| 广西柳州农村地区新型冠状病毒疫苗接种情况和犹豫性调查及其影响因素分析 |
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| 引用本文： | 黎银曦,陈璐,李智,吕嘉春. 广西柳州农村地区新型冠状病毒疫苗接种情况和犹豫性调查及其影响因素分析[J]. 国际医药卫生导报, 2022, 28(12): 1758-1763. DOI: 10.3760/cma.j.issn.1007-1245.2022.12.030 |
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| 作者姓名： | 黎银曦 陈璐 李智 吕嘉春 |
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| 作者单位： | 1柳州市柳江区人民医院感染性疾病科,柳州 545100;2广州医科大学公共卫生学院 呼吸疾病国家重点实验室,广州 511400;3广州市育才中学,广州 510000 |
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| 摘 要： | 目的 了解广西柳州农村地区居民对新型冠状病毒疫苗（新冠疫苗）的接种率、犹豫率及其影响因素,为提高疫苗覆盖率提供参考。方法 于2021年10月10日至2021年11月10日通过问卷星的方式对广西柳州农村地区居民进行问卷调查,分析广西柳州农村地区居民新冠疫苗接种及犹豫情况,并对人口学资料进行单因素分析,对于影响疫苗犹豫的相关因素进行多因素logistic回归分析,优势比（OR）>1和95%置信区间（95%CI）>1为疫苗犹豫的危险因素。计数资料使用χ2检验。结果 本次调查共收到1 033份问卷,1 033名调查对象中男532人（51.5%）、女501人（48.5%）,年龄（55.2±18.7）岁。在广西柳州的疫苗接种及犹豫调查的1 033名居民中,1 023名（99.0%）居民已经接种新冠疫苗,但仍有10名（1.0%）居民对于接种新冠疫苗犹豫不决。通过logistic回归分析可知,认为疫苗能有效避免新冠病毒（OR=0.507,95%CI 0.278～0.924）、认为个人防护可避免新冠肺炎（OR=1.610,95%CI 1.012～2.563）、认为国内风险不高无需接种（OR=1.846,95%CI 1.052～3.241）、认为治疗手段完善无需接种（OR=2.734,95%CI 1.594～4.690）、认为疫苗存在风险（OR=3.831,95%CI 2.230～6.581）、认为身体有基础疾病（OR=4.148,95%CI 2.554～6.735）、担心疫苗副作用（OR=4.694,95%CI 2.742～8.034）、担心疫苗是假冒伪劣或过期产品（OR=2.191,95%CI 1.206～3.981）、担心疫苗接种人员操作不规范（OR=2.290,95%CI 1.295～4.051）、认为疫苗是安全的但有效性不高（OR=2.742,95%CI 1.371～5.483）、不知道去哪里接种（OR=1.772,95%CI 1.118～2.807）均是导致居民新冠疫苗接种犹豫的危险因素（均P<0.05）。结论 解决疫苗犹豫的影响因素,增强人们对于疫苗的认知,提高疫苗接种率,是实现群体免疫的关键,也是消灭这一流行病的最终方法。疫情防控良好,疫苗犹豫影响因素的调查对农村地区的预防工作具有一定的参考作用。
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| 关 键 词： | 新型冠状病毒肺炎 疫苗接种率 疫苗犹豫 影响因素 |
| 收稿时间： | 2022-01-25 |
Investigation on new coronavirus vaccine vaccination situation and hesitation and analysis of influencing factors in rural areas of Liuzhou,Guangxi |
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| Li Yinxi,Chen Lu,Lukatie,Li Zhi,Lyu Jiachun. Investigation on new coronavirus vaccine vaccination situation and hesitation and analysis of influencing factors in rural areas of Liuzhou,Guangxi[J]. International Medicine & Health Guidance News, 2022, 28(12): 1758-1763. DOI: 10.3760/cma.j.issn.1007-1245.2022.12.030 |
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| Authors: | Li Yinxi Chen Lu Lukatie Li Zhi Lyu Jiachun |
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| Affiliation: | 1 Department of Infectious Diseases, People's Hospital of LiujiangDistrict, Liuzhou 545100, China; 2 School of Public Health,Guangzhou Medical University, State Key Laboratory of Respiratory Diseases,Guangzhou 511400, China;3 Guangzhou Yucai Middle School, Guangzhou510000, China |
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| Abstract: | Objective To understand thevaccination rate, hesitation rate, and influencing factors of new coronavirusvaccine among residents in rural areas of Liuzhou, Guangxi, and to providereferences for improving the vaccine coverage rate. Methods From October 10, 2021to November 10, 2021, a questionnaire survey was conducted on residents inrural areas of Liuzhou, Guangxi by means of Questionnaire Star, analyzing thesituation of new coronavirus vaccine vaccination and hesitation among residentsin rural areas of Liuzhou, Guangxi. Univariate analysis was conducted on thedemographic data and multivariate logistic regression analysis was conducted onrelated factors affecting vaccine hesitation, factors with odds ratio (OR) >1 and 95% confidence interval(95%CI) >1 were the risk factorsfor vaccine hesitation. χ2 test was used for the count data. Results A total of 1 033 questionnaires werereceived. Among the 1 033 respondents, 532 cases (51.5%) were males and 501cases (48.5%) were females, aged (55.2±18.7) years. Among the 1 033 residentssurveyed on vaccination and hesitance in Liuzhou, Guangxi, 1,023 residents(99.0%) had already received new coronavirus vaccine, but 10 residents (1.0%)were still hesitant to get vaccinated. According to the logistic regressionanalysis, believing that the vaccine is effective against COVID-19 (OR=0.507, 95%CI 0.278-0.924), believing that the personal protection can preventCOVID-19 (OR=1.610, 95%CI 1.012-2.563), believing no need forvaccination because the domestic risk is not high (OR=1.846, 95%CI 1.052-3.241),believing no need for vaccination because the treatment is perfect (OR=2.734, 95%CI 1.594-4.690), believing that vaccines are risky (OR=3.831, 95%CI 2.230-6.581), considering the underlying diseases (OR=4.148, 95%CI 2.554-6.735), worrying about the side effects of vaccine (OR=4.694, 95%CI 2.742-8.034), worrying about fake or expired vaccines (OR=2.191, 95%CI 1.206-3.981), fear of improper operation of vaccinationpersonnel (OR=2.290, 95%CI 1.295-4.051), believing that thevaccine is safe but ineffective (OR=2.742,95%CI 1.371-5.483), and not knowingwhere to get vaccinated (OR=1.772,95%CI 1.118-2.807) were all riskfactors for residents' hesitation in new coronavirus vaccine vaccination (all P<0.05). Conclusions Solving the influencingfactors of vaccine hesitation, enhancing people's awareness on vaccines, andincreasing the vaccination coverage are the key to achieving herd immunity andthe ultimate way to eliminate the epidemic. The epidemic prevention and controlis good, and the investigation on the factors affecting vaccine hesitation hasa certain reference value for the prevention work in rural areas. |
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| Keywords: | COVID-19 Vaccination rate Vaccination hesitation Influencing factor |
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