PDF(Pubmed)
Abstract：
BACKGROUND: COVID-19 is still a disease of global public health importance which requires long term application of control measures as millions of new infections or re-infections and thousands of related deaths still occur worldwide and the risk of an upsurge from new strains of the virus continues to be a threat. The decrease in the use of and non-use of preventive public health measures are among the factors fuelling the disease. The (previous) experiences and perceptions of people regarding the COVID-19 pandemic, COVID-19 vaccination, and the vaccination process are factors that will influence subsequent use of preventive/control measures. We explored the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions, and their predictors, among the community members in Ebonyi state, Nigeria.
METHODS: We conducted an analytical cross-sectional study between March 12 and May 9, 2022 among all consenting/assenting community members aged 15 years and above in 28 randomly selected geographical clusters. A structured interviewer-administered electronic questionnaire in KoBoCollect installed in android devices was used to collect data which was analysed using descriptive statistics and bivariate and multivariate generalized estimating equations.
RESULTS: Of the 10,825 community members surveyed: only 31.6% had strong COVID-19 experience and perception, 72.2% had good COVID-19 vaccination expectation and perception, and only 54.2% had positive COVID-19 vaccination process experience and perception. The most important predictors of the extent/level of COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions were level of attitude towards COVID-19 and COVID-19 vaccination and level of knowledge about COVID-19. Other important predictors were marital status, educational level, and main occupation.
CONCLUSIONS: This study\'s evidence, including the identified predictors, will inform subsequent policy actions regarding COVID-19 in the strategies to improve the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions of community members (and their use of preventive/control measures) in Ebonyi state and Nigeria, and other similar contexts. It will also inform future policy actions/strategies regarding similar diseases.
METHODS: We conducted an analytical cross-sectional study between March 12 and May 9, 2022 among all consenting/assenting community members aged 15 years and above in 28 randomly selected geographical clusters. A structured interviewer-administered electronic questionnaire in KoBoCollect installed in android devices was used to collect data which was analysed using descriptive statistics and bivariate and multivariate generalized estimating equations.
RESULTS: Of the 10,825 community members surveyed: only 31.6% had strong COVID-19 experience and perception, 72.2% had good COVID-19 vaccination expectation and perception, and only 54.2% had positive COVID-19 vaccination process experience and perception. The most important predictors of the extent/level of COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions were level of attitude towards COVID-19 and COVID-19 vaccination and level of knowledge about COVID-19. Other important predictors were marital status, educational level, and main occupation.
CONCLUSIONS: This study\'s evidence, including the identified predictors, will inform subsequent policy actions regarding COVID-19 in the strategies to improve the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions of community members (and their use of preventive/control measures) in Ebonyi state and Nigeria, and other similar contexts. It will also inform future policy actions/strategies regarding similar diseases.
摘要：
背景：COVID-19仍然是一种具有全球公共卫生重要性的疾病，需要长期采取控制措施，因为全球仍有数百万人新感染或再感染以及数千人相关死亡，并且新毒株的上升风险仍然是一种威胁。使用和不使用预防性公共卫生措施的减少是助长这种疾病的因素之一。人们对COVID-19大流行的(以往)经验和看法，COVID-19疫苗接种，疫苗接种过程是影响后续使用预防/控制措施的因素。我们探索了COVID-19和COVID-19疫苗接种以及疫苗接种过程的经验和看法，以及它们的预测因素，在Ebonyi州的社区成员中，尼日利亚。
方法：我们于2022年3月12日至5月9日在28个随机选择的地理集群中，对所有15岁及以上的同意/同意社区成员进行了分析性横断面研究。使用安装在Android设备中的KoBoCollect中的结构化面试官管理的电子问卷来收集数据，并使用描述性统计以及双变量和多变量广义估计方程进行分析。
结果：在接受调查的10825名社区成员中：只有31.6％的社区成员具有很强的COVID-19经验和感知能力，72.2%有良好的COVID-19疫苗接种预期和感知，只有54.2%的COVID-19疫苗接种过程经验和感知呈阳性。COVID-19和COVID-19疫苗接种程度/水平以及疫苗接种过程经验和看法的最重要预测因素是对COVID-19和COVID-19疫苗接种的态度水平和对COVID-19的知识水平。其他重要的预测因素是婚姻状况，教育水平,主要职业。
结论：这项研究的证据，包括确定的预测因子，将在Ebonyi州和尼日利亚改善COVID-19和COVID-19疫苗接种的战略以及社区成员的疫苗接种过程经验和看法（及其对预防/控制措施的使用）中通报有关COVID-19的后续政策行动，和其他类似的背景。它还将为未来关于类似疾病的政策行动/战略提供信息。
方法：我们于2022年3月12日至5月9日在28个随机选择的地理集群中，对所有15岁及以上的同意/同意社区成员进行了分析性横断面研究。使用安装在Android设备中的KoBoCollect中的结构化面试官管理的电子问卷来收集数据，并使用描述性统计以及双变量和多变量广义估计方程进行分析。
结果：在接受调查的10825名社区成员中：只有31.6％的社区成员具有很强的COVID-19经验和感知能力，72.2%有良好的COVID-19疫苗接种预期和感知，只有54.2%的COVID-19疫苗接种过程经验和感知呈阳性。COVID-19和COVID-19疫苗接种程度/水平以及疫苗接种过程经验和看法的最重要预测因素是对COVID-19和COVID-19疫苗接种的态度水平和对COVID-19的知识水平。其他重要的预测因素是婚姻状况，教育水平,主要职业。
结论：这项研究的证据，包括确定的预测因子，将在Ebonyi州和尼日利亚改善COVID-19和COVID-19疫苗接种的战略以及社区成员的疫苗接种过程经验和看法（及其对预防/控制措施的使用）中通报有关COVID-19的后续政策行动，和其他类似的背景。它还将为未来关于类似疾病的政策行动/战略提供信息。
