Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia

Tomljenović, Morana; Petrović, Goranka; Antoljak, Nataša; Hansen, Lisa

doi:10.1016/j.vaccine.2020.11.049

Cited by 26 publications

(31 citation statements)

References 31 publications

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“…A cross-sectional study done in Croatia through a self-administered questionnaire on attitudes, beliefs and behaviours relating to vaccination among HCPs, including paediatric nurses, reported that nurses were more likely than paediatricians to be vaccine-hesitant (aOR = 5.73, 95%CI = 2.48-13.24). Therefore, in general, our results are similar to those reported across other European studies [34].…”

Section: Plos Onesupporting

confidence: 93%

Vaccine hesitancy among paediatric nurses: Prevalence and associated factors

et al. 2021

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Objective This study describes the prevalence of vaccine hesitancy associated with the Catalan systematic childhood vaccination calendar and some related psychosocial determinants among paediatric primary care nurses in Barcelona (Spain). Methods Cross-sectional descriptive study. In 2017 we invited the paediatric nurses (N = 165) working in Barcelona public primary health centres with paediatric departments (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioural variables: severity and perceived probability of contracting the diseases of the vaccines in the vaccination schedule; safety and protection offered by each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into not hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines). We performed bivariate analysis and adjusted logistic regression models. Results 83% of paediatric nurses (N = 137) agreed to participate. 67.9% had the intention to vaccinate their children of all the vaccines in the systematic schedule. 32.1% of nurses experienced vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. The multivariate analysis suggests associations between hesitancy and low perception of the severity of whooping cough (aOR: 3.88; 95%CI:1.32–11.4), low perception of safety of the HPV vaccine (aOR:8.5;95%CI:1.24–57.8), the belief that vaccines are administered too early (aOR:6.09;95%CI:1.98–18.8), and not having children (aOR:4.05;95%CI:1.22–13.3). Conclusions Although most paediatric nurses had the intention to vaccinate their own children, almost one-third reported some kind of vaccine hesitancy, mainly related to doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance nurses’ fundamental role in promoting vaccination to families.

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Section: Plos Onesupporting

confidence: 93%

Vaccine hesitancy among paediatric nurses: Prevalence and associated factors

et al. 2021

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“…We found that vaccine hesitancy in other vaccines was also prevalent among HCWs. [27][28][29] Vaccine hesitancy is a barrier to COVID-19 vaccination, 30 31 listed as one of the top ten threats to global health by the WHO. 11 The attitude of HCWs towards COVID-19 vaccine would affect the public's vaccination decision.…”

Section: Discussionmentioning

confidence: 99%

Healthcare workers’ (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review

Luo

Watson

et al. 2021

Postgraduate Medical Journal

202

257

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Herd immunity through vaccination is a key measure to control COVID-19 pandemic. However, vaccine hesitancy remains a public health threat, which is still common among healthcare workers (HCWs). This systematic review aimed to synthesise evidence on HCWs’ attitudes towards COVID-19 vaccination and analyse associated factors to provide information for vaccine policy development and practice. We searched PubMed, Embase, ScienceDirect, Web of Science and three Chinese databases for literature published on 12 February 2021. Two researchers screened the literature independently, and 13 studies were included in the systematic review. Vaccine acceptance varied widely and ranged from 27.7% to 77.3%. HCWs had positive attitudes towards future COVID-19 vaccines, while vaccine hesitancy was still common. Demographic variables such as men, older age and physicians were positive predictive factors. Women and nurses had more vaccine hesitancy. Previous influenza vaccination and self-perceived risk were facilitators. Concerns for safety, efficacy and effectiveness and distrust of the government were barriers. Influences of direct (COVID-19) patient care towards vaccination intention were less conclusive. Tailored communication strategies were needed to increase the uptake rate of COVID-19 vaccines among HCWs. More importantly, more data and information on the safety and efficacy of vaccines should be provided with transparency.

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“…Concern that they would acquire COVID-19 infection from a vaccine was expressed by almost 14% of those hesitant to receive a vaccine. A 2018 study from Croatia that assessed primary HCWs’ attitudes toward all vaccines showed that 17% were vaccine hesitant [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine confidence and hesitancy among health care workers: A cross-sectional survey from a MERS-CoV experienced nation

et al. 2021

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Objectives This study aimed to identify coronavirus disease 2019 (COVID-19) vaccine perception, acceptance, confidence, hesitancy, and barriers among health care workers (HCWs). Methods An online national cross-sectional pilot-validated questionnaire was self-administered by HCWs in Saudi Arabia, which is a nation with MERS-CoV experience. The main outcome variable was HCWs’ acceptance of COVID-19 vaccine candidates. The factors associated with vaccination acceptance were identified through a logistic regression analysis, and the level of anxiety was measured using a validated instrument to measure general anxiety levels. Results Out of the 1512 HCWs who completed the study questionnaire—of which 62.4% were women—70% were willing to receive COVID-19 vaccines. A logistic regression analysis revealed that male HCWs (ORa = 1.551, 95% CI: 1.122–2.144), HCWs who believe in vaccine safety (ORa = 2.151; 95% CI: 1.708–2.708), HCWs who believe that COVID vaccines are the most likely way to stop the pandemic (ORa = 1.539; 95% CI: 1.259–1.881), and HCWs who rely on the Centers for Disease Control and Prevention website for COVID 19 updates (ORa = 1.505, 95% CI: 1.125–2.013) were significantly associated with reporting a willingness to be vaccinated. However, HCWs who believed that the vaccines were rushed without evidence-informed testing were found to be 60% less inclined to accept COVID-19 vaccines (ORa = 0.394, 95% CI: 0.298–0.522). Conclusion Most HCWs are willing to receive COVID-19 vaccines once they are available; the satisfactoriness of COVID-19 vaccination among HCWs is crucial because health professionals’ knowledge and confidence toward vaccines are important determining factors for not only their own vaccine acceptance but also recommendation for such vaccines to their patients.

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Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia

Cited by 26 publications

References 31 publications

Vaccine hesitancy among paediatric nurses: Prevalence and associated factors

Vaccine hesitancy among paediatric nurses: Prevalence and associated factors

Healthcare workers’ (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review

COVID-19 vaccine confidence and hesitancy among health care workers: A cross-sectional survey from a MERS-CoV experienced nation

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