Öncel Selim, Alvur Müge, Çakıcı Özlem
Division of Pediatric Infectious Diseases, Department of Pediatrics and Child Health, Section of Internal Medical Sciences, Faculty of Medicine, Kocaeli University, Izmit, TUR.
Department of Family Medicine, Section of Internal Medical Sciences, Faculty of Medicine, Kocaeli University, Izmit, TUR.
Cureus. 2022 Feb 24;14(2):e22555. doi: 10.7759/cureus.22555. eCollection 2022 Feb.
Introduction As in many other countries, healthcare workers (HCWs) have been identified as the priority group for vaccination in Turkey for they are in close contact with not only patients with COVID-19 to whom they provide treatment but also asymptomatic individuals with COVID-19 infection while inoculating COVID-19 vaccines. As a result of this prioritization, they will always be in the limelight and regarded as role models for personal and parental acceptance of COVID-19 vaccines. Methods Turkish healthcare workers (n=1,808) were contacted and invited to fill out an online questionnaire between December 27, 2020, and January 14, 2021, in order to reveal their approaches to COVID-19 vaccines and vaccination. Results Most of the participants had moderate concerns of having severe COVID-19. Anxiety on the adverse effects of COVID-19 vaccines was more prevalent in females and among 36- to 50-year-old healthcare workers and less frequent in physicians, nurses, and midwives and in those with a higher level of knowledge about COVID-19 vaccines. Strict anti-vaccination tendency was higher in professional categories other than physicians, nurses, and midwives. Females, physicians, nurses, midwives, healthcare workers aged 51 and over, healthcare workers having children, married healthcare workers, and healthcare workers who use scientific journals and World Health Organization (WHO) announcements as sources of information were more inclined to accept COVID-19 vaccines. The elimination of COVID-19 vaccine hesitancy in healthcare workers would be possible if people around them, physicians, and ministers or high officials get vaccinated but will persist in 19% of the healthcare workers. More than half of the healthcare workers thought vaccination against COVID-19 should not be mandatory. The Pfizer-BioNTech vaccine was the most preferred COVID-19 vaccine (37.3%). The reasons for this preference were the trustworthiness of the country of origin, the manufacturer company, the Turkish origin of its developers, the vaccine's being the first to receive emergency validation, and its non-Indian, non-Russian, and non-Chinese origin. Parental vaccine refusal and hesitancy were present in 15.6% and 31.9% of the healthcare workers, respectively. The mistrust in COVID-19 vaccines among Turkish healthcare workers was directed toward not only pharmaceutical companies but also health authorities and academicians because of their unconvincing, conflicting, or vague statements and toward certain countries known for their production of low-quality merchandise in the past. Conclusion The parental COVID-19 vaccine hesitancy of 32% of the healthcare workers is unacceptably high for role modeling against anti-vaccine movement and should be diminished by implementing necessary measures as soon as possible.
引言
与许多其他国家一样，土耳其已将医护人员确定为疫苗接种的优先群体，因为他们不仅在为新冠肺炎患者提供治疗时与其密切接触，而且在接种新冠疫苗时还会接触到新冠病毒无症状感染者。由于这一优先安排，他们将始终处于公众视野，并被视为个人及家长接受新冠疫苗的榜样。
方法
在2020年12月27日至2021年1月14日期间，研究人员联系了土耳其医护人员（n = 1808），邀请他们填写一份在线问卷，以了解他们对新冠疫苗及接种的态度。
结果
大多数参与者对感染重症新冠肺炎有中度担忧。对新冠疫苗不良反应的焦虑在女性以及36至50岁的医护人员中更为普遍，而在医生、护士和助产士以及对新冠疫苗知识水平较高的人员中则较少见。除医生、护士和助产士之外的其他职业类别中，严格的反疫苗倾向更高。女性、医生、护士、助产士、51岁及以上的医护人员、有孩子的医护人员、已婚医护人员以及将科学期刊和世界卫生组织（WHO）公告作为信息来源的医护人员更倾向于接受新冠疫苗。如果医护人员周围的人、医生以及部长或高级官员接种疫苗，医护人员中对新冠疫苗的犹豫情绪可能会消除，但仍有19%的医护人员会持续存在这种情绪。超过一半的医护人员认为不应强制接种新冠疫苗。辉瑞 - 生物科技疫苗是最受欢迎的新冠疫苗（37.3%）。这种偏好的原因包括原产国、生产公司的可信度、研发人员的土耳其血统、该疫苗率先获得紧急验证以及其非印度、非俄罗斯和非中国的产地。分别有15.6%和31.9%的医护人员存在家长拒绝接种疫苗和犹豫的情况。土耳其医护人员对新冠疫苗的不信任不仅指向制药公司，还指向卫生当局和院士，因为他们的声明缺乏说服力、相互矛盾或含糊不清，以及指向过去以生产低质量产品而闻名的某些国家。
结论
32%的医护人员存在家长对新冠疫苗的犹豫情绪，这对于作为反疫苗运动榜样来说高得令人无法接受，应尽快采取必要措施予以减少。
