昆明市门诊患者新型冠状病毒疫苗接种意愿及影响因素分析

Willingness for COVID-19 vaccination and its influencing factors among outpatient clinic attendees in Kunming city

目的了解昆明市门诊患者对新型冠状病毒疫苗的接种意愿及影响因素。方法以2020年3—4月到昆明市延安医院门诊就诊的756例患者作为研究对象。在知情同意的原则下自愿参与完成无记名自填式问卷调查。结果共回收有效问卷730份,有效率96.56%。730例被访者中,愿意接种新型冠状病毒疫苗697例(95.48%),不愿意接种33例(4.52%)。多因素回归分析显示新冠疫苗价位为100~500元/剂次(OR=4.141)、文化程度为本科(OR=11.807)和研究生及以上(OR=16.974)、职业为公职人员(OR=2.166)和专业技术人员(OR=10.092)、获取疫情信息途径为微信(OR=4.005)及认为疫苗是预防疾病最有效的手段(OR=8.850)的患者更愿意接种疫苗。愿意接种的主要原因为担心感染新冠病毒,不愿意接种的主要原因为担心疫苗的安全性和有效性。结论昆明市门诊患者对新冠疫苗的接种意愿较高,相关部门应做好新冠疫苗供应的应对措施和监管机制,确保新冠疫苗安全有效的推广。

Objective To examine the willingness for coronavirus disease 2019(COVID-19)vaccination and its influencing factors among adult attendees of outpatient clinics in Kunming city of Yunnan province.Methods Using convenient sampling,we conducted a voluntary self-administered anonymous questionnaire survey among 756 attendees aged≥18 years recruited at outpatient clinics of a grade A tertiary hospital in Kunming city during March–April 2020.Results Of the 730 participants with valid responses,697(95.48%)reported the willingness to have the vaccine against COVID-19 and 33(4.52%)reported the unwillingness for the vaccination.Multivariate binary logistic regression analysis revealed that the participants with following characteristics were more likely to have the vaccination willingness:considering100–499 yuan(RMB)as an acceptable price for per dose of the vaccine(versus less than 100 yuan:odds ratio[OR]=4.141),with the education of undergraduate and graduate(versus junior high school and lower:OR=11.807 and OR=16.974),being public official and professional or technical staff(versus jobless person:OR=2.166 and OR=10.092),acquiring COVID-19 epidemic-related information through WeChat(versus newspaper:OR=4.005),and regarding the vaccination as the most effective measure to prevent COVID-19(OR=8.850).Worrying about the safety and effectiveness of the vaccine was the main reason of the unwillingness for the vaccination.Conclusion The willingness for COVID-19 vaccination is at a relatively high level among adult attendees of outpatient clinics in Kunming city a the price of the vaccine,education,occupation,and health literacy should be concerned for the promotion of the vaccination.