Doubt at the core: Unspoken vaccine hesitancy among healthcare workers.
Doubt at the core: Unspoken vaccine hesitancy among healthcare workers.
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DOI：
10.1016/j.lanepe.2021.100289
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Gryseels C
中科院分区：
文献类型：
--
作者：
Heyerdahl LW;Dielen S;Nguyen T;Van Riet C;Kattumana T;Simas C;Vandaele N;Vandamme AM;Vandermeulen C;Giles-Vernick T;Larson H;Grietens KP;Gryseels C
医护人员是当前新冠肺炎疫苗接种战略的优先目标人群，因为他们在工作场所暴露的机会增加，并与潜在高危患者有接触。1在一些欧洲国家，如比利时、希腊和法国，2这一群体现在需要接种新冠肺炎疫苗。然而，研究表明，有不同比例但往往相当大比例的医护人员对接种这些疫苗犹豫不决。3这与疫苗接种活动极其相关，因为医护人员是疫苗信息最可信的来源之一，对其患者和社会接触者的疫苗接种决定有直接影响。4此外，接种疫苗不足有增加新冠肺炎感染的风险，很可能导致住院人数增加和可用卫生人员减少，增加医院的工作量，从而降低卫生系统充分应对这一流行病的能力。由于接种疫苗的机构和社会压力，卫生专业人员往往不表达他们与疫苗有关的关切，特别是对同事。我们可以将这一现象框定为默默的疫苗迟疑。在人们的疫苗接种状况已经成为全球社区内部和社区之间普遍紧张和社会分裂的来源之际，这种默默的疫苗犹豫不决出现了。接种疫苗和未接种疫苗之间的活跃两极分化可能会进一步抑制必须解决的焦虑的表达。尤其是在医护人员中，仅仅表达与疫苗相关的担忧就有可能被训斥、嘲笑、污蔑，或者被贴上阴谋论者和反恶作剧者的标签。社会期望医护人员必须保护他们所照顾的个人，这意味着这些医护人员有接种疫苗的道德义务，这加剧了这种风险。这种道德义务可能会加剧对新冠肺炎疫苗犹豫不决的卫生专业人员的压力。当医护人员无法表达他们的犹豫不决时，他们的担忧就变得更加难以解决。在这种情况下，卫生专业人员可能也会面临困难，难以在他们所服务的非专业人员中建立对新冠肺炎疫苗的信任。因此，默默的犹豫可能会降低公众对各国新冠肺炎疫苗和疫苗接种项目的核心信任度。它还可能危及新冠肺炎以外的未来疫苗接种活动。尽管关于这一主题的文献很少，但“沉默拒绝”已被确定为巴基斯坦疫苗接种的一个主要挑战。5了解和解决未说出口的疫苗疑虑是在卫生保健机构和服务中建立整体疫苗信心的一个关键但尚未探索的方面。需要新的、积极的和跨学科的方法来确定对这一紧迫挑战的最有效的回应。在建设性对话中表达对疫苗的关切将有助于个人和社会的福祉和复原力。
Healthcare workers are a priority target population in current COVID-19 vaccination strategies because of their increased workplace exposure and contacts with potentially at-risk patients. 1 In some European countries such as Belgium, Greece, and France, 2 COVID-19 vaccination is now required for this group. However, studies show that a varying but often substantial proportion of healthcare workers are hesitant about receiving these vaccinations. 3 This is extremely relevant for vaccination campaigns, as healthcare workers are among the most trusted sources of vaccine information and have a direct influence on the vaccination decisions of their patients and social contacts. 4 Furthermore, insufficient vaccination uptake risks increasing COVID-19 infections, most likely leading to more hospitalizations and less available health staff, increasing the workload in hospitals, and thus reducing health system capacities to adequately respond to the epidemic. Health professionals often do not voice their vaccine-related concerns, particularly to colleagues, due to the institutional and societal pressures to vaccinate. We may frame this phenomenon as unspoken vaccine hesitancy. This unspoken vaccine hesitancy appears at a time when people’s vaccination status has become a source of widespread tension and social division within and across communities globally. The active polarization between the vaccinated and unvaccinated may further inhibit the expression of anxieties that must be addressed. Especially among healthcare workers, merely voicing vaccine-related concerns entails a risk of being lectured, mocked, stigmatized, or labeled as conspiracy theorists and ‘anti-vaxxers’. This risk is compounded by societal expectations that healthcare workers must protect individuals in their care, implying that these workers have a moral obligation to be vaccinated. This moral obligation can exacerbate pressure on health professionals who are hesitant about COVID-19 vaccines. When healthcare workers cannot express their hesitancy, their concerns become more difficult to address. In these circumstance health professionals may also face difficulties cultivating trust in Covid-19 vaccines among the lay individuals whom they attend. As such, unspoken hesitancy could reduce the core public trust in COVID-19 vaccines and vaccination programs across countries. It could also jeopardize future vaccination campaigns beyond COVID-19. Although literature is scarce on the topic,“silent refusals’ have been identified as a major challenge to vaccination uptake in Pakistan. 5 Understanding and addressing unspoken vaccine hesitancy is one crucial but unexplored dimension of building overall vaccine confidence in and through healthcare institutions and services. Novel, pro-active, and transdisciplinary approaches are required to identify the most effective responses to this urgent challenge. Giving voice to vaccine concerns in a constructive dialogue will contribute to individual and societal wellbeing and resilience.
影响因子：
5.5
作者：
Giambi, Cristina;Fabiani, Massimo;Rota, Maria Cristina
通讯作者：
Rota, Maria Cristina
影响因子：
5.9
作者：
Biswas N;Mustapha T;Khubchandani J;Price JH
通讯作者：
Price JH