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Journal ArticleDOI

Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross sectional survey.

TL;DR: Intention to get vaccinated against COVID-19 reached 75% in HCWs with discrepancies between occupational categories, and CO VID-19 pandemic had no positive effect on flu vaccine acceptance rate.
About: This article is published in Journal of Hospital Infection.The article was published on 2021-02-01 and is currently open access. It has received 421 citations till now. The article focuses on the topics: Vaccination & Pandemic.
Citations
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Journal ArticleDOI
16 Feb 2021-Vaccine
TL;DR: A systematic search of the peer-reviewed English survey literature indexed in PubMed was done on 25 December 2020 as discussed by the authors to provide an up-to-date assessment of COVID-19 vaccination acceptance rates worldwide.

1,096 citations

Journal ArticleDOI
TL;DR: In this article, the authors conducted a comprehensive worldwide assessment of published evidence on COVID-19 vaccine hesitancy among healthcare workers and found that individuals who were males, of older age, and doctoral degree holders (i.e., physicians) were more likely to accept COVID19 vaccines.
Abstract: COVID-19 vaccines were approved in late 2020 and early 2021 for public use in countries across the world. Several studies have now highlighted COVID-19 vaccination hesitancy in the general public. However, little is known about the nature and extent of COVID-19 vaccination hesitancy in healthcare workers worldwide. Thus, the purpose of this study was to conduct a comprehensive worldwide assessment of published evidence on COVID-19 vaccine hesitancy among healthcare workers. A scoping review method was adopted to include a final pool of 35 studies in this review with study sample size ranges from n = 123 to 16,158 (average = 2185 participants per study). The prevalence of COVID-19 vaccination hesitancy worldwide in healthcare workers ranged from 4.3 to 72% (average = 22.51% across all studies with 76,471 participants). The majority of the studies found concerns about vaccine safety, efficacy, and potential side effects as top reasons for COVID-19 vaccination hesitancy in healthcare workers. The majority of the studies also found that individuals who were males, of older age, and doctoral degree holders (i.e., physicians) were more likely to accept COVID-19 vaccines. Factors such as the higher perceived risk of getting infected with COVID-19, direct care for patients, and history of influenza vaccination were also found to increase COVID-19 vaccination uptake probability. Given the high prevalence of COVID-19 vaccine hesitancy in healthcare workers, communication and education strategies along with mandates for clinical workers should be considered to increase COVID-19 vaccination uptake in these individuals. Healthcare workers have a key role in reducing the burden of the pandemic, role modeling for preventive behaviors, and also, helping vaccinate others.

283 citations

Journal ArticleDOI
TL;DR: In this article, a survey of 2,678 healthcare workers involved in general population immunisation in France, French-speaking Belgium and Quebec, Canada was conducted to assess acceptance of future COVID-19 vaccines and its determinants.
Abstract: In October and November 2020, we conducted a survey of 2,678 healthcare workers (HCWs) involved in general population immunisation in France, French-speaking Belgium and Quebec, Canada to assess acceptance of future COVID-19 vaccines (i.e. willingness to receive or recommend these) and its determinants. Of the HCWs, 48.6% (n = 1,302) showed high acceptance, 23.0% (n = 616) moderate acceptance and 28.4% (n = 760) hesitancy/reluctance. Hesitancy was mostly driven by vaccine safety concerns. These must be addressed before/during upcoming vaccination campaigns.

275 citations

Journal ArticleDOI
13 Aug 2021-Vaccine
TL;DR: In this article, a scoping review was conducted in Medline®, Embase®, CINAHL®, and Scopus® and was reported in accordance with the PRISMA-SCr checklist.

228 citations

Journal ArticleDOI
TL;DR: A systematic review of the current literature regarding attitudes and hesitancy to receiving COVID-19 vaccination worldwide was conducted by as discussed by the authors, where the authors identified the consistent socio-demographic groups that were associated with increased hesitance, including women, younger participants, and people who were less educated, had lower income, had no insurance, living in a rural area, and self-identified as a racial/ethnic minority.

191 citations

References
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Journal ArticleDOI
TL;DR: In the UK and the USA, risk of reporting a positive test for COVID-19 was increased among front-line health-care workers, and adequacy of PPE, clinical setting, and ethnic background were also important factors.
Abstract: Summary Background Data for front-line health-care workers and risk of COVID-19 are limited. We sought to assess risk of COVID-19 among front-line health-care workers compared with the general community and the effect of personal protective equipment (PPE) on risk. Methods We did a prospective, observational cohort study in the UK and the USA of the general community, including front-line health-care workers, using self-reported data from the COVID Symptom Study smartphone application (app) from March 24 (UK) and March 29 (USA) to April 23, 2020. Participants were voluntary users of the app and at first use provided information on demographic factors (including age, sex, race or ethnic background, height and weight, and occupation) and medical history, and subsequently reported any COVID-19 symptoms. We used Cox proportional hazards modelling to estimate multivariate-adjusted hazard ratios (HRs) of our primary outcome, which was a positive COVID-19 test. The COVID Symptom Study app is registered with ClinicalTrials.gov, NCT04331509. Findings Among 2 035 395 community individuals and 99 795 front-line health-care workers, we recorded 5545 incident reports of a positive COVID-19 test over 34 435 272 person-days. Compared with the general community, front-line health-care workers were at increased risk for reporting a positive COVID-19 test (adjusted HR 11·61, 95% CI 10·93–12·33). To account for differences in testing frequency between front-line health-care workers and the general community and possible selection bias, an inverse probability-weighted model was used to adjust for the likelihood of receiving a COVID-19 test (adjusted HR 3·40, 95% CI 3·37–3·43). Secondary and post-hoc analyses suggested adequacy of PPE, clinical setting, and ethnic background were also important factors. Interpretation In the UK and the USA, risk of reporting a positive test for COVID-19 was increased among front-line health-care workers. Health-care systems should ensure adequate availability of PPE and develop additional strategies to protect health-care workers from COVID-19, particularly those from Black, Asian, and minority ethnic backgrounds. Additional follow-up of these observational findings is needed. Funding Zoe Global, Wellcome Trust, Engineering and Physical Sciences Research Council, National Institutes of Health Research, UK Research and Innovation, Alzheimer's Society, National Institutes of Health, National Institute for Occupational Safety and Health, and Massachusetts Consortium on Pathogen Readiness.

