复杂网络中的流行病和疫苗接种困境——以尼日利亚拉各斯Kosefe和Shomolu地方政府区为例

Odis Adaora Isabella
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摘要

接种疫苗无疑是现代最重要的预防措施之一;人们担心流行病是人类社会中最具破坏性的现象之一。目的:本文揭示了感染概率、疫苗有效性和成本之间的相互作用如何引起疫苗摄取的非线性反应。研究设计为横断面描述性研究,采用预先测试的封闭式问卷分发给受访者。样本量为375人,由目标人群计算,采用Cochrane公式计算样本量。61.87%的父母/监护人强烈认为政治家应该成为鼓励接种疫苗的榜样,而50.67%的母亲/照顾者不确定MMR疫苗接种与自闭症之间是否仍然存在联系。大多数家长/监护人(55.47% + 29.87%)强烈同意并同意媒体关于疫苗接种规划的报道鼓励他们为子女接种疫苗。32.80%强烈同意,22.40%同意媒体夸大了疾病暴发的报道。结论:受教育程度对传染病和预防接种的知识和态度水平有重要影响。由于尼日利亚目前的经济状况,疫苗的收入和成本影响到疫苗接种。媒体在疫苗接种运动、提高认识和干预方面发挥着关键作用,应更多地加以促进,以实现确保所有儿童适当接种疫苗的目标。医生和公共卫生护士在影响父母/监护人接种疫苗方面发挥着重要作用。
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Epidemics and Vaccination Dilemma in Complex Networks: A Case Study of Kosefe and Shomolu Local Government Area Lagos Nigeria
Vaccination is undoubtedly one of the foremost important preventive measures of modern times; epidemics are feared as one of the most damaging phenomena in human societies. Aim: The thesis unveiled how the interplay between the probability of infection, vaccine effectiveness, and cost gives rise to non–linear responses in vaccine uptake. The study design was a cross-sectional descriptive study that used pretested closed-ended questionnaire that was distributed to the respondents. The sample size of 375 was adopted, which was calculated from the target population using the Cochrane formula for sample size calculation. Parents/guardians that strongly believe politicians should be role models that encourage vaccination were 61.87%, while 50.67% of mothers/caregivers were not sure if there is still a link between MMR vaccination and autism. The majority of parents/guardians (55.47% + 29.87%) strongly agree plus agree that media reports on vaccination programmes encourage them to vaccinate their children. 32.80% strongly agree, and 22.40% agree that the media exaggerates reports about disease outbreaks. Conclusion: The level of education plays an important role in the level of knowledge and attitude towards epidemics and vaccination. Income and Cost of vaccines affect vaccination uptake because of the present economic situation in Nigeria. Media plays a key role in vaccination campaigns, awareness, and intervention and should be promoted more to achieve the goal of ensuring all children are vaccinated properly. Doctors and Public Health Nurses have a major role to play in terms of influencing parents/guardian’s vaccination uptake.
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