COVID-19 vaccine hesitancy: a survey in a population highly compliant to common vaccinations

COVID-19 vaccine hesitancy: a survey in a population highly compliant to common vaccinations
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DOI:
10.1080/21645515.2021.1928460
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发表时间:
2021-06-04
影响因子:
4.8
通讯作者:
De Marco, Giulio
De Marco, Giulio
中科院分区:
医学3区
文献类型:
--
作者:
Fedele, Flora;Aria, Massimo;De Marco, Giulio

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疫苗接种是预防 COVID-19 的关键保护因素。一些疫苗已获得卫生机构的紧急授权,但日益增长的怀疑和疫苗犹豫可能会影响 COVID-19 疫苗接种活动。为了阐明这个问题,我们对意大利那不勒斯的 4 家儿科诊所的家长进行了一项在线调查,我们评估了与社会人口特征、对个人健康和 COVID-19 影响的看法以及对一般疫苗接种做法的态度有关的潜在疫苗可接受性。还分析了相应儿童群体的疫苗接种率。近 27% 的参与者表示他们赞成接种疫苗,事实上,儿童的实际疫苗接种率超过了全国平均水平。只有 26.5% 的受访者宣称他们会接种 COVID-19 疫苗。 76% 的家长拒绝接种疫苗是出于安全考虑。特定的疫苗属性进一步降低了接受率。女性、年龄较小和教育水平较低与不遵守疫苗接种有关。在 COVID-19 疫苗接种的外在因素中,只有来自国家卫生当局的信息与疫苗接受度显着相关。在我们的父母群体中,潜在的 COVID-19 疫苗接受率非常低。疫苗犹豫主要是出于安全考虑。人口和教育因素与疫苗可接受性相关。需要健康教育和沟通策略来实现大规模疫苗可接受性并最终实现群体免疫。
Vaccination is a key protective factor against COVID-19. Some vaccines have already received emergency authorization from Health Agencies, but growing skepticism and vaccine hesitancy will probably affect COVID-19 vaccination campaigns. In the attempt to shed light on this issue, we conducted an online survey in a population of parents referring to 4 pediatric practices in Naples, Italy in whom we evaluated potential vaccine acceptability in relation to socio-demographic characteristics, perception of personal health and of the impact of COVID-19, and attitudes toward general vaccination practices. Vaccination rates were analyzed also in the corresponding pediatric population. Almost 27% of participants declared they were in favor of vaccinations, and in fact real life vaccination rates in children exceeded the national mean. Only 26.5% of respondents declared they would receive COVID-19 vaccine. Vaccine refusal was attributed to safety concerns in 76% of parents. Specific vaccine attributes further reduced the acceptance rate. Female gender, younger age and lower education level were associated with non-adherence to vaccination. Among extrinsic factors of COVID-19 vaccination, only information from National Health Authorities was significantly associated to vaccine acceptance. The rate of potential COVID-19 vaccine acceptability was very poor in our population of parents. Vaccine hesitancy was mainly due to safety concerns. Demographic and educational factors were correlated to vaccine acceptability. Health education and communication strategies are needed to achieve large-scale vaccine acceptability and finally herd immunity.