Vaccine Education Center, Children's Hospital of Philadelphia, United States.
Vaccine Education Center, Children's Hospital of Philadelphia, United States.
Vaccine. 2021 Mar 19;39(12):1693-1700. doi: 10.1016/j.vaccine.2021.02.029. Epub 2021 Feb 16.
Health care personnel have been identified by the ACIP as a priority group for COVID-19 vaccination. We conducted a survey in November-December 2020 at two large, academic hospitals in Philadelphia to evaluate the intention of hospital employees to be vaccinated.
The survey was sent electronically to all employees (clinical and nonclinical staff) at a children's hospital and an adult hospital. The survey was voluntary and confidential. Questions focused on plans to receive a COVID-19 vaccine when available, reasons why employees would/would not get vaccinated, when employees planned to be vaccinated, vaccine safety and efficacy features that would be acceptable, and past history of receipt of other vaccines by the employee and family. Responses were analyzed using univariate and multiple logistic regression methods.
A total of 12,034 hospital employees completed the survey (a 34.5% response rate). Overall, 63.7% of employees reported that they planned to receive a COVID-19 vaccine, 26.3% were unsure, and 10.0% did not plan to be vaccinated. Over 80% of those unsure or unwilling to be vaccinated expressed concerns about vaccine side effects and the vaccines' newness. In multivariable logistic regression, persons planning to take a COVID-19 vaccine were more likely to be older, male, more educated, Asian or White, up-to-date on vaccinations, without direct patient contact, and tested for COVID-19 in the past. No significant difference in intention to be vaccinated was found between those with higher versus lower levels of exposure to COVID-19 patients or the number of previous exposures to patients with COVID-19.
While the majority of hospital employees are planning to receive a COVID-19 vaccine, many are unsure or not planning to do so. Further education of hospital employees about the safety, efficacy, and value of the currently available COVID-19 vaccines is critical to vaccine acceptance in this population.
美国免疫咨询委员会（ACIP）已将医疗保健人员确定为 COVID-19 疫苗接种的优先群体。我们在 2020 年 11 月至 12 月在费城的两家大型学术医院进行了一项调查，以评估医院员工接种疫苗的意愿。
该调查以电子方式发送给一家儿童医院和一家成人医院的所有员工（临床和非临床人员）。该调查是自愿和保密的。问题集中在有可用 COVID-19 疫苗时计划接种疫苗、员工愿意/不愿意接种疫苗的原因、员工计划接种疫苗的时间、疫苗安全性和有效性特征、以及员工及其家人过去接种其他疫苗的情况。使用单变量和多变量逻辑回归方法分析了回复。
共有 12034 名医院员工完成了调查（回应率为 34.5%）。总体而言，63.7%的员工表示计划接种 COVID-19 疫苗，26.3%的员工不确定，10.0%的员工不打算接种疫苗。超过 80%的不确定或不愿意接种疫苗的人表示担心疫苗的副作用和疫苗的新颖性。在多变量逻辑回归中，计划接种 COVID-19 疫苗的人更有可能年龄较大、男性、受教育程度较高、亚洲人或白人、疫苗接种最新、没有直接接触患者，并且过去接受过 COVID-19 检测。在接触 COVID-19 患者的程度较高与较低的人群或接触 COVID-19 患者的次数较多与较少的人群之间，接种疫苗的意愿没有显著差异。
虽然大多数医院员工计划接种 COVID-19 疫苗，但许多人不确定或不打算这样做。对医院员工进行关于当前可用 COVID-19 疫苗的安全性、有效性和价值的进一步教育，对于该人群接受疫苗至关重要。
