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Tsang SJ. Predicting COVID-19 vaccine hesitancy in Hong Kong: Vaccine knowledge, risks from coronavirus, and risks and benefits of vaccination. Vaccine X 2022; 11:100164. [PMID: 35573268 PMCID: PMC9077988 DOI: 10.1016/j.jvacx.2022.100164] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 10/06/2021] [Accepted: 04/25/2022] [Indexed: 11/24/2022] Open
Abstract
Introduction Hongkongers have had access to COVID-19 vaccines for about four months, but vaccination rate remains low (34.4% as of 4 July 2021). Given that vaccine uptake is vital, this study aimed to determine how vaccine-hesitant and vaccinated individuals differ. The study also examined why people choose to delay vaccination (within 1 month, within 2 months, within 3 months, 3 months or more). Material and Methods A population-based online survey (N = 1654) was conducted between 22 and 30 June 2021, a month after the Hong Kong government announced "Say no to vaccine hesitancy" on its website. All adults aged 18 years and older were eligible to take part. The survey included sociodemographic details, perceived susceptibility to infection, and perceived vaccine efficacy and risks. A series of analyses of covariance was performed to inspect differences among the groups and multiple regression analyses were done to examine factors associated with COVID-19 vaccine hesitancy. Results With a vaccine hesitancy rate of 30.3%, analyses revealed that sociodemographic factors, party identification and self-reported health status had no effects on the degrees of vaccine hesitancy. While vaccine knowledge, perceived susceptibility to infection, and vaccine efficacy and safety were positive correlates of vaccine uptake, risks from vaccination and vaccine efficacy were positive correlates of vaccine hesitancy. Conclusions Hesitancy in Hong Kong is more about vaccine efficacy and safety, and less about infection risks. Specifically, respondents expressed concerns about the particular vaccines supplied, especially BioNTech's efficacy and risks from Sinovac. While higher risk motivates longer preparation for vaccine uptake, higher levels of benefits from BioNTech could reduce hesitancy.
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Affiliation(s)
- Stephanie Jean Tsang
- Department of Communication Studies, Hong Kong Baptist University, Kowloon Tong, Hong Kong
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202
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Kabagenyi A, Wasswa R, Nannyonga BK, Nyachwo EB, Kagirita A, Nabirye J, Atuhaire L, Waiswa P. Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey. Int J Gen Med 2022; 15:6837-6847. [PMID: 36061966 PMCID: PMC9432568 DOI: 10.2147/ijgm.s372386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/03/2022] [Indexed: 12/02/2022] Open
Abstract
Purpose Vaccination toward coronavirus disease (COVID-19) has been recommended and adopted as one of the measures of reducing the spread of this novel disease worldwide. Despite this, vaccine uptake among the Ugandan population has been low with reasons surrounding this being unknown. This study aimed to investigate the factors associated with COVID-19 vaccine hesitancy in Uganda. Methods A cross-sectional study was conducted on a total of 1042 adults in the districts of Mukono, Kiboga, Kumi, Soroti, Gulu, Amuru, Mbarara and Sheema from June to November 2021. Data were analyzed using STATA v.15. Barriers to vaccination were analyzed descriptively, while a binary logistic regression model was used to establish the factors associated with COVID-19 vaccine hesitancy. Results Overall, COVID-19 vaccine hesitancy was 58.6% (611). Respondents from urban areas and those in the eastern or northern region had increased odds of vaccine hesitancy. Further, higher education level and having knowledge on how COVID-19 is transmitted significantly reduced the odds of vaccine hesitancy. The study also noted individual perception such as COVID-19 kills only people with underlying medical conditions, as well as limited awareness on vaccine types or vaccination areas as the main reasons to vaccine hesitancy. Relatedly, other misconceptions like the ability of the vaccine to cause infertility, or spreading the virus into the body, and acknowledgment of alcohol as a possible cure were other reasons for vaccine hesitancy. Conclusion The proportion of COVID-19 vaccine hesitancy is still high among the population with this varying across regions. This is driven by low education level and limited awareness on the vaccination as well as perceived myths and misconceptions. The study recommends mass sensitization of the population on the benefits of vaccination using various channels as well as rolling out community-based outreach vaccination campaigns across the country.
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Affiliation(s)
- Allen Kabagenyi
- Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda
- Correspondence: Allen Kabagenyi, Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda, Email
| | - Ronald Wasswa
- Department of Statistical Methods and Actuarial Science, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda
| | - Betty K Nannyonga
- Department of Mathematics, School of Natural Science, College of Business and Management Sciences, Makerere University, Kampala, Uganda
| | - Evelyne B Nyachwo
- Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda
| | - Atek Kagirita
- Department of National Disease Control, Ministry of Health, Kampala, Uganda
| | - Juliet Nabirye
- Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda
| | - Leonard Atuhaire
- Department of Planning and Applied Statistics, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda
| | - Peter Waiswa
- Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda
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203
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Kazeminia M, Afshar ZM, Rajati M, Saeedi A, Rajati F. Evaluation of the Acceptance Rate of Covid-19 Vaccine and its Associated Factors: A Systematic Review and Meta-analysis. JOURNAL OF PREVENTION (2022) 2022; 43:421-467. [PMID: 35687259 PMCID: PMC9186279 DOI: 10.1007/s10935-022-00684-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/26/2022] [Indexed: 12/21/2022]
Abstract
Covid-19 has caused various problems in the world in terms of health, economy, social and political therefore, the purpose of the present systematic review and meta-analysis is to determine the acceptance rate of Covid-19 vaccine and its related factors. To find related studies, PubMed, Embase, Scopus, Web of Science (WoS) and Google Scholar databases with no time limit until May 2021 using the keywords Related to the purpose of the research and all possible combinations were explored. I2 test was used to calculate the heterogeneity of studies and Begg and Mazumdar rank correlation test was used to investigate publication bias. Finally, 98 articles related to inclusion criteria with a sample size of 660,604 people were included in the study. Overall estimate of the worldwide acceptance of Covid-19 vaccine; 63.9% (95% CI: 59.1-68.4) was obtained, with the highest percentage of acceptance reported in the Australian continent, 76.4% (95% CI: 72.6-79.8). In the majority of studies, vaccine acceptance was significantly more reported in the elderly and the young people, medical staff, employees, higher education level and socioeconomic status, with trust in vaccine and positive vaccination history. The results of this systematic review and meta-analysis demonstrate that the acceptance rate of Covid-19 vaccine is higher among young people and the elderly, medical staff, employees, higher education level and socioeconomic status, with trust in vaccine and positive vaccination history, which can be considered by experts and policymakers in this field.
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Affiliation(s)
- Mohsen Kazeminia
- Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Zeinab Mohseni Afshar
- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mojgan Rajati
- Department of Obstetrics and Gynecology, School of Medicine, Motazedi Hospital Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Anahita Saeedi
- Department of Biostatistics, School of Public Health & Health Sciences, University of
Massachusetts
, Amherst, MA USA
| | - Fatemeh Rajati
- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
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204
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Andersson PA, Tinghög G, Västfjäll D. The effect of herd immunity thresholds on willingness to vaccinate. HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS 2022; 9:243. [PMID: 35874284 PMCID: PMC9294790 DOI: 10.1057/s41599-022-01257-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Abstract
Throughout the COVID-19 pandemic, media and policymakers openly speculated about the number of immune citizens needed to reach a herd immunity threshold. What are the effects of such numerical goals on the willingness to vaccinate? In a large representative sample (N = 1540) of unvaccinated Swedish citizens, we find that giving a low (60%) compared to a high (90%) threshold has direct effects on beliefs about reaching herd immunity and beliefs about how many others that will get vaccinated. Presenting the high threshold makes people believe that herd immunity is harder to reach (on average about half a step on a seven-point scale), compared to the low threshold. Yet at the same time, people also believe that a higher number of the population will get vaccinated (on average about 3.3% more of the population). Since these beliefs affect willingness to vaccinate in opposite directions, some individuals are encouraged and others discouraged depending on the threshold presented. Specifically, in mediation analysis, the high threshold indirectly increases vaccination willingness through the belief that many others will get vaccinated (B = 0.027, p = 0.003). At the same time, the high threshold also decreases vaccination willingness through the belief that the threshold goal is less attainable (B = -0.053, p < 0.001) compared to the low threshold condition. This has consequences for ongoing COVID-19 vaccination and future vaccination campaigns. One message may not fit all, as different groups can be encouraged or discouraged from vaccination.
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Affiliation(s)
- Per A. Andersson
- Department of Behavioural Sciences and Learning, Linkoping university, Linkoping, Sweden
| | - Gustav Tinghög
- Department of Management and Engineering, Linkoping university, Linkoping, Sweden
- Department of Health, Medicine and Caring Sciences, Linkoping university, Linkoping, Sweden
| | - Daniel Västfjäll
- Department of Behavioural Sciences and Learning, Linkoping university, Linkoping, Sweden
- Decision Research, Eugene, OR USA
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205
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Harari GS, Monteiro LHA. An Epidemic Model with Pro and Anti-vaccine Groups. Acta Biotheor 2022; 70:20. [PMID: 35802210 PMCID: PMC9263822 DOI: 10.1007/s10441-022-09443-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 06/06/2022] [Indexed: 11/24/2022]
Abstract
Here, an epidemiological model considering pro and anti-vaccination groups is proposed and analyzed. In this model, susceptible individuals can migrate between these two groups due to the influence of false and true news about safety and efficacy of vaccines. From this model, written as a set of three ordinary differential equations, analytical expressions for the disease-free steady state, the endemic steady state, and the basic reproduction number are derived. It is analytically shown that low vaccination rate and no influx to the pro-vaccination group have similar impacts on the long-term amount of infected individuals. Numerical simulations are performed with parameter values of the COVID-19 pandemic to illustrate the analytical results. The possible relevance of this work is discussed from a public health perspective.
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Affiliation(s)
- G S Harari
- Universidade Presbiteriana Mackenzie, PPGEEC, São Paulo, SP, Brazil
| | - L H A Monteiro
- Universidade Presbiteriana Mackenzie, PPGEEC, São Paulo, SP, Brazil. .,Universidade de São Paulo, Escola Politécnica, São Paulo, SP, Brazil.
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206
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Chary A, Thomas Y, Suh M, Ordonez E, Buehler G. Strategies in Emergency Department-based COVID-19 Vaccination. West J Emerg Med 2022; 23:536-539. [PMID: 35980423 PMCID: PMC9391014 DOI: 10.5811/westjem.2022.4.55043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 02/26/2022] [Accepted: 04/29/2022] [Indexed: 11/11/2022] Open
Abstract
COVID-19 vaccination is an important tool in protecting patients and combating the pandemic. This report describes an emergency department (ED)-based initiative for vaccinating underserved patients against COVID-19 at a public academic hospital. A key challenge identified in ED COVID-19 vaccination was time constraints among emergency clinicians, which can be addressed through attention to workflow and delegation of counseling discussions within care teams of trainee and supervising clinicians. As patient receptivity to vaccination varies, strategies to promote ED-based vaccination include emergency clinicians sharing personal experiences of COVID-19 with patients and having multiple care team members recommend vaccination to an unvaccinated patient during an ED visit. Racial, ethnic, and gender diversity within a care team may also improve vaccine acceptance among racial/ethnic minorities. As safety nets of the larger United States healthcare system, EDs can play a significant role in primary prevention of COVID-19, and ED-based vaccination may be an effective strategy that can be adopted more widely for other infectious diseases.
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Affiliation(s)
- Anita Chary
- Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas
| | - Ynhi Thomas
- Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas
| | - Michelle Suh
- Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas
| | - Edgar Ordonez
- Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas
| | - Greg Buehler
- Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas
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207
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Muldrew DHL, Fee A, Coates V. Impact of the COVID-19 pandemic on family carers in the community: A scoping review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:1275-1285. [PMID: 34888980 DOI: 10.1111/hsc.13677] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 11/23/2021] [Accepted: 11/26/2021] [Indexed: 06/13/2023]
Abstract
The COVID-19 pandemic has led to the closure or reduction in support services for family carers, resulting in increased social isolation and stress for this population. The current scoping review aimed to identify the impact of COVID-19 upon carers and support provided for them during the pandemic. Four online databases (CINAHL, Medline, PsycINFO and PubMed) were systematically searched on 16th December 2020 and updated on 16th July 2021 for articles written in English and published after January 2020, focused on the carer and the impact of COVID-19. Google scholar and reference lists of relevant papers were checked, and key authors were contacted for further relevant information. The database searches identified 976 citations, which resulted in 670 unique articles following the removal of duplicates. Title and abstract screening identified 63 articles for full-text review, 11 of which were subsequently excluded, leaving 52 articles which were subject to inductive thematic analysis. Four key themes were identified. Whilst a number of issues were identified that were exacerbated by the pandemic, others directly resulting from it were revealed. Few studies discussed support measures for carers and only one trial evaluated an intervention. This review identifies the impact of COVID-19 on carers, but there is a dearth of evidence to inform appropriate tailored support. Governments need to identify carers as a priority group in social care reform and commission co-produced, evidence and experience informed pathways to reinstate support services, potentially modelled on pandemic plans following the example currently being considered for the paid healthcare workforce.
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Affiliation(s)
- Deborah H L Muldrew
- Institute of Nursing and Health Research, Ulster University, Newtownabbey, Northern Ireland, UK
| | - Anne Fee
- Institute of Nursing and Health Research, Ulster University, Newtownabbey, Northern Ireland, UK
| | - Vivien Coates
- Institute of Nursing and Health Research, Ulster University, Londonderry, Northern Ireland, UK
- Western Health & Social Care Trust, Trust Headquarters, Altnagelvin Area Hospital, Londonderry, Northern Ireland, UK
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208
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Kolobov T, Djuraev S, Promislow S, Tamir O. Determinants of COVID-19 vaccine acceptance among adults with diabetes and in the general population in Israel: A cross-sectional study. Diabetes Res Clin Pract 2022; 189:109959. [PMID: 35714724 PMCID: PMC9195596 DOI: 10.1016/j.diabres.2022.109959] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 06/03/2022] [Accepted: 06/10/2022] [Indexed: 11/25/2022]
Abstract
AIMS To explore and compare key determinants of COVID-19 vaccine acceptance and willingness to get vaccinated among people with diabetes and the general population. METHODS A cross-sectional survey study of 807 Israeli adults with and without diabetes was conducted prior to the first vaccination campaign in Israel in December 2020. Data was analyzed by population group and gender. A multinomial logistic regression determined the association between acceptance factors and willingness to get vaccinated. RESULTS Diabetes patients had more anxiety about COVID-19, higher levels of confidence in vaccine safety, and greater willingness to get vaccinated than the general population. In both groups, women reported higher levels of anxiety toward COVID-19 but lower levels of confidence in vaccine safety and less willingness to get vaccinated than men. Vaccine safety had the largest contribution to diabetes patients' willingness to get vaccinated. For participants without diabetes, the perception that more than 50% of Israelis would get vaccinated had the largest contribution. Participants in both groups who had vaccinated against seasonal influenza were more likely to get vaccinated against COVID-19. CONCLUSION Policies aimed at improving vaccine acceptance should target vulnerable populations, particularly female diabetes patients, whose concerns must be addressed to increase their vaccination rates.
