COVID-19 vaccination hesitancy among health care workers, communication, and policy-making

Toth‐Manikowski, Stephanie M.; Swirsky, Eric S.; Gandhi, Rupali; Piscitello, Gina M

doi:10.1016/j.ajic.2021.10.004

Cited by 112 publications

(129 citation statements)

References 12 publications

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“…Several recommendations and best practices have been suggested to increase uptake of COVID-19 vaccines among nurses, other HCWs, and the general population [66][67][68][69][70][71][72][73][74][75][76][77]. Much of the earlier focus during vaccine roll-out emphasized better communication and education.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Refusal among Nurses Worldwide: Review of Trends and Predictors

et al. 2022

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COVID-19 vaccination hesitancy has become a major concern around the world. Recent reports have also highlighted COVID-19 vaccination hesitancy in healthcare workers. Despite media reports and scientific publications, little is known about the extent and predictors of COVID-19 vaccination refusal among nurses. Thus, the purpose of this study was to assess COVID-19 vaccine refusal rates among nurses globally and to explore the reasons for refusal and factors associated with the uptake of the vaccines. A scoping review of the published literature was conducted, and a final pool of 51 studies (n = 41,098 nurses) from 36 countries was included in this review. The overall pooled prevalence rate of COVID-19 vaccine refusal among 41,098 nurses worldwide was 20.7% (95% CI = 16.5–27%). The rates of vaccination refusal were higher from March 2020–December 2020 compared to the rates from January 2021–May 2021. The major reasons for COVID-19 vaccine refusal were concerns about vaccine safety, side effects, and efficacy; misinformation and lack of knowledge; and mistrust in experts, authorities, or pharmaceutical companies. The major factors associated with acceptance of the vaccines were: male sex, older age, and flu vaccination history. Evidence-based strategies should be implemented in healthcare systems worldwide to increase the uptake of COVID-19 vaccines among nurses to ensure their safety and the safety of their patients and community members.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Refusal among Nurses Worldwide: Review of Trends and Predictors

et al. 2022

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“…Most findings in the cited papers found that the fear of side effects was usually the reason for hesitancy and resistance among health workers. [51][52][53] Among the local residents, individuals form other religions were less likely to be vaccine hesitant compared to those of the Christian faith. Religion has been reported to play a huge role in the life of Africans and influences their health seeking behavior.…”

Section: Discussionmentioning

confidence: 98%

“…Resistance and hesitancy have been found among health workers though lower when compared to nonhealthcare workers. [50][51][52][53][54][55] However, Blacks /African health workers still show higher risk than their counterparts of being resistant/hesitant irrespective of the country they are in.…”

Section: Discussionmentioning

confidence: 99%

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Acceptance of COVID 19 vaccine among sub-Sahara African (SSA): a comparative study of residents and diaspora dwellers

Miner

Timothy

Mashige

et al. 2022

Preprint

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The COVID-19 vaccines are being rolled out across all the Sub-Saharan Africa (SSA) countries, with countries setting targets for achieving full vaccination rates. The aim of this study was to compare the uptake of, resistance and hesitancy to the COVID-19 vaccine between SSA locally residents and in the diaspora. This was a cross-sectional study conducted using a web and paper-based questionnaire to obtain relevant information on COVID-19 vaccine acceptance. The survey items included questions on demography, uptake and planned acceptance or non-acceptance of the COVID-19 vaccines among SSAs. Multinomial logistic regression was used to determine probabilities of outcomes for factors associated with COVID-19 vaccination resistance and hesitancy among SSA respondents residing within and outside Africa. Uptake of COVID-19 vaccines varied among the local (14.2%) and diaspora (25.3%) residents. There was more resistance to COVID-19 vaccine among locals (68.1%) and across the sociodemographic variables of sex [ adjusted Relative Risk (ARR) =0.73, 95% CI; 0.58 – 0.93], primary/less [ARR =0.22, 95% CI; 0.12 – 0.40] and bachelor’s degree [ARR =0.58, 95% CI; 0.43 – 0.77] educational levels, occupation [ARR =0.32, 95% CI; 0.25 - 0.40] and working status [ARR =1.40, 95%CI; 1.06 - 1.84]. COVID-19 vaccine hesitancy was almost similar between locals and diasporas (17.7% and 17.8% respectively) significant only among healthcare workers [ARR =0.46, 95% CI; 0.16 – 1.35] in the diaspora after adjusting for the variables. Similarly, knowledge and perception of COVID-19 vaccine among locals were substantial, but only perception was remarkable to resistance [ARR =0.86, 95% CI; 0.82 – 0.90] and hesitancy [ARR =0.85, 95% CI; 0.80 – 0.90] of the vaccine. Differences exist in the factors that influence COVID-19 vaccine acceptance between local SSA residents and those in the diaspora. Knowledge about COVID-19 vaccines affects the uptake, resistance, and hesitancy to the COVID-19 vaccine. Information campaigns focusing on the efficacy and safety of vaccines could lead to improved acceptance of COVID-19 vaccines.

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“…In late 2020, only 36% of United States HCWs said they were willing to take the vaccine as soon as it became available [ 9 ]. On the other hand, according to a survey conducted between March and May 2021, after vaccinations began in the United States, 85% of HCWs answered that they had been or would be vaccinated [ 10 ].…”

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confidence: 99%

COVID-19 Vaccine Hesitancy among Health Care Workers

2021

Korean J Fam Med

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COVID-19 vaccination hesitancy among health care workers, communication, and policy-making

Cited by 112 publications

References 12 publications

COVID-19 Vaccine Refusal among Nurses Worldwide: Review of Trends and Predictors

COVID-19 Vaccine Refusal among Nurses Worldwide: Review of Trends and Predictors

Acceptance of COVID 19 vaccine among sub-Sahara African (SSA): a comparative study of residents and diaspora dwellers

COVID-19 Vaccine Hesitancy among Health Care Workers

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