COVID-19 Vaccine Acceptance by Patients Attending a Primary Health Care Facility in Durban

A. Hoque, S. Buckus, M. Hoque, A. M. U. Alam, Nisha Singh, M. Hoque
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Abstract

Introduction: There is no specific treatment and vaccine for COVID-19 yet. The prospective vaccine is the primary prevention and is the promising preventive strategy to gain herd immunity. The study aimed to identify COVID-19 vaccine acceptance rate among primary health care attendees at Durban, South Africa. Method: A questionnaire based cross-sectional study was conducted at the Kwadabeka Community Health Centre, Durban, South Africa. Chi-square test and logistic regression were carried out to identify the factors for COVID-19 vaccine acceptability. P-values <0.05 were reported and considered statistically significant. Results: Almost two-thirds (61.4%) of the participants reported that they would accept a COVID-19 vaccine. Logistic regression analysis found that respondents’ attitude on whether “COVID-19 pandemic will be dealt with successfully” was 2.3 times more likely to accept the vaccine (OR=2.3, 95% CI: 1.3-3.8, p<0.05) and good practice on “use of a face mask to public places were 3 times more likely to accept the vaccine (OR=3.0, 95% CI: 1.5-6.1, P<0.05). On the contrary, knowledge on “only elderly people die from COVID-19 (False)” revealed that 44% were less likely to accept the vaccine (OR=0.56, 95% CI: 0.33-0.95, P<0.05) and practice on social distance “keep a distance of 1-2 m in public places” was 69% less likely to accept the vaccine (OR=0.31, 95% CI: 0.15-0.63, p<0.05). Conclusion: The COVID-19 vaccine acceptance rate is comparable with other studies. However, community-based studies and a mass educational and communication campaign to promote the COVID-19 vaccination coverage to the general population are recommended.
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德班初级卫生保健机构患者接受COVID-19疫苗的情况
目前还没有针对COVID-19的特异性治疗方法和疫苗。前瞻性疫苗是一级预防,是获得群体免疫的有希望的预防策略。该研究旨在确定南非德班初级卫生保健参与者的COVID-19疫苗接受率。方法:在南非德班夸达贝卡社区卫生中心进行了一项基于问卷的横断面研究。采用卡方检验和logistic回归分析确定影响COVID-19疫苗可接受性的因素。p值<0.05,认为有统计学意义。结果:近三分之二(61.4%)的参与者报告说他们会接受covid -19疫苗。Logistic回归分析发现,受访者对“COVID-19大流行是否会得到成功应对”的态度是接受疫苗的2.3倍(OR=2.3, 95% CI: 1.3 ~ 3.8,p<0.05),对“公共场所使用口罩”的良好做法接受疫苗的可能性是接受疫苗的3倍(OR=3.0, 95% CI: 1.5 ~ 6.1, p<0.05)。相反,“只有老年人会死于新冠肺炎(假)”的知识表明,44%的人接受疫苗的可能性较低(OR=0.56, 95% CI: 0.33-0.95,P<0.05),而“在公共场所保持1-2米距离”的社交距离实践表明,69%的人接受疫苗的可能性较低(OR=0.31, 95% CI: 0.15-0.63, P<0.05)。结论:新冠肺炎疫苗接受率与其他研究具有可比性。然而,建议开展基于社区的研究并开展大规模教育和宣传运动,以促进对普通人群的covid -19疫苗接种覆盖率。
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