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Affiliation(s)
- Tatyana Kolobov
- The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Tel Hashomer, Israel
| | - Simcha Djuraev
- The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Tel Hashomer, Israel
| | - Sara Promislow
- The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Tel Hashomer, Israel
| | - Orly Tamir
- The Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Tel Hashomer, Israel; National Diabetes Council, Ministry of Health, Jerusalem, Israel.
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209
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Pearce KA, Messerli E, Lacy ME, Smalls BL, Francis DB, Yerramreddy S, Kiviniemi M. SARS-CoV-2 (COVID-19) Vaccine Intentions in Kentucky. JOURNAL OF APPALACHIAN HEALTH 2022; 4:26-44. [PMID: 38028327 PMCID: PMC10629874 DOI: 10.13023/jah.0402.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
Background At the time of our writing, the COVID-19 pandemic continues to cause significant disruption to daily lives. In Kentucky, the burdens from this disease are higher, and vaccination rates for COVID-19 are lower, in comparison to the U.S. as a whole. Understanding vaccine intentions across key subpopulations is critical to increasing vaccination rates. Purpose This study explores COVID-19 vaccine intentions in Kentucky across demographic subpopulations and also investigates the influences on vaccine intention of attitudes and beliefs about COVID-19. Methods A population-based survey of 1,459 Kentucky adults was conducted between January 26 and March 20, 2021, with over-sampling of black/African American and Latino/a residents, using online and telephonic modalities. Descriptive statistics characterize the sample and overall vaccine intentions and beliefs. Multivariable linear regression models probed relationships between demographics and vaccination intentions, as well as relationships between vaccination beliefs and vaccination intention. Results Of the 1,299 unvaccinated respondents, 53% reported intent to get vaccinated, 16% had not decided, and 31% felt they would not get vaccinated. Lower vaccination intention was independently associated with age, lower educational attainment, black/African American race, lower income, Republican political affiliation, rural residence, and several beliefs: low vaccine safety, low vaccine efficacy, the rapidity of vaccine development, and mistrust of vaccine producers. Implications Increasing COVID-19 vaccination rates will help end this pandemic. Findings from this study can be used to tailor information campaigns aimed at helping individuals make informed decisions about COVID-19 vaccination.
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210
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Yehualashet DE, Seboka BT, Tesfa GA, Mamo TT, Yawo MN, Hailegebreal S. Prevalence and Determinants of COVID-19 Vaccine Hesitancy Among the Ethiopian Population: A Systematic Review. Healthc Policy 2022; 15:1433-1445. [PMID: 35937966 PMCID: PMC9346414 DOI: 10.2147/rmhp.s368057] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 07/25/2022] [Indexed: 12/02/2022] Open
Abstract
Introduction Although vaccination is the most effective way to end the COVID-19 pandemic, there are growing concerns that vaccine hesitancy may undermine its effectiveness. In Ethiopia, vaccine hesitancy forms a major challenge to the uptake of COVID-19 vaccines. This systematic review examined the prevalence and determinants of the COVID-19 vaccine hesitancy among the Ethiopian population. Methods A systematic search of articles was conducted in PubMed, EBSCO, Google Scholar, and Semantic Scholar. Studies that evaluated the prevalence and determinants of COVID-19 vaccine hesitancy in Ethiopia were included. The identified determinants of COVID-19 vaccine hesitancy were analyzed based on the frequency of occurrence in the included studies. Results The overall COVID-19 vaccine hesitancy level in the Ethiopian population ranged from 14.1% to 68.7%. The high COVID-19 vaccine hesitancy rate observed in this study was due to contextual factors, individual factors, and vaccine-specific factors. Young age, female sex, living in rural areas, lack of adequate information, and lower education are the most common contextual determinants of the COVID-19 vaccine hesitancy. Lack of awareness about the COVID-19 vaccine, low risk of COVID-19, poor adherence to COVID-19 prevention strategies, and negative attitude towards the COVID-19 vaccine are the most frequently reported personal factors. Common vaccine-specific determinants of COVID-19 vaccine hesitation are the side effects of the vaccine and doubts about its effectiveness of the vaccine. Conclusion Our review showed that COVID-19 vaccine hesitancy remains highly prevalent and varied across regions of Ethiopia, with a wide variety of factors associated with it. Potential interventions on the benefits of vaccination and the adverse effects of vaccine rejection are crucial to enhance COVID-19 vaccine uptake among the Ethiopian population.
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Affiliation(s)
- Delelegn Emwodew Yehualashet
- School of Public Health, Dilla University, Dilla, Ethiopia
- Correspondence: Delelegn Emwodew Yehualashet, School of Public Health, Dilla University, Dilla, Ethiopia, Tel +251 976061907, Email
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211
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Peters MD. Addressing vaccine hesitancy and resistance for COVID-19 vaccines. Int J Nurs Stud 2022; 131:104241. [PMID: 35489108 PMCID: PMC8972969 DOI: 10.1016/j.ijnurstu.2022.104241] [Citation(s) in RCA: 44] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 03/22/2022] [Accepted: 03/28/2022] [Indexed: 01/12/2023]
Abstract
The COVID-19 vaccine rollout has had various degrees of success in different countries. Achieving high levels of vaccine coverage is key to responding to and mitigating the impact of the pandemic on health and aged care systems and the community. In many countries, vaccine hesitancy, resistance, and refusal are emerging as significant barriers to immunisation uptake and the relaxation of policies that limit everyday life. Vaccine hesitancy/ resistance/ refusal is complex and multi-faceted. Individuals and groups have diverse and often multiple reasons for delaying or refusing vaccination. These reasons include: social determinants of health, convenience, ease of availability and access, health literacy understandability and clarity of information, judgements around risk versus benefit, notions of collective versus individual responsibility, trust or mistrust of authority or healthcare, and personal or group beliefs, customs, or ideologies. Published evidence suggests that targeting and adapting interventions to particular population groups, contexts, and specific reasons for vaccine hesitancy/ resistance may enhance the effectiveness of interventions. While evidence regarding the effectiveness of interventions to address vaccine hesitancy and improve uptake is limited and generally unable to underpin any specific strategy, multi-pronged interventions are promising. In many settings, mandating vaccination, particularly for those working in health or high risk/ transmission industries, has been implemented or debated by Governments, decision-makers, and health authorities. While mandatory vaccination is effective for seasonal influenza uptake amongst healthcare workers, this evidence may not be appropriately transferred to the context of COVID-19. Financial or other incentives for addressing vaccine hesitancy may have limited effectiveness with much evidence for benefit appearing to have been translated across from other public/preventive health issues such as smoking cessation. Multicomponent, dialogue-based (i.e., communication) interventions are effective in addressing vaccine hesitancy/resistance. Multicomponent interventions that encompasses the following might be effective: (i) targeting specific groups such as unvaccinated/under-vaccinated groups or healthcare workers, (ii) increasing vaccine knowledge and awareness, (iii) enhanced access and convenience of vaccination, (iv) mandating vaccination or implementing sanctions against non-vaccination, (v) engaging religious and community leaders, (vi) embedding new vaccine knowledge and evidence in routine health practices and procedures, and (vii) addressing mistrust and improving trust in healthcare providers and institutions via genuine engagement and dialogue. It is universally important that healthcare professionals and representative groups, as often highly trusted sources of health guidance, should be closely involved in policymaker and health authority decisions regarding the establishment and implementation of vaccine recommendations and interventions to address vaccine hesitancy.
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Affiliation(s)
- Micah D.J. Peters
- University of South Australia, Clinical and Health Sciences, Rosemary Bryant AO Research Centre, City East Campus
- Centenary Building P4-32 North Terrace, Adelaide, SA 5000, Australia,Faculty of Health and Medical Sciences, University of Adelaide, Adelaide Nursing School, Adelaide, SA, Australia,The Centre for Evidence-based Practice South Australia (CEPSA): A Joanna Briggs Institute Centre of Excellence, Australia,Australian Nursing and Midwifery Federation (ANMF) Federal Office, Australia,Correspondence to: University of South Australia, Clinical and Health Sciences, Rosemary Bryant AO Research Centre, City East Campus
- Centenary Building P4-32 North Terrace, Adelaide, SA 5000, Australia
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212
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Kyaw TM, al Kurrummiah B, ap Varathappan N, ap Rathanam DT, ap Ravindran S, al Sasidharan G, Jalal Kazi A. Factors Influencing the Acceptance of COVID-19 Booster Dose in Malaysia. JOURNAL OF EDUCATION AND COMMUNITY HEALTH 2022. [DOI: 10.34172/jech.2022.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background: This cross-sectional study aimed to identify factors influencing the acceptance of coronavirus disease 19 (COVID-19) booster dose in Malaysia based on the health belief model during 2022. Methods: Malaysians aged 18 and above were enrolled in a cross-sectional online survey. The convenient sampling method was used for data collection, and Google form was employed as an online questionnaire, which was distributed through social media by the authors. The sociodemographic characteristics of the respondents were assessed and summarized by performing descriptive and frequency analyses. Multivariate analysis was applied to measure the associations of factors influencing the acceptance of COVID-19 booster dose among respondents in Malaysia. Results: A total of 467 responses were analyzed in this study. Participants with neutral perceptions who think that it is easy for them to get the COVID-19 vaccine if they wanted to were 0.042 times less likely to accept COVID-19 booster dose compared to others (95% CI of 0.003- 0.556 which was significant with P<0.05 (P=0.016). Moreover, the participants were 0.012 times more likely to be females by neutral on that it is easy for you to get the COVID-19 vaccine if you wanted to with a 95% CI of 2.166-461.040, which is significant. Conclusion: The need for continued access to research and learning has never been more important, especially when it comes to a constantly mutating coronavirus. We also continue to work directly with agencies to support their work.
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Affiliation(s)
- Thin Mon Kyaw
- Lecturer, Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Malaysia
| | | | | | | | - Suthasri ap Ravindran
- Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Johor, Malaysia
| | - Guhan al Sasidharan
- Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Johor, Malaysia
| | - Abdulla Jalal Kazi
- Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Johor, Malaysia
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213
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Galanis P, Vraka I, Katsiroumpa A, Siskou O, Konstantakopoulou O, Katsoulas T, Mariolis-Sapsakos T, Kaitelidou D. Predictors of Willingness of the General Public to Receive a Second COVID-19 Booster Dose or a New COVID-19 Vaccine: A Cross-Sectional Study in Greece. Vaccines (Basel) 2022; 10:1061. [PMID: 35891225 PMCID: PMC9317544 DOI: 10.3390/vaccines10071061] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/22/2022] [Accepted: 06/29/2022] [Indexed: 02/07/2023] Open
Abstract
Given the concerns of waning immunity from the primary COVID-19 vaccines and the first booster dose, we conducted an online cross-sectional study in May 2022 to investigate willingness to receive a second COVID-19 booster dose or a new COVID-19 vaccine and its associated factors. Overall, 62% of the participants were willing to be vaccinated, 25.8% were unsure, and 12.3% were unwilling to be vaccinated. The main reasons against accepting a second COVID-19 booster dose/new COVID-19 vaccine were concerns about the side effects and the effectiveness and the opinion that further vaccination is unnecessary. Males, younger individuals, participants without a previous COVID-19 diagnosis, and those with good/very good self-perceived physical health were significantly more frequently willing to receive a second COVID-19 booster dose or a new COVID-19 vaccine. Additionally, increased fear of the COVID-19, increased trust in COVID-19 vaccinations, and decreased fear of a second booster dose or a new COVID-19 vaccine was associated with increased willingness. Our results show some hesitancy and unwillingness toward further COVID-19 vaccination and indicate that the fear of COVID-19 and trust in COVID-19 vaccination affects public opinion.
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Affiliation(s)
- Petros Galanis
- Clinical and Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece;
| | - Irene Vraka
- Department of Radiology, P. & A. Kyriakou Children’s Hospital, 11527 Athens, Greece;
| | - Aglaia Katsiroumpa
- Clinical and Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece;
| | - Olga Siskou
- Department of Tourism Studies, University of Piraeus, 18534 Piraeus, Greece;
| | - Olympia Konstantakopoulou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece; (O.K.); (D.K.)
| | - Theodoros Katsoulas
- Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece; (T.K.); (T.M.-S.)
| | | | - Daphne Kaitelidou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece; (O.K.); (D.K.)
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214
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Osuagwu UL, Langsi R, Ovenseri-Ogbomo G, Mashige KP, Abu EK, Envuladu EA, Goson PC, Ekpenyong BN, Oloruntoba R, Miner CA, Charwe DD, Timothy CG, Ishaya T, Amiebenomo OMA, Lim D, Agho KE. Analysis of Perception, Reasons, and Motivations for COVID-19 Vaccination in People with Diabetes across Sub-Saharan Africa: A Mixed-Method Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137875. [PMID: 35805551 PMCID: PMC9266073 DOI: 10.3390/ijerph19137875] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 06/23/2022] [Accepted: 06/24/2022] [Indexed: 02/01/2023]
Abstract
Diabetes mellitus (DM) is associated with severe COVID-19 infection and complications. This study assesses COVID-19 vaccine acceptance and hesitancy in people with DM, and explores the reasons for not being vaccinated. This was a web-based cross-sectional survey using a mixed-method approach conducted in March–May 2021, corresponding to most sub-Saharan African (SSA) countries’ early vaccine rollout period. Participants were those aged ≥18 years with self-reported DM in 11 Sub-Saharan African (SSA) countries. Responses to comments on the reasons for vaccine hesitancy and facilitators for vaccine uptake were analyzed. Of the 73 participants with DM, 65.8% were males, older than 35 years (86.3%), had postsecondary education (90%), and a significant proportion were from South Africa (39.7%), Nigeria (28.8%) and Ghana (13.7%). At the time of this study, 64.4% experienced COVID-19 symptoms, 46.6% were tested for COVID-19, of which 19.2% tested positive. Few participants (6.8%) had received a COVID-19 vaccination, 65.8% were willing to take the vaccine when it becomes available in their country, while 26.0% either refused or remained hesitant towards taking the vaccine. The main identified reasons for not taking the vaccine were: advice from religious leaders; concerns about the safety, effects, and efficacy of the vaccines; mistrust of the pharmaceutical companies producing the vaccines and the process of production; the conspiracy theories around the vaccines; and the personal belief of the participants regarding vaccination. However, participants stated they would take the vaccine if they were more educated about it, received positive feedback from those vaccinated, were rewarded for taking the vaccine, or if vaccination became a condition for travel and employment. In conclusion, this study shows that the uptake of the COVID-19 vaccine was very low in this high-risk group. Efforts to increase the uptake of COVID-19 vaccines among people with diabetes are imperative, such as the provision of education and relevant information.
