THE COVID-19 VACCINATION ACCEPTANCE/HESITANCY RATE AND ITS DETERMINANTS AMONG HEALTHCARE WORKERS OF 91 COUNTRIES: A MULTICENTER CROSS-SECTIONAL STUDY

被引：23

作者：

Askarian, Mehrdad ^{[1
,2
]}

Semenov, Aleksandr ^{[3
]}

Llopis, Ferran ^{[4
]}

Rubulotta, Francesca ^{[5
]}

Dragovac, Gorana ^{[6
,7
]}

Pshenichnaya, Natalia ^{[8
]}

Assadian, Ojan ^{[9
,10
]}

Ruch, Yvon ^{[11
]}

Shayan, Zahra ^{[12
]}

Fortunatti, Cristobal Padilla ^{[13
]}

Lucey, Daniel ^{[14
]}

Almohaizeie, Abdullah ^{[15
,16
]}

Kamal, Abu Hena Mostafa ^{[17
]}

Ogunshe, Adenike ^{[18
]}

Konkayev, Aidos ^{[19
,20
]}

Beg, Asim ^{[21
]}

Primerano, Enzo ^{[22
]}

Amer, Fatma ^{[23
]}

Pilli, Hema Prakash Kumari ^{[24
]}

Hung, Ivan ^{[25
]}

Ayoade, Folusakin ^{[26
]}

Lefrant, Jean Yves ^{[27
]}

Zajkowska, Joanna ^{[28
]}

Rello, Jordi ^{[29
,30
]}

Kazi, Momin ^{[31
]}

Taghrir, Mohammad Hossein ^{[32
]}

Blot, Stijn ^{[33
]}

Leib, Stephen ^{[34
]}

Hosseinpour, Parisa ^{[35
]}

Hosseinpour, Hamidreza ^{[36
]}

Erfani, Amirhossein ^{[37
]}

Borazjani, Roham ^{[32
]}

Akbarialiabad, Hossein ^{[38
]}

Najafi, Masoud ^{[38
]}

Askarian, Ardalan ^{[39
]}

Erdem, Hakan

机构：

[1] Shiraz Univ Med Sci, Sch Med, Dept Community Med, Shiraz, Iran

[2] Shiraz Univ Med Sci, Hlth Behav Sci Res Ctr, Shiraz, Iran

[3] Ekaterinburg Res Inst Viral Infect SRC VB Vector, Ekaterinburg, Russia

[4] Bellvitge Univ Hosp, Emergency Dept, Barcelona, Spain

[5] Imperial Coll, Charing Cross Hosp, Dept Intens Care Med, NHS Trust London, London, England

[6] Univ Novi Sad, Fac Med, Dept Epidemiol, Novi Sad, Serbia

[7] Ctr Dis Prevent & Control, Inst Publ Hlth Vojvodina, Novi Sad, Serbia

[8] Cent Res Inst Epidemiol, Clin Dept Infect Pathol, Moscow, Russia

[9] Reg Hosp Wiener Neustadt, Wiener Neustadt, Austria

[10] Univ Huddersfield, Reg Hosp Wiener Neustadt, Huddersfield, W Yorkshire, England

[11] Strasbourg Univ Hosp, Dept Infect Dis, Strasbourg, France

[12] Shiraz Univ Med Sci, Trauma Res Ctr, Sch Med, Dept Biostat, Shiraz, Iran

[13] Pontificia Univ Catolica Chile, Sch Nursing, Santiago, Chile

[14] Georgetown Univ, Dept Infect Dis, Med Ctr, Washington, DC 20057 USA

[15] King Faisal Specialist Hosp & Res Ctr, Riyadh, Saudi Arabia

[16] Alfaisal Univ, Riyadh, Saudi Arabia

[17] Rajshahi Med Coll Hosp, Dept Anaesthesiol & ICU, Rajshahi, Bangladesh

[18] Univ Ibadan, Fac Sci, Dept Microbiol, Appl Microbiol & Infect Dis, Ibadan, Oyo State, Nigeria

