Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, School of Medicine, 5003 Old Clinic, CB# 7550, Chapel Hill, NC 27599, USA; Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Eshelman School of Pharmacy, Chapel Hill, NC, USA; Center for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA; Department of Medicine, and Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Geriatr Nurs. 2022 May-Jun;45:169-173. doi: 10.1016/j.gerinurse.2022.04.011. Epub 2022 Apr 25.
COVID-19 vaccination rates have been suboptimal in frontline healthcare assistants (HCAs). We sought to characterize contributors to COVID-19 vaccine hesitancy among HCAs. We conducted an analysis of online survey responses from members of the National Association of Health Care Assistants from December 2020-January 2021. Respondents were asked what it would take for them to be vaccinated against COVID-19. Responses from 309 HCAs were coded to characterize respondents' willingness to be vaccinated and identify contributors to vaccine hesitancy. Approximately 60% (n = 185) of HCAs expressed hesitancy but would consider getting vaccinated under certain circumstances. We identified 8 overarching themes for contributors to COVID-19 vaccine hesitancy, the most common being safety concerns (70% of respondents). Others included efficacy (11.4%), workplace requirements (9.7%), societal influence (9.2%), and compensation (8.1%). Interventions to increase vaccine uptake among HCAs may be most effective by addressing concerns regarding the short-term and long-term safety implications of COVID-19 vaccines.
COVID-19 疫苗接种率在一线医护助理（HCAs）中并不理想。我们试图描述 HCAs 对 COVID-19 疫苗犹豫不决的原因。我们对 2020 年 12 月至 2021 年 1 月期间全国医疗助理协会成员的在线调查回复进行了分析。受访者被问到他们需要什么才能接种 COVID-19 疫苗。对 309 名 HCAs 的回复进行了编码，以描述受访者接种疫苗的意愿，并确定对疫苗犹豫不决的原因。大约 60%（n=185）的 HCAs 表示犹豫不决，但在某些情况下会考虑接种疫苗。我们确定了 COVID-19 疫苗犹豫的 8 个总体主题，其中最常见的是安全问题（70%的受访者）。其他包括疗效（11.4%）、工作场所要求（9.7%）、社会影响（9.2%）和补偿（8.1%）。通过解决 COVID-19 疫苗的短期和长期安全影响问题，可能会最有效地提高 HCAs 对疫苗的接种率。
