医护人员对 COVID-19 疫苗的犹豫、沟通和决策。
COVID-19 vaccination hesitancy among health care workers, communication, and policy-making.
机构信息
Division of Nephrology, University of Illinois at Chicago, Chicago, IL.
Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL.
出版信息
Am J Infect Control. 2022 Jan;50(1):20-25. doi: 10.1016/j.ajic.2021.10.004. Epub 2021 Oct 13.
BACKGROUND
Coronavirus disease 2019 (COVID-19) vaccine hesitancy in health care workers (HCWs) contributes to personal and patient risk in contracting COVID-19. Reasons behind hesitancy and how best to improve vaccination rates in HCWs are not clear.
METHODS
We adapted a survey using the Health Belief Model framework to evaluate HCW vaccine hesitancy and reasons for choosing for or against COVID-19 vaccination. The survey was sent to 3 large academic medical centers in the Chicagoland area between March and May 2021.
RESULTS
We received 1974 completed responses with 85% of HCWs receiving or anticipating receiving COVID-19 vaccination. Multivariable logistic regression found HCWs were less likely to receive COVID-19 vaccination if they were Black (OR 0.34, 95% CI 0.15-0.80), Republican (OR 0.54, 95% CI 0.31-0.91), or allergic to any vaccine component (OR 0.27, 95% CI 0.10-0.70) and more likely to receive if they believed people close to them thought it was important for them to receive the vaccine (OR 5.2, 95% CI 3-8).
CONCLUSIONS
A sizable number of HCWs remain vaccine hesitant 1 year into the COVID-19 pandemic. As HCWs are positively influenced by colleagues who believe in COVID-19 vaccination, development of improved communication across HCW departments and roles may improve vaccination rates.
背景
医疗保健工作者（HCWs）对 COVID-19 疫苗的犹豫态度导致个人和患者感染 COVID-19 的风险增加。犹豫不决的背后原因以及如何最好地提高 HCWs 的疫苗接种率尚不清楚。
方法
我们使用健康信念模型框架改编了一项调查，以评估 HCW 对 COVID-19 疫苗的犹豫态度以及选择接种或不接种 COVID-19 疫苗的原因。该调查于 2021 年 3 月至 5 月期间在芝加哥地区的 3 家大型学术医疗中心进行。
结果
我们收到了 1974 份完整的回复，其中 85%的 HCWs 已经接种或预计接种 COVID-19 疫苗。多变量逻辑回归发现，如果 HCWs 是黑人（OR 0.34，95%CI 0.15-0.80）、共和党人（OR 0.54，95%CI 0.31-0.91）或对任何疫苗成分过敏（OR 0.27，95%CI 0.10-0.70），他们接种 COVID-19 疫苗的可能性较小，如果他们认为身边的人认为接种疫苗对他们很重要（OR 5.2，95%CI 3-8），他们接种疫苗的可能性更大。
结论
在 COVID-19 大流行一年后，仍有相当数量的 HCWs 对疫苗犹豫不决。由于 HCWs 受到相信 COVID-19 疫苗的同事的积极影响，因此在 HCW 部门和角色之间开发改进的沟通方式可能会提高疫苗接种率。
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