Psychological Determinants of COVID-19 Vaccine Acceptance among Healthcare Workers in Kuwait: A Cross-Sectional Study Using the 5C and Vaccine Conspiracy Beliefs Scales.
Psychological Determinants of COVID-19 Vaccine Acceptance among Healthcare Workers in Kuwait: A Cross-Sectional Study Using the 5C and Vaccine Conspiracy Beliefs Scales.
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DOI：
10.3390/vaccines9070701
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发表时间：
2021-06-25
期刊：
影响因子：
7.8
通讯作者：
Sallam M
中科院分区：
文献类型：
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作者：
Al-Sanafi M;Sallam M
接受2019冠状病毒病（COVID-19）疫苗接种似乎是控制持续大流行的决定性因素。医护人员（HCW）是感染的最高风险群体之一。目前的研究旨在评估科威特医护人员对COVID-19疫苗的接受程度，并确定COVID-19疫苗犹豫的心理决定因素。该研究于2021年3月18日至2021年3月29日期间进行网上匿名调查。抽样策略是基于连续性的，取决于链参考抽样。使用5C分量表和疫苗阴谋信念量表（VCBS）评估了COVID-19疫苗接受的心理决定因素。研究参与者总数为1019人，其中最大的群体是医生（28.7%），药剂师（20.2%），牙医（16.7%）和护士（12.5%）。2019冠状病毒病疫苗接受率为83. 3%，其中9. 0%的人不愿意接受疫苗接种，7. 7%的人不确定。接受COVID-19疫苗接种率最高的是牙医（91.2%）和医生（90.4%），而最低的是护士（70.1%; p < 0.001）。女性、教育程度较低的参与者和私营部门的医务工作者对COVID-19疫苗的犹豫程度较高。大多数参与者（分别为62.6%和69.7%）偏好mRNA疫苗技术和辉瑞-BioNTech COVID-19疫苗。对COVID-19疫苗的犹豫与疫苗阴谋论的信奉密切相关。接受COVID-19疫苗的最高5C心理预测因素是高水平的集体责任和信心，以及较低水平的限制和计算。根据受试者操作特征分析，VCBS和5C分量表（计算分量表除外）显示了预测COVID-19疫苗接受程度的可接受水平。依赖社交媒体平台、电视节目和新闻稿作为COVID-19疫苗知识主要来源的参与者显示出更高的COVID-19疫苗犹豫率。科威特医护人员对COVID-19疫苗的接受程度总体令人满意，是全球报告的最高接受率之一。然;在某些群体（女性、护士和实验室工作人员、私营部门的医务工作者）中观察到更高水平的疫苗犹豫，应针对这些群体开展更有针对性的宣传活动。考虑到科威特和中东地区公众对疫苗的犹豫率很高，科威特的医务工作者可以在教育患者和公众了解COVID-19疫苗接种的好处以阻止SARS-CoV-2传播方面发挥核心作用。
Acceptance of coronavirus disease 2019 (COVID-19) vaccination appears as a decisive factor necessary to control the ongoing pandemic. Healthcare workers (HCWs) are among the highest risk groups for infection. The current study aimed to evaluate COVID-19 vaccine acceptance among HCWs in Kuwait, with identification of the psychological determinants of COVID-19 vaccine hesitancy. The study was conducted using an online anonymous survey distributed between 18 March 2021 and 29 March 2021. The sampling strategy was convenience-based depending on chain-referral sampling. Psychological determinants of COVID-19 vaccine acceptance were assessed using the 5C subscales and the Vaccine Conspiracy Beliefs Scale (VCBS). The total number of study participants was 1019, with the largest group being physicians (28.7%), pharmacists (20.2%), dentists (16.7%), and nurses (12.5%). The overall rate for COVID-19 vaccine acceptance was 83.3%, with 9.0% who were not willing to accept vaccination and 7.7% who were unsure. The highest rate for COVID-19 vaccine acceptance was seen among dentists (91.2%) and physicians (90.4%), while the lowest rate was seen among nurses (70.1%; p < 0.001). A higher level of COVID-19 vaccine hesitancy was found among females, participants with a lower educational level, and HCWs in the private sector. A preference for mRNA vaccine technology and Pfizer-BioNTech COVID-19 vaccine was found among the majority of participants (62.6% and 69.7%, respectively). COVID-19 vaccine hesitancy was significantly linked to the embrace of vaccine conspiracy beliefs. The highest 5C psychological predictors of COVID-19 vaccine acceptance were high levels of collective responsibility and confidence, and lower levels of constraints and calculation. The VCBS and 5C subscales (except the calculation subscale) showed acceptable levels of predicting COVID-19 vaccine acceptance based on receiver operating characteristic analyses. The participants who depended on social media platforms, TV programs, and news releases as their main sources of knowledge about COVID-19 vaccines showed higher rates of COVID-19 vaccine hesitancy. An overall satisfactory level of COVID-19 vaccine acceptance was seen among HCWs in Kuwait, which was among the highest rates reported globally. However; higher levels of vaccine hesitancy were observed among certain groups (females, nurses and laboratory workers, HCWs in the private sector), which should be targeted with more focused awareness programs. HCWs in Kuwait can play a central role in educating their patients and the general public about the benefits of COVID-19 vaccination to halt the spread of SARS-CoV-2, considering the high rates of vaccine hesitancy observed among the general public in Kuwait and the Middle East.
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DOI：
10.1038/s41577-021-00522-1
发表时间：
2021-04
期刊：
Nature reviews. Immunology
影响因子：
--
作者：
Carvalho T;Krammer F;Iwasaki A
通讯作者：
Iwasaki A
影响因子：
3.7
作者：
Anand P;Stahel VP
通讯作者：
Stahel VP
影响因子：
6.9
作者：
Freeman, Daniel;Waite, Felicity;Lambe, Sinead
通讯作者：
Lambe, Sinead
影响因子：
3.7
作者：
Jolley D;Douglas KM
通讯作者：
Douglas KM
埃及的医疗保健工人中的Covid-19-19疫苗接种感和态度。
影响因子：
3.6
作者：
Fares S;Elmnyer MM;Mohamed SS;Elsayed R
通讯作者：
Elsayed R