Assessment of Covid-19 vaccine confidence among healthcare personnel in the safety-net sector in the United States and Puerto Rico.
Humans
COVID-19 Vaccines
/ administration & dosage
Puerto Rico
Female
Male
United States
Health Personnel
/ psychology
Adult
COVID-19
/ prevention & control
Middle Aged
Surveys and Questionnaires
Health Knowledge, Attitudes, Practice
SARS-CoV-2
Safety-net Providers
Attitude of Health Personnel
Vaccination
/ psychology
COVID-19
Healthcare worker
Safety-net sector
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
03 May 2024
03 May 2024
Historique:
received:
02
03
2023
accepted:
16
04
2024
medline:
4
5
2024
pubmed:
4
5
2024
entrez:
3
5
2024
Statut:
epublish
Résumé
This study aimed to assess COVID-19 vaccine confidence among healthcare personnel in the safety net sector of the United States and Puerto Rico. This study aimed to examine the extent to which increased knowledge and positive attitudes toward COVID-19 vaccine safety and efficacy were associated with healthcare workers' COVID-19 vaccination status and their recommendation of the vaccine to all patients. Online survey data were collected from health care workers working in Free and Charitable Clinics across the United States and Federally Qualified Health Centers in Puerto Rico. The survey consisted of 62 questions covering various demographic measures and constructs related to healthcare workers' vaccination status, beliefs, and recommendations for COVID-19 vaccination. Statistical analyses, including multivariate analysis, were conducted to identify the factors associated with the COVID-19 vaccine status and recommendations among healthcare personnel. Among the 2273 respondents, 93% reported being vaccinated against COVID-19. The analysis revealed that respondents who believed that COVID-19 vaccines were efficacious and safe were three times more likely to be vaccinated and twice as likely to recommend them to all their patients. Respondents who believed they had received adequate information about COVID-19 vaccination were 10 times more likely to be vaccinated and four times more likely to recommend it to all their patients. The study results indicate that healthcare workers' confidence in COVID-19 vaccines is closely tied to their level of knowledge, positive beliefs, and attitudes about vaccine safety and efficacy. The study emphasizes the significance of healthcare workers feeling well informed and confident in their knowledge to recommend the vaccine to their patients. These findings have important implications for the development of strategies to boost COVID-19 vaccine confidence among healthcare workers and increase vaccine uptake among patients.
Sections du résumé
BACKGROUND
BACKGROUND
This study aimed to assess COVID-19 vaccine confidence among healthcare personnel in the safety net sector of the United States and Puerto Rico. This study aimed to examine the extent to which increased knowledge and positive attitudes toward COVID-19 vaccine safety and efficacy were associated with healthcare workers' COVID-19 vaccination status and their recommendation of the vaccine to all patients.
METHODS
METHODS
Online survey data were collected from health care workers working in Free and Charitable Clinics across the United States and Federally Qualified Health Centers in Puerto Rico. The survey consisted of 62 questions covering various demographic measures and constructs related to healthcare workers' vaccination status, beliefs, and recommendations for COVID-19 vaccination. Statistical analyses, including multivariate analysis, were conducted to identify the factors associated with the COVID-19 vaccine status and recommendations among healthcare personnel.
RESULTS
RESULTS
Among the 2273 respondents, 93% reported being vaccinated against COVID-19. The analysis revealed that respondents who believed that COVID-19 vaccines were efficacious and safe were three times more likely to be vaccinated and twice as likely to recommend them to all their patients. Respondents who believed they had received adequate information about COVID-19 vaccination were 10 times more likely to be vaccinated and four times more likely to recommend it to all their patients.
CONCLUSIONS
CONCLUSIONS
The study results indicate that healthcare workers' confidence in COVID-19 vaccines is closely tied to their level of knowledge, positive beliefs, and attitudes about vaccine safety and efficacy. The study emphasizes the significance of healthcare workers feeling well informed and confident in their knowledge to recommend the vaccine to their patients. These findings have important implications for the development of strategies to boost COVID-19 vaccine confidence among healthcare workers and increase vaccine uptake among patients.
Identifiants
pubmed: 38702754
doi: 10.1186/s12913-024-10996-z
pii: 10.1186/s12913-024-10996-z
doi:
Substances chimiques
COVID-19 Vaccines
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
580Informations de copyright
© 2024. The Author(s).
