COVID-19 vaccine acceptance and hesitancy among healthcare workers in South Africa
COVID-19 vaccine acceptance and hesitancy among healthcare workers in South Africa
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DOI：
10.1080/14760584.2022.2023355
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发表时间：
2022-01-07
影响因子：
6.2
通讯作者：
Shey, Muki S.
中科院分区：
文献类型：
--
作者：
Wiysonge, Charles S.;Alobwede, Samuel M.;Shey, Muki S.
我们评估了在南非疫苗接种开始时，医护人员（HCW）接受2019冠状病毒病（COVID-19）疫苗接种的意愿。研究设计和方法我们于2021年3月至5月在开普敦的HCW中进行了一项横断面调查，并评估了疫苗接种意愿的预测因素。结果我们招募了395名参与者，其中64%为女性，49%为护士，13%为医生。其中，233人（59.0%）愿意接受，163人（41.0%）对疫苗犹豫不决，即拒绝或不确定是否接受COVID-19疫苗接种。不相信COVID-19疫苗有效的人最犹豫（p = 0.038）。老年参与者和医生接受疫苗接种的可能性分别高于年轻参与者（p < 0.01）和其他HCW（p = 0.042）。疫苗接受度的其他预测因素包括相信疫苗与宗教相容（p < 0.001），考虑疫苗接种的益处和风险（p < 0.001），愿意接种疫苗以保护他人（p < 0.001），以及将疫苗接种视为COVID-19控制的集体行动（p = 0.029）。结论开普敦的医护人员对COVID-19疫苗的犹豫率很高。减少这种情况需要建立信任的干预措施，包括有针对性的教育。
Background We assessed willingness to accept vaccination against coronavirus disease 2019 (COVID-19) among healthcare workers(HCWs) at the start of South Africa's vaccination roll-out. Research Design and Methods We conducted a cross-sectional survey among HCWs in Cape Town in March-May 2021 and assessed predictors of vaccination intentions. Results We recruited 395 participants; 64% women, 49% nurses, and 13% physicians. Of these, 233(59.0%) would accept and 163 (41.0%) were vaccine hesitant i.e. would either refuse or were unsure whether they would accept COVID-19 vaccination. People who did not trust that COVID-19 vaccines are effective were the most hesitant (p = 0.038). Older participants and physicians were more likely to accept vaccination than younger participants (p < 0.01) and other HCWs (p = 0.042) respectively. Other predictors of vaccine acceptance were trust that vaccines are compatible with religion (p < 0.001), consideration of benefits and risks of vaccination (p < 0.001), willingness to be vaccinated to protect others (p < 0.001), and viewing vaccination as a collective action for COVID-19 control (p = 0.029). Conclusions COVID-19 vaccine hesitancy is high among HCWs in Cape Town. Reducing this would require trust-building interventions, including tailored education.