Dumitra Gheorghe Gindrovel, Camen Ancuța Ramona, Nechita Florina, Pîrlog Mihail Cristian, Kamal Constantin, Dogaru Carmen Adriana, Radu Mirela, Gheorghe Elena Codruța, Dumitrescu Elena Madalina, Dinescu Venera Cristina, Surugiu Roxana, Oancea Carmen Nicoleta, Turcu-Stiolica Adina
Family Medicine Department, University of Medicine and Pharmacy of Craiova, Craiova, 200349, Romania.
Department of Occupational Medicine, University of Medicine, and Pharmacy of Craiova, Craiova, 200349, Romania.
Patient Prefer Adherence. 2025 Apr 4;19:907-919. doi: 10.2147/PPA.S500640. eCollection 2025.
Vaccine hesitancy remains a critical barrier to achieving widespread vaccination, particularly in settings with limited public trust and high exposure to misinformation. This study aims to measure the level of vaccine hesitancy, identifying the factors contributing to it, and to evaluate the effectiveness of two targeted interventions-group and individual counseling-designed to address vaccine hesitancy among employees in seven industrial companies in Romania during the Coronavirus disease 2019 (COVID-19) pandemics.
A total of 256 participants were included in the study, and interventions were delivered by family physicians and occupational medicine specialists trained in motivational interviewing (MI) techniques. Data on sociodemographic factors, vaccine hesitancy, and willingness to vaccinate were collected using a questionnaire and a Visual Analogue Scale (VAS) for vaccine willingness.
Both interventions led to significant increases in willingness to vaccinate, with group counseling showing a 1.4-point increase on the VAS (p-value < 0.0001) and individual counseling showing a 1.5-point increase (p-value < 0.0001), though the differences between the two approaches were not statistically significant (p-value = 0.209). Key factors correlated with higher levels of vaccine hesitancy included younger age, lower education levels, marital status (single or divorced), having children, the presence of chronic diseases, a lack of general antivaccine beliefs, and a lack of trust in the natural origin of the novel coronavirus (SARS-CoV-2).
This study highlights the effectiveness of dual interventions involving family doctors and occupational medicine specialists in reducing COVID-19 vaccine hesitancy among industrial workers in Romania. Key factors influencing hesitancy included demographic characteristics (age, marital status) and social determinants (education level, anti-vaccine beliefs, parenthood, and chronic illness). The findings emphasize the role of trusted healthcare professionals in addressing these concerns through targeted communication strategies, such as motivational interviewing.
疫苗犹豫仍然是实现广泛接种疫苗的关键障碍，尤其是在公众信任度有限且大量接触错误信息的环境中。本研究旨在衡量疫苗犹豫程度，确定导致疫苗犹豫的因素，并评估两种针对性干预措施——团体咨询和个体咨询——在2019年冠状病毒病（COVID-19）大流行期间针对罗马尼亚七家工业公司员工解决疫苗犹豫问题的有效性。
共有256名参与者纳入本研究，干预措施由接受过动机性访谈（MI）技术培训的家庭医生和职业医学专家实施。使用问卷和疫苗意愿视觉模拟量表（VAS）收集社会人口学因素、疫苗犹豫程度和接种意愿的数据。
两种干预措施均导致接种意愿显著提高，团体咨询在VAS上显示提高了1.4分（p值<0.0001），个体咨询显示提高了1.5分（p值<0.0001），尽管两种方法之间的差异无统计学意义（p值=0.209）。与较高疫苗犹豫程度相关的关键因素包括年龄较小、教育水平较低、婚姻状况（单身或离婚）、有子女、患有慢性病、缺乏一般的反疫苗信念以及对新型冠状病毒（SARS-CoV-2）自然起源缺乏信任。
本研究强调了家庭医生和职业医学专家参与的双重干预措施在降低罗马尼亚产业工人对COVID-19疫苗犹豫方面的有效性。影响犹豫的关键因素包括人口统计学特征（年龄、婚姻状况）和社会决定因素（教育水平、反疫苗信念、为人父母状况和慢性病）。研究结果强调了值得信赖的医疗保健专业人员通过动机性访谈等针对性沟通策略来解决这些问题的作用。