Références
CDC. C.f.D.C.a.P. COVID-19 (Studying the Disease. 2020 [cited 2022 05/15/2022]; https://www.cdc.gov/coronavirus/2019-ncov/science/about-epidemiology/studying-the-disease.html .
Khubchandani J, et al. COVID-19 vaccine refusal among nurses worldwide: review of trends and predictors. Vaccines. 2022;10(2):230.
pubmed: 35214687
pmcid: 8876951
doi: 10.3390/vaccines10020230
Sahu KK, Mishra AK, Lal A. COVID-2019: update on epidemiology, disease spread and management. Volume 90. Monaldi Archives for Chest Disease; 2020. 1.
Gibson PG, Qin L, Puah SH. COVID-19 acute respiratory distress syndrome (ARDS): clinical features and differences from typical pre‐COVID‐19 ARDS. Med J Aust. 2020;213(2):54–6. e1.
pubmed: 32572965
pmcid: 7361309
doi: 10.5694/mja2.50674
Alajmi J, et al. COVID-19 infection among healthcare workers in a national healthcare system: the Qatar experience. Int J Infect Dis. 2020;100:386–9.
pubmed: 32949777
pmcid: 7493727
doi: 10.1016/j.ijid.2020.09.027
Behera D, Praveen D, Behera MR. Protecting Indian health workforce during the COVID-19 pandemic. J Family Med Prim care. 2020;9(9):4541.
pubmed: 33209760
pmcid: 7652162
doi: 10.4103/jfmpc.jfmpc_925_20
Shepard J, et al. The prevalence of COVID-19 in healthcare personnel in an adult and pediatric academic medical center. Am J Infect Control. 2021;49(5):542–6.
pubmed: 33896582
pmcid: 8062156
doi: 10.1016/j.ajic.2021.01.004
FDA FaDA. FDA Takes Key Action in Fight Against COVID-19 By Issuing Emergency Use Authorization for First COVID-19 Vaccine. 2020 [cited 2022 05/15/2022]; https://www.fda.gov/news-events/press-announcements/fda-takes-key-action-fight-against-covid-19-issuing-emergency-use-authorization-first-covid-19 .
Belingheri M, et al. COVID-19 vaccine hesitancy and reasons for or against adherence among dentists. J Am Dent Assoc. 2021;152(9):740–6.
pubmed: 34301398
pmcid: 8101782
doi: 10.1016/j.adaj.2021.04.020
Dzieciolowska S, et al. Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: a multicenter survey. Am J Infect Control. 2021;49(9):1152–7.
pubmed: 33930516
pmcid: 8079260
doi: 10.1016/j.ajic.2021.04.079
Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. Journal of Public Health (Oxford, England; 2020.
Maraqa B, et al. COVID-19 vaccine hesitancy among health care workers in Palestine: a call for action. Prev Med. 2021;149:106618.
pubmed: 33992654
pmcid: 8117476
doi: 10.1016/j.ypmed.2021.106618
Peterson CJ, Lee B, Nugent K. COVID-19 vaccination hesitancy among healthcare workers—a review. Vaccines. 2022;10(6):948.
pubmed: 35746556
pmcid: 9227837
doi: 10.3390/vaccines10060948
Alrabadi N, et al. COVID-19 vaccination hesitancy: a review of the literature and recommendations. Curr Reviews Clin Experimental Pharmacol Former Curr Clin Pharmacol. 2024;19(1):26–41.
doi: 10.2174/2772432817666220512112913
Biswas N, et al. The nature and extent of COVID-19 vaccination hesitancy in healthcare workers. J Community Health. 2021;46:1244–51.
pubmed: 33877534
pmcid: 8056370
doi: 10.1007/s10900-021-00984-3
Swann MC, et al. Examining drivers of coronavirus disease 2019 (COVID-19) vaccine hesitancy among healthcare workers. Infect Control Hosp Epidemiol. 2022;43(12):1813–21.
pubmed: 35156600
doi: 10.1017/ice.2022.34
MacDonald NE, Dubé E. Unpacking vaccine hesitancy among healthcare providers. EBioMedicine. 2015;2(8):792.
