Riccò Matteo, Ferraro Pietro, Peruzzi Simona, Balzarini Federica, Ranzieri Silvia
Servizio di Prevenzione e Sicurezza Negli Ambienti di Lavoro (SPSAL), AUSL-IRCCS di Reggio Emilia, I-42122 Reggio Emilia, RE, Italy.
Hospital S Camillo De Lellis, Occupational Health and Safety Service, ASL Foggia, I-41121 Foggia, FG, Italy.
Vaccines (Basel). 2021 Aug 11;9(8):889. doi: 10.3390/vaccines9080889.
Vaccinations used to prevent coronavirus disease (COVID-19)-the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-are critical in order to contain the ongoing pandemic. However, SARS-CoV-2/COVID-19 vaccination rates have only slowly increased since the beginning of the vaccination campaign, even with at-risk workers (e.g., HCWs), presumptively because of vaccine hesitancy. Vaccination mandates are considered instrumental in order to rapidly improve immunization rates (but they minimize the impact of vaccination campaigns). In this study, we investigated the acceptance (i.e., knowledge, attitudes, and practices) from occupational physicians (OPs)) in regard to SARS-CoV-2/COVID-19 vaccination mandates. A total of 166 OPs participated in an internet-based survey by completing structured questionnaires. Adequate, general knowledge of SARS-CoV-2/COVID-19 was found in the majority of OPs. High perception of SARS-CoV-2 risk was found in around 80% of participants (79.5% regarding its occurrence, 81.9% regarding its potential severity). SARS-CoV-2/COVID-19 vaccination was endorsed by 90.4% of respondents, acceptance for SARS-CoV-2 vaccine was quite larger for mRNA formulates (89.8%) over adenoviral ones (59.8%). Endorsement of vaccination mandates was reported by 60.2% of respondents, and was more likely endorsed by OPs who exhibited higher concern for SARS-CoV-2 infection occurrence (odds ratio 3.462, 95% confidence intervals 1.060-11.310), who were likely to accept some sort of payment/copayment for SARS-CoV-2/COVID-19 vaccination (3.896; 1.607; 9.449), or who were more likely to believe HCWs not vaccinates against SARS-CoV-2 as unfit for work (4.562; 1.935; 10.753). In conclusion, OPs exhibited wide acceptance of SARS-CoV-2/COVID-19 vaccinations, and the majority endorsed vaccination mandates for HCWs, which may help improve vaccination rates in occupational settings.
用于预防冠状病毒病（COVID-19，由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起的疾病）的疫苗接种对于控制当前的大流行至关重要。然而，自疫苗接种运动开始以来，SARS-CoV-2/COVID-19疫苗接种率增长缓慢，即使是高危工作人员（如医护人员）也是如此，推测原因是疫苗犹豫。疫苗强制令被认为有助于迅速提高免疫率（但它们会降低疫苗接种运动的影响）。在本研究中，我们调查了职业医生（OPs）对SARS-CoV-2/COVID-19疫苗强制令的接受情况（即知识、态度和做法）。共有166名职业医生通过完成结构化问卷参与了一项基于互联网的调查。大多数职业医生对SARS-CoV-2/COVID-19有足够的一般知识。约80%的参与者对SARS-CoV-2风险的认知度较高（79.5%认为其会发生，81.9%认为其潜在严重性较高）。90.4%的受访者认可SARS-CoV-2/COVID-19疫苗接种，mRNA制剂的SARS-CoV-2疫苗接受度（89.8%）远高于腺病毒制剂（59.8%）。60.2%的受访者报告认可疫苗强制令，对SARS-CoV-2感染发生表现出更高担忧的职业医生更有可能认可（优势比3.462，95%置信区间1.060-11.310），那些可能接受某种SARS-CoV-2/COVID-19疫苗接种费用/自付费用的职业医生更有可能认可（3.896；1.607；9.449），或者那些更有可能认为未接种SARS-CoV-2疫苗的医护人员不适合工作的职业医生更有可能认可（4.562；1.935；10.753）。总之，职业医生对SARS-CoV-2/COVID-19疫苗接种表现出广泛接受，大多数人认可医护人员的疫苗强制令，这可能有助于提高职业环境中的疫苗接种率。
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