Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Hunan Provincial Center for Disease Control and Prevention, Changsha, China.
Infect Control Hosp Epidemiol. 2022 May;43(5):609-615. doi: 10.1017/ice.2021.201. Epub 2021 May 3.
To examine the associations between factors based on the social cognitive theory (SCT) and behavioral intention among doctors and nurses in China toward free and self-paid (600 RMB or US$91) severe acute respiratory coronavirus virus 2 (SARS-CoV-2) vaccination given 80% effectiveness and rare mild side effects.
Cross-sectional study.
Public hospitals.
The study included 362 doctors and 1,702 nurses in major departments of 5 hospitals of 3 Chinese provinces.
An anonymous online survey was conducted from October to November 2020, facilitated by hospital administrators through online WeChat/QQ working groups. Data on outcome expectations, self-efficacy, norms, and COVID-19-related work experiences were collected. Multivariate logistic regression models were used for data analyses.
The logistic regression analysis showed that physical (eg, protective effect of vaccination) and self-evaluative outcome expectations (eg, anticipated regret), self-efficacy, norms (eg, descriptive norm, subjective norm, professional norm, and moral norm), and job satisfaction were significantly and positively associated with the free and self-paid SARS-CoV-2 vaccination intention outcomes among doctors and nurses, adjusted for background variables. Doctors who had engaged in COVID-19-related work reported higher self-paid vaccination intention.
Health promotion is needed to improve the uptake of SARS-CoV-2 vaccination among healthcare workers. Such interventions may consider modifying the identified factors of vaccination intention, including strengthening perceived efficacy, positive feelings about vaccination, the need to avoid future regret, self-efficacy, and social norms. Future studies should examine the actual behavior patterns of SARS-CoV-2 vaccination, and the efficacy of promotion intervention should be tested in randomized controlled studies.
考察基于社会认知理论（SCT）的因素与中国医生和护士对有效性为 80%且副作用轻微罕见的自费（600 元人民币或 91 美元）严重急性呼吸冠状病毒 2（SARS-CoV-2）疫苗接种的行为意向之间的关联。
横断面研究。
公立医院。
本研究纳入了来自中国 3 个省份的 5 家医院主要科室的 362 名医生和 1702 名护士。
2020 年 10 月至 11 月，由医院管理者通过在线微信/QQ 工作组进行了匿名在线调查。收集了关于结果预期、自我效能、规范和与 COVID-19 相关工作经验的数据。采用多变量逻辑回归模型进行数据分析。
逻辑回归分析显示，物理（如疫苗接种的保护作用）和自我评估结果预期（如预期后悔）、自我效能、规范（如描述性规范、主观规范、职业规范和道德规范）以及工作满意度与医生和护士的免费和自费 SARS-CoV-2 疫苗接种意向结果显著正相关，调整了背景变量。参与过 COVID-19 相关工作的医生报告称，他们有更高的自费接种疫苗意向。
需要进行健康促进以提高医护人员对 SARS-CoV-2 疫苗的接种率。此类干预措施可能需要考虑修改疫苗接种意向的确定因素，包括增强感知效能、对疫苗接种的积极感受、避免未来后悔的需要、自我效能和社会规范。未来的研究应检验 SARS-CoV-2 疫苗接种的实际行为模式，并在随机对照研究中检验促进干预的效果。
