Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents

Caserotti, Marta; Girardi, Paolo; Rubaltelli, Enrico; Tasso, Alessandra; Lotto, Lorella; Gavaruzzi, Teresa

doi:10.1016/j.socscimed.2021.113688

Cited by 397 publications

(431 citation statements)

References 44 publications

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“…Female sex, as expected, was positively related to the intention to be vaccinated; this observation is consistent with previous findings [ 17 , 19 , 31 , 32 ].…”

Section: Discussionsupporting

confidence: 92%

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Intention to Be Vaccinated for COVID-19 among Italian Nurses during the Pandemic

et al. 2021

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Background: While the COVID-19 pandemic has spread globally, health systems are overwhelmed by both direct and indirect mortality from other treatable conditions. COVID-19 vaccination was crucial to preventing and eliminating the disease, so vaccine development for COVID-19 was fast-tracked worldwide. Despite the fact that vaccination is commonly recognized as the most effective approach, according to the World Health Organization (WHO), vaccine hesitancy is a global health issue. Methods: We conducted a cross-sectional online survey of nurses in four different regions in Italy between 20 and 28 December 2020 to obtain data on the acceptance of the upcoming COVID-19 vaccination in order to plan specific interventions to increase the rate of vaccine coverage. Results: A total of 531 out of the 5000 nurses invited completed the online questionnaire. Most of the nurses enrolled in the study (73.4%) were female. Among the nurses, 91.5% intended to accept vaccination, whereas 2.3% were opposed and 6.2% were undecided. Female sex and confidence in vaccine efficacy represent the main predictors of vaccine intention among the study population using a logistic regression model, while other factors including vaccine safety concerns (side effects) were non-significant. Conclusions: Despite the availability of a safe and effective vaccine, intention to be vaccinated was suboptimal among nurses in our sample. We also found a significant number of people undecided as to whether to accept the vaccine. Contrary to expectations, concerns about the safety of the vaccine were not found to affect the acceptance rate; nurses’ perception of vaccine efficacy and female sex were the main influencing factors on attitudes toward vaccination in our sample. Since the success of the COVID-19 immunization plan depends on the uptake rate, these findings are of great interest for public health policies. Interventions aimed at increasing employee awareness of vaccination efficacy should be promoted among nurses in order to increase the number of vaccinated people.

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“…Female sex, as expected, was positively related to the intention to be vaccinated; this observation is consistent with previous findings [ 17 , 19 , 31 , 32 ].…”

Section: Discussionsupporting

confidence: 92%

“…Vaccination hesitancy in healthcare workers in Italy is increasing [ 19 ], thus their acceptance of the COVID-19 vaccination cannot be presumed, which will impact the current pandemic response.…”

Section: Introductionmentioning

confidence: 99%

Intention to Be Vaccinated for COVID-19 among Italian Nurses during the Pandemic

et al. 2021

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“…The studies were divided by design into one experimental study [ 23 ], 39 cross-sectional studies [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ], five literature reviews [ 63 , 64 , 65 , 66 , 67 ], one systematic review [ 68 ], one randomized controlled trial [ 69 ], one longitudinal survey with two experiments [ 70 ], one Gallup panel [ 71 ], one media analysis study through a proposed novel behavioral dynamics model SRS/I (susceptible–reading–susceptible/immune) for the microblogging platform Weibo on social media […”

Section: Resultsmentioning

confidence: 99%

Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model

et al. 2021

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Major hindrances to getting a COVID-19 vaccine include vaccine hesitancy, skepticism, refusal, and anti-vaccine movements. Several studies have been conducted on attitudes of the public towards COVID-19 vaccines and the potential influencing factors. The purpose of this scoping review is to summarize the data available on the various factors influencing public attitudes towards COVID-19 vaccination. This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Statement. PubMed, Embase, Web of Science, and Cochrane Central were searched without restrictions to reclaim all publications on the factors that shape individuals’ attitudes towards COVID-19 vaccines from 1 January 2020 to 15 February 2021. Fifty studies were included. The scoping review revealed that the factors influencing public attitudes towards COVID-19 vaccines were embedded within the different levels of the socio-ecological model. These factors included the sociodemographic characteristics of the individuals, individual factors, social and organizational factors. In addition, certain characteristics of COVID-19 vaccines themselves influenced public attitudes towards accepting the vaccines. Understanding various population needs and the factors shaping public attitudes towards the vaccines would support planning for evidence-based multilevel interventions in order to enhance global vaccine uptake.

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“…We expect that the current COVID-19 pandemic will promote a higher compliance of the seasonal influenza vaccines in HCWs, forming a bidirectional relationship [ 18 , 33 ]. The perception that COVID-19 was an “enhanced influenza” could contribute to the increased willingness in HCWs to take the seasonal influenza vaccine [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…The perception that COVID-19 was an “enhanced influenza” could contribute to the increased willingness in HCWs to take the seasonal influenza vaccine [ 18 ]. A study conducted in Italy assessing the willingness to take the seasonal influenza and COVID-19 vaccines in the three phases of the COVID-19 lockdown (pre-lockdown, lockdown, and re-opening) showed an increase in the number of adults planning to take the seasonal influenza vaccine in the lockdown-reopening phase [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare Workers’ Perspectives on the Upcoming COVID-19 Vaccine in Terms of Their Exposure to the Influenza Vaccine in Riyadh, Saudi Arabia: A Cross-Sectional Study

et al. 2021

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In 2019, a novel severe acute respiratory syndrome (SARS-CoV-2 (COVID-19)) caused a global pandemic. There was an urgent need to develop a vaccine against COVID-19 to reduce its spread and economic burden. The main objective of this study was to understand the attitudes and concerns of healthcare workers (HCWs) towards the upcoming COVID-19 vaccine, whether their decision was influenced by their history of taking the seasonal influenza vaccine, and factors that influence the acceptance of the upcoming COVID-19 vaccine. This was a cross-sectional study conducted in Riyadh, Saudi Arabia. We selected and surveyed 356 HCWs via an electronic self-administered questionnaire. A total of 61.16% of HCWs were willing to receive the COVID-19 vaccine, and 55.9% of them had received the seasonal influenza vaccine in the preceding year (2019–2020). The strongest predictors for taking the COVID-19 vaccine were the HCWs’ belief that the COVID-19 vaccine would be safe, needed even for healthy people, that all HCWs should be vaccinated against COVID-19, and that HCWs will have time to take the vaccine. Being female, being middle aged, having <5 years of work experience, having no fear of injections, and being a non-smoker were predictive factors for taking the upcoming COVID-19 vaccine. No associations were found between the intention to take the COVID-19 vaccine and a history of taking the seasonal influenza vaccine.

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Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents

Cited by 397 publications

References 44 publications

Intention to Be Vaccinated for COVID-19 among Italian Nurses during the Pandemic

Intention to Be Vaccinated for COVID-19 among Italian Nurses during the Pandemic

Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model

Healthcare Workers’ Perspectives on the Upcoming COVID-19 Vaccine in Terms of Their Exposure to the Influenza Vaccine in Riyadh, Saudi Arabia: A Cross-Sectional Study

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