Racial Differences in COVID-19 Vaccine Hesitancy Among Health Care Workers in Two Large Academic Hospitals

Momplaisir, Florence; Kuter, Barbara J.; Ghadimi, Fatemeh; Browne, Safa; Nkwihoreze, Hervette; Feemster, Kristen A.; Frank, Ian; Faig, Walter; Shen, Angela K.; Offit, Paul A.; Green-McKenzie, Judith

doi:10.2139/ssrn.3805854

Cited by 12 publications

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“…In January-February 2021, another nationally representative survey reported Black with non-Hispanic identity, low education and low income were each independently associated with a lower likelihood of definitively planning to get vaccinated [27]. A survey of health care workers (HCWs) at two large academic hospitals found vaccine hesitancy highest among Black HCWs (83%) compared to White HCWs (46.2) and Asian HCWs (47.1%) [28]. More recent data from an NPR/Marist poll in March 2021 show that differences in vaccine hesitancy by race had started to converge (Black: 25%; White: 28%) but remained elevated for Hispanic ethnicity (37%) [18].…”

Section: Racementioning

confidence: 99%

Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review

et al. 2021

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Black and Hispanic Americans have been hardest hit with COVID-19 infections, hospitalizations, and deaths, yet during the first several months of vaccine roll-out they had the lowest level of vaccine uptake. Primarily, our research on vaccine hesitancy focused on skepticism around the vaccine itself and its roll-out. Our search strategy used PUBMED and Google with a prescribed set of definitions and search terms for two reasons: there were limited peer-reviewed studies during early period of roll-out and real-time perspectives were crucially needed. Literature searches occurred in April 2021and covered September 2020-April 2021. Analyses included expert opinion, survey results and qualitative summaries. Overall, for the general U.S. population, there was considerable hesitancy initially that remained high during the early roll-out. The general population expressed concerns over the speed of vaccine development (“warp speed”), confidence in the competence of government being involved in the development of vaccines and general mistrust of government. Among Black and Hispanic Americans, hesitancy was further expressed as mistrust in the medical establishment that was related to past and current medical mistreatment. Undocumented immigrants worried about access to insurance and possible deportation. These results on confidence in the vaccine early during vaccine roll-out suggest diverse reasons that influence a person’s decision to vaccinate or not. Additional barriers to vaccine uptake include complacency and access. To ensure health equity, particularly to address disparities in morbidity and mortality, vaccine hesitancy needs to be acknowledged and addressed as COVID-19 vaccine roll-out continues, and these observations calls for conscious planning to address these issues early with future health crises.

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Section: Racementioning

confidence: 99%

Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review

et al. 2021

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“…A survey conducted by CDC Africa prior to the introduction of vaccines on the continent found that the willingness to take the vaccine in 15 African countries ranged from 59% to 93%, [44] which was in contrast with our findings of greater resistance towards COVID-19 vaccination. Studies conducted in the US and UK showed that Africans/Blacks were 13 times more likely to be hesitant than Whites [45][46] which is similar to the high proportions of SSA in diaspora who were either hesitant or resistant to taking COVID-19 vaccines.…”

Section: Discussionmentioning

confidence: 85%

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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“…Among the participants in our study, the rate of hesitation against all vaccines was 15.5%, while the rate of hesitation against the COVID-19 vaccine was 49.1%. In a study conducted with healthcare professionals in the USA (n=10871), it was shown that 7.1% of the participants did not have their children vaccinated at all, and 50% of the participants had hesitations about the COVID-19 vaccine 17 . In a study conducted with healthcare professionals in France (n=1965), it was shown that 453 (23.1%) people had hesitations about the COVID-19 vaccine, and 76 (3.9%) were against the COVID-19 vaccine 18 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Vaccine Hesitancy, Anti-Vaccination, and Anxiety Levels for Medical Secretaries During COVID-19 Pandemic

et al. 2022

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Objective: This study aimed to evaluate the vaccine hesitancy, anti-vaccination, and anxiety levels of medical secretaries during the pandemic. Methods: This cross-sectional study was conducted on 161 medical secretaries working at the time of the Study. Sociodemographic characteristics form, Coronavirus Anxiety Scale (CAS), Vaccine Hesitancy Scale (VHS) adapted to the pandemic, and Anti-vaccination Scale (AVS) were used in the questionnaire form used to collect the data of the study. Results: Median (IQR) CAS, VHS, and AVS scores of the participants were 2 (IQR=3), 32 (IQR=10), and 58 (IQR=16), respectively. 35.4 % of the participants were exposed to the COVID-19, and 87% were vaccinated against COVID-19. Participants' hesitations about the childhood and COVID-19 vaccines were 15.5 % and 49.1%, respectively. A significant relationship was found between the presence of Coronavirus anxiety and educational status (p=0.035), hesitancy against childhood vaccine (p=0.016), and working in COVID-19 Units (p=0.044). A statistically significant relationship was found between VHS scores and hesitancy against childhood vaccine (p=0.001), hesitancy against COVID-19 vaccine (p

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Racial Differences in COVID-19 Vaccine Hesitancy Among Health Care Workers in Two Large Academic Hospitals

Cited by 12 publications

References 0 publications

Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review

Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review

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

Evaluation of Vaccine Hesitancy, Anti-Vaccination, and Anxiety Levels for Medical Secretaries During COVID-19 Pandemic

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