Ghare Fathema, Meckawy Rehab, Moore Michael, Lomazzi Marta
World Federation of Public Health Associations (WFPHA), Institute of Global Health, University of Geneva, Campus Biotech-G6, Chemin des Mines 9, 1202 Geneva, Switzerland.
Public Health and Community Medicine Department, Alexandria Faculty of Medicine, Alexandria University, Champollion Street, Al Attarin, Alexandria 21321, Egypt.
Vaccines (Basel). 2023 Jan 31;11(2):311. doi: 10.3390/vaccines11020311.
Vaccinations of healthcare workers (HCWs) aim to directly protect them from occupational diseases, and indirectly protect their patients and communities. However, studies increasingly highlight that HCWs can be vaccine hesitant. This review aims to analyze HCWs' and public health professionals' sentiments toward COVID-19 (Coronavirus Disease 2019) vaccination and determinants across different countries. A search strategy was conducted in PubMed using keywords such as "COVID-19", "sentiment/acceptance", "healthcare workers", "vaccine hesitancy", and "influenza". A total of 56 articles were selected for in-depth analyses. The highest COVID-19 vaccination uptake was found in an Italian study (98.9%), and the lowest in Cyprus (30%). Older age, male gender, the medical profession, higher education level, presence of comorbidities, and previous influenza vaccination were associated with vaccine acceptance. Factors for low acceptance were perceived side effects of the vaccine, perceived lack of effectiveness and efficacy, and lack of information and knowledge. Factors for acceptance were knowledge, confidence in the vaccine, government, and health authorities, and increased perception of fear and susceptibility. All studies focused on healthcare providers; no studies focusing on public health professionals' sentiments could be found, indicating a gap in research that needs to be addressed. Interventions must be implemented with vaccination campaigns to improve COVID-19 vaccine acceptance.
医护人员的疫苗接种旨在直接保护他们免受职业病侵害，并间接保护他们的患者和社区。然而，越来越多的研究强调医护人员可能对疫苗接种持犹豫态度。本综述旨在分析不同国家医护人员和公共卫生专业人员对2019冠状病毒病（COVID-19）疫苗接种的看法及其决定因素。在PubMed上使用“COVID-19”、“看法/接受度”、“医护人员”、“疫苗犹豫”和“流感”等关键词进行了检索策略。共筛选出56篇文章进行深入分析。意大利一项研究中COVID-19疫苗接种率最高（98.9%），塞浦路斯最低（30%）。年龄较大、男性、医疗行业、高等教育水平、存在合并症以及之前接种过流感疫苗与疫苗接受度相关。接受度低的因素包括对疫苗副作用的认知、认为缺乏有效性和功效以及信息和知识不足。接受疫苗接种的因素包括知识、对疫苗、政府和卫生当局的信心，以及对恐惧和易感性的认知增加。所有研究都集中在医疗服务提供者身上；未发现关注公共卫生专业人员看法的研究，这表明存在需要填补的研究空白。必须在疫苗接种活动中实施干预措施，以提高对COVID-19疫苗的接受度。