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Affiliation(s)
- Uchechukwu Levi Osuagwu
- Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2560, Australia; (D.L.); (K.E.A.)
- African Vision Research Institute (AVRI), Discipline of Optometry, University of KwaZulu-Natal, Westville Campus, Durban 3629, South Africa;
- Correspondence: ; Tel.: +61-(2)-4620-3569
| | - Raymond Langsi
- Health Division, University of Bamenda, Bambili P.O. Box 39, Bamenda, Cameroon;
| | - Godwin Ovenseri-Ogbomo
- Department of Optometry, Centre for Health Sciences, University of the Highlands and Islands, Inverness IV2 3JH, UK;
| | - Khathutshelo Percy Mashige
- African Vision Research Institute (AVRI), Discipline of Optometry, University of KwaZulu-Natal, Westville Campus, Durban 3629, South Africa;
| | - Emmanuel Kwasi Abu
- Department of Optometry and Vision Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast 03321, Ghana;
| | - Esther Awazzi Envuladu
- Department of Community Medicine, College of Health Sciences, University of Jos, Jos 930001, Nigeria; (E.A.E.); (C.A.M.)
| | | | - Bernadine Nsa Ekpenyong
- Department of Public Health, Faculty of Allied Medical Sciences, College of Medical Sciences, University of Calabar, Calabar 540271, Nigeria;
| | - Richard Oloruntoba
- School of Management and Marketing, Curtin Business School Bentley, Perth, WA 6102, Australia;
| | - Chundung Asabe Miner
- Department of Community Medicine, College of Health Sciences, University of Jos, Jos 930001, Nigeria; (E.A.E.); (C.A.M.)
| | | | | | - Tanko Ishaya
- Department of Computer Science, University of Jos, Jos 930001, Nigeria;
| | | | - David Lim
- Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2560, Australia; (D.L.); (K.E.A.)
- School of Health Sciences, Western Sydney University, Sydney, NSW 2560, Australia
| | - Kingsley E. Agho
- Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2560, Australia; (D.L.); (K.E.A.)
- African Vision Research Institute (AVRI), Discipline of Optometry, University of KwaZulu-Natal, Westville Campus, Durban 3629, South Africa;
- School of Health Sciences, Western Sydney University, Sydney, NSW 2560, Australia
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215
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Shah YB, Glatter R, Madad S. In Layman's Terms: The Power and Problem of Science Communication. Disaster Med Public Health Prep 2022; 16:1-3. [PMID: 35757894 DOI: 10.1017/dmp.2022.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Improved policies for science communication are needed to ensure scientific progress in coming decades. The COVID-19 pandemic illustrated massive gaps in science communication, ranging from masking and social distancing mandates to vaccination requirements. These obstacles compounded the pandemic's tremendous inherent clinical and public health challenges. Although science made immense progress in understanding the virus and designing infection control solutions, society still remains within the pandemic due to flawed understanding, low responsiveness, and widespread misinformation on behalf of the public. Flawed communication plagues national responses not only to the pandemic, but also other long-standing issues such as climate change or nutrition. This Letter proposes a new protocol and framework for effective science communication, designed to educate experts in evidence-based communication, improve public partnership through relatability and modern relevance, and increase empathy and trustworthiness to increase public cooperation. A defined protocol for science communication can ensure that evolving knowledge can tangibly benefit society.
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Affiliation(s)
- Yash B Shah
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA
| | - Robert Glatter
- Department of Emergency Medicine, Lenox Hill Hospital, Northwell Health, New York, NY
| | - Syra Madad
- Special Pathogens Program Office, NYC Health + Hospitals, New York, NY
- Belfer Center for Science and International Affairs, Harvard University, Cambridge, MA
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216
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Govere-Hwenje S, Jarolimova J, Yan J, Khumalo A, Zondi G, Ngcobo M, Wara NJ, Zionts D, Bogart LM, Parker RA, Bassett IV. Willingness to accept COVID-19 vaccination among people living with HIV in a high HIV prevalence community. BMC Public Health 2022; 22:1239. [PMID: 35733209 PMCID: PMC9214683 DOI: 10.1186/s12889-022-13623-w] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 06/10/2022] [Indexed: 12/04/2022] Open
Abstract
Background People living with HIV (PLWH) may have a poorer prognosis with COVID-19 infection and are an important population for COVID-19 vaccination. We assessed the willingness and reasons for COVID-19 vaccine acceptance or hesitancy among PLWH in South Africa. Methods We conducted a cross-sectional study consisting of telephone interviews with a randomly selected subset of participants enrolled in a prospective observational cohort study evaluating a decentralized antiretroviral therapy (ART) delivery program in South Africa. Questions assessed willingness to accept a future COVID-19 vaccine, concerns regarding COVID-19 vaccination, and overall vaccine confidence. Interviews were conducted between September 2020 and January 2021. We evaluated participant demographics, sources of COVID-19 information, stigma and medical mistrust, uptake of non-pharmaceutical interventions, and socioeconomic impacts of the COVID-19 pandemic as potential covariates of willingness to accept vaccination. Results We completed interviews with 213 participants; 153 (72%) were female, median age 35y, and 100 (47%) had completed secondary school. Among the participants, 121 (57%) were willing to accept future vaccination, 46 (22%) were unsure, and 45 (21%) stated they did not intend to be vaccinated. Fear of side effects, reported by 42 (20%), was the most common concern about COVID-19 vaccination. Older age was associated with willingness to accept vaccination (aOR 1.75 for every 10-year increase in age, 95% CI 1.10–2.78, p = 0.02), while higher medical mistrust related to COVID-19 (aOR 0.21, 95% CI 0.093–0.45, p < 0.001) and use of social media for COVID-19 information (aOR 0.30, 95% CI 0.11–0.84, p = 0.02) were associated with lower willingness to accept vaccination. Conclusions In this cohort of PLWH in South Africa, over half were willing to accept COVID-19 vaccination, although a substantial proportion remained unsure or were not willing to be vaccinated. Public health messaging should emphasize the safety and efficacy of COVID-19 vaccination and address misinformation and medical mistrust among PLWH. Ongoing efforts to ensure access to COVID-19 vaccines for vulnerable populations are crucial. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13623-w.
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Affiliation(s)
| | - Jana Jarolimova
- Massachusetts General Hospital, Division of Infectious Diseases, Boston, USA.,Massachusetts General Hospital, Medical Practice Evaluation Center, Boston, USA
| | - Joyce Yan
- Massachusetts General Hospital, Biostatistics Center, Boston, USA
| | | | | | | | - Nafisa J Wara
- Massachusetts General Hospital, Medical Practice Evaluation Center, Boston, USA
| | - Dani Zionts
- Massachusetts General Hospital, Medical Practice Evaluation Center, Boston, USA
| | | | - Robert A Parker
- Massachusetts General Hospital, Biostatistics Center, Boston, USA.,Harvard University, Center for AIDS Research (CFAR), Boston, USA.,Harvard Medical School, Boston, USA
| | - Ingrid V Bassett
- Massachusetts General Hospital, Division of Infectious Diseases, Boston, USA.,Massachusetts General Hospital, Medical Practice Evaluation Center, Boston, USA.,Harvard University, Center for AIDS Research (CFAR), Boston, USA.,Harvard Medical School, Boston, USA
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217
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Ritschl V, Eibensteiner F, Mosor E, Omara M, Sperl L, Nawaz FA, Siva Sai C, Cenanovic M, Devkota HP, Hribersek M, De R, Klager E, Schaden E, Kletecka-Pulker M, Völkl-Kernstock S, Willschke H, Aufricht C, Atanasov AG, Stamm T. Mandatory Vaccination Against COVID-19: Twitter Poll Analysis on Public Health Opinion. JMIR Form Res 2022; 6:e35754. [PMID: 35617671 PMCID: PMC9217155 DOI: 10.2196/35754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 01/27/2022] [Accepted: 04/19/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND On January 30, 2020, the World Health Organization Emergency Committee declared the rapid worldwide spread of COVID-19 a global health emergency. By December 2020, the safety and efficacy of the first COVID-19 vaccines had been demonstrated. However, international vaccination coverage rates have remained below expectations (in Europe at the time of manuscript submission). Controversial mandatory vaccination is currently being discussed and has already been introduced in some countries (Austria, Greece, and Italy). We used the Twitter survey system as a viable method to quickly and comprehensively gather international public health insights on mandatory vaccination against COVID-19. OBJECTIVE The purpose of this study was to better understand the public's perception of mandatory COVID-19 vaccination in real time using Twitter polls. METHODS Two Twitter polls were developed (in the English language) to seek the public's opinion on the possibility of mandatory vaccination. The polls were pinned to the Digital Health and Patient Safety Platform's (based in Vienna, Austria) Twitter timeline for 1 week in mid-November 2021, 3 days after the official public announcement of mandatory COVID-19 vaccination in Austria. Twitter users were asked to participate and retweet the polls to reach the largest possible audience. RESULTS Our Twitter polls revealed two extremes on the topic of mandatory vaccination against COVID-19. Almost half of the 2545 respondents (n=1246, 49%) favor mandatory vaccination, at least in certain areas. This attitude contrasts with the 45.7% (n=1162) who categorically reject mandatory vaccination. Over one-quarter (n=621, 26.3%) of participating Twitter users said they would never get vaccinated, as reflected by the current Western European and North American vaccination coverage rate. Concatenating interpretation of these two polls should be done cautiously as participating populations might substantially differ. CONCLUSIONS Mandatory vaccination against COVID-19 (in at least certain areas) is favored by less than 50%, whereas it is opposed by almost half of the surveyed Twitter users. Since (social) media strongly influences public perceptions and views, and social media discussions and surveys are specifically susceptible to the "echo chamber effect," the results should be interpreted as a momentary snapshot. Therefore, the results of this study need to be complemented by long-term surveys to maintain their validity.
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Affiliation(s)
- Valentin Ritschl
- Section for Outcomes Research, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
| | - Fabian Eibensteiner
- Division of Pediatric Nephrology and Gastroenterology, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
| | - Erika Mosor
- Section for Outcomes Research, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
| | - Maisa Omara
- Section for Outcomes Research, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
| | - Lisa Sperl
- Section for Outcomes Research, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
| | - Faisal A Nawaz
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | | | | | - Hari Prasad Devkota
- Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
- Program for Leading Graduate Schools, Kumamoto University, Kumamoto, Japan
| | - Mojca Hribersek
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
| | - Ronita De
- Indian Council of Medical Research-National Institute of Cholera and Enteric Diseases, West Bengal, India
| | - Elisabeth Klager
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
| | - Eva Schaden
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
- Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria
| | - Maria Kletecka-Pulker
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
- Institute for Ethics and Law in Medicine, University of Vienna, Vienna, Austria
| | - Sabine Völkl-Kernstock
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
| | - Harald Willschke
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
- Institute for Ethics and Law in Medicine, University of Vienna, Vienna, Austria
| | - Christoph Aufricht
- Division of Pediatric Nephrology and Gastroenterology, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Atanas G Atanasov
- Ludwig Boltzmann Institute for Digital Health and Patient Safety, Medical University of Vienna, Vienna, Austria
- Institute of Genetics and Animal Biotechnology of the Polish Academy of Sciences, Jastrzebiec, Poland
| | - Tanja Stamm
- Section for Outcomes Research, Medical University of Vienna, Vienna, Austria
- Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
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218
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Wang B, Nolan R, Krumeich B, D'Onise K, Marshall H. COVID-19 vaccine willingness prior to and during the COVID-19 vaccination rollout in Australia. Hum Vaccin Immunother 2022; 18:2079345. [PMID: 35675106 PMCID: PMC9620991 DOI: 10.1080/21645515.2022.2079345] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
This study aimed to assess vaccine willingness, and the reasons why respondents were not likely to receive COVID-19 vaccine prior to and during the COVID-19 vaccine rollout. This cross-sectional survey (n = 5,130) was conducted between January and April 2021 in South Australia, Australia. Weighted multiple logistic regression was performed to assess the association between sociodemographic/health factors and outcome measures. The percentage of respondents who stated they were very likely to get vaccinated fluctuated between 50% and 78% during the survey period. The willingness of receiving COVID-19 vaccination was significantly lower among women than men (aOR: 0.70) and higher among adults ≥50 years (aOR: 1.82 for 50–69 years and aOR: 3.01 for ≥70 years vs 16–29-year olds). Other factors significantly associated with higher willingness were ≥Year 12 education (aOR: 2.50 for Year 12/TAFE/certificate/diploma vs <Year 12 education; aOR: 1.44 for bachelor’s degree or higher vs <Year 12 education), highest socioeconomic level vs lowest socioeconomic level (aOR: 1.75), and unpaid work/retirement/other vs unemployment (aOR: 1.77). Other factors such as being Aboriginal, not being married, not having chronic illness, and/or culturally and linguistically diverse backgrounds were identified to be significantly related to low confidence in vaccine safety, perceived low risk of disease and/or perceived lack of information. Parents or caregivers were significantly less willing for their child to be vaccinated compared to people in general (OR: 0.62). Targeted campaigns to improve uptake need to include appropriate messaging about vaccine safety and disease burden in addition to strategies to improve access to less willing groups.
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Affiliation(s)
- Bing Wang
- Vaccinology and Immunology Research Trials Unit, Women's and Children's Health Network, Adelaide, Australia.,Robinson Research Institute and Adelaide Medical School, The University of Adelaide, Adelaide, Australia
| | - Rebecca Nolan
- Epidemiology Branch, Prevention and Population Health Directorate, Wellbeing SA, Adelaide, Australia
| | - Benjamin Krumeich
- Epidemiology Branch, Prevention and Population Health Directorate, Wellbeing SA, Adelaide, Australia
| | - Katina D'Onise
- Prevention and Population Health Directorate, Wellbeing SA, Adelaide, Australia.,School of Public Health, The University of Adelaide, Adelaide, Australia
| | - Helen Marshall
- Vaccinology and Immunology Research Trials Unit, Women's and Children's Health Network, Adelaide, Australia.,Robinson Research Institute and Adelaide Medical School, The University of Adelaide, Adelaide, Australia
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219
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Perception and Coverage of Conventional Vaccination among University Students from Rouen (Normandy), France in 2021. Vaccines (Basel) 2022; 10:vaccines10060908. [PMID: 35746516 PMCID: PMC9228726 DOI: 10.3390/vaccines10060908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/02/2022] [Accepted: 06/03/2022] [Indexed: 02/05/2023] Open
Abstract
The aim of this study was to assess vaccination perception and the prevalence of the overall vaccination coverage (VC) and associated factors among university students. An online study was conducted among students of a university in Rouen (Normandy), France, in January 2021, with questions about the VC and perception of the vaccines. The convenience sample included 3089 students (response rate of 10.3%), with a mean age of 20.3 (SD = 1.9). The overall VC was 27.8% (39.2% for the healthcare students (HCS) and 21.3% for the non-HCS; p < 0.0001). Confidence (efficacy and security) was lower than the conviction of usefulness. The characteristics associated with VC were having the intention to be vaccinated against COVID-19, high perceptions of usefulness for their own health, having confidence in the vaccines’ efficacy and security, and a high estimated level of knowledge about vaccination. Education about the general interest and mechanism of action of vaccines could improve the perception of vaccines. Then, it is relevant to improve vaccination literacy and confidence in university students, who, as future adults and parents, will vaccinate themselves and their children; as well as healthcare students who are future healthcare workers and, therefore, will vaccinate and counsel their patients.