1,556 citations


"Intention to get vaccinations again..." refers background in this paper

  • ...[1] Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al....

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  • ...for a large number of infected people [1]....

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Journal ArticleDOI
TL;DR: This review provides an overview of the phenomenon of vaccine Hesitancy and suggests the possible causes of the apparent increase in vaccine hesitancy in the developed world.
Abstract: Despite being recognized as one of the most successful public health measures, vaccination is perceived as unsafe and unnecessary by a growing number of individuals. Lack of confidence in vaccines is now considered a threat to the success of vaccination programs. Vaccine hesitancy is believed to be responsible for decreasing vaccine coverage and an increasing risk of vaccine-preventable disease outbreaks and epidemics. This review provides an overview of the phenomenon of vaccine hesitancy. First, we will characterize vaccine hesitancy and suggest the possible causes of the apparent increase in vaccine hesitancy in the developed world. Then we will look at determinants of individual decision-making about vaccination.

1,356 citations

Journal ArticleDOI
TL;DR: It is indicated that healthcare staff involved in the care of COVID-19 positive patients, and individuals considering themselves at risk of disease, were more likely to self-report acquiescence to CO VID-19 vaccination if and when available, and parents, nurses, and medical workers not caring for SARS-CoV-2 positive patients expressed higher levels of vaccine hesitancy.
Abstract: Vaccine hesitancy remains a barrier to full population inoculation against highly infectious diseases. Coincident with the rapid developments of COVID-19 vaccines globally, concerns about the safety of such a vaccine could contribute to vaccine hesitancy. We analyzed 1941 anonymous questionnaires completed by healthcare workers and members of the general Israeli population, regarding acceptance of a potential COVID-19 vaccine. Our results indicate that healthcare staff involved in the care of COVID-19 positive patients, and individuals considering themselves at risk of disease, were more likely to self-report acquiescence to COVID-19 vaccination if and when available. In contrast, parents, nurses, and medical workers not caring for SARS-CoV-2 positive patients expressed higher levels of vaccine hesitancy. Interventional educational campaigns targeted towards populations at risk of vaccine hesitancy are therefore urgently needed to combat misinformation and avoid low inoculation rates.

1,188 citations


"Intention to get vaccinations again..." refers background or result in this paper

  • ...A difference in COVID-19 vaccine acceptance rates between physicians and nurses was previously observed in Israel [18]....

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  • ...Differences in vaccine acceptance rates between occupational categories were previously observed for seasonal flu vaccine; nurses are less often vaccine acceptors than physicians [18]....

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  • ...HCWs are probably more likely to agree to get vaccinated against COVID-19 than non-HCWs [18]....

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  • ...We previously observed that women were less prone to get vaccinated against COVID-19 [17], as was also observed in Israel [18]....

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Journal ArticleDOI
TL;DR: There were noticeable demographic and geographical disparities in vaccine acceptance, and Black Americans reported lower influenza vaccine uptake and lower COVID-19 vaccine acceptance than all other racial groups reported in this study.

991 citations


"Intention to get vaccinations again..." refers background in this paper

  • ...19 vaccine whereas only 52% were vaccinated against seasonal flu [22]....

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  • ...The difference in acceptance rates between COVID-19 vaccines and seasonal flu vaccine exists in the different subgroups except people of black ethnicity [22]....

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  • ...In the USA, people who had the intention to get vaccinated against COVID-19 also perceived themselves at higher risk than people who would not accept the COVID-19 vaccine [22]....

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Journal ArticleDOI
TL;DR: In this editorial, some first insights into this willingness to be vaccinated are provided, based on a multi-country European study.
Abstract: In this editorial, we provide some first insights into this willingness to be vaccinated, based on a multi-country European study

716 citations


"Intention to get vaccinations again..." refers background or result in this paper

  • ...Vaccine acceptance might be greater in regions highly affected by the COVID-19 pandemic, as previously observed in Lombardy [16]....

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  • ...HCWs involved in the care of COVID-19 patients and considering themselves at risk of disease were more likely to accept COVID-19 vaccine than HCWs not caring COVID-19 workers [16]....

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Intention to get vaccinated against COVID-19 reached 75% in HCWs with discrepancies between occupational categories.