Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey.
Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey.
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DOI：
10.1016/j.ajic.2021.04.079
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发表时间：
2021-09
影响因子：
4.9
通讯作者：
Longtin Y
中科院分区：
文献类型：
--
作者：
Dzieciolowska S;Hamel D;Gadio S;Dionne M;Gagnon D;Robitaille L;Cook E;Caron I;Talib A;Parkes L;Dubé È;Longtin Y
医护人员接受新冠肺炎疫苗的决定因素仍然知之甚少。我们评估了卫生工作者接种疫苗的意愿以及犹豫不决的原因。对17家医疗机构进行横断面调查。2020年12月有资格接种疫苗(辉瑞-BioNTech mRNA)的卫生工作者被邀请接受免疫接种。采用多变量Logistic回归分析确定接受的预测因素。评估了那些从未打算接种疫苗的人(即坚决拒绝接种)和那些倾向于推迟接种的人(即疫苗Hesitant)拒绝接种的原因。在2761名受访者(72%女性，平均年龄44岁)中，2233人(80.9%)接受了疫苗接种。与护士相比，医生、环境服务工作者和医疗保健经理更有可能接受疫苗接种。多因素分析显示，男性、50岁以上、康复中心工作人员和新冠肺炎职业接触是疫苗接受度的独立相关因素。拒绝的因素包括疫苗的新颖性，希望其他人首先接种，以及决策时间不足。在拒绝接种疫苗的人中，74%的人报告说他们可能会接受未来的疫苗接种。疫苗公司拒绝接种的人比疫苗干预者更有可能不信任制药公司，并更愿意通过接种新冠肺炎来培养自然免疫力。在卫生工作者中存在疫苗方面的犹豫。我们的研究结果为规划未来的干预措施和提高接受度提供了有用的信息。
Determinants of COVID-19 vaccine acceptance among healthcare workers (HCW) remains poorly understood. We assessed HCWs’ willingness to be vaccinated and reasons underlying hesitancy. Cross-sectional survey across 17 healthcare institutions. HCWs eligible for vaccination (Pfizer-BioNTech mRNA) in December 2020 were invited to receive immunization. Multivariate logistic regression was performed to identify predictors of acceptance. Reasons for refusal among those who never intended to be vaccinated (ie, firm refusers) and those who preferred delaying vaccination (ie, vaccine hesitants) were assessed. Among 2,761 respondents (72% female, average age, 44), 2,233 (80.9%) accepted the vaccine. Physicians, environmental services workers and healthcare managers were more likely to accept vaccination compared to nurses. Male sex, age over 50, rehabilitation center workers, and occupational COVID-19 exposure were independently associated with vaccine acceptance by multivariate analysis. Factors for refusal included vaccine novelty, wanting others to receive it first, and insufficient time for decision-making. Among those who declined, 74% reported they may accept future vaccination. Vaccine firm refusers were more likely than vaccine hesitants to distrust pharmaceutical companies and to prefer developing a natural immunity by getting COVID-19. Vaccine hesitancy exists among HCWs. Our findings provide useful information to plan future interventions and improve acceptance.
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