Northwell, New Hyde Park, NY, USA; Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, NY, USA; Department of Molecular Medicine, Feinstein Institutes of Medical Research, Manhasset, NY, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, NY, USA.
Northwell, New Hyde Park, NY, USA; Institute of Health System Science, Feinstein Institutes of Medical Research, Manhasset, NY, USA; Department of Occupational Medicine, Epidemiology, and Prevention, Northwell Health, New York, NY, USA.
Vaccine. 2024 Apr 30;42(12):3122-3133. doi: 10.1016/j.vaccine.2024.04.028. Epub 2024 Apr 11.
Healthcare personnel (HCP) are important messengers for promoting vaccines, for both adults and children. Our investigation describes perceptions of fully vaccinated HCP about COVID-19 vaccine for themselves and primary series for their children.
To determine associations between sociodemographic, employment characteristics and perceptions of COVID-19 vaccines among HCP overall and the subset of HCP with children, who were all mandated to receive a COVID-19 vaccine, in a large US metropolitan region.
Cross-sectional survey of fully vaccinated HCP from a large integrated health system.
Participants were electronically enrolled within a multi-site NYS healthcare system from December 21, 2021, to January 21, 2022.
Of 78,000 employees, approximately one-third accessed promotional emails; 6,537 employees started surveys and 4165 completed them. Immunocompromised HCP (self-reported) were excluded.
EXPOSURE(S) (FOR OBSERVATIONAL STUDIES): We conducted a survey with measures including demographic variables, employment history, booster status, child vaccination status; vaccine recommendation, confidence, and knowledge.
MAIN OUTCOME(S) AND MEASURES: The primary outcome was COVID-19 vaccine hesitancy for all dose types - primary series or booster doses - among HCP.
Findings from 4,165 completed surveys indicated that almost 17.2 % of all HCP, including administrative and clinical staff, were hesitant or unsure about receiving a COVID-19 vaccine booster, despite the NYS recommendation to do so. Depending on age group, between 20 % and 40 % of HCP were hesitant about having their children vaccinated for COVID-19, regardless of clinical versus non-clinical duties. In multivariable regression analyses, lack of booster dose, unvaccinated children, females, income less than $50,000, and residence in Manhattan remained significantly associated with vaccine hesitancy.
Despite mandated COVID-19 vaccination, a substantial proportion of HCP remained vaccine hesitant towards adult booster doses and pediatric COVID-19 vaccination. While provider recommendation has been the mainstay of combatting COVID-19 vaccine hesitancy, a gap exists between HCP-despite clinical or administrative status-and the ability to communicate the need for vaccination in a healthcare setting. While previous studies describe the HCP vaccine mandate as a positive force to overcome vaccine hesitancy, we have found that despite a mandate, there is still substantial COVID-19 vaccine hesitancy, misinformation, and reluctance to vaccinate children.
医疗保健人员（HCP）是推广疫苗的重要信息传递者，无论是针对成人还是儿童。我们的调查描述了完全接种疫苗的 HCP 对自身 COVID-19 疫苗和其子女初级系列疫苗的看法。
确定在一个大型美国大都市地区，HCP 整体以及有子女的 HCP 亚组（他们都被要求接种 COVID-19 疫苗）的社会人口统计学、就业特征与 COVID-19 疫苗看法之间的关联。
对来自大型综合卫生系统的完全接种疫苗的 HCP 进行横断面调查。
参与者于 2021 年 12 月 21 日至 2022 年 1 月 21 日期间通过纽约州卫生系统的多个站点以电子方式入组。
在 78000 名员工中，约有三分之一的员工收到了推广电子邮件；6537 名员工开始了调查，其中 4165 人完成了调查。自我报告免疫功能低下的 HCP 被排除在外。
暴露（用于观察性研究）：我们进行了一项调查，其中包括人口统计学变量、就业史、加强针状况、儿童疫苗接种状况；疫苗推荐、信心和知识。
主要结果是 HCP 对所有剂量类型（初级系列或加强针剂量）的 COVID-19 疫苗犹豫不决。
来自 4165 份完成调查的结果表明，尽管纽约州建议这样做，但几乎有 17.2%的 HCP，包括行政和临床工作人员，对接种 COVID-19 加强针犹豫不决或不确定。根据年龄组，无论临床或非临床职责如何，20%至 40%的 HCP 对接种儿童 COVID-19 疫苗犹豫不决。在多变量回归分析中，缺乏加强针、未接种疫苗的儿童、女性、收入低于 50000 美元以及居住在曼哈顿与疫苗犹豫仍显著相关。
尽管实施了 COVID-19 疫苗接种，但相当一部分 HCP 对接种成人加强针和儿童 COVID-19 疫苗仍犹豫不决。虽然提供者的建议一直是对抗 COVID-19 疫苗犹豫的主要手段，但 HCP（无论临床或行政地位如何）与在医疗保健环境中传达接种疫苗的必要性之间存在差距。虽然之前的研究描述了 HCP 疫苗授权是克服疫苗犹豫的积极力量，但我们发现，尽管有授权，但仍存在大量 COVID-19 疫苗犹豫、错误信息和不愿为儿童接种疫苗的情况。