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220
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Ahiakpa JK, Cosmas NT, Anyiam FE, Enalume KO, Lawan I, Gabriel IB, Oforka CL, Dahir HG, Fausat ST, Nwobodo MA, Massawe GP, Obagha AS, Okeh DU, Karikari B, Aderonke ST, Awoyemi OM, Aneyo IA, Doherty FV. COVID-19 vaccines uptake: Public knowledge, awareness, perception and acceptance among adult Africans. PLoS One 2022; 17:e0268230. [PMID: 35648745 PMCID: PMC9159554 DOI: 10.1371/journal.pone.0268230] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 04/25/2022] [Indexed: 12/24/2022] Open
Abstract
Introduction The willingness of Africa’s population to patronise the COVID-19 vaccines is critical to the efficiency of national immunisation programmes. This study surveys the views of adult African inhabitants toward vaccination and the possibility of participating or not participating in governments’ efforts to get citizens vaccinated. Method A cross-sectional online survey of adult Africans was undertaken from December 2020 to March 2021. Responses were anonymised. The Pearson Chi-square test was performed to determine whether or not there were any variations in knowledge, awareness, perception and acceptance of the COVID-19 vaccines among the participants. Binomial logistic regression was used to evaluate the factors associated with willingness to accept the COVID-19 vaccines and participate in immunisation programmes. Results The results indicate that COVID-19 vaccines are more likely to be used by adult Africans over the age of 18 who are largely technologically savvy (55 percent) if the vaccine is made broadly available. A total of 33 percent of those who responded said they were unlikely to receive the vaccine, with another 15 percent stating they were undecided. Aside from that, we found that vaccine hesitancy was closely associated with socio-demographic characteristics such as age, gender, education and source of information. We also found that there were widespread conspiracies and myths about the COVID-19 vaccines. Conclusion More than one-third of African adults who participated in the survey indicated they would not receive the COVID-19 vaccine, with majority of them expressing skepticisms about the vaccine’s efficacy. It is possible that many of the people who would not be vaccinated would have an impact on the implementation of a COVID-19 immunisation programme that is meant for all of society. Majority of the respondents were unwilling to pay for the COVID-19 vaccines when made available. An awareness campaign should be focused on promoting the benefits of vaccination at the individual and population levels, as well as on taking preemptive actions to debunk misconceptions about the vaccines before they become further widespread.
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Affiliation(s)
- John K Ahiakpa
- Research Desk Consulting Limited, Kwabenya-Accra, Ghana.,Organisation of African Academic Doctors, OAAD, Nairobi, Kenya
| | - Nanma T Cosmas
- Department of Medical Microbiology, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Jos, Nigeria
| | - Felix E Anyiam
- Centre for Health and Development, University of Port Harcourt, River State, Nigeria
| | - Kingsley O Enalume
- Department of Electrical and Electronic Engineering, Federal University of Petroleum Resources, Effurun, Delta State, Nigeria
| | - Ibrahim Lawan
- School of Biology, University of St Andrews, St. Andrews, United Kingdom
| | - Ijuptil B Gabriel
- Yola Department of Biochemistry School of Life Sciences, Modibbo Adama University, Girei, Adamawa State, Nigeria
| | | | - Hamze G Dahir
- School of Public Health and Nutrition, Amoud University Borama, Awdal, Somaliland
| | - Salisu T Fausat
- Department of Zoology and Environmental Biology, Olabisi Onabanjo University, Ago-Iwoye, Ogun State, Nigeria
| | - Maureen A Nwobodo
- Public Health Department of Gregory University Uturu, Abia State, Nigeria
| | | | - Adachukwu S Obagha
- African Regional Postgraduate Programme in Insect Science, University of Ghana, Legon, Ghana
| | - Debra U Okeh
- Department of Community Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - Benjamin Karikari
- Organisation of African Academic Doctors, OAAD, Nairobi, Kenya.,Department of Crop Science, University for Development Studies, Tamale, Ghana
| | - Samuel T Aderonke
- Department of Biochemistry, Faculty of Basic Medical Sciences, University of Lagos, Lagos, Nigeria
| | - Olushola M Awoyemi
- Department of Environmental Toxicology, The Institute Environmental and Human Health, Texas Tech University, Lubbock, Texas, United States of America
| | - Idowu A Aneyo
- Department of Zoology, University of Lagos, Akoka-Yaba, Lagos, Nigeria
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221
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Parraza-Diez N, Bermudez-Ampudia C, Cobos-Campos R, Garmendia I, Orruño E, Ojeda E, Garitano I, Robledo M, Portu JJ, Apiñaniz A. Knowledge about COVID-19 and vaccine acceptability among priority groups defined for vaccination: a Cross-sectional study in Araba/Alava, Spain, before the vaccination against SARS-CoV-2. Vaccine X 2022; 11:100176. [PMID: 35692459 PMCID: PMC9170284 DOI: 10.1016/j.jvacx.2022.100176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 05/19/2022] [Accepted: 06/02/2022] [Indexed: 11/18/2022] Open
Abstract
Background The acceptability of COVID-19 vaccine varies depending on the time, place, type of vaccine and information available at the time. Knowledge of attitudes and practices towards COVID-19 among the population at high risk of developing the disease would help to tailor the strategy to improve adherence to vaccination recommendations. Aim To analyze the willingness, knowledge and risk perception of patients and health care workers (HCW) to get the vaccines against SARS-CoV-2. Methods Cross-sectional survey in Araba/Álava province (Spain). Subjects who met the criteria for the influenza vaccination in 2019 and HCWS from the Basque Public Health Service were included. The participants answered a questionnaire on the knowledge, attitudes and practices towards COVID-19 before starting vaccination against SARS-CoV-2. The intention to vaccinate was compared using the chi-squared test. Results 316 HCWs and 389 patients responded to the survey. Around 90% of the patients and 80% of HCW would accept vaccination in all scenarios according to the questionnaire (p < 0.001). Only 3–12% hesitated about the COVID-19 vaccines. Compared to 40–70% of patients, 60–80% of HCWs perceived a high risk of COVID-19 (p < 0.001). Statistically significant differences were found in 10 of the 17 questions regarding the mechanism of transmission and symptoms. Conclusion HCWs had a better knowledge and risk perception of COVID-19 than the surveyed patients. They had a higher proportion of hesitancy to get COVID-19 vaccine, probably related to doubts about the effectiveness of the new vaccines and the scientific evidence.
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Affiliation(s)
- Naiara Parraza-Diez
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain
- Corresponding author at: Methodology and Statistics Department, Bioaraba Health Research Institute, Hospital Universitario Araba planta 4ªC, c/José Achótegui, 01009 – Vitoria-Gasteiz, Spain.
| | | | | | - Ines Garmendia
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Health Department of Basque Government, Vitoria-Gasteiz, Spain
| | | | - Elena Ojeda
- Health Promotion and Disease Prevention Department. Madrid Salud, Madrid, Spain
| | - Ignacio Garitano
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- School of Human Sciences, University of Deusto, Bilbao, Spain
| | - María Robledo
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Jose Joaquín Portu
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain
- University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
| | - Antxon Apiñaniz
- Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain
- University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
- Osakidetza Basque Health Service, Aranbizkarra I Health Centre, Vitoria-Gasteiz, Spain
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Pickles K, Copp T, Meyerowitz-Katz G, Dodd RH, Bonner C, Nickel B, Steffens MS, Seale H, Cvejic E, Taba M, Chau B, McCaffery KJ. COVID-19 Vaccine Misperceptions in a Community Sample of Adults Aged 18-49 Years in Australia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6883. [PMID: 35682466 PMCID: PMC9180736 DOI: 10.3390/ijerph19116883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 05/30/2022] [Accepted: 05/30/2022] [Indexed: 01/27/2023]
Abstract
Central to a successful population vaccination program is high uptake of vaccines. However, COVID-19 vaccine uptake may be impeded by beliefs based on misinformation. We sought to understand the prevalence and nature of misbeliefs about COVID-19 vaccines, and identify associated factors, shortly after commencement of Australia's national vaccine rollout. A cross-sectional survey was administered to unvaccinated young adults (n = 2050) in Australia aged 18-49 years (mean age 33 years), 13 July-21 August 2021. This sample was previously under-represented in COVID-19 research but shown to have less willingness to vaccinate. Two thirds of participants agreed with at least one misbelief item. Misperceptions about COVID-19 vaccines were found to be significantly associated with lower health literacy, less knowledge about vaccines, lower perceived personal risk of COVID-19, greater endorsement of conspiracy beliefs, and lower confidence and trust in government and scientific institutions. Misbeliefs were more common in participants with less educational attainment, in younger age groups, and in males, as per previous research. Understanding determinants and barriers to vaccination uptake, such as knowledge and beliefs based on misinformation, can help to shape effective public health communication and inform debunking efforts at this critical time and in the future.
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Affiliation(s)
- Kristen Pickles
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Tessa Copp
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Gideon Meyerowitz-Katz
- Population Wellbeing and Environment Research Lab, School of Health and Society, University of Wollongong, Wollongong 2522, Australia;
- Western Sydney Diabetes, Western Sydney Local Health District, Sydney 2006, Australia
| | - Rachael H. Dodd
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Carissa Bonner
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Brooke Nickel
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Maryke S. Steffens
- National Centre for Immunisation Research and Surveillance, Kids Research, Sydney Children’s Hospital Network, Sydney 2006, Australia;
| | - Holly Seale
- School of Population Health, Faculty of Medicine and Health, The University of New South Wales, Sydney 2006, Australia;
| | - Erin Cvejic
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Melody Taba
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Brian Chau
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
| | - Kirsten J. McCaffery
- Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney 2006, Australia; (T.C.); (R.H.D.); (C.B.); (B.N.); (E.C.); (M.T.); (B.C.); (K.J.M.)
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Ross ML, Lawston AN, Lowsky LO, Hackman CL. What Factors Predict COVID-19 Vaccine Uptake Intention in College Students? AMERICAN JOURNAL OF HEALTH EDUCATION 2022. [DOI: 10.1080/19325037.2022.2071362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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224
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Cvjetković S, Jeremić Stojković V, Piperac P, Djurdjević O, Bjegović-Mikanović V. Determinants of COVID-19 vaccine hesitancy: questionnaire development and validation. Cent Eur J Public Health 2022; 30:99-106. [PMID: 35876598 DOI: 10.21101/cejph.a7074] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 06/13/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Vaccine hesitancy presents one of the critical constraints in combating COVID-19 pandemic. The aim of this study was to develop and validate an instrument for measuring factors that contribute to COVID-19 vaccine hesitancy. METHODS The key constructs in the study instrument were factors that constitute the "3C" model of vaccine hesitancy: Confidence, Complacency and Convenience. Using a cross-sectional, online survey design, the 8-item COVID-19 Vaccine Hesitancy Questionnaire was administered to a sample of 667 adult citizens of Serbia in December 2020. We used confirmatory factor analysis to investigate the model that assumes three latent variables. To ensure that the instrument measures the same constructs in different groups, the measurement invariance examination was conducted. To examine criterion validity, Spearman's correlation was applied to determine the association between the instrument total score and the single-item measuring the likelihood of getting vaccinated against SARS-CoV-2. RESULTS Confirmatory factor analysis established the three-factor structure, with subscales fitting within the "3C" model of vaccine hesitancy comprising confidence, convenience and complacency. The full scalar invariance was found across gender, and the partial scalar invariance was achieved for the age, region and education level. A higher level of the COVID-19 vaccine hesitancy was associated with the lower likelihood to get vaccinated against the SARS-CoV-2 virus. CONCLUSION Our scale is brief and consistent, maintaining a good fit across key socio-demographic subgroups. This result implies that the scale could be useful for quick assessment of COVID-19 vaccine hesitancy in various target populations.
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Affiliation(s)
- Smiljana Cvjetković
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Vida Jeremić Stojković
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ognjen Djurdjević
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Vesna Bjegović-Mikanović
- School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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225
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Looi JC, Allison S, Bastiampillai T, Maguire PA. What should psychiatrists advise their patients regarding COVID-19 protective measures and vaccination? Australas Psychiatry 2022; 30:409. [PMID: 35135360 PMCID: PMC8832128 DOI: 10.1177/10398562211060716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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226
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Wollebæk D, Fladmoe A, Steen‐Johnsen K, Ihlen Ø. Right-wing ideological constraint and vaccine refusal: The case of the COVID-19 vaccine in Norway. SCANDINAVIAN POLITICAL STUDIES 2022; 45:253-278. [PMID: 35600113 PMCID: PMC9111158 DOI: 10.1111/1467-9477.12224] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 11/05/2021] [Accepted: 01/05/2022] [Indexed: 06/01/2023]
Abstract
Research has shown a correlation between votes for populist parties and the belief that vaccines are not important or effective. More recent investigations in the United States and France have similarly shown that attitudes toward the COVID-19 vaccine have been politicized. In this article, we show a similar pattern analyzing survey data from Norway, a country relatively mildly hit by the pandemic and characterized by high trust and a consensual political culture. We find that refusal to vaccinate is associated with right-wing ideological constraint, even when considering a wide array of control variables (e.g., lack of confidence, complacency), and sociodemographic characteristics. The results imply that vaccine refusal latch onto established political cleavages, particularly among the most ideologically consistent. Thus, polarization in the form of increasing ideological constraint may represent a mounting challenge for vaccine uptake, suggesting that vaccine communication should go beyond "explaining the science" and factor in ideology.