pubmed: 26425679
pmcid: 4563149
doi: 10.1016/j.ebiom.2015.06.028
Scheres J, Kuszewski K. The ten threats to Global Health in 2018 and 2019. A welcome and informative communication of WHO to everybody. Zeszyty Naukowe Ochrony Zdrowia Zdrowie Publiczne i Zarzadzanie. 2019;17(1):2–8.
doi: 10.4467/20842627OZ.19.001.11297
Pogue K, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines. 2020;8(4):582.
pubmed: 33022917
pmcid: 7711655
doi: 10.3390/vaccines8040582
Gadoth A, et al. Cross-sectional assessment of COVID-19 vaccine acceptance among health care workers in Los Angeles. Ann Intern Med. 2021;174(6):882–5.
pubmed: 33556267
doi: 10.7326/M20-7580
Zhao S, et al. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: a data-driven analysis in the early phase of the outbreak. Int J Infect Dis. 2020;92:214–7.
pubmed: 32007643
pmcid: 7110798
doi: 10.1016/j.ijid.2020.01.050
Murphy J, et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun. 2021;12(1):1–15.
doi: 10.1038/s41467-020-20226-9
Wang MW, et al. COVID-19 Vaccination Acceptance among Healthcare Workers and Non-healthcare workers in China: a Survey. Front Public Health. 2021;9:709056.
pubmed: 34409011
pmcid: 8364953
doi: 10.3389/fpubh.2021.709056
Kwok KO, et al. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey. Int J Nurs Stud. 2021;114:103854.
pubmed: 33326864
doi: 10.1016/j.ijnurstu.2020.103854
Gagneux-Brunon A, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021;108:168–73.
pubmed: 33259883
doi: 10.1016/j.jhin.2020.11.020
Fares S, et al. COVID-19 vaccination perception and attitude among healthcare workers in Egypt. J Prim care Community Health. 2021;12:21501327211013303.
pubmed: 33913365
pmcid: 8111272
doi: 10.1177/21501327211013303
Gu M, et al. A pilot study on COVID-19 vaccine hesitancy among healthcare workers in the US. PLoS ONE. 2022;17(6):e0269320.
pubmed: 35704555
pmcid: 9200349
doi: 10.1371/journal.pone.0269320
Touré AA et al. Factors associated with acceptanceof COVID-19 vaccination among women in Guinea: Analysis of the first vaccination phase in March 2021 medRxiv, 2023: p. 2023.03. 27.23287835.
Kara Esen B, et al. COVID-19 vaccine hesitancy in healthcare personnel: a university hospital experience. Vaccines. 2021;9(11):1343.
pubmed: 34835274
pmcid: 8625899
doi: 10.3390/vaccines9111343
Marathe SD, et al. Factors associated with COVID-19 vaccine hesitancy: a community-based household survey in Pune district of Maharashtra, India. J Global Health Rep. 2022;6:e2022048.
Zürcher K, et al. Vaccination willingness for COVID-19 among healthcare workers: a cross-sectional survey in a Swiss canton. Swiss Med Wkly. 2021;151:w30061.
pubmed: 34546016
doi: 10.4414/SMW.2021.w30061
Darnell JS. Free clinics in the United States: a nationwide survey. Arch Intern Med. 2010;170(11):946–53.
pubmed: 20548006
doi: 10.1001/archinternmed.2010.107
Altman S, Lewin ME. America’s health care safety net: intact but endangered 2000.
Hall MA. Rediscovering the importance of free and charitable clinics. N Engl J Med. 2023;389(7):585–7.
pubmed: 37578074
doi: 10.1056/NEJMp2303119
Ajzen I, Fishbein M. (1980). Understanding attitudes and predicting social behavior Englewood Cliffs, NJ, 1980.
Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: an introduction to theory and research. Philos Rhetoric, 1977. 10(2).
Becker MH. The health belief model and sick role behavior. Health Educ Monogr. 1974;2(4):409–19.
doi: 10.1177/109019817400200407
Likert R. A technique for the measurement of attitudes. Archives of psychology; 1932.
Lakshminarasimhappa M. Web-based and smart mobile app for data collection: Kobo Toolbox/Kobo collect. J Indian Libr Association. 2022;57(2):72–9.
StataCorp L. Stata statistical software: release 15.[computer program]. StataCorp LP; 2016.
