Determinants of COVID-19 Vaccination Willingness among Health Care Workers: A Quick Online Survey in India
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Background: The coronavirus disease 2019 (COVID-19) pandemic has caused a large number of deaths along with severe socio-economic effects. The vaccine is considered to be the last hope to control viral transmission. This study aimed to explore the determinants of health care workers’ (HCWs) willingness to take the COVID-19 vaccina-tion.Methods: A structured, pre-validated, and pre-tested questionnaire was administered online to 599 HCWs includ-ing physicians, residents, and nurses from different types of healthcare set-ups across India. Information was col-lected regarding vaccine acceptability, attitude toward vaccination, and reasons for hesitancy. The chi-square test, followed by multinomial regression analysis, was applied to determine the factors associated with HCWs’ vaccina-tion willingness.Results: It was found that 73 % (n=437) of HCWs were willing to accept the vaccines, while 10.85% (n=65) refused and 16.2% (n=96) needed more time to decide. Gender (P<0.001), occupation (P=0.040), working as front-line workers (P=0.008), vaccine manufacturing country preferences (P<0.001), and perceived risk of catching COVID-19 in the next 6 months (P=0.005) had a significant association with intent to receive vaccination (the response were “yes” vs. “no” and “not sure”). The reasons for vaccine hesitancy were vaccine safety and efficacy concerns, antivac-cine attitude and beliefs, personal choice, and not wanting to take a vaccine before others.Conclusion: The majority of HCWs agreed to take COVID-19 vaccines once available. Nevertheless, providing sup-port to manage evolving vaccine environments will help change the perception of HCWs who refuse or are reluc-tant to take the vaccines.
Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic has caused a large number of deaths along with severe socio-economic effects. The vaccine is considered to be the last hope to control viral transmission. This study aimed to explore the determinants of health care workers’ (HCWs) willingness to take the COVID-19 vaccina-tion.Methods: A structured, pre-validated, and pre-tested questionnaire was administered online to 599 HCWs includ-ing physicians, residents, and nurses from different types of healthcare set-ups across India. Information was col-lected regarding vaccine acceptability, attitude toward vaccination, and reasons for hesitancy. The chi-square test, followed by multinomial regression analysis, was applied to determine the factors associated with HCWs’ vaccina-tion willingness.Results: It was found that 73 % (n=437) of HCWs were willing to accept the vaccines, while 10.85% (n=65) refused and 16.2% (n=96) needed more time to decide. Gender (P<0.001), occupation (P=0.040), working as front-line workers (P=0.008), vaccine manufacturing country preferences (P<0.001), and perceived risk of catching COVID-19 in the next 6 months (P=0.005) had a significant association with intent to receive vaccination (the response were “yes” vs. “no” and “not sure”). The reasons for vaccine hesitancy were vaccine safety and efficacy concerns, antivac-cine attitude and beliefs, personal choice, and not wanting to take a vaccine before others.Conclusion: The majority of HCWs agreed to take COVID-19 vaccines once available. Nevertheless, providing sup-port to manage evolving vaccine environments will help change the perception of HCWs who refuse or are reluc-tant to take the vaccines.
참고문헌 (27)
- Zhu N, "A novel coronavirus from patients with pneumonia in China, 2019", N Engl J Med, 382, pp.727~733 (2020)
- Lai J, "Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019", JAMA Netw Open, 3, pp.e203976~ (2020)
- Kumar R, "Corona healthcare warriors in India: knowledge, attitude, and practices during COVID-19 outbreak", J Educ Health Promot, 10, pp.44~ (2021)
- Fu C, "Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs)", ~ (2020)
- Paterson P, "Vaccine hesitancy and healthcare providers", Vaccine, 34, pp.6700~6706 (2016)
- Murphy J, "Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom", Nat Commun, 12, pp.29~ (2021)
- Larson HJ, "Measuring vaccine confidence : analysis of data obtained by a media surveillance system used to analyse public concerns about vaccines", Lancet Infect Dis, 13, pp.606~613 (2013)
- Habersaat KB, "Understanding vaccine acceptance and demand-and ways to increase them", Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 63, pp.32~39 (2020)
- Larson HJ, "Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012", Vaccine, 32, pp.2150~2159 (2014)
- Kose S, "Vaccine hesitancy of the COVID‐19 by health care personnel", Int J Clin Pract, 75, pp.e13917~ (2021)
- Karafillakis E, "Vaccine hesitancy among healthcare workers in Europe : a qualitative study", Vaccine, 34, pp.5013~5020 (2016)
- Thoon KC, "beliefs and willingness to receive the 2009 pandemic influenza A(H1N1)vaccine and the impact of educational campaigns", Ann Acad Med Singap, 39, pp.307~306 (2010)
- Dror AA, "Vaccine hesitancy : the next challenge in the fight against COVID-19", Eur J Epidemiol, 35, pp.775~779 (2020)
- Fisher KA, "Attitudes toward a potential SARS-CoV-2 vaccine: a survey of U.S. adults", Ann Intern Med, 173, pp.964~973 (2020)
- Malik AA, "Determinants of COVID-19 vaccine acceptance in the US", EClinicalMedicine, 26, pp.100495~ (2020)
- Taber KS, "The use of Cronbach’s alpha when developing and reporting research instruments in science education", Res Sci Educ, 48, pp.1273~1296 (2018)
- Kwok KO, "Editor’s Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey", Int J Nurs Stud, 114, pp.103854~ (2021)
- Grech V, "Withdrawn: Vaccine hesitancy among Maltese healthcare workers toward influenza and novel COVID-19 vaccination", Early Hum, ~ (2020)
- Dzieciolowska S, "COVID-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: a multicenter survey", Am J Infect Control, 49, pp.1152~1157 (2021)
- Goodman JL, "Answering key questions about COVID-19 vaccines", JAMA, 324, pp.2027~2028 (2020)
- Shekhar R, "COVID-19 vaccine acceptance among health care workers in the United States", Vaccines (Basel), 9, pp.119~ (2021)
- Polack FP, "Safety and efficacy of the BNT162b2 mRNA COVID-19 vaccine", N Engl J Med, 383, pp.2603~2615 (2020)
- Voysey M, "Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222)against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK", Lancet, 397, pp.99~111 (2021)
- Fontanet A, "COVID-19 herd immunity: where are we?", Nat Rev Immunol, 20, pp.583~584 (2020)
- Lemaitre M, "Effect of influenza vaccination of nursing home staff on mortality of residents: a cluster-randomized trial", J Am Geriatr Soc, 57, pp.1580~1586 (2009)
- Murti M, "Measuring the impact of influenza vaccination on healthcare worker absenteeism in the context of a province-wide mandatory vaccinateor-mask policy", Vaccine, 37, pp.4001~4007 (2019)
- Larson HJ, "Security, insecurity, and health workers: the case of polio", JAMA Intern Med, 173, pp.1393~1394 (2013)