COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: A mixed-methods study.

COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: A mixed-methods study.
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DOI:
10.1371/journal.pone.0260949
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
Mounier-Jack S
Mounier-Jack S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bell S;Clarke RM;Ismail SA;Ojo-Aromokudu O;Naqvi H;Coghill Y;Donovan H;Letley L;Paterson P;Mounier-Jack S

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英国于2020年12月8日开始实施其COVID-19疫苗接种计划,卫生及社会护理工作者(H& SCW)优先接种疫苗。尽管有充分的职业接触风险,但是,有证据表明,一些H和SCW群体的吸收率较低。我们使用了一种混合方法-包括在线横断面调查和半结构化访谈-通过社会人口统计和就业变量深入了解英国H& SCW中的COVID-19疫苗接种信念,态度和行为。1917人接受了调查- 1656名医护人员(HCW)和261名社会护理人员(SCW)。对20名参与者进行了访谈。工作场所因素有助于疫苗接种的获得和吸收。与医务人员相比,工作人员更有可能不接受COVID-19疫苗接种(OR:1.453,95%CI:1.244-1.696)。最高妇女委员会特别报告了如何获得COVID-19疫苗接种的不确定性。对“我会推荐我的组织作为工作场所”这一陈述表示更强烈同意的参与者更有可能获得COVID-19疫苗接种(OR:1.285,95%CI:1.056-1.563)。那些更强烈地同意“我感到/感到受到来自雇主的压力,需要接种COVID-19疫苗”的人更有可能拒绝接种疫苗(OR:1.751,95%CI:1.271-2.413)。经历过雇主要求接种疫苗压力的受访者认为,这加剧了他们对疫苗的担忧,增加了不信任。与白色英国人和白色爱尔兰人参与者相比,非洲黑人和混合非洲黑人参与者更有可能不被提供(OR:2.011,95%CI:1.026-3.943),更有可能拒绝COVID-19疫苗接种(OR:5.550,95%CI:2.294-13.428)。非洲黑人参与者疫苗接种率下降的原因包括对COVID-19疫苗接种、医疗保健提供者和政策制定者的不信任。H&SCW雇主在促进COVID-19疫苗接种方面处于关键地位,确保员工了解如何接种疫苗,并促进工作场所环境,在其中疫苗接种决定是知情和自愿的。
The UK began delivering its COVID-19 vaccination programme on 8 December 2020, with health and social care workers (H&SCWs) given high priority for vaccination. Despite well-documented occupational exposure risks, however, there is evidence of lower uptake among some H&SCW groups. We used a mixed-methods approach—involving an online cross-sectional survey and semi-structured interviews–to gain insight into COVID-19 vaccination beliefs, attitudes, and behaviours amongst H&SCWs in the UK by socio-demographic and employment variables. 1917 people were surveyed– 1656 healthcare workers (HCWs) and 261 social care workers (SCWs). Twenty participants were interviewed. Workplace factors contributed to vaccination access and uptake. SCWs were more likely to not be offered COVID-19 vaccination than HCWs (OR:1.453, 95%CI: 1.244–1.696). SCWs specifically reported uncertainties around how to access COVID-19 vaccination. Participants who indicated stronger agreement with the statement ‘I would recommend my organisation as a place to work’ were more likely to have been offered COVID-19 vaccination (OR:1.285, 95%CI: 1.056–1.563). Those who agreed more strongly with the statement ‘I feel/felt under pressure from my employer to get a COVID-19 vaccine’ were more likely to have declined vaccination (OR:1.751, 95%CI: 1.271–2.413). Interviewees that experienced employer pressure to get vaccinated felt this exacerbated their vaccine concerns and increased distrust. In comparison to White British and White Irish participants, Black African and Mixed Black African participants were more likely to not be offered (OR:2.011, 95%CI: 1.026–3.943) and more likely to have declined COVID-19 vaccination (OR:5.550, 95%CI: 2.294–13.428). Reasons for declining vaccination among Black African participants included distrust in COVID-19 vaccination, healthcare providers, and policymakers. H&SCW employers are in a pivotal position to facilitate COVID-19 vaccination access, by ensuring staff are aware of how to get vaccinated and promoting a workplace environment in which vaccination decisions are informed and voluntary.
DOI: 10.1136/bmj.m3582
发表时间: 2020-10-28
期刊: BMJ (Clinical research ed.)
影响因子: --
作者:
Shah ASV;Wood R;Gribben C;Caldwell D;Bishop J;Weir A;Kennedy S;Reid M;Smith-Palmer A;Goldberg D;McMenamin J;Fischbacher C;Robertson C;Hutchinson S;McKeigue P;Colhoun H;McAllister DA
通讯作者: McAllister DA
DOI: 10.1093/pubmed/fdaa199
发表时间: 2022-06-27
影响因子: 4.4
作者:
Martin, Christopher A.;Patel, Prashanth;Pareek, Manish
通讯作者: Pareek, Manish
DOI: 10.1111/1475-6773.13222
发表时间: 2019-12-01
影响因子: 3.4
作者:
Williams, David R.;Lawrence, Jourdyn A.;Vu, Cecilia
通讯作者: Vu, Cecilia
DOI: 10.2807/1560-7917.es.2021.26.3.2002047
发表时间: 2021-01
期刊: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
影响因子: --
作者:
Verger P;Scronias D;Dauby N;Adedzi KA;Gobert C;Bergeat M;Gagneur A;Dubé E
通讯作者: Dubé E
DOI: 10.1016/j.vaccine.2019.07.079
发表时间: 2019-10-08
期刊: VACCINE
影响因子: 5.5
作者:
Cherian, Thomas;Morales, Kathleen F.;Morales, Kathleen
通讯作者: Morales, Kathleen