Experiences, risk perceptions, and COVID-19 vaccination outcomes among hospital workers.
Experiences, risk perceptions, and COVID-19 vaccination outcomes among hospital workers.
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DOI：
10.1016/j.vaccine.2023.01.012
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发表时间：
2023-02-03
期刊：
影响因子：
5.5
通讯作者：
Zikmund-Fisher, Brian J.
中科院分区：
文献类型：
--
作者：
Wagner, Abram L.;Moniz, Michelle H.;Stout, Molly J.;Townsel, Courtney;Hawley, Sarah T.;Zikmund-Fisher, Brian J.
尽管自2020年12月起，美国的医院工作人员已可接种COVID-19疫苗，但覆盖范围远未普及，即使在与患者接触的群体中也是如此。本研究的目的是描述护士、专职医疗工作者和与患者接触的非临床工作人员在工作和个人生活中的COVID-19相关经历，并评估这些经历是否与COVID-19疫苗接种有关。2021年2月，我们联系了美国中西部一家大型医院的医护人员，让他们参与一项在线横断面调查。使用逻辑回归模型来估计不同经验的疫苗接种的优势比（OR），我们通过模型评估了中介作用，模型还包括风险感知的测量。在366名执业护士/护士助产士/医生助理、1，698名护士、1，798名专职医疗人员和1，307名与患者有接触的非临床工作人员中，已经接受或打算接受COVID-19疫苗接种的比例分别为94%、87%、82%和88%。工作和身体上接近COVID-19患者与疫苗接种意图没有显著相关。既往确诊过COVID-19的人与未确诊的人相比，疫苗接种意愿显着较低（OR = 0.33，95% CI：0.27，0.40），而认识因COVID-19住院或死亡的朋友的近亲的人，疫苗接种意愿则较高（OR = 1.33，95% CI：1.10，1.60）。即使2021年2月提供COVID-19疫苗接种，仍有相当少的与病人有接触的医院工作人员不打算接种疫苗。此外，他们在COVID-19患者附近工作的经历与疫苗接种意愿没有显著相关。相反，与家人和朋友的个人经历通过风险认知的变化与疫苗接种意图相关。提高医院工作人员感染率的干预措施应强调对亲密家庭成员或朋友的保护以及COVID-19的严重程度。
Although COVID-19 vaccinations have been available to hospital workers in the U.S. since December 2020, coverage is far from universal, even in groups with patient contact. The aim of this study was to describe COVID-19-related experiences at work and in the personal lives of nurses, allied health workers, and non-clinical staff with patient contact, and to assess whether these experiences relate to COVID-19 vaccination. Health care workers at a large Midwestern hospital in the U.S. were contacted to participate in an online cross-sectional survey during February 2021. A logistic regression model was used to estimate odds ratios (OR) for vaccination by different experiences, and we assessed mediation through models that also included measures of risk perceptions. Among 366 nurse practitioners / nurse midwives / physician assistant, 1,698 nurses, 1,798 allied health professionals, and 1,307 non-clinical staff with patient contact, the proportions who had received or intended to receive a COVID-19 vaccination were 94 %, 87 %, 82 %, and 88 %, respectively. Working and being physically close to COVID-19 patients was not significantly associated with vaccine intent. Vaccination intent was significantly lower among those with a previous COVID-19 diagnosis vs not (OR = 0.33, 95 % CI: 0.27, 0.40) and higher for those who knew close family members of friends hospitalized or died of COVID-19 (OR = 1.33, 95 % CI: 1.10, 1.60). Even when COVID-19 vaccination was available in February 2021, a substantial minority of hospital workers with patient contact did not intend to be vaccinated. Moreover, their experiences working close to COVID-19 patients were not significantly related to vaccination intent. Instead, personal experiences with family members and friends were associated with vaccination intent through changes in risk perceptions. Interventions to increase uptake among hospital workers should emphasize protection of close family members or friends and the severity of COVID-19.
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DOI：
10.1016/s0140-6736(21)02507-1
发表时间：
2021-12-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
Omer SB;Benjamin RM;Brewer NT;Buttenheim AM;Callaghan T;Caplan A;Carpiano RM;Clinton C;DiResta R;Elharake JA;Flowers LC;Galvani AP;Lakshmanan R;Maldonado YA;McFadden SM;Mello MM;Opel DJ;Reiss DR;Salmon DA;Schwartz JL;Sharfstein JM;Hotez PJ
通讯作者：
Hotez PJ
影响因子：
2.5
作者：
Floyd, DL;Prentice-Dunn, S;Rogers, RW
通讯作者：
Rogers, RW
影响因子：
13.8
作者：
Meyer MN;Gjorgjieva T;Rosica D
通讯作者：
Rosica D
影响因子：
11.8
作者：
Calcagno A;Ghisetti V;Emanuele T;Trunfio M;Faraoni S;Boglione L;Burdino E;Audagnotto S;Lipani F;Nigra M;D'Avolio A;Bonora S;Di Perri G
通讯作者：
Di Perri G
影响因子：
2.7
作者：
Liao Q;Cowling BJ;Lam WW;Fielding R
通讯作者：
Fielding R