新疆生产建设兵团居民新型冠状病毒疫苗加强免疫接种意愿及影响因素分析

Analysis of willingness and influencing factors of COVID-19 vaccine booster immunization in residents of Xinjiang Production and Construction Corps

目的探究新疆生产建设兵团(简称新疆兵团)居民对新型冠状病毒疫苗加强免疫接种意愿及影响因素。方法2022年7月2—10日,本研究采用多阶段分层整群抽样方法,选取新疆兵团南部、北部、东部3个区域中的居民进行问卷调查,采用单因素分析和多因素logistic回归分析新疆兵团居民新型冠状病毒疫苗加强免疫接种意愿的影响因素。结果共有3561名研究对象完成调查,居民愿意接受新型冠状病毒疫苗加强免疫接种3304名(92.78%)。多因素logistic回归分析显示,新型冠状病毒感染知识得分高(OR=5.67,95%CI:1.12~8.85)、对第九版方案了解程度高(OR=1.74,95%CI:1.13~2.68)、认为新型冠状病毒感染对健康具有严重危害性(OR=3.50,95%CI:1.50~8.17)、疫情期间参与过志愿者活动(OR=3.16,95%CI:1.88~5.31)以及接种过新型冠状病毒疫苗(OR=12.34,95%CI:6.43~23.69)、完成新型冠状病毒疫苗全程接种(OR=2.75,95%CI:1.54~4.90)的居民更愿意接种新型冠状病毒疫苗加强免疫剂次;患有基础性疾病(OR=0.54,95%CI:0.36~0.81)、共病(OR=0.45,95%CI:0.29~0.72)的居民倾向于不愿意接种新型冠状病毒疫苗加强免疫剂次。257名不愿意进行新型冠状病毒感染加强免疫的原因中排名前3位的是身体原因(疾病、过敏)137人(53.31%);担心进行加强疫苗接种存在不良反应84人(32.68%);国内疫情已经控制,不需要进行加强免疫接种58人(22.57%)。结论新疆兵团居民对新型冠状病毒疫苗加强免疫接种意愿较高,但仍应加强新型冠状病毒感染相关知识以及新型冠状病毒疫苗安全性的宣传,提高新型冠状病毒疫苗加强免疫接种意愿。

Objective To explore the willingness of Xinjiang Production and Construction Corps residents to boost immunization against the COVID-19 vaccine and its influencing factors.Methods From July 2 to July 10,2022,a multi-stage stratified cluster sampling method was used to select residents in three regions in southern,northern,and eastern Xinjiang Production and Construction Corps to conduct a questionnaire survey.Univariate and multivariate logistic regression analyses were used to identify the influencing factors of residents'willingness to boost immunization against the COVID-19 vaccine.Results A total of 3561 subjects completed the survey,among which 3304(92.78%)residents were willing to receive novel coronavirus vaccine booster immunization.The multivariate regression analysis showed that residents with higher scores in the knowledge of novel coronavirus infection(OR=5.67,95%CI:1.12-8.85),a better understanding of the ninth edition of the prevention and control guidelines(OR=1.74,95%CI:1.13-2.68),and perception of the serious health hazards of novel coronavirus infection(OR=3.50,95%CI:1.50-8.17),participated in volunteer activities during the epidemic(OR=3.16,95%CI:1.88-5.31),previous vaccination for novel coronavirus(OR=12.34,95%CI:6.43-23.69),and completion of the whole course of novel coronavirus vaccination(OR=2.75,95%CI:1.54-4.90)were more willing to receive COVID-19 vaccine booster doses.Residents with underlying diseases(OR=0.54,95%CI:0.36-0.81)or comorbidities(OR=0.45,95%CI:0.29-0.72)tended to be unwilling to receive booster doses of the COVID-19 vaccine.The top three reasons for unwillingness to carry out booster immunization against COVID-19 infection were physical reasons(disease and allergy)(53.31%,137/257),concerns about adverse reactions from booster vaccination(32.68%,84/257),and belief that the domestic epidemic has been controlled and does not require booster vaccination(22.57%,58/257).Conclusions Xinjiang Production and Construction Corps residents are more willing to strengthen immunization with the COVID-19 vaccine.However,they should still strengthen the publicity of COVID-19-related knowledge and the safety of COVID-19 vaccine,and further increase the willingness of COVID-19 vaccine to strengthen the immunization.