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Affiliation(s)
| | | | | | - Øyvind Ihlen
- Department of Media and CommunicationUniversity of OsloNorway
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227
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Adachi M, Murakami M, Yoneoka D, Kawashima T, Hashizume M, Sakamoto H, Eguchi A, Ghaznavi C, Gilmour S, Kaneko S, Kunishima H, Maruyama-Sakurai K, Tanoue Y, Yamamoto Y, Miyata H, Nomura S. Factors associated with the risk perception of COVID-19 infection and severe illness: A cross-sectional study in Japan. SSM Popul Health 2022; 18:101105. [PMID: 35493404 PMCID: PMC9040447 DOI: 10.1016/j.ssmph.2022.101105] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 12/12/2022] Open
Abstract
Understanding COVID-19 risk perception may help inform public health messaging aimed at encouraging preventive measures and improving countermeasures against the pandemic. We conducted an online survey of 29,708 Japanese adults in February 2021 and estimated the associations between COVID-19 risk perception and a broad array of individual factors. Two logistic regressions were constructed to estimate factors associated with the risk perception of COVID-19 (defined as responding that one might become infected within the next 6 months), and of severe illness among those who responded that they might become infected (defined as responding that one would become severely ill). After adjusting for covariates, those with a higher perceived risk of the COVID-19 vaccine had higher odds of risk perception for both infection and severe illness. Interestingly, those with higher odds of risk perception of being infected were more likely to report obtaining their information from healthcare workers whereas those with lower odds were more likely to report obtaining their information from the Internet or the government; those with lower odds of risk perception of being severely ill were more likely to report obtaining their information from the Internet. The higher the trust level in the government as a COVID-19 information source, the lower the odds of both risk perception of being infected and becoming severely ill. The higher the trust levels in social networking services as a COVID-19 information source, the higher the odds of risk perception of becoming severely ill. Public health messaging should address the factors identified in our study.
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Affiliation(s)
- Megumi Adachi
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Michio Murakami
- Division of Scientific Information and Public Policy, Center for Infectious Disease Education and Research, Osaka University, Osaka, Japan
| | - Daisuke Yoneoka
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Tokyo Foundation for Policy Research, Tokyo, Japan
- Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan
| | - Takayuki Kawashima
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Department of Mathematical and Computing Science, Tokyo Institute of Technology, Tokyo, Japan
| | - Masahiro Hashizume
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Haruka Sakamoto
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Tokyo Foundation for Policy Research, Tokyo, Japan
- Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan
| | - Akifumi Eguchi
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
| | - Cyrus Ghaznavi
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Medical Education Program, Washington University School of Medicine in St Louis, Saint Louis, USA
| | - Stuart Gilmour
- Graduate School of Public Health, St. Luke's International University, Tokyo, Japan
| | - Satoshi Kaneko
- Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
| | - Hiroyuki Kunishima
- Department of Infectious Diseases, St. Marianna University School of Medicine, Kanagawa, Japan
| | - Keiko Maruyama-Sakurai
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
| | - Yuta Tanoue
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Institute for Business and Finance, Waseda University, Tokyo, Japan
| | | | - Hiroaki Miyata
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Tokyo Foundation for Policy Research, Tokyo, Japan
| | - Shuhei Nomura
- Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Tokyo Foundation for Policy Research, Tokyo, Japan
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228
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Jing R, Fang H, Wang H, Wang J. The Role of General Attitudes and Perceptions Towards Vaccination on the Newly-Developed Vaccine: Results From a Survey on COVID-19 Vaccine Acceptance in China. Front Psychol 2022; 13:841189. [PMID: 35712143 PMCID: PMC9194573 DOI: 10.3389/fpsyg.2022.841189] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 03/30/2022] [Indexed: 11/21/2022] Open
Abstract
Background Vaccination has been considered one of the most effective public health interventions. In the context of the global epidemic of coronavirus disease 2019 (COVID-19), it remains unclear what role general vaccination attitudes and perceptions have on the acceptance of COVID-19 vaccine. Objective This study aims to explore the impact of general attitudes and perceptions toward vaccination on the acceptance of a newly developed vaccine, taking COVID-19 vaccines as an example. Method A cross-sectional survey was conducted among 2,013 Chinese adult participants. Generalized order logistic regression and path analysis models were used to analyze impacts of general attitudes and perceptions toward vaccination on the acceptance of the COVID-19 vaccine. Results The prevalence of hesitancy to vaccination in general is 49.9% among the Chinese adult population. General perceptions of vaccination were associated with corresponding perceptions of the COVID-19 vaccine. A “no hesitancy” attitude toward vaccination is a significant determinant (aOR = 1.77, 95% CI = 1.36–2.31) of future COVID-19 vaccination compared to vaccine refusers, and perceptions of COVID-19 vaccine remain a significant determinant for the acceptance of the COVID-19 vaccine. Path analysis indicates that perceptions of the importance and safety of vaccination have a positive overall effect on the acceptance of the COVID-19 vaccine, and that general perceptions of vaccination as a whole on each measure indirectly influence the acceptance of the COVID-19 vaccine. Conclusion General attitudes and perceptions toward vaccination were associated with those of the COVID-19 vaccine and future vaccination intention. To prepare for possible emergence of diseases in the future, routine health campaigns should be launched by relevant government departments and vaccination authorities to enhance the overall awareness and knowledge of vaccination among the public and to ensure optimal vaccination experience. In addition, targeted knowledge dissemination and mass mobilizations should be urged for newly developed vaccines when some specific infectious diseases emerge, such as COVID-19 at present.
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Affiliation(s)
- Rize Jing
- School of Public Administration and Policy, Renmin University of China, Beijing, China
| | - Hai Fang
- School of Public Health, Peking University, Beijing, China
- China Center for Health Development Studies, Peking University, Beijing, China
- Chinese Center for Disease Control and Prevention Joint Center for Vaccine Economics, Peking University Health Science Center, Beijing, China
| | - Hufeng Wang
- School of Public Administration and Policy, Renmin University of China, Beijing, China
- *Correspondence: Hufeng Wang,
| | - Jiahao Wang
- School of Public Health, Peking University, Beijing, China
- China Center for Health Development Studies, Peking University, Beijing, China
- Jiahao Wang,
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Smith DG, Vanchiere JA, Raley M, Yurochko AD, Bhuiyan MAN, Murnane KS, Scott R, Kamil J, Rush-Kolodzey J, Whyte M, Densmore K, Van Diest M, Kevil C. COVID-19 drive-through mass vaccination in Northwest Louisiana. JOURNAL OF THE LOUISIANA PUBLIC HEALTH ASSOCIATION 2022; 2:30-41. [PMID: 36129424 PMCID: PMC9484209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 03/12/2023]
Abstract
Background Vaccinating susceptible populations quickly and safely is vital during a pandemic. Mass vaccination programs using a drive-through method have been shown to reach large numbers of people efficiently during vaccine campaigns. Methods We performed a quantitative, cross-sectional study analyzing data collected by the COVID-19 mass vaccination program conducted by Louisiana State University Health Shreveport (LSUSH). Results Between December 2020 and September 2021, the vaccination program administered 90,655 COVID-19 vaccines. Among those who received at least the first dose of the vaccine, there were 21,700 men and 28,269 women; 22,820 were ≥60 years of age; 28,031 identified as Caucasian, 19,249 as African American, 47,916 as non-Hispanic, and most of them reported that they had not tested positive for COVID-19 before vaccination. Discussion The LSUHS vaccination center served people from different regions within Louisiana as well as those from outside Louisiana. Vaccination is a crucial public health measure in the fight against the COVID-19 pandemic. Conclusions Our study showed that the mass vaccination program conducted by LSUHS had a considerable positive impact on communities in Northwest Louisiana. This drive-through method is an effective strategy with which to reach a significant number of people during a pandemic.
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Affiliation(s)
- Deborah Gurgel Smith
- Department of Public Health, Louisiana State University Health Shreveport, Shreveport, LA, USA
| | - John Anthony Vanchiere
- Department of Pediatrics and Department of Infectious Diseases, Louisiana State University Health Shreveport, Shreveport, LA, U.S.A
| | - Michelle Raley
- Center of Excellence for Emerging Viral Threats, Louisiana State University Health Shreveport, Louisiana, U.S.A
| | - Andrew David Yurochko
- Department of Microbiology and Immunology, Louisiana State University Health Shreveport, Shreveport, LA, U.S.A
| | | | - Kevin Sean Murnane
- Department of Pharmacology, Toxicology & Neuroscience, Department of Psychiatry, Louisiana State University Health Shreveport, Louisiana, U.S.A
| | - Rona Scott
- Department of Microbiology and Immunology, Louisiana State University Health Shreveport, Shreveport, LA, U.S.A
| | - Jeremy Kamil
- Department of Microbiology and Immunology, Louisiana State University Health Shreveport, Shreveport, LA, U.S.A
| | - Jill Rush-Kolodzey
- Department of Public Health, Louisiana State University Health Shreveport, Shreveport, LA, USA
| | - Martha Whyte
- Louisiana Office of Public Health, Shreveport, Louisiana, U.S.A
| | - Kenneth Densmore
- Center of Excellence for Emerging Viral Threats, Louisiana State University Health Shreveport, Louisiana, U.S.A
| | - Maarten Van Diest
- Center of Excellence for Emerging Viral Threats, Louisiana State University Health Shreveport, Louisiana, U.S.A
| | - Christopher Kevil
- Department of Pathology and Translational Pathobiology, Louisiana State University Health Shreveport, Louisiana, U.S.A
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Okamoto Y, Hiyama T, Miyake Y, Yoshino A, Miyauchi S, Tanaka J. Attitudes and Behavior toward COVID-19 Vaccination in Japanese University Students: A Cross-Sectional Study. Vaccines (Basel) 2022; 10:vaccines10060863. [PMID: 35746471 PMCID: PMC9227836 DOI: 10.3390/vaccines10060863] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 05/15/2022] [Accepted: 05/25/2022] [Indexed: 12/10/2022] Open
Abstract
Background: It is said that safe and effective vaccination is an important tool to end the COVID-19 pandemic. However, recent studies have reported hesitation, especially in young adults. Promoting the vaccination of university students, who represent the young adults, will lead to infection prevention measures. The purpose of this study was to clarify to compare the vaccination rates, attitudes toward vaccines, and post-vaccination behavior of students and faculty members in order to understand the actual situation of young population. Methods: We conducted large-scale vaccination of Hiroshima University from 21 June to 18 September 2021. This cross-sectional survey was conducted via e-mail from 27 September to 3 October 2021. Results: The number of second inoculations was 10,833 /14,154 students (76.5%), and 2240/2583 staff members (86.7%). Regarding the impressions after vaccination, the most common answer was “I was able to prevent worsening of the disease even if I was infected”. Many students answered that their range of activities had expanded after vaccination. However, many students (n = 1799, 87.8%) answered as having “no change after vaccination” regarding infection prevention. Conclusion: The high vaccination rate in this survey was thought to be due to the increased sense of security and confidence in the vaccine. The fact that young adults who perform a wide range of activities are careful about infection prevention may be one of the factors that prevents the explosive spread of infection in Japan.
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Affiliation(s)
- Yuri Okamoto
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
- Correspondence:
| | - Toru Hiyama
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Yoshie Miyake
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Atsuo Yoshino
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Shunsuke Miyauchi
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Junko Tanaka
- Department of Epidemiology, Infectious Disease Control and Prevention, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan;
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Understanding the Role of Misinformation in COVID-19 Vaccine Hesitancy in a Rural State. Vaccines (Basel) 2022; 10:vaccines10050818. [PMID: 35632573 PMCID: PMC9146653 DOI: 10.3390/vaccines10050818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/17/2022] [Accepted: 05/18/2022] [Indexed: 11/16/2022] Open
Abstract
Objective: to identify factors associated with COVID19 vaccine hesitancy, including sources of information among residents of Maine. Methods: 148 study participants, recruited through community partners and primary care offices in Maine, completed an anonymous 15 item online survey. Recruitment and data collection occurred from May to September, 2021. Hesitancy was determined through a single question, “Will you get one of the COVID vaccines when it is offered to you?” Results: vaccine hesitant respondents were younger than not hesitant respondents (p = 0.01). Hesitant individuals were significantly more likely to report concerns regarding the speed of COVID-19 vaccine production, vaccine efficacy, and potential vaccine side effects (p < 0.05 for each). Hesitant individuals were also significantly more likely to have discussed vaccination with their primary physician (p = 0.04). Conclusions: overall, hesitant individuals are more likely to be younger and had less trust in information from government sources, but they sought input from primary care. They were also more concerned about efficacy, side effects, and the rapid development of COVID-19 vaccines. Primary care physicians are in key positions to address these concerns due to contact with individuals who need accurate information.
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Faruk A, Quddus IA. COVID-19 Vaccination: Willingness and practice in Bangladesh. DEVELOPMENT POLICY REVIEW : THE JOURNAL OF THE OVERSEAS DEVELOPMENT INSTITUTE 2022; 41:e12645. [PMID: 35936972 PMCID: PMC9347408 DOI: 10.1111/dpr.12645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 03/28/2022] [Accepted: 05/03/2022] [Indexed: 06/15/2023]
Abstract
Motivation Mass adult immunization for COVID-19, coupled with the urgency, is a challenge for any lower-middle-income country (LMIC) like Bangladesh. Our analysis focuses on demand-side constraints early in the vaccination campaign to help gauge vaccine acceptability and potential contributing factors. Identifying registration and compliance challenges early on will help ensure a seamless immunization programme. Purpose We seek to identify subgroups who may need specific interventions by comparing willingness to be vaccinated and registration behaviour, and to understand how actual registration and take-up decisions compare between rural and urban slum regions. Approach and Methods We use data from three surveys conducted between late January and early September 2021. The article includes a nationally representative survey on vaccine acceptability and a study on vaccination rollout behaviour in rural and urban slums. Findings Willingness was not an issue in Bangladesh, but the weak link was getting individuals to register. Once they did, compliance was very high. When the information gap regarding registration was addressed by campaigning, registration and take-up increased. Confidence in public service delivery influenced favourable responses to mass immunization efforts. Women were falling behind initially in terms of both registration knowledge and completion. Online registration needed to be complemented with alternatives. Social networking was a vital source of information and encouragement. Policy implications Communication strategies are necessary to inform the public at an early stage, which should provide information about registration eligibility and detailed registration instructions. Ensuring and sustaining service quality will also be beneficial. In LMICs like Bangladesh, low-tech intensive registration methods are required. Information campaigns about the registration procedure should specifically target rural communities and women. Community-based mechanisms may reduce transaction costs and increase confidence.
