COVID-19 Vaccine Hesitancy, Acceptance, and Promotion Among Healthcare Workers: A Mixed-Methods Analysis

COVID-19 Vaccine Hesitancy, Acceptance, and Promotion Among Healthcare Workers: A Mixed-Methods Analysis
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DOI:
10.1007/s10900-022-01095-3
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发表时间:
2022-06-08
影响因子:
5.9
通讯作者:
Sidani, Jaime E.
Sidani, Jaime E.
中科院分区:
医学4区
文献类型:
--
作者:
Hoffman, Beth L.;Boness, Cassandra L.;Sidani, Jaime E.

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即使有疫苗授权,COVID-19疫苗犹豫仍然是医护人员的担忧,部分原因是他们在促进患者和社区接种疫苗方面的作用。为了研究医护人员对COVID-19疫苗的犹豫、接受和推广情况,我们对(1)关于COVID-19疫苗接种的调查回应和(2)Twitter消息(即,与COVID-19疫苗接种和医疗保健相关的推文)。共有540名医院员工完成了调查。那些完成调查不到80%或不认可在医院工作的人被排除在外,总共有511份有效回复; 93.2%的人报告至少接种了一剂COVID-19疫苗。大约三分之一的接种者表示,他们在社交媒体上发布了接种疫苗的消息。同时,我们分析了3845条推文的样本; 2299条(60%)与COVID-19疫苗接种相关,1863条(81%)被编码为个人撰写。在个人撰写的推文中,6%(n = 106)由医疗保健提供者/健康科学学生撰写。在相关推文中,所有情感类别中最常见的代码与制药行业有关(n = 529条推文,28%; n = 33,31%的推文由医疗保健工作者撰写)。三角分析结果发现的主题包括疫苗的获得、信任和疫苗安全性或负面健康影响。研究结果表明,在社交媒体上促进COVID-19疫苗个人叙述的分享,结合针对COVID-19疫苗犹豫的具体原因的干预措施,并强调接种疫苗后免于恐惧,可以有效减少这一人群中的COVID-19疫苗犹豫。
Even with vaccine mandates, COVID-19 vaccine hesitancy remains a concern among healthcare workers, in part due to their role in promoting vaccination among patients and communities. To examine COVID-19 vaccine hesitancy, acceptance, and promotion among healthcare workers, we conducted a mixed-methods analysis of (1) survey responses about COVID-19 vaccination and (2) Twitter messages (i.e., tweets) relevant to COVID-19 vaccination and healthcare. A total of 540 hospital employees completed the survey. Those that completed less than 80% of the survey or did not endorse employment at the hospital were excluded, resulting in a total of 511 valid responses; 93.2% reported receiving at least one dose of a COVID-19 vaccine. Approximately 1/3 of vaccinated individuals indicated they posted about receiving the vaccine on social media. Simultaneously, we analyzed a sample of 3845 tweets; 2299 (60%) were relevant to COVID-19 vaccination and 1863 (81%) were coded as authored by an individual. Of tweets authored by an individual, 6% (n = 106) were authored by a healthcare provider/health sciences student. Among relevant tweets, the most frequent code across all sentiment categories was related to the pharmaceutical industry (n = 529 tweets, 28%; n = 33, 31% of tweets authored by healthcare workers). Triangulation of results found themes including vaccine access, trust, and vaccine safety or negative health impacts. Results suggest that promoting the sharing of COVID-19 vaccine personal narratives on social media, combined with interventions targeting specific reasons for COVID-19 vaccine hesitancy and emphasizing freedom from fear once vaccinated could be effective at reducing COVID-19 vaccine hesitancy among this population.