| 3 | Experiences and perceptions of COVID‑19 infection and vaccination among Palestinian refugees in Jerash camp and Jordanian citizens:a comparative cross‑sectional study by face‑to‑face interviews显示文摘Background:During the COVID-19 vaccination,the access to vaccines has been unequal among countries and indi‑viduals,for example low-income countries displayed signifcant low levels of vaccination.Furthermore,most refugees are living in developing low-income countries which struggling to access the essential health-care services including vaccination.Thus,the objective of this study was to assess the experiences and perceptions of COVID-19 infection and vaccination among Palestine refugees in Jerash camp compared to resident Jordanian citizens.Methods:A face-to-face interview-based comparative cross-sectional study was carried out among Palestine refu‑gees in Jerash camp located in northern Jordan and Jordanian citizens from diferent cities in Jordan from October,2021 to March,2022.A Chi-square test was used to determine the diferences in the experiences and perceptions of COVID-19 infection and vaccination between Palestinian refugees and resident Jordanian citizens.Logistic regres‑sion analysis was performed to predict factors associated with the beliefs,barriers and hesitancy towards COVID-19 vaccines.Results:The total number of participants was 992,with 501(50.5%)Palestinian refugees and 491(49.5%)Jordanian citizens.Most participants(64.1%)who have never been tested for COVID-19 were from the refugees(P<0.001),whereas about 80.3%of the participants tested for COVID-19 at private healthcare institutions were citizens(P<0.001).While 70.0%of the participants who tested positive for COVID-19(n=303)were from the refugees(P<0.001).Com‑pared to the citizens,the refugees had signifcantly lower levels of beliefs about the safety(P=0.008)and efciency(P<0.001)of COVID-19 vaccines.They also had lower rates of vaccine hesitancy(P=0.002)and vaccine uptake(P<0.001),and a higher rate of facing difculties during registration for COVID-19 vaccination(P<0.001).Furthermore,refugees have more negative attitudes toward the importance and implementation of COVID-19 precautionary activi‑ties,including wearing face masks,practicing social distancing and following proper prevention hygiene compared to citizens(P<0.001).The regression analysis showed that gender(P<0.001),age(P<0.001)and level of education(P=0.001)were signifcantly associated with COVID-19 vaccine hesitancy.Also,being a refugee(P<0.001)and being a male(P=0.012)were signifcantly associated with facing more difculties upon the registration to receive a COVID19 vaccine.Conclusions:This study showed that,compared to citizens,refugees had lower attitudes and practices toward COVID-19 infection and vaccination.They also had and a lower rate of COVID-19 vaccine hesitancy and uptake with limited access to vaccines.Government sectors and non-government organizations should implement policies and regulations to raise the awareness of refugees towards COVID-19 infection,testing,preventive measures,and the safety and efcacy of vaccines. | Mohammad A I.Al‑Hatamleh Ma’mon M.Hatma Sulaf H.F.Mustafa Mohammad Alzu’bi Ali F.AlSou’b Shahed N.S.Abughanam Amin N.Olaimat Elham T.Kateeb Rohimah Mohamud | 2022 | Infectious Diseases of Poverty2022，11，6： | 0 |
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