are concerns for effective vaccine programmes. Extending capabilities of digital platforms for accessing vaccine information and sector-wide implementation of on-campus vaccine delivery are strategies for improving vaccine uptake among students. Future studies of vaccine hesitancy among students should aim to extend our observations to student populations in a wider range of university settings and with broader definitions of vaccine hesitancy.
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影响因子：
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