Angelo AT, Alemayehu DS, Dachew AM. Health care workers intention to accept COVID-19 vaccine and associated factors in southwestern Ethiopia, 2021. PLoS ONE. 2021;16(9):e0257109.
pubmed: 34478470
pmcid: 8415602
doi: 10.1371/journal.pone.0257109
Uzer F, et al. Knowledge levels, attitudes, and behaviors of Health Care professionals regarding COVID-19 vaccines. Libyan Int Med Univ J. 2022;7(01):012–6.
doi: 10.1055/s-0042-1747909
Agyekum MW, et al. Acceptability of COVID-19 vaccination among health care workers in Ghana. Adv Public Health. 2021;2021:1–8.
doi: 10.1155/2021/9998176
Mohamed SA, Odongo AO, Kariuki JG. Determinants of COVID-19 vaccine uptake among Health Care workers: a case study of Mogadishu City, Somalia. Asian J Med Health. 2023;21(7):17–27.
doi: 10.9734/ajmah/2023/v21i7824
Yigit M, Ozkaya-Parlakay A, Senel E. Evaluation of COVID-19 vaccine refusal in parents. Pediatr Infect Dis J. 2021;40(4):e134–6.
pubmed: 33410650
doi: 10.1097/INF.0000000000003042
Alsan M, Chandra A, Simon K. The great unequalizer: initial health effects of COVID-19 in the United States. J Economic Perspect. 2021;35(3):25–46.
doi: 10.1257/jep.35.3.25
Andrasfay T, Goldman N. Association of the COVID-19 pandemic with estimated life expectancy by race/ethnicity in the United States, 2020. JAMA Netw open. 2021;4(6):e2114520–2114520.
pubmed: 34165582
pmcid: 8226419
doi: 10.1001/jamanetworkopen.2021.14520
Garcia MA, et al. The color of COVID-19: structural racism and the disproportionate impact of the pandemic on older Black and Latinx adults. Journals Gerontology: Ser B. 2021;76(3):e75–80.
doi: 10.1093/geronb/gbaa114
Farah W, et al. Disparities in COVID-19 vaccine uptake among health care workers. Vaccine. 2022;40(19):2749–54.
pubmed: 35361500
pmcid: 8947975
doi: 10.1016/j.vaccine.2022.03.045
Hajure M, et al. Attitude towards COVID-19 vaccination among healthcare workers: a systematic review. Infect Drug Resist. 2021;14:3883.
pubmed: 34584432
pmcid: 8464326
doi: 10.2147/IDR.S332792
Galanis P, et al. Predictors of COVID-19 vaccine uptake in healthcare workers: a cross-sectional study in Greece. J Occup Environ Med. 2022;64(4):e191–6.
pubmed: 35467601
doi: 10.1097/JOM.0000000000002463
Lennon RP, et al. Unique predictors of intended uptake of a COVID-19 vaccine in adults living in a rural college town in the United States. Am J Health Promotion. 2022;36(1):180–4.
doi: 10.1177/08901171211026132
Al-Amer R, et al. COVID‐19 vaccination intention in the first year of the pandemic: a systematic review. J Clin Nurs. 2022;31(1–2):62–86.
pubmed: 34227179
doi: 10.1111/jocn.15951
Lin C, et al. Healthcare providers’ vaccine perceptions, hesitancy, and recommendation to patients: a systematic review. Vaccines. 2021;9(7):713.
pubmed: 34358132
pmcid: 8310254
doi: 10.3390/vaccines9070713
Hart PS, Chinn S, Soroka S. Politicization and polarization in COVID-19 news coverage. Sci Communication. 2020;42(5):679–97.
doi: 10.1177/1075547020950735
Bolsen T, Palm R. Politicization and COVID-19 vaccine resistance in the US. Progress in Molecular Biology and Translational Science; 2021.
Abbas AH. Politicizing COVID-19 vaccines in the press: A critical discourse analysis International Journal for the Semiotics of Law-Revue internationale de Sémiotique juridique, 2021: pp. 1–19.
Roy B, Kumar V, Venkatesh A. Health care workers’ reluctance to take the Covid-19 vaccine: a consumer-marketing approach to identifying and overcoming hesitancy. NEJM Catalyst Innovations Care Delivery, 2020. 1(6).
Khubchandani J, et al. Covid-19 infection among family and friends: the psychological impact on non-infected persons. Brain Sci. 2022;12(9):1123.
pubmed: 36138859
pmcid: 9497068
doi: 10.3390/brainsci12091123