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Affiliation(s)
- Avinno Faruk
- BRAC Institute of Governance and Development (BIGD)BRAC UniversityBangladesh
| | - Ishmam Al Quddus
- BRAC Institute of Governance and Development (BIGD)BRAC UniversityBangladesh
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COVID-19 Vaccine Hesitancy and Vaccination Coverage in India: An Exploratory Analysis. Vaccines (Basel) 2022; 10:vaccines10050739. [PMID: 35632495 PMCID: PMC9143697 DOI: 10.3390/vaccines10050739] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 04/29/2022] [Accepted: 05/06/2022] [Indexed: 01/27/2023] Open
Abstract
Our paper examines the key determinants of COVID-19 vaccination coverage in India and presents an analytical framework to probe whether vaccine hesitancy, socioeconomic factors and multi-dimensional deprivations (MPI) play a role in determining COVID-19 vaccination uptake. Our exploratory analysis reveals that COVID-19 vaccine hesitancy has a negative and statistically significant impact on COVID-19 vaccination coverage. A percentage increase in vaccine hesitancy can lead to a decline in vaccination coverage by 30 percent. Similarly, an increase in the proportion of people living in multi-dimensional poverty reduces the COVID-19 vaccination coverage. A unit increase in MPI or proportion of people living in acute poverty leads to a mean decline in vaccination coverage by 50 percent. It implies that an increase in socioeconomic deprivation negatively impacts health outcomes, including vaccination coverage. We additionally demonstrated that gender plays a significant role in determining how access to digital technologies such as the internet impacts vaccine coverage and hesitancy. We found that, as males’ access to the internet increases, vaccination coverage also increases. This may be attributed to India’s reliance on digital tools (COWIN, AAROGYA SETU, Imphal, India) to allocate and register for COVID-19 vaccines and the associated digital divide (males have greater digital excess than females). Conversely, females’ access to the internet is statistically significant and inversely associated with coverage. This can be attributed to higher vaccine hesitancy among the female population and lower utilization of health services by females.
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Caycho-Rodríguez T, Ventura-León J, Valencia PD, Vilca LW, Carbajal-León C, Reyes-Bossio M, White M, Rojas-Jara C, Polanco-Carrasco R, Gallegos M, Cervigni M, Martino P, Palacios DA, Moreta-Herrera R, Samaniego-Pinho A, Lobos Rivera ME, Buschiazzo Figares A, Puerta-Cortés DX, Corrales-Reyes IE, Calderón R, Pinto Tapia B, Arias Gallegos WL, Petzold O. What Is the Support for Conspiracy Beliefs About COVID-19 Vaccines in Latin America? A Prospective Exploratory Study in 13 Countries. Front Psychol 2022; 13:855713. [PMID: 35602688 PMCID: PMC9120924 DOI: 10.3389/fpsyg.2022.855713] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 03/28/2022] [Indexed: 12/24/2022] Open
Abstract
Conspiracy theories about COVID-19 began to emerge immediately after the first news about the disease and threaten to prolong the negative impact of the COVID-19 pandemic by limiting people's willingness of receiving a life-saving vaccine. In this context, this study aimed to explore the variation of conspiracy beliefs regarding COVID-19 and the vaccine against it in 5779 people living in 13 Latin American countries (Argentina, Bolivia, Chile, Colombia, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Paraguay, Peru, Uruguay and Venezuela) according to sociodemographic variables such as gender, age, educational level and source of information about COVID-19. The study was conducted during the COVID-19 pandemic between September 15 and October 25, 2021. The Spanish-language COVID-19 Vaccine Conspiracy Beliefs Scale (ECCV-COVID) and a sociodemographic survey were used. The results indicate that, in most countries, women, people with a lower educational level and those who receive information about the vaccine and COVID-19 from family/friends are more supportive of conspiracy ideas regarding the COVID-19 vaccine. In the case of age, the results vary by country. The analysis of the responses to each of the questions of the ECCV-COVID reveals that, in general, the countries evaluated are mostly in some degree of disagreement or indecision regarding conspiratorial beliefs about COVID-19 vaccines. The findings could help open further study which could support prevention and treatment efforts during the COVID-19 pandemic.
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Affiliation(s)
| | - José Ventura-León
- Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru
| | - Pablo D Valencia
- Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de Mexico, Tlalnepantla de Baz, Mexico
| | - Lindsey W Vilca
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Peru
| | | | - Mario Reyes-Bossio
- Facultad de Psicología, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Michael White
- Facultad de Ciencias Humanas y Educación, Universidad Peruana Unión, Lima, Peru
| | - Claudio Rojas-Jara
- Facultad de Ciencias de la Salud, Departamento de Psicología, Universidad Católica del Maule, Talca, Chile
| | | | - Miguel Gallegos
- Facultad de Ciencias de la Salud, Departamento de Psicología, Universidad Católica del Maule, Talca, Chile
- Programa de Pós-Graduação em Psicología, Pontificia Universidade Católica de Minas Gerais, Belo Horizonte, Brazil
- Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
- Facultad de Psicología, Universidad Nacional de Rosario, Rosario, Argentina
| | - Mauricio Cervigni
- Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
- Facultad de Psicología, Universidad Nacional de Rosario, Rosario, Argentina
- Centro Interdisciplinario de Investigaciones en Ciencias de la Salud y del Comportamiento, Universidad Adventista del Plata, Consejo Nacional de Investigaciones Científicas y Técnicas, Rosario, Argentina
| | - Pablo Martino
- Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
- Facultad de Psicología, Universidad Nacional de Rosario, Rosario, Argentina
| | | | | | - Antonio Samaniego-Pinho
- Carrera de Psicología, Facultad de Filosofía, Universidad Nacional de Asunción, Asunción, Paraguay
| | - Marlon Elías Lobos Rivera
- Escuela de Psicología, Facultad de Ciencias Sociales, Universidad Tecnológica de El Salvador, San Salvador, El Salvador
| | | | | | - Ibraín Enrique Corrales-Reyes
- Servicio de Cirugía Maxilofacial, Hospital General Universitario Carlos Manuel de Céspedes, Universidad de Ciencias Médicas de Granma, Bayamo, Cuba
| | - Raymundo Calderón
- Carrera de Psicología, Facultad de Ciencias de la Salud, Universidad del Valle de Mexico, Mexico City, Mexico
| | - Bismarck Pinto Tapia
- Carrera de Psicología, Universidad Católica Boliviana San Pablo, La Paz, Bolivia
| | | | - Olimpia Petzold
- Lone Star College-Conroe Center, Conroe, TX, United States
- Psychosomatic and Psycho-Oncological Research Unit, Université Libre de Bruxelles, Brussels, Belgium
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Puertas EB, Velandia-Gonzalez M, Vulanovic L, Bayley L, Broome K, Ortiz C, Rise N, Vera Antelo M, Rhoda DA. Concerns, attitudes, and intended practices of Caribbean healthcare workers concerning COVID-19 vaccination: A cross-sectional study. LANCET REGIONAL HEALTH. AMERICAS 2022; 9:100193. [PMID: 35136868 PMCID: PMC8812828 DOI: 10.1016/j.lana.2022.100193] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The Caribbean has a long history of being a global leader in immunization, and one factor contributing to this success has been the commitment of healthcare workers in promoting the benefits of vaccines. Healthcare workers play a critical role in building trust between the public and the immunization program and are generally cited as the most trusted source of information on vaccination. Healthcare workers themselves, therefore, must be confident in vaccination as a public health good and able to transmit this confidence to those who trust them. However, just as with the general public, healthcare workers develop confidence at different rates and may be susceptible to misinformation about vaccines. METHODS During April and May 2021, the Pan American Health Organization (PAHO) conducted a mixed-methods survey to assess vaccination attitudes, opinions, and reasoning of 1197 healthcare workers across 14 Caribbean countries. FINDINGS Seventy-seven percent of respondents expressed clear intention to be vaccinated for COVID-19 as soon as possible. Intention to be vaccinated as soon as possible was expressed by lower proportions of nurses (66%) and allied health professionals (62%) than physicians (85%) and by younger respondents than older ones (64% vs. 85%, respectively; p < 0.001 for all these comparisons). Across 32 questions about attitudes and opinions, vaccine hesitancy was consistently expressed by higher proportions of nurses and allied health professionals than physicians and by younger respondents than older ones. INTERPRETATION Insights from the survey are helping PAHO address healthcare worker concerns with informative messages and supporting countries in policy development to increase vaccine confidence and coverage among Caribbean healthcare workers. FUNDING This work has been sponsored by the World Health Organization/Pan American Health Organization, the Government of Germany and The Gavi Alliance.
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Affiliation(s)
- E Benjamin Puertas
- Pan American Health Organization, Office of the Subregional Program Coordination, Caribbean, Bridgetown, Barbados
| | - Martha Velandia-Gonzalez
- Pan American Health Organization, Family, Health Promotion and Life Course Department, Comprehensive Family Immunization Unit, Washington, DC, USA
| | - Lauren Vulanovic
- Pan American Health Organization, Family, Health Promotion and Life Course Department, Comprehensive Family Immunization Unit, Washington, DC, USA
| | - Lisa Bayley
- Pan American Health Organization, Office of the Subregional Program Coordination, Caribbean, Bridgetown, Barbados
| | - Karen Broome
- Pan American Health Organization, Office of the Subregional Program Coordination, Caribbean, Bridgetown, Barbados
| | - Claudia Ortiz
- Pan American Health Organization, Family, Health Promotion and Life Course Department, Comprehensive Family Immunization Unit, Washington, DC, USA
| | - Nina Rise
- Pan American Health Organization, Office of the Subregional Program Coordination, Caribbean, Bridgetown, Barbados
| | - Maite Vera Antelo
- Pan American Health Organization, Family, Health Promotion and Life Course Department, Comprehensive Family Immunization Unit, Washington, DC, USA
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Breckenridge LA, Burns D, Nye C. The use of motivational interviewing to overcome COVID-19 vaccine hesitancy in primary care settings. Public Health Nurs 2022; 39:618-623. [PMID: 34716618 PMCID: PMC8661599 DOI: 10.1111/phn.13003] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 10/14/2021] [Accepted: 10/15/2021] [Indexed: 12/04/2022]
Abstract
Vaccine hesitancy is not a new phenomenon. However, the COVID-19 pandemic has highlighted the impact of political, racial, and health disparities on vaccine hesitancy at a global level. With the creation of the COVID-19 vaccine, a resurgence of vaccine hesitancy has emerged and many are reluctant to receive the vaccination. The reluctance varies from concerns about government interference in vaccine development, to the speed of vaccine development, to long-term health outcomes and potential side effects. Health care professionals need to consider evidence-based approaches that are effective in assisting patients with health care decision-making regarding vaccine uptake. Motivational Interviewing (MI) is an effective technique to positively impact behavior change. Definitions and examples of MI techniques are provided to illustrate how MI can be used to support patient autonomy and provide a safe and trusting environment, with the goal of increasing COVID-19 vaccination uptake.
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Affiliation(s)
| | - Dana Burns
- Clinical Assistant Professor, Virginia Commonwealth UniversityRichmondVirginiaUSA
| | - Carla Nye
- Clinical Assistant Professor, Virginia Commonwealth UniversityRichmondVirginiaUSA
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237
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Walsh JC, Comar M, Folan J, Williams S, Kola-Palmer S. The psychological and behavioural correlates of COVID-19 vaccine hesitancy and resistance in Ireland and the UK. Acta Psychol (Amst) 2022; 225:103550. [PMID: 35259642 PMCID: PMC8882412 DOI: 10.1016/j.actpsy.2022.103550] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 02/18/2022] [Accepted: 02/21/2022] [Indexed: 11/16/2022] Open
Abstract
Background The successful control of the COVID-19 pandemic depends largely on the acceptance and uptake of a COVID-19 vaccine among the public. Thus, formative research aiming to understand and determine the causes of weak and/or positive vaccination intentions is vital in order to ensure the success of future and current vaccination programmes through the provision of effective, evidence-based health messaging. Methods A cross-sectional survey was completed by a sample of Irish (N = 500) and UK (N = 579) citizens using the online platform ‘Qualtrics’. Participants completed a questionnaire battery comprised of health, attitudes/beliefs, influences, and behavioural intention measures. Demographic information was also assessed. Results Results highlighted similar rates of vaccine intention among both samples; where a total of 76.8% Irish respondents, and 73.7% of UK respondents indicated that they intended to be immunized if the government advised them to take the COVID-19 vaccine. Overall, 23.2% of Irish respondents reported being vaccine hesitant or vaccine resistant, while a rate of 26.3% of UK respondents reported vaccine hesitancy or resistance. Univariate analysis highlighted that both gender and age played a significant role in vaccine intention, with women under age 30 reporting higher rate of vaccine hesitancy. Multivariate analysis revealed that significant correlates of vaccine acceptance included peer influence, GP influence, civic responsibility, perceived benefit, and positive vaccination attitudes. Those who reported vaccine resistance and hesitancy were more likely to have less positive vaccination attitudes and perceive higher vaccination risk. Discussion The current sociodemographic and psychological profiles of vaccine resistant and hesitant individuals provide a useful resource for informing health practitioners in the UK and Ireland with the means of enhancing pro-vaccine attitudes and promoting vaccination uptake. The current research shows indications of associations between distrust in the vaccine itself and vaccine hesitancy and resistance. Thus, to effectively design and deliver public health messages that ensures the success of vaccination uptake, it is likely that governments and public health officials will need to take actions to garner trust in the safety of the vaccine itself. Additionally, campaigns to decrease hesitancy and resistance in the COVID-19 vaccine may benefit in targeting altruism to increase willingness to get vaccinated against COVID-19.
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Affiliation(s)
- Jane C Walsh
- School of Psychology, National University of Ireland, Galway, Ireland.
| | - Miranda Comar
- School of Psychology, National University of Ireland, Galway, Ireland
| | - Joy Folan
- School of Psychology, National University of Ireland, Galway, Ireland
| | - Samantha Williams
- Department of Psychology, University of Huddersfield, United Kingdom of Great Britain and Northern Ireland
| | - Susanna Kola-Palmer
- Department of Psychology, University of Huddersfield, United Kingdom of Great Britain and Northern Ireland
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238
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Mayer B, Helm S, Heinz E, Barnett M, Arora M. Doubt in store: vaccine hesitancy among grocery workers during the COVID-19 pandemic. J Behav Med 2022; 46:167-178. [PMID: 35488001 PMCID: PMC9054640 DOI: 10.1007/s10865-021-00276-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 12/20/2021] [Indexed: 11/29/2022]
Abstract
The objective of this study was to assess the influence of workplace safety conditions alongside the World Health Organization's model of the "3 Cs", on grocery store workers' vaccine hesitancy concerning COVID-19. Data for this study come from the Arizona Frontline Workers Survey, a longitudin web-based survey of 770 grocery store workers in the state of Arizona (US) collected in July 2020 and January 2021. We utilized ordinary least squares and multinomial logistic regression analyses to assess predictors of hesitancy at our Wave 2. Thirty-nine percent of our sample reported being unlikely to get vaccinated against COVID-19. Two aspects of the "3 Cs" model, confidence and convenience, were correlated with lower levels of vaccine hesitancy while the perceptions of being protected by one's employer increased hesitancy. Our findings underscore the importance of workplace conditions for vaccine hesitancy and the need to include vaccine messaging in employers' safety practices.