[19] Astana Med Univ, Dept Anesthesiol & Intens Care, Nur Sultan, Kazakhstan

[20] Kazakhstan Natl Ctr Traumatol & Orthopedia, Nur Sultan, Kazakhstan

[21] Aga Khan Univ, Dept Pathol & Lab Med, Karachi, Pakistan

[22] Polyclin Monza, Dept Anesthesia & Intens Care, Monza, Italy

[23] Zagazig Univ, Sch Med, Dept Med Microbiol & Immunol, Zagazig, Egypt

[24] GITAM Deemed Univ, GITAM Inst Med Sci & Res, Dept Microbiol, Visakhapatnam, Andhra Pradesh, India

[25] Univ Hong Kong, Dept Infect Dis Gastroenterol & Hepatol, Hong Kong, Peoples R China

[26] Univ Miami, Dept Med, Div Infect Dis, Miller Sch Med, Miami, FL 33136 USA

[27] Montpellier Univ, Univ Hosp Nimes, Dept Anaesthesia Crit Care Emergency & Pain Med, Nimes, France

[28] Med Univ Biaoystok, Dept Infect Dis & Neuroinfect, Bialystok, Poland

[29] Vall Hebron Inst Res VHIR, CRIPS, Nimes, France

[30] CHRU Nimes, Nimes, France

[31] Aga Khan Univ, Res Dept Paediat & Child Hlth, Karachi, Pakistan

[32] Shiraz Univ Med Sci, Shahid Rajaee Emtiaz Trauma Hosp, Trauma Res Ctr, Shiraz 7143838167, Iran

[33] Univ Ghent, Dept Internal Med & Pediat, Ghent, Belgium

[34] Univ Bern, Inst Infect Dis, Bern, Switzerland

[35] Islamic Azad Univ, Sch Med, Kazeroun Branch, Kazeroun, Iran

[36] Shiraz Univ Med Sci, Shiraz Laparoscop Res Ctr, Dept Surg, Shiraz, Iran

[37] Shiraz Univ Med Sci, Thorac & Vasc Surg Res Ctr, Shiraz, Iran

[38] Shiraz Univ Med Sci, Student Res Comm, Shiraz, Iran

[39] Univ Saskatchewan, Coll Arts & Sci, Saskatoon, SK, Canada

来源：

EXCLI JOURNAL | 2022年 / 21卷

关键词：

COVID-19; vaccines; Human Development Index; HDI; health personnel; vaccination coverage;

D O I：

10.17179/excli2021-4439

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The aim of this study was to investigate the COVID-19 vaccination acceptance rate and its determinants among healthcare workers in a multicenter study. This was a cross-sectional multi-center survey conducted from February 5 to April 29, 2021. The questionnaire consisted of 26 items in 6 subscales. The English version of the questionnaire was translated into seven languages and distributed through Google Forms using snowball sampling; a colleague in each country was responsible for the forward and backward translation, and also the distribution of the questionnaire A forward stepwise logistic regression was utilized to explore the variables and questionnaire factors tied to the intention to COVID-19 vaccination. 4630 participants from 91 countries completed the questionnaire. According to the United Nations Development Program 2020, 43.6 % of participants were from low Human Development Index (HDI) regions, 48.3 % high and very high, and 8.1 % from medium. The overall vaccination hesitancy rate was 37 %. Three out of six factors of the questionnaire were significantly related to intention to the vaccination. While 'Perceived benefits of the COVID-19 vaccination' (OR: 3.82, p-value<0.001) and Trosocial norms' (OR: 5.18, p-value<0.001) were associated with vaccination acceptance, 'The vaccine safety/cost concerns' with OR: 3.52, p-value<0.001 was tied to vaccination hesitancy. Medical doctors and pharmacists were more willing to take the vaccine in comparison to others. Importantly, HDI with OR: 12.28, 95 % CI: 6.10-24.72 was a strong positive determinant of COVID-19 vaccination acceptance. This study highlighted the vaccination hesitancy rate of 37 % in our sample among HCWs. Increasing awareness regarding vaccination benefits, confronting the misinformation, and strengthening the prosocial norms would be the primary domains for maximizing the vaccination coverage. The study also showed that the HDI is strongly associated with the vaccination acceptance/hesitancy, in a way that those living in low HDI contexts are more hesitant to receive the vaccine.

引用

页码：93 / 103

页数：11

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