Huang Derrick, Ganti Latha, Graham Emily Weeks, Shah Dipal, Aleksandrovskiy Ilya, Al-Bassam Morthatha, Fraunfelter Frank, Falgiani Mike, Leon Leoh, Lopez-Ortiz Carlos
Emergency Medicine, University of Central Florida College of Medicine.
Emergency Medicine, University of Central Florida.
Health Psychol Res. 2022 Apr 26;10(3):34218. doi: 10.52965/001c.34218. eCollection 2022.
Vaccine hesitancy among healthcare providers can compromise public confidence in vaccination during the ongoing COVID-19 global epidemic and increase susceptibility to life-threatening disease. We sought to investigate predictors of openness to vaccination among healthcare workers who choose not to be vaccinated against COVID-19 in order to explore potential solutions.
Physicians, physician assistants, and nurses who chose not to be vaccinated were surveyed to decipher reasons for vaccine refusal and personal loss due to the virus along with demographic variables. Multivariate logistic regression analysis evaluated whether provider role, parenthood, and death of family or friends were associated with strong versus relative vaccine refusal.
The predominant reasons for vaccine hesitancy in this cohort of health care workers who had access to, but chose not to be vaccinated (n=500) were a concern for vaccine side effects (69.6%) and the belief that the vaccines are inadequately studied (61.6%). Being a physician, a parent, and having no experience of death in the family or friends had 2.64 times (95% CI: 1.65-4.23, p < 0.001), 1.72 times (95% CI: 1.05-2.81, p = 0.032), and 1.70 times (95% CI: 1.06-2.72, p = 0.028) the odds of strong vaccine refusal, respectively. Older age (35 and up) respondents were 1.83 times (95% CI: 1.24-2.68, p = 0.002) more likely to be open to vaccination.
在当前的新冠疫情全球大流行期间，医护人员对疫苗的犹豫态度可能会损害公众对疫苗接种的信心，并增加感染危及生命疾病的易感性。我们试图调查那些选择不接种新冠疫苗的医护人员对疫苗接种持开放态度的预测因素，以便探索潜在的解决方案。
对选择不接种疫苗的医生、医师助理和护士进行了调查，以了解他们拒绝接种疫苗的原因、因病毒导致的个人损失以及人口统计学变量。多因素逻辑回归分析评估了提供者角色、是否为父母以及家人或朋友是否死亡与强烈拒绝疫苗接种和相对拒绝疫苗接种之间的关联。
在这群有机会接种但选择不接种疫苗的医护人员（n = 500）中，对疫苗犹豫的主要原因是担心疫苗副作用（69.6%）以及认为疫苗研究不充分（61.6%）。作为医生、父母且家人或朋友没有死亡经历的人强烈拒绝接种疫苗的几率分别是其他人的2.64倍（95%置信区间：1.65 - 4.23，p < 0.001）、1.72倍（95%置信区间：1.05 - 2.81，p = 0.032）和1.70倍（95%置信区间：1.06 - 2.72，p = 0.028）。年龄较大（35岁及以上）的受访者接种疫苗的可能性高1.83倍（95%置信区间：1.24 - 2.68，p = 0.002）。
