COVID-19 vaccine acceptance and associated factors among people living with HIV in the Middle East and North Africa region.

IF 1.6 4区 医学 Q4 INFECTIOUS DISEASES Southern African Journal of Hiv Medicine Pub Date : 2022-08-24 eCollection Date: 2022-01-01 DOI:10.4102/sajhivmed.v23i1.1391
Rahma Mohamed, Trenton M White, Jeffrey V Lazarus, Amany Salem, Reham Kaki, Wafa Marrakchi, Sara G M Kheir, Ibrahim Amer, Fida M Ahmed, Maie A Khayat, Nabeela Al-Abdullah, Batool Ali, Roaa Sultan, Bandar Alamri, Anouf Abdulmajid, Ikbal Kooli, Mohamed Chakroun, Tariq A Madani, Gamal Esmat, Ahmed Cordie
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引用次数: 5

Abstract

Background: Identifying coronavirus disease 2019 (COVID-19) vaccine acceptance and associated factors among people living with HIV (PLHIV) in the Middle East and North Africa region is important to meet the need for broad-scale vaccination against COVID-19.

Objectives: To investigate the COVID-19 vaccine acceptance rate and factors among PLHIV in the Middle East and North Africa region.

Method: An online cross-sectional survey was conducted among PLHIV currently living in Egypt, Tunisia and Saudi Arabia between March 2021 and August 2021.

Results: Of the 540 respondents, 19.3% reported already being vaccinated against COVID-19 (n = 104), 32.0% responded 'definitely yes' (n = 173), and 13.3% responded 'probably yes' (n = 72) for intention to receive a COVID-19 vaccine, with an overall COVID-19 vaccine acceptance rate of 64.6% among PLHIV in the region. The most significant predictors of COVID-19 vaccine acceptance included feeling less worried about COVID-19 transmission post-vaccination (221.0% higher odds), and believing the disease is vaccine-preventable (160.0% higher odds). Reported barriers to COVID-19 vaccine acceptance include concerns about vaccine effectiveness and belief that HIV medications protect against COVID-19 transmission, living in a rural area and reporting less-frequent engagement with HIV care. Nine out of 10 participants reported that the chances of them getting COVID-19 vaccine would increase if given adequate information and if their doctor recommended it.

Conclusion: Findings of the study can help researchers, health officials, and other health system actors understand the predictors and barriers to COVID-19 vaccine acceptance reported by PLHIV. This understanding could inform the future planning of interventions tailored to PLHIV.

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中东和北非地区艾滋病毒感染者COVID-19疫苗接受情况及相关因素
背景:确定中东和北非地区艾滋病毒感染者(PLHIV)的2019冠状病毒病(COVID-19)疫苗接受情况及其相关因素,对于满足大规模接种COVID-19疫苗的需求具有重要意义。目的:了解中东北非地区hiv感染者COVID-19疫苗接种率及其影响因素。方法:于2021年3月至2021年8月对生活在埃及、突尼斯和沙特阿拉伯的PLHIV进行在线横断面调查。结果:在540名受访者中,19.3%的人报告已经接种了COVID-19疫苗(n = 104), 32.0%的人回答“肯定是”(n = 173), 13.3%的人回答“可能是”(n = 72)有意接种COVID-19疫苗,该地区艾滋病毒感染者的COVID-19疫苗总体接受率为64.6%。COVID-19疫苗接受度最显著的预测因子包括接种疫苗后对COVID-19传播的担忧程度降低(几率高出221.0%),以及相信该疾病是疫苗可预防的(几率高出160.0%)。据报告,接受COVID-19疫苗的障碍包括对疫苗有效性的担忧,以及认为艾滋病毒药物可以防止COVID-19传播,生活在农村地区以及报告较少参与艾滋病毒护理。十分之九的参与者报告说,如果给予足够的信息并得到医生的建议,他们接种COVID-19疫苗的机会会增加。结论:该研究的发现可以帮助研究人员、卫生官员和其他卫生系统参与者了解PLHIV报告的COVID-19疫苗接受的预测因素和障碍。这一认识可以为未来规划针对艾滋病毒的干预措施提供信息。
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来源期刊
CiteScore
2.80
自引率
11.80%
发文量
41
审稿时长
>12 weeks
期刊介绍: The Southern African Journal of HIV Medicine is focused on HIV/AIDS treatment, prevention and related topics relevant to clinical and public health practice. The purpose of the journal is to disseminate original research results and to support high-level learning related to HIV Medicine. It publishes original research articles, editorials, case reports/case series, reviews of state-of-the-art clinical practice, and correspondence.
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