Vaccination hesitancy: To be vaccinated, or not to be vaccinated, that is the question in the era of COVID-19.
COVID-19
infodemic
lack of control
vaccination
vaccine hesitancy
Journal
Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
revised:
22
07
2022
received:
22
04
2022
accepted:
01
09
2022
pubmed:
29
9
2022
medline:
14
1
2023
entrez:
28
9
2022
Statut:
ppublish
Résumé
COVID-19 vaccine hesitancy poses serious challenges in achieving adequate vaccine coverage in the general population. While most studies on vaccine hesitance determinants during the COVID-19 pandemic were quantitative, qualitative research on the reasons for vaccine resistance is still lacking. To fill this gap, this study aims to qualitatively investigate cognitive and emotional factors associated with COVID-19 vaccine hesitancy. This qualitative pilot study was conducted between October and November 2021 in Italy. A total of 40 COVID-19 vaccine-hesitant ("hesitant not vaccinated" or "hesitant but vaccinated") individuals completed anonymous questionnaires with open-ended questions. Data were analysed using the Interpretive Description approach. The central theme that emerged about vaccine hesitancy was the lack of control. This construct included four different sub-categories: distrust of the government, infodemic, influence of family, and general anti-vaccine opinions. The results also showed that the most important emotional and cognitive factors associated with hesitancy were anger related to a perceived sense of oppression; emotional avoidance to minimize risk; anxiety related to potential vaccine side effects. Identifying and understanding factors influencing COVID-19 vaccination hesitancy is crucial to improving communication strategies that will ultimately result in increased confidence and vaccine acceptance.
Identifiants
pubmed: 36168152
doi: 10.1111/phn.13134
pmc: PMC9538072
doi:
Substances chimiques
COVID-19 Vaccines
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
90-96Informations de copyright
© 2022 The Authors. Public Health Nursing published by Wiley Periodicals LLC.
Références
Agenzia Nazionale per i Servizi Sanitari Regionali (2022). Portale Covid-19. Available online: https://www.agenas.gov.it
Allahverdipour, H. (2020). Global challenge of health communication: Infodemia in the coronavirus disease (COVID-19) pandemic. Journal of Education and Community Health, 7(2), 65-67.
Alwi, S. S., Rafidah, E., Zurraini, A., Juslina, O., Brohi, I. B., & Lukas, S. (2021). A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health, 21, 1-12.
Bertoncello, C., Ferro, A., Fonzo, M., Zanovello, S., Napoletano, G., Russo, F., Baldo, V., & Cocchio, S. (2020). Socioeconomic determinants in vaccine hesitancy and vaccine refusal in Italy. Vaccines, 8(2), 276.
Bendau, A., Plag, J., Petzold, M. B., & Ströhle, A. (2021). COVID-19 vaccine hesitancy and related fears and anxiety. International Immunopharmacology, 97, 107724.
Biswas, M., Alzubaidi, M. S., Shah, U., Abd-Alrazaq, A. A., & Shah, Z. (2021). A scoping review to find out worldwide COVID-19 vaccine hesitancy and its underlying determinants. Vaccines, 9, 1243.
Dror, A. A., Eisenbach, N., Taiber, S., Morozov, N. G., Mizrachi, M., Zigron, A., Srouji, S., & Sela, E. (2020). Vaccine hesitancy: The next challenge in fight against COVID-19. European Journal of Epidemiology, 35(8), 775-779.
Edwards, B., Biddle, N., Gray, M., & Sollis, K. (2021). COVID-19 vaccine hesitancy and resistance: Correlates in a nationally representative longitudinal survey of the Australian population. PloS ONE, 16(3), e0248892.
Fisher, K. A., Bloomstone, S. J., Walder, J., Crawford, S., Fouayzi, H., & Mazor, K. M. (2020). Attitudes toward a potential SARS-CoV-2 vaccine: A survey of U.S. adults. Ann. Intern. Med., 173, 964-973. https://doi.org/10.7326/M20-3569
Freeman, D., Loe, B. S., Chadwick, A., Vaccari, C., Waite, F., Rosebrock, L., Jenner, L., Petit, A., Lewandowsky, S., Vanderslott, S., Innocenti, S., Larkin, M., Giubilini, A., Yu, L.-M., McShane, H., Pollard, A. J., & Lambe, S. (2020). COVID-19 vaccine hesitancy in the UK: The Oxford coronavirus explanations, attitudes, and narratives survey (Oceans) II. Psychological Medicine, 1-15.
Geana, M. V., Anderson, S., & Ramaswamy, M. (2021). COVID-19 vaccine hesitancy among women leaving jails: A qualitative study. Public Health Nursing, 38(5), 892-896.
Germani, F., & Biller-Andorno, N. (2021). The anti-vaccination infodemic on social media: A behavioral analysis. PLoS ONE, 16(3), e0247642. https://doi.org/10.1371/journal.pone.0247642
Giuliani, M., Ichino, A., Bonomi, A., Martoni, R., Cammino, S., & Gorini, A. (2021). Who is willing to get vaccinated? A study into the psychological, socio-demographic, and cultural determinants of COVID-19 vaccination intentions. Vaccines, 9, 810.