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Affiliation(s)
- Brian Mayer
- School of Sociology, College of Social and Behavioral Sciences, University of Arizona, 1145 E. South Campus Drive, Tucson, AZ, 85721, USA.
| | - Sabrina Helm
- School of Family and Consumer Sciences, College of Agriculture and Life Sciences, University of Arizona, 1110 E. South Campus Drive, Tucson, AZ, 85721, USA
| | - Erin Heinz
- School of Sociology, College of Social and Behavioral Sciences, University of Arizona, 1145 E. South Campus Drive, Tucson, AZ, 85721, USA
| | - Melissa Barnett
- School of Family and Consumer Sciences, College of Agriculture and Life Sciences, University of Arizona, 1110 E. South Campus Drive, Tucson, AZ, 85721, USA
| | - Mona Arora
- Department of Community, Environment, & Policy, Mel & Enid Zukerman College of Public Health, University of Arizona, 1295 N Martin Ave, Tucson, AZ, 85723, USA
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Ousseine YM, Vaux S, Vandentorren S, Bonmarin I, Champenois K, Lydié N, Velter A. Predictors of Uncertainty and Unwillingness to Receive the COVID-19 Vaccine in Men Who Have Sex with Men in France. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5372. [PMID: 35564769 PMCID: PMC9101119 DOI: 10.3390/ijerph19095372] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 04/20/2022] [Accepted: 04/26/2022] [Indexed: 12/23/2022]
Abstract
The development of vaccines against COVID-19 has given hope to populations. Public acceptability of vaccination is a major driver in containing the disease. However, in marginalized and stigmatized populations, uncertainty and unwillingness may be a challenge. This study aimed to analyze the factors associated with uncertainty and unwillingness to vaccinate against COVID-19 in men who have sex with men (MSM) living in France. The data used came from Rapport au Sexe (ERAS) 2021, a voluntary, cross-sectional, anonymous, self-administered, online survey conducted from 26 February to 11 April 2021. Among the 15,426 respondents included in the analysis, 60.5% were willing to vaccinate (these included persons already vaccinated), 17.5% were not, and 22% were uncertain. Factors independently associated with uncertainty and unwillingness were lower education level, low health literacy level, financial hardship, being under 30 years of age, and living in a rural area. HIV-positive MSM were less likely to report vaccination uncertainty and unwillingness than HIV-negative MSM and those with unknown serostatus. Although more impacted by COVID-19, socioeconomically vulnerable MSM were the sub-group most unwilling to vaccinate. To improve acceptability of COVID-19 vaccination in MSM, policy makers and researchers must increase access to and understanding of medical information by considering the general public's health literacy when developing information sources. Moreover, a dedicated global care approach, which ensures these populations can be reached, is necessary.
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Affiliation(s)
- Youssoufa M. Ousseine
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
| | - Sophie Vaux
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
| | - Stéphanie Vandentorren
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
- Université de Bordeaux, INSERM UMR 1219, PHAreS Team, 33000 Bordeaux, France
| | - Isabelle Bonmarin
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
| | | | - Nathalie Lydié
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
| | - Annie Velter
- Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France; (S.V.); (S.V.); (I.B.); (N.L.); (A.V.)
- Aix Marseille Univ., INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de L’Information Médicale, ISSPAM, 13005 Marseille, France
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Chai R, Yang J, Zhang X, Huang X, Yu M, Fu G, Lan G, Qiao Y, Li S, Yao Y, Xu J. Reasons of COVID-19 Vaccine Hesitancy among Chinese People Living with HIV/AIDS: A Structural Equation Modeling Analysis. JMIR Public Health Surveill 2022; 8:e33995. [PMID: 35486810 PMCID: PMC9255267 DOI: 10.2196/33995] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 02/13/2022] [Accepted: 04/27/2022] [Indexed: 12/12/2022] Open
Abstract
Background Many countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. Objective This study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA. Methods The study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years from 5 metropolitan cities in China between January 2021 and February 2021. Participants completed an online survey through Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy. Results Among 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. Older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family member support could have an impact on COVID-19 vaccination decision-making. Conclusions COVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family member support for COVID-19 vaccination, and improve PLWHA’s trust of medical professionals.
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Affiliation(s)
- Ruiyu Chai
- Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, CN
| | - Jianzhou Yang
- Department of Preventive Medicine, Changzhi Medical College, Changzhi, CN
| | - Xiangjun Zhang
- Department of Public Health, University of Tennessee, Knoxville, US
| | - Xiaojie Huang
- Beijing Youan Hospital, Capital Medical University, Beijing, CN
| | - Maohe Yu
- Tianjin Centers for Disease Control and Prevention, Tianjin, CN
| | - Gengfeng Fu
- Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, CN
| | - Guanghua Lan
- Guangxi Center for Disease Prevention and Control, Nanning, CN
| | - Ying Qiao
- The Second Hospital of Huhhot, Huhhot, CN
| | - Shuyue Li
- Changchun Maternity Hospital, Changchun, CN
| | - Yan Yao
- Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, CN
| | - Junjie Xu
- Clinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, CN
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Mundagowa PT, Tozivepi SN, Chiyaka ET, Mukora-Mutseyekwa F, Makurumidze R. Assessment of COVID-19 vaccine hesitancy among Zimbabweans: A rapid national survey. PLoS One 2022; 17:e0266724. [PMID: 35446850 PMCID: PMC9022878 DOI: 10.1371/journal.pone.0266724] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 03/26/2022] [Indexed: 12/13/2022] Open
Abstract
Background As a way of minimising the devastating effects of the coronavirus disease 2019 (COVID-19) pandemic, scientists hastily developed a vaccine. However, the scale-up of the vaccine is likely to be hindered by the widespread social media misinformation. We therefore conducted a study to assess the COVID-19 vaccine hesitancy among Zimbabweans. Methods We conducted a descriptive online cross-sectional survey using a self-administered questionnaire among adults. The questionnaire assessed willingness to be vaccinated; socio-demographic characteristics, individual attitudes and perceptions, effectiveness and safety of the vaccine. Multivariable logistic regression analysis was utilized to examine the independent factors associated with vaccine uptake. Results We analysed data for 1168 participants, age range of 19–89 years with the majority being females (57.5%). Half (49.9%) of the participants reported that they would accept the COVID-19 vaccine. Majority were uncertain about the effectiveness of the vaccine (76.0%) and its safety (55.0%). About half lacked trust in the government’s ability to ensure availability of an effective vaccine and 61.0% mentioned that they would seek advice from a healthcare worker to vaccinate. Chronic disease [vs no chronic disease—Adjusted Odds Ratio (AOR): 1.50, 95% Confidence Interval (CI)I: 1.10–2.03], males [vs females—AOR: 1.83, 95%CI: 1.37–2.44] and being a healthcare worker [vs not being a health worker—AOR: 1.59, 95%CI: 1.18–2.14] were associated with increased likelihood to vaccinate. Conclusion We found half of the participants willing to vaccinate against COVID-19. The majority lacked trust in the government and were uncertain about vaccine effectiveness and safety. The policy makers should consider targeting geographical and demographic groups which were unlikely to vaccinate with vaccine information, education and communication to improve uptake.
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Affiliation(s)
- Paddington Tinashe Mundagowa
- Clinical Research Centre, College of Health, Agriculture & Natural Science, Africa University, Mutare, Zimbabwe
- * E-mail:
| | - Samantha Nokuthula Tozivepi
- Clinical Research Centre, College of Health, Agriculture & Natural Science, Africa University, Mutare, Zimbabwe
| | - Edward Tafumaneyi Chiyaka
- Department of Health Policy & Management, College of Public Health, Kent State University, Kent, Ohio, United States of America
| | - Fadzai Mukora-Mutseyekwa
- Clinical Research Centre, College of Health, Agriculture & Natural Science, Africa University, Mutare, Zimbabwe
- Zimbabwe College of Public Health Physicians, Harare, Zimbabwe
| | - Richard Makurumidze
- Zimbabwe College of Public Health Physicians, Harare, Zimbabwe
- Public and Global Health Unit, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
- Clinical Sciences Department, Institute of Tropical Medicine, Antwerp, Belgium
- Faculty of Medicine & Pharmacy, Free University of Brussels (VUB), Gerontology, Brussels, Belgium
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242
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Wu L, Wang X, Li R, Huang Z, Guo X, Liu J, Yan H, Sun X. Willingness to Receive a COVID-19 Vaccine and Associated Factors among Older Adults: A Cross-Sectional Survey in Shanghai, China. Vaccines (Basel) 2022; 10:vaccines10050654. [PMID: 35632409 PMCID: PMC9146736 DOI: 10.3390/vaccines10050654] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/16/2022] [Accepted: 04/20/2022] [Indexed: 02/07/2023] Open
Abstract
Background: Older individuals have a high risk of morbidity and mortality due to COVID-19, and one of the most effective ways to prevent COVID-19 is vaccination. Little is known about older people’s willingness to receive a COVID-19 vaccine. Therefore, the objective of this study was to assess the acceptance of and factors influencing the intention to receive a COVID-19 vaccination among older adults in Shanghai, China. Methods: A cross-sectional study was conducted among older adults (≥60 years old) in Shanghai. Face-to-face interviews with a questionnaire were conducted in community health service centers, recording several parameters: demographic information, health-related factors; perceived likelihood, severity, and burden of COVID-19; perceived safety, effectiveness, necessity, and benefit of the COVID-19 vaccine, as well as their trust in the vaccine delivery system and doctors; willingness to receive a COVID-19 vaccination. Bivariate analysis between several survey items and the willingness to receive a COVID-19 vaccination was conducted using a chi-square test. Logistic regression was used to assess to what degree each variable affected the willingness to receive a COVID-19 vaccination. Results: Of the 1067 participants, 90.91% (970/1067) confirmed that they were willing to receive a COVID-19 vaccination. The participants were more likely to be willing to be vaccinated if they were immigrants (OR = 1.988, 95%CI = 1.062−3.717), had an education level of junior high school (OR = 2.724, 95%CI = 1.000−7.423) or high school or above (OR = 3.993, 95%CI = 1.576−10.119), and had a monthly income of CNY 3000−5000 (OR = 32.770, 95%CI = 1.144−6.711) or CNY >5000 (OR = 2.309, 95%CI = 1.003−5.319). The participants were also more likely to be willing to be vaccinated if they had received a pneumonia vaccination previously (OR = 2.138, 95%CI = 1.016−4.500), perceived the safety of the COVID-19 vaccine (OR = 1.508, 95%CI = 1.073−2.119), perceived the necessity of the COVID-19 vaccine (OR = 2.604, 95%CI = 1.946−3.484), or trusted the suggestions of doctors (OR = 1.706, 95%CI = 1.115−2.618). The participants were less likely to be willing to be vaccinated if they were aged ≥76 years (OR = 0.498, 95%CI = 0.264−0.939), reported a physical health condition of bad or below (OR = 0.229, 95% CI = 0.095−0.549), or were worried about the adverse effects of a COVID-19 vaccination (OR = 0.503, 95%CI = 0.364−0.695). Conclusions: Under the free vaccination policy for COVID-19, older adults have a high intention to be vaccinated to prevent COVID-19 in Shanghai, China. Widely publicizing the safety and necessity of COVID-19 vaccination is necessary.
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Affiliation(s)
- Linlin Wu
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
| | - Xiaolan Wang
- Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China;
| | - Ruiping Li
- Department of Immunization Program, Fengxian District Municipal Center for Disease Prevention and Control, Shanghai 201499, China;
| | - Zhuoying Huang
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
| | - Xiang Guo
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
| | - Jiechen Liu
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
| | - Han Yan
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
| | - Xiaodong Sun
- Department of Immunization Program, Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336, China; (L.W.); (Z.H.); (X.G.); (J.L.); (H.Y.)
- Correspondence: ; Tel.: +86-021-6275-8710
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Duck AA, Hall KC, Douglas K, Price TS. Potential Influencers of COVID-19 Vaccine Acceptance Among Adults Living in the United States Who Have Accepted or Plan to Accept the Vaccine: An Online Survey. Am J Health Promot 2022; 36:1193-1199. [PMID: 35439085 PMCID: PMC9019497 DOI: 10.1177/08901171221095351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose The purpose of this study was to 1) determine the demographic differences between adults who have accepted, or plan to accept, the COVID-19 vaccine and those who will not accept the COVID-19 vaccine and 2) describe the potential influencers in deciding to accept the COVID-19 vaccine among adults living in the United States who have accepted or plan to accept the vaccine. Design A cross-sectional design utilizing an online survey was deployed using social media and a crowdsourcing platform. Setting United States. Subjects One thousand three hundred ninety-five (1395) adults completed the survey. The majority were white, male, between the ages of 25 and 45, and with representation from 50 states and Puerto Rico. Measures A two-branched survey was used to assess demographic information, vaccination intention, and 19 potential influencers of COVID-19 vaccine acceptance. Analysis Analysis included descriptive statistics and Chi-square tests to determine differences between groups. Results A higher proportion of male (P < .001), married (P < .001), and college-educated (P < .001) participants reported acceptance of the vaccine. The factors with the highest mean score of reported level of influence were duty to protect the vulnerable and contribution to move society back to a sense of normalcy. Conclusion Understanding the potential influencers of vaccine acceptance may provide insight into strategies that could increase vaccination uptake.
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Affiliation(s)
- Angela Allen Duck
- School of Nursing, 16124University of Mississippi Medical Center, Jackson, MS, USA
| | - Katie C Hall
- School of Nursing, 16124University of Mississippi Medical Center, Jackson, MS, USA
| | - Kimberly Douglas
- School of Nursing, 16124University of Mississippi Medical Center, Jackson, MS, USA
| | - Tara S Price
- School of Nursing, 16124University of Mississippi Medical Center, Jackson, MS, USA
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244
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Lee SL. Facilitating free and paid vaccine acceptance in Malaysia: effectiveness of vaccine and fear of COVID-19. JOURNAL OF PUBLIC MENTAL HEALTH 2022. [DOI: 10.1108/jpmh-06-2021-0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This study aims to examine how demographic and psychological predictors of free and paid vaccine acceptance operate within an infectious environment. The psychological predictors were derived from the protection motivation theory (PMT), including the appraised effectiveness of vaccine in containing the pandemic and the fear of COVID-19.
Design/methodology/approach
A representative data set that consists of responses from 2,850 Malaysians was used in this study. Multi-level modelling was used to analyse the data.
Findings
Results indicated that the acceptance of free and paid vaccination did not differ by region. This suggests that the effects of the included psychological predictors on vaccine acceptance are independent from the environment. Malaysians are more likely to endorse both free and paid vaccination when it is perceived as effective in controlling the pandemic. When the vaccine is deemed as an effective preventive of COVID-19, Malaysians tend to seek free vaccination. Although fear of COVID-19 did significantly predict the endorsement of vaccination, it is a weaker predictor than the perceived effectiveness of vaccine.
Originality/value
This research used a large representative data set and the PMT framework in addressing vaccine acceptance in Malaysia.
