Politis Marios, Sotiriou Sotiris, Doxani Chrysoula, Stefanidis Ioannis, Zintzaras Elias, Rachiotis Georgios
Department of Biomathematics, School of Medicine, University of Thessaly, 41222 Larissa, Greece.
Department of Pathology, Faculty of Medicine, Aristotle University, 54124 Thessaloniki, Greece.
Vaccines (Basel). 2023 Apr 21;11(4):880. doi: 10.3390/vaccines11040880.
COVID-19 vaccine mandates are considered a controversial public health policy both in public debate and among healthcare workers (HCWs). Thus, the objective of this systematic review is to give a deep insight into HCWs' views and attitudes towards COVID-19 vaccination mandates amid the ongoing COVID-19 pandemic.
A systematic literature search of five databases (PubMed, Scopus, Embase, CINAHL, and Web of Science) was conducted between July 2022 and November 2022. Original quantitative studies that addressed the attitudes of HCWs regarding COVID-19 vaccine mandates were considered eligible for this systematic review. All the included studies (n = 57) were critically appraised and assessed for risk of systematic bias. Meta-analyses were performed, providing a pooled estimate of HCWs' acceptance towards COVID-19 vaccine mandates for: 1. HCWs and 2. the general population.
In total, 64% (95% CI: 55%, 72%) of HCWs favored COVID-19 vaccine mandates for HCWs, while 50% (95% CI: 38%, 61%) supported mandating COVID-19 vaccines for the general population.
Our findings indicate that mandatory vaccination against COVID-19 is a highly controversial issue among HCWs. The present study provides stakeholders and policy makers with useful evidence related to the compulsory or non-compulsory nature of COVID-19 vaccinations for HCWs and the general population. Other: The protocol used in this review is registered on PROSPERO with the ID number: CRD42022350275.
在公开辩论以及医护人员中，新冠疫苗强制接种政策被视为一项颇具争议的公共卫生政策。因此，本系统综述的目的是深入了解在新冠疫情持续期间医护人员对新冠疫苗强制接种的看法和态度。
于2022年7月至2022年11月期间，对五个数据库（PubMed、Scopus、Embase、CINAHL和Web of Science）进行了系统的文献检索。涉及医护人员对新冠疫苗强制接种态度的原创性定量研究被认为符合本系统综述的要求。对所有纳入研究（n = 57）进行了严格评估，并评估了系统偏倚风险。进行了荟萃分析，提供了医护人员对新冠疫苗强制接种接受度的汇总估计值，分别针对：1. 医护人员；2. 普通人群。
总体而言，64%（95%置信区间：55%，72%）的医护人员赞成对医护人员实施新冠疫苗强制接种，而50%（95%置信区间：38%，61%）的人支持对普通人群强制接种新冠疫苗。
我们的研究结果表明，新冠疫苗强制接种在医护人员中是一个极具争议的问题。本研究为利益相关者和政策制定者提供了与医护人员和普通人群新冠疫苗接种的强制或非强制性质相关的有用证据。其他：本综述中使用的方案已在PROSPERO上注册，注册号为：CRD42022350275。
