贫民窟和贫困社区的COVID-19疫苗接受,态度和看法:系统性审查和元分析
Joseph Kawuki1, Siyu Chen1, Yuan Fang2
1Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Vaccines
|May 27, 2023
概括
在服务不足的社区,COVID-19疫苗的接受率为58%,吸收率为23%. 解决安全问题和通过移动单位改善接入,可以提高疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 2019年新冠肺炎疾病 (COVID-19) 疫苗接种仍然是一个关键的公共卫生干预措施.
- 贫民窟和服务不足的社区往往面临着获得医疗保健的独特障碍,这可能会影响疫苗的接受和接种.
- 了解态度,感知和犹对于制定有针对性的疫苗接种策略至关重要.
研究的目的:
- 系统地审查和综合有关COVID-19疫苗接种接受,接种,犹,贫民窟和服务不足人口的态度和看法的文献.
- 确定与接种疫苗接受和吸收相关的关键社会人口统计因素.
- 探索疫苗犹的原因,并为改善这些社区疫苗接种覆盖率的策略提供信息.
主要方法:
- 在PubMed,Scopus,Web of Science和谷歌学者中进行了系统的文献搜索.
- 这些研究遵循了PRISMA指南和预先注册的协议 (PROSPERO CRD42022355101).
- 使用R软件 (4.2.1版本) 进行的元回归分析是从24项符合条件的研究中提取的数据,涉及30,323名参与者.
主要成果:
- 总体而言,COVID-19疫苗的接受率为58% (95% CI: 49-67%),接种率为23% (95% CI: 13-39%),犹率为29% (95% CI: 18-43%).
- 与接受和吸收的积极关联包括年龄,高等教育,男性性别,白人种族,更多的疫苗知识和意识.
- 犹的主要原因包括安全/有效性问题,低风险感知,距离中心的距离和不方便的时间表. 误解和负面信念是犹的强有力的预测因素.
结论:
- 有针对性的传染病管理和持续的疫苗教育对于对抗误解和负面信念至关重要,特别是在年轻人,受教育程度较低的妇女和少数民族中.
- 移动疫苗接种单位等策略可以克服接种障碍,提高贫民窟和服务不足社区的疫苗接种率.
- 为实现公平的COVID-19疫苗接种覆盖率,解决具体问题和改善可访问性至关重要.
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