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Sun Y, Li B, Li N, Li B, Chen P, Hao F, Sun C. Acceptance of COVID-19 Vaccine Among High-Risk Occupations in a Port City of China and Multifaceted Strategies for Increasing Vaccination Coverage: A Cross-Sectional Study. Risk Manag Healthc Policy 2022; 15:643-655. [PMID: 35444478 PMCID: PMC9015101 DOI: 10.2147/rmhp.s352947] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/04/2022] [Indexed: 01/03/2023] Open
Abstract
Purpose Considering high risk of imported epidemic in port cities, it is necessary to estimate COVID-19 vaccine acceptability and to promote vaccination coverage of high-risk occupations. Methods A cross-sectional survey was carried out among the occupations in Yantai city, China, using an online questionnaire service platform. Targeted strategies were developed based on the survey results. In addition, periodic monitoring of the vaccination rate was provided in order to evaluate the effectiveness of the strategies. Results A total of 2231 (73.22%) of 3047 participants were willing to accept the vaccine, while 2.53% refused and 24.25% were not sure. Frontline port workers (133/152, 87.50%) and healthcare workers (999/1155, 86.49%) had higher intentions to accept, while public places and commercial service staff (584/1011, 57.76%) had the lowest. The reasons for refusal and hesitation were mainly "doubt of safety or effectiveness" (661/816, 81.00%) and "hearing previous news about vaccines" (455/816, 55.76%). Multilevel strategies such as adequate organizations, health education and promotion, and easy access to vaccination were promoted by local authorities in collaboration with schools, hospitals, enterprises and institutions. The study showed a significant increase in vaccination rate among these occupations after the implementation of these strategies (p<0.001), reaching 87.96%. Conclusion COVID-19 vaccine acceptability among high-risk occupations was unsatisfactory before the stage of emergency vaccination. An advanced understanding of vaccine attitudes and acceptance can aid in the development of focused immunization promotion programs. It is worth emphasizing that wide strategies with the strong support and enthusiastic cooperation of the government and the industry executive can contribute to increasing occupations' acceptance of the ongoing COVID-19 immunization project.
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Affiliation(s)
- Yuan Sun
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Bo Li
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Na Li
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Bingyang Li
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Peng Chen
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Feng Hao
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
| | - Cuiqun Sun
- Department of Immunization Planning, Yantai Center for Disease Control and Prevention, Yantai City, Shandong Province, People’s Republic of China
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Thorpe A, Fagerlin A, Drews FA, Butler J, Stevens V, Riddoch MS, Scherer LD. Communications to Promote Interest and Confidence in COVID-19 Vaccines. Am J Health Promot 2022; 36:976-986. [PMID: 35411819 PMCID: PMC9008475 DOI: 10.1177/08901171221082904] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE Communicating about COVID-19 vaccine side effects and efficacy is crucial for promoting transparency and informed decision-making, but there is limited evidence on how to do so effectively. DESIGN A within-subjects experiment. SETTING Online survey from January 21 to February 6, 2021. SUBJECTS 596 US Veterans and 447 non-Veterans. INTERVENTION 5 messages about COVID-19 vaccine side effects and 4 messages about COVID-19 vaccine efficacy. MEASURES COVID-19 vaccine interest (1 = "I definitely do NOT want the vaccine" to 7 = "I definitely WANT the vaccine" with the midpoint 4 = "Unsure"). Confidence about COVID-19 vaccine efficacy (1= "Not at all confident," 2 = "Slightly confident," 3 = "Somewhat confident," 4 = "Moderately confident," 5 = "Extremely confident"). RESULTS Compared to providing information about side effects alone (M = 5.62 [1.87]), messages with additional information on the benefits of vaccination (M = 5.77 [1.82], P < .001, dz = .25), reframing the likelihood of side effects (M = 5.74 [1.84], P < .001, dz = .23), and emphasizing that post-vaccine symptoms indicate the vaccine is working (M = 5.72 [1.84], P < .001, dz = .17) increased vaccine interest. Compared to a vaccine efficacy message containing verbal uncertainty and an efficacy range (M = 3.97 [1.25]), messages conveying verbal certainty with an efficacy range (M = 4.00 [1.24], P = .042, dz=.08), verbal uncertainty focused on the upper efficacy limit (M = 4.03 [1.26], P < .001, dz = .13), and communicating the point estimate with certainty (M = 4.02 [1.25], P < .001, dz = .11) increased confidence. Overall, Veteran respondents were more interested (MVeterans = 5.87 [1.72] vs MNonVeterans = 5.45 [2.00], P < .001, d = .22) and confident (MVeterans = 4.13 [1.19] vs MNonVeterans = 3.84 [1.32], P < .001, d = .23) about COVID-19 vaccines than non-Veterans. CONCLUSIONS These strategies can be implemented in large-scale communications (e.g., webpages, social media, and leaflets/posters) and can help guide healthcare professionals when discussing vaccinations in clinics to promote interest and confidence in COVID-19 vaccines.
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Affiliation(s)
- Alistair Thorpe
- University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, USA
| | - Angela Fagerlin
- University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, USA.,Salt Lake City VA Informatics Decision-Enhancement and Analytic Sciences (IDEAS) Center for Innovation, Salt Lake City, UT, USA
| | - Frank A Drews
- Salt Lake City VA Informatics Decision-Enhancement and Analytic Sciences (IDEAS) Center for Innovation, Salt Lake City, UT, USA.,University of Utah College of Social and Behavioral Science, Salt Lake City, UT, USA
| | - Jorie Butler
- University of Colorado School of Medicine, Aurora, CO, USA.,VA Denver Center for Innovation, Denver, CO, USA
| | - Vanessa Stevens
- University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, USA.,Salt Lake City VA Informatics Decision-Enhancement and Analytic Sciences (IDEAS) Center for Innovation, Salt Lake City, UT, USA
| | - Marian S Riddoch
- University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, USA
| | - Laura D Scherer
- University of Colorado School of Medicine, Aurora, CO, USA.,VA Denver Center for Innovation, Denver, CO, USA
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Cao Y, Siu JYM, Shek DTL, Shum DHK. COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey. BMC Psychiatry 2022; 22:252. [PMID: 35397502 PMCID: PMC8993674 DOI: 10.1186/s12888-022-03904-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 03/30/2022] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND This study examined the profiles and correlates of psychological trauma, compliance with preventative measures, vaccine acceptance and participation in voluntary testing during the novel coronavirus disease 2019 (COVID-19) pandemic among the adult population in Hong Kong (n = 3,011). METHODS Data were collected through a telephone survey between December 2020 and February 2021, using measures of psychological trauma, compliance with preventative measures, reading news reports on COVID-19, vaccine acceptance and willingness to participate in voluntary testing. RESULTS The prevalence of possible post-traumatic stress disorder was found to be 12.4%. Respondents were generally compliant with routine preventative measures, and approximately half had accepted vaccination and voluntary testing. Participants who had lower levels of education, were unemployed or had no income showed greater psychological trauma symptoms, whereas female, older and more educated participants showed greater compliance with preventative measures. Participants who spent more time watching news reports of COVID-19 had greater psychological trauma, but also greater compliance. Participants who were male, older, had lower education levels or were married showed greater acceptance of vaccination and participation in voluntary testing. CONCLUSIONS Socio-demographic factors affected both psychological trauma and engagement in health-protective measures at one year after the onset of the pandemic. The theoretical and practical implications of these findings are discussed.
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Affiliation(s)
- Yuan Cao
- grid.16890.360000 0004 1764 6123Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China ,grid.16890.360000 0004 1764 6123Mental Health Research Centre, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China
| | - Judy Yuen-man Siu
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China
| | - Daniel T. L. Shek
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China
| | - David H. K. Shum
- grid.16890.360000 0004 1764 6123Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China ,grid.16890.360000 0004 1764 6123Mental Health Research Centre, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China
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248
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Coulaud PJ, Ablona A, Bolduc N, Fast D, Bertrand K, Ward JK, Greyson D, Jauffret-Roustide M, Knight R. COVID-19 vaccine intention among young adults: Comparative results from a cross-sectional study in Canada and France. Vaccine 2022; 40:2442-2456. [PMID: 35305823 PMCID: PMC8890971 DOI: 10.1016/j.vaccine.2022.02.085] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 02/03/2022] [Accepted: 02/28/2022] [Indexed: 12/28/2022]
Abstract
BACKGROUND High rates of COVID-19 vaccination uptake are required to attain community immunity. This study aims to identify factors associated with COVID-19 vaccine uncertainty and refusal among young adults, an underexplored population with regards to vaccine intention generally, in two high-income settings: Canada and France. METHODS A cross-sectional online survey was conducted from October to December 2020 among young adults ages 18-29 years (n = 6663) living in Canada (51.9%) and France (48.1%). Multinomial logistic regression analyses were performed to identify the sociodemographic and COVID-19-related measures (e.g., prevention behavior and perspectives, health-related concerns) associated with vaccine uncertainty and refusal. We conducted weighted analyses by age, gender and province/region of residence. RESULTS Intention to accept vaccination was reported by 84.3% and 59.7% of the sample in Canada and France, respectively. Higher levels of vaccine uncertainty and refusal were observed in France compared to Canada (30.1% versus 11%, 10.2% versus 4.7%). In both countries, we found higher levels of vaccine acceptance among young adults who reported COVID-19 prevention actions. Vaccine uncertainty and refusal were associated with living in a rural area, having lower levels of educational attainment, not looking for information about COVID-19, not wearing a face mask, and reporting a lower level of concern for COVID-19's impact on family. Participants who had been tested for COVID-19 were less likely to intend to refuse a vaccine. CONCLUSIONS COVID-19 vaccine acceptance was high among young adults in Canada and France during a time in which vaccines were approved for use. Targeted interventions to build confidence in demographic groups with greater hesitance (e.g., rural and with less personal experience with COVID-19) may further boost acceptance and improve equity as vaccine efforts continue to unfold.
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Affiliation(s)
- Pierre-Julien Coulaud
- British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
| | - Aidan Ablona
- British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada
| | - Naseeb Bolduc
- British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - Danya Fast
- British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Karine Bertrand
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada
| | - Jeremy K Ward
- CERMES3 (Inserm U988/CNRS UMR8211/EHESS/Université de Paris) Paris, France; Aix-Marseille Université, IRD, AP-HM, SSA, VITROME, Marseille, France
| | - Devon Greyson
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; University of Massachusetts-Amherst, Amherst, MA, USA
| | - Marie Jauffret-Roustide
- British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada; Centre d'Étude des Mouvements Sociaux (EHESS/CNRS UMR8044/INSERM U1276), Paris, France; Baldy Center on Law and Social Policy, Buffalo University, NY, USA
| | - Rod Knight
- British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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Jun MG, Oh KR, Choi C. A Gap between Relaxation of Government Quarantine Policy and Perceptions of COVID-19 among the General Public in Sports: Focusing on Vaccination Status. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074267. [PMID: 35409949 PMCID: PMC8998869 DOI: 10.3390/ijerph19074267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/01/2022] [Accepted: 04/01/2022] [Indexed: 02/01/2023]
Abstract
Although an increasing number of people are getting vaccinated for COVID-19 and quarantine policies are easing owing to fatigue from high-intensity social distancing, people’s fear remains. This study attempted to determine the appropriateness of quarantine policies that are gradually easing by comparing and analyzing sports participation and respiratory infection perception recognized by sports participants according to vaccination status. Data were collected from 302 ordinary Korean citizens aged 20 or older for three months from November 2021 in the Republic of Korea. From the survey respondents, data on the main factors of this study included (a) demographic information, (b) vaccination, (c) loyalty in sports, (d) behavioral intention to participate in sports, (e) infection anxiety from others, and (f) risk perception of COVID-19. As a result, the survey respondents, subdivided into an unvaccinated group (Group 1) and a vaccinated group (Group 2), derived statistically significant results on sports participation and respiratory infection perception. Specifically, survey participants who had completed all secondary vaccinations showed a relatively higher (a) loyalty in sport (M = 3.789), (b) behavioral intention for participation in sport (M = 4.056), and (c) infection anxiety from others (M = 3.548), but showed a relatively lower (a) risk perception of COVID-19 (sensitivity) (M = 3.494). The results of this study could be utilized as valuable data to minimize the gap between the relaxation of government quarantine policy and perceptions of COVID-19 among the general public in sports, which have not yet been clarified.
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Affiliation(s)
- Mun-Gyu Jun
- Department of Coaching, College of Physical Education, Kyung Hee University, Seocheon-dong 1, Giheung-gu, Yongin-si 17104, Korea;
| | - Kyung-Rok Oh
- Department of Coaching, College of Physical Education, Kyung Hee University, Seocheon-dong 1, Giheung-gu, Yongin-si 17104, Korea;
- Correspondence: (K.-R.O.); (C.C.)
| | - Chulhwan Choi
- Department of Physical Education, Gachon University, Sujeong-gu, Seongnam-si 13120, Korea
- Correspondence: (K.-R.O.); (C.C.)
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Shapiro Ben David S, Baruch Gez S, Rahamim-Cohen D, Shamir-Stein N, Lerner U, Ekka Zohar A. Immediate side effects of Comirnaty COVID-19 vaccine: A nationwide survey of vaccinated people in Israel, December 2020 to March 2021. EURO SURVEILLANCE : BULLETIN EUROPEEN SUR LES MALADIES TRANSMISSIBLES = EUROPEAN COMMUNICABLE DISEASE BULLETIN 2022; 27. [PMID: 35362408 PMCID: PMC8973016 DOI: 10.2807/1560-7917.es.2022.27.13.2100540] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BackgroundCOVID-19 vaccine safety is of major interest worldwide, since there is no prior experience with it. Israel was one of the first countries to widely use the Comirnaty vaccine.AimWe aimed to assess the vaccine's short-term side effects directly from a large population and to predict influencing factors for self-reporting side effects.MethodsIn a retrospective cohort study, we investigated self-reported systemic vaccine side-effects using electronic surveys sent to vaccinated individuals between 20 December 2020 and 11 March 2021, within 3 days following administration of the first and second dose. We determined predictors for reporting systemic side effects by logistic regression.ResultsA total of 1,213,693 patients received at least one vaccine dose and 301,537 (24.8%) answered at least one survey. Among them, 68,162 (30.4%) and 89,854 (59.9%) individuals filled the first and the second dose surveys, respectively, and reported one or more side effects. Most common side effects were fatigue, headache and myalgia. Several respondents reported facial paraesthesia after first and second dose, respectively (n = 1,675; 0.7% and n = 1,601; 1.1%). Individuals younger than 40 years and women reported side effects more frequently than others, but pregnant women reported less. Pregnancy was a weak predictor for reporting any side effect in general and in particular fatigue, myalgia, headache, chills and fever.ConclusionsWe found further support for minor short-term side effects, within 3 days of receiving the Comirnaty vaccine. These findings from vaccine recipients in general and pregnant women in particular can improve vaccine acceptance.
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Affiliation(s)
| | | | | | | | - Uri Lerner
- Health Division, Maccabi Healthcare Services, Tel Aviv, Israel
| | - Anat Ekka Zohar
- Health Division, Maccabi Healthcare Services, Tel Aviv, Israel
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