Gorman, J. M., Gorman, S. E., Sandy, W., Gregorian, N., & Scales, D. A. (2022). Implications of COVID-19 vaccine hesitancy: Results of online bulletin board interviews. Frontiers in Public Health, 9, 757283. https://doi.org/10.3389/fpubh.2021.757283
Harapan, H., Wagner, A. L., Yufika, A., Winardi, W., Anwar, S., Gan, A. K., Setiawan, A. M., Rajamoorthy, Y., Sofyan, H., & Mudatsir, M. (2020). Acceptance of a COVID-19 vaccine in Southeast Asia: A cross-sectional study in Indonesia. Frontiers in Public Health, 8, 1-8. https://doi.org/10.3389/fpubh.2020.00381
Hacquin, A. S., Altay, S., de Araujo, E., Chevallier, C., & Mercier, H. (2020). Sharp rise in vaccine hesitancy in a large and representative sample of the French population: Reasons for vaccine hesitancy. Available at: https://psyarxiv.com/r8h6z/
Hyland, P., Vallières, F., Shevlin, M., Bentall, R. P., McKay, R., Hartman, T. K., & Murphy, J. (2021). Resistance to COVID-19 vaccination has increased in Ireland and the United Kingdom during the pandemic. Public Health, 195, 54-56.
Kong, Y., Jiang, H., Liu, Z., Guo, Y., & Hu, D. (2022). The uptake and vaccination willingness of COVID-19 vaccine among Chinese residents: Web-based online cross-sectional study. Vaccines, 10(1), 90.
Larson, H. J., & Broniatowski, D. A. (2021). Volatility of vaccine confidence. Science, 371(6536), 1289-1289.
Larson, H. J., de Figueiredo, A., Xiahong, Z., Schulz, W. S., Verger, P., Johnston, I. G., Cook, A. R., & Jones, N. S. (2016). The state of vaccine confidence 2016: Global insights through a 67-country survey. EBioMedicine, 12, 295-301.
Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2021). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27(2), 225-228.
Liu, Z. H., Bai, W., Cai, H., Liu, S., Chen, X., Qi, H., Liu, R., Cheung, T., Su, Z., Jackson, T., Sha, S., & Jackson, T. (2021). Body appreciation as a factor associated with college students’ willingness to receive future COVID-19 vaccines. Vaccines, 9(11), 1285.
Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K., & Larson, H. J. (2021). Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nature Human Behaviour, 5, 337-348.
Luyten, J., Bruyneel, L., & van Hoek, A. J. (2019). Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine, 37(18), 2494-2501.
Morales, G. I., Lee, S., Bradford, A., De Camp, A., & Tandoc, E. C. (2022). Exploring vaccine hesitancy determinants during the COVID-19 pandemic: An in-depth interview study. SSM-Qualitative Research in Health, 2, 100045.
Olivera Mesa, D., Hogan, A. B., Watson, O. J., Charles, G. D., Hauck, K., Ghani, A. C., & Winskill, P. (2022). Modelling the impact of vaccine hesitancy in prolonging the need for Non-Pharmaceutical Interventions to control the COVID-19 pandemic. Communications Medicine, 2(1), 1-8.
Percudani, M., Corradin, M., Moreno, M., Indelicato, A., & Vita, A. (2020). Mental health services in Lombardy during COVID-19 outbreak. Psychiatry Research, https://doi.org/10.1016/j.psychres.2020.112980
Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine amongadults in the United States: How many people would get vaccinated? Vaccine, 38, 6500-6507. https://doi.org/10.1016/j.vaccine.2020.08.043
Sallam, M. (2021). COVID-19 vaccine hesitancy worldwide: A concise systematic review of vaccine acceptance rates. Vaccines, 9, 160.
Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893-1907.
Signorelli, C., Guerra, R., Siliquini, R., & Ricciardi, W. (2017). Italy's response to vaccine hesitancy: An innovative and cost-effective National Immunization Plan based on scientific evidence. Vaccine, 24, 4057-4059.
Soares, P., Rocha, J. V., Moniz, M., Gama, A., Laires, P. A., Pedro, A. R., & Nunes, C. (2021). Factors associated with COVID-19 vaccine hesitancy. Vaccines, 9, 300.
Thorne, S. (2016). Interpretive description: Qualitative research for applied practice. Routledge.
Troiano, G., & Nardi, A. (2021). Vaccine hesitancy in the era of COVID-19. Public Health, 194, 245-251.
Vizcardo, D., Salvador, L. F., Nole-Vara, A., Dávila, K. P., Alvarez-Risco, A., Yáñez, J. A., & Mejia, C. R. (2021). Sociodemographic predictors associated with the willingness to get vaccinated against COVID-19 in Peru: A cross-sectional survey. Vaccines, 10(1), 48.
World Health Organization (2019). Portale Covid-19. Available online: https://www.who.int