Predictors of COVID-19 vaccine recommendation practices among healthcare providers in the US

Objective: To understand relationships between COVID-19 vaccine perceptions, confidence, trust, sociodemographic/practice characteristics, and COVID-19 vaccine recommendation practices among US healthcare providers. Methods: In November 2021, an electronic survey was administered to nurses and physicians in the US via Qualtrics (R). The survey included: (1) COVID-19 perceptions, (2) vaccine confidence, (3) trust, (4) uptake, (5) recommendation practices, and (6) sociodemographic/practice characteristics. Binary logistic regressions were used to obtain unadjusted/adjusted odds ratios in predicting recommendation practices of COVID-19 vaccine. Results: The survey included 304 participants. In adjusted analyses, not believing that COVID-19 was man-made, not living in southeastern US (as compared to living in southeast), having no concerns about COVID-19 vaccines, having more positive perceptions about the vaccines, and having more trust in healthcare, media, vaccine manufacturers, and public health authorities was significantly (p < 0.05) related to routinely recommending the vaccine for all patients 12 and older. Providers who did not think COVID-19 was man-made had 6.1 (95 % CI = 1.10 - 33.5) times the odds to recommend the vaccine. Providers not practicing in the southeast region had 5.2 (95 % CI = 1.39 - 19.8) times the odds to recommend the vaccine. Conclusion: To increase provider recommendation of COVID-19 vaccines, beliefs about disease origin, concerns, and trust should be addressed. Practice Implications: Clear, accurate, and trusted information delivery about COVID-19 vaccines to healthcare providers is needed, and in turn this may reduce patient vaccine hesitancy.