Naidoo Dhirisha, Taderera Bernard Hope
BroadReach Health Development, Bridgeway Precinct, Century City, Cape Town 7441, South Africa.
Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2028, South Africa.
Int J Environ Res Public Health. 2025 Jun 12;22(6):929. doi: 10.3390/ijerph22060929.
Coronavirus disease 2019 (COVID-19) resulted in significant morbidity and mortality globally. Despite the efficacy of COVID-19 vaccines in reducing morbidity and mortality, uptake in South Africa was sub-optimal due to a number of factors which remain not fully understood, particularly in mandatory vaccination workplace settings. This quantitative, cross-sectional study aimed to understand determinants of COVID-19 vaccination uptake among clinical and non-clinical workers, aged 18 years and older, employed at a large organisation with a mandatory workplace COVID-19 vaccination policy in South Africa. Workers completed a one-off, self-administered, online questionnaire that explored determinants of COVID-19 vaccination, barriers and enablers to accessing vaccines, and perspectives regarding the mandatory workplace vaccine policy. Among the 88 workers enrolled in the study, the frequent reasons for COVID-19 vaccination included preventing the spread of COVID-19 (71%, = 62), fear of contracting COVID-19 (64%, = 56), protecting colleagues and patients (63%, = 55), and the mandatory workplace policy (65%, = 57). Just under two-thirds of workers (63%, = 55) were supportive/very supportive of the mandatory COVID-19 vaccine policy. Reasons for support included the fact that vaccination would create a safer work environment, protecting oneself/others from acquiring COVID-19, and receiving support from their employer. Only 15% ( = 13) of workers were not supportive/against the policy. The findings of this study could inform occupational health policy and counselling and support in workplaces in future pandemics.
2019冠状病毒病（COVID-19）在全球范围内导致了严重的发病率和死亡率。尽管COVID-19疫苗在降低发病率和死亡率方面具有有效性，但由于一些尚未完全了解的因素，南非的疫苗接种率并不理想，尤其是在强制接种疫苗的工作场所环境中。这项定量横断面研究旨在了解在南非一家实施强制工作场所COVID-19疫苗接种政策的大型组织中，18岁及以上的临床和非临床工作人员接种COVID-19疫苗的决定因素。工作人员完成了一份一次性的、自我管理的在线问卷，该问卷探讨了COVID-19疫苗接种的决定因素、获取疫苗的障碍和促进因素，以及对强制工作场所疫苗政策的看法。在参与该研究的88名工作人员中，接种COVID-19疫苗的常见原因包括预防COVID-19传播（71%，n = 62）、担心感染COVID-19（64%，n = 56）、保护同事和患者（63%，n = 55）以及强制工作场所政策（65%，n = 57）。略低于三分之二的工作人员（63%，n = 55）支持/非常支持强制COVID-19疫苗政策。支持的原因包括接种疫苗将创造一个更安全的工作环境、保护自己/他人免受COVID-19感染以及得到雇主的支持。只有15%（n = 13）的工作人员不支持/反对该政策。这项研究的结果可为未来大流行期间工作场所的职业健康政策以及咨询和支持提供参考。
