疫苗犹豫对北京市老年人新冠病毒疫苗接种情况影响  

Impact of vaccine hesitancy on COVID-19 vaccination among the elderly in Beijing:a cross-sectional survey

作　　者：郭娜 陈佳鹏[1] 姜小峰[2] 李惠文 朱萍[3] 白玥[4] GUO Na;CHEN Jiapeng;JIANG Xiaofeng;LI Huiwen;ZHU Ping;BAI Yue(China Population and Development Research Center,Beijing 100081,China;Qilu Hospital of Shandong University,Ji’nan 250012,China;Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;China Health Education Center,Beijing 100011,China)

机构地区：[1]中国人口与发展研究中心,北京100081 [2]山东大学齐鲁医院,济南250012 [3]上海交通大学医学院附属瑞金医院,上海200025 [4]中国健康教育中心,北京100011

出　　处：《中国公共卫生》2024年第4期446-449,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(71904005);国家社会科学基金重大项目(22&ZD197)。

摘　　要：目的了解疫苗犹豫对北京市老年人新型冠状病毒疫苗(简称“新冠病毒疫苗”)接种情况的影响,为更好落实国家关于推进老年人新冠病毒疫苗接种策略提供政策建议。方法于2020年10月采用分层随机抽样方法在北京市抽取800名≥60岁老年人进行问卷调查,并采用多因素非条件logistic回归模型分析疫苗犹豫对北京市老年人新冠病毒疫苗接种情况的影响。结果最终纳入分析的720名北京市老年人中,接种新冠病毒疫苗第一剂次者541人,新冠病毒疫苗第一剂次接种率为75.14%;北京市老年人疫苗犹豫5C量表的信心、自满、约束、计算和集体责任维度得分分别为(8.94±1.39)、(1.92±2.26)、(1.46±1.94)、(7.44±2.63)和(8.10±1.68)分,经正负向转换后合成的疫苗犹豫5C量表总分为(4.84±1.06)分;疫苗犹豫程度高者240人(33.33%),疫苗犹豫程度中等者232人(32.22%),疫苗犹豫程度低者248人(34.44%);在调整了性别、年龄、文化程度、婚姻状况、家庭人均月收入、是否吸烟、是否饮酒、过去1个月是否参加过社交活动和是否患慢性病后,多因素非条件logistic回归分析结果显示,集体责任得分较高的北京市老年人的新冠病毒疫苗接种率较高(OR=1.21,95%CI=1.00~1.46),自满(OR=0.76,95%CI=0.64~0.92)、约束(OR=0.83,95%CI=0.69~0.99)和计算(OR=0.72,95%CI=0.58~0.89)得分较高的北京市老年人新冠病毒疫苗接种率较低,疫苗犹豫程度中等(OR=2.19,95%CI=1.44~3.33)和低(OR=4.03,95%CI=2.51~6.45)的北京市老年人新冠病毒疫苗接种率较高。结论北京市老年人的新冠病毒疫苗接种率较低,疫苗犹豫程度较低老年人新冠病毒疫苗的接种率较高。Objective To understand the impact of vaccine hesitancy on coronavirus disease 2019(COVID-19)vaccination status among the elderly population in Beijing,and to provide policy recommendations for the implementation of the national strategy to promote COVID-19 vaccination among the elderly.Methods A stratified random sampling method was used to recruit 800 residents aged≥60 years for a face-to-face survey in October 2020.A self-designed questionnaire was used to collect relevant information,and the 5C scale was used to capture relevant predictors of vaccination behavior among participants.Unconditional multivariate logistic regression models were used to analyze the effect of vaccine hesitancy on COVID-19 vaccination.Results Of the 720 eligible participants included in the analysis,541(75.14%)had received the first dose of COVID-19 vaccine.Participants′total score on the 5C scale was 4.84±1.06 after positive and negative conversion,with dimensional scores of 8.94±1.39 for confidence,1.92±2.26 for complacency,1.46±1.94 for constraints,7.44±2.63 for calculation,and 8.10±1.68 for collective responsibility.The numbers(percentages)of participants classified as having high,moderate,and low vaccine hesitancy were 240(33.33%),232(32.22%),and 248(34.44%),respectively.After adjustment for sex,age,education,marital status,monthly household income per capita,smoking,alcohol consumption,social activities in the previous month,and chronic disease,the results of multivariable logistic regression indicated that participants with a higher collective responsibility score were more likely to have a higher COVID-19 vaccination rate(odds ratio[OR]=1.21,95%confidence interval[CI]:1.00–1.46).In contrast,higher levels of complacency(OR=0.76,95%CI:0.64–0.92),constraints(OR=0.83,95%CI:0.69–0.99),and calculation(OR=0.72,95%CI:0.58–0.89)were associated with lower vaccination rates.Participants with moderate and low vaccine hesitancy were more likely to be vaccinated,with an OR(95%CI)of 2.19(1.44–3.33)and 4.03(2.51–6.45),r

关 键 词：疫苗犹豫 新型冠状病毒疫苗(新冠病毒疫苗) 接种 影响 老年人 

分 类 号：R186[医药卫生—流行病学]