Department of Pneumology and Critical Care Medicine, Translational Lung Research Center Heidelberg (TLRCH), German Center for Lung Research (DZL), Thoraxklinik University of Heidelberg, Heidelberg, Germany.
Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Ludwig Maximilians University (LMU), Munich, Germany.
Respiration. 2022;101(7):646-653. doi: 10.1159/000522518. Epub 2022 Mar 31.
Gender differences in vaccine acceptance among health care workers (HCWs) are well documented, but the extent to which these depend on occupational group membership is less well studied. We aimed to determine vaccine acceptance and reasons of hesitancy among HCWs of respiratory clinics in Germany with respect to gender and occupational group membership.
An online questionnaire for hospital staff of all professional groups was created to assess experiences with and attitudes towards COVID-19 and the available vaccines. Employees of five clinics were surveyed from 15 to 28 March 2021.
962 employees (565 [72%] female) took part in the survey. Overall vaccination acceptance was 72.8%. Nurses and physicians showed greater willingness to be vaccinated than members of other professions (72.8%, 84.5%, 65.8%, respectively; p = 0.006). In multivariate analyses, worries about COVID-19 late effects (odds ratio (OR) 2.86; p < 0.001) and affiliation with physicians (OR 2.20; p = 0.025) were independently associated with the willingness for vaccination, whereas age <35 years (OR 0.61; p = 0.022) and worries about late effects of vaccination (OR 0.13; p < 0.001) predicted vaccination hesitancy; no differences were seen with respect to gender. In separate analyses for men and women, only for men worries about COVID-19 late effects were relevant, while among women, age <35 years, worries about late effects of vaccination and worries about COVID-19 late effects played a role.
There was no overall difference in vaccination acceptance between male and female HCWs, but there were gender-specific differences in the individual reasons on which this decision-making was based.
医护人员（HCWs）对疫苗的接受程度存在性别差异，这已得到充分证实，但这些差异在多大程度上取决于职业群体，研究还不够充分。我们旨在确定德国呼吸科 HCWs 对疫苗的接受程度和犹豫原因，同时考虑到性别和职业群体。
创建了一份针对所有专业群体医院员工的在线问卷，以评估他们对 COVID-19 和可用疫苗的经验和态度。2021 年 3 月 15 日至 28 日，对五家诊所的员工进行了调查。
共有 962 名员工（565 名[72%]女性）参与了调查。总体疫苗接种接受率为 72.8%。护士和医生比其他职业的人更愿意接种疫苗（分别为 72.8%、84.5%、65.8%；p=0.006）。在多变量分析中，对 COVID-19 晚期影响的担忧（优势比（OR）2.86；p<0.001）和与医生的关系（OR 2.20；p=0.025）与接种意愿独立相关，而年龄<35 岁（OR 0.61；p=0.022）和对疫苗接种晚期影响的担忧（OR 0.13；p<0.001）则预示着接种犹豫不决；性别方面没有差异。在对男性和女性的单独分析中，只有对 COVID-19 晚期影响的担忧对男性相关，而对女性来说，年龄<35 岁、对疫苗接种晚期影响的担忧和对 COVID-19 晚期影响的担忧则发挥了作用。
男性和女性 HCWs 对疫苗的接受程度总体上没有差异，但在决定因素方面存在性别特异性差异。
