Determinants of Obtaining COVID-19 Vaccination among Health Care Workers with Access to Free COVID-19 Vaccination: A Cross-Sectional Study

Elkhayat, Mariam Roshdy; Hashem, Maiada K.; Helal, Ahmed T.; Shaaban, Omar M.; Ibrahim, Ahmed K.; Meshref, Taghreed S.; Elkhayat, Hussein; Moustafa, Mohamed; Mohammed, Mohammed Nahed Attia; EzzEl-Din, Azza M; Rashed, Hebat-Allah G; Bazeed, Alaa; Ibrahim, Islam H.; Mahmoud, Ahmed; Mohamed, Moaiad Eldin Ahmed; Sayad, Reem; Elghazally, Shimaa A.

doi:10.3390/vaccines10010039

Cited by 4 publications

(23 citation statements)

References 48 publications

(67 reference statements)

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“…HCWs of over 60 years of age were the most likely to accept a COVID-19 vaccine compared to other age groups in studies from the UK, Germany, Switzerland, and Azerbaijan [ 10 , 17 , 43 , 63 ]. Contrastingly, five articles from Italy, China, Egypt, and Palestine found that younger HCWs (18–<30) are more likely to accept COVID-19 vaccines [ 14 , 15 , 18 , 31 , 37 ]. Interestingly, the aforementioned Egyptian study reports higher acceptance among younger HCWs; however, it was not a predictor for COVID-19 vaccination [ 18 ].…”

Section: Resultsmentioning

confidence: 98%

“…Contrastingly, five articles from Italy, China, Egypt, and Palestine found that younger HCWs (18–<30) are more likely to accept COVID-19 vaccines [ 14 , 15 , 18 , 31 , 37 ]. Interestingly, the aforementioned Egyptian study reports higher acceptance among younger HCWs; however, it was not a predictor for COVID-19 vaccination [ 18 ].…”

Section: Resultsmentioning

confidence: 98%

“…A total of 56 articles were included in the final sample consisting of cross-sectional studies (n = 48), cohort studies (n = 2), systematic reviews (n = 2), scoping reviews (n = 2), systematic review and meta-analysis (n = 1), and a grey literature report [ 8 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60...…”

Section: Resultsmentioning

confidence: 99%

“…The cross-sectional and cohort studies were from Greece (n = 6), China (n = 5), France (n = 4), Turkey (n = 4), Italy (n = 4), Cyprus (n = 3), UK (n = 3), Germany (n = 2), Lebanon (n = 2), Spain (n = 2), Egypt (n = 2), the US (n = 2), Azerbaijan, Albania, Czech Republic, India, Iraq, Israel, Kosovo, Palestine, Saudi Arabia, Singapore, Slovakia, Switzerland, Tunisia, and the UAE ( Table 1 ) [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 26 , 27 , 28 , 30 , 31 , 32 , 33 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , ...…”

Section: Resultsmentioning

confidence: 99%

“…Studies have found that male HCWs are more inclined to receive the COVID-19 vaccines compared to female HCWs (n = 25/56) [ 8 , 10 , 16 , 18 , 21 , 23 , 24 , 25 , 26 , 29 , 34 , 35 , 36 , 37 , 38 , 42 , 43 , 44 , 46 , 49 , 52 , 54 , 59 , 61 , 63 ]. The highest number of articles were from within the European region (n = 9/27) from France (n = 3/5), Greece (n = 2/6), and Spain (n = 2/2) [ 21 , 36 , 38 , 43 , 46 , 49 , 54 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Determinants of Acceptance of COVID-19 Vaccination in Healthcare and Public Health Professionals: A Review

et al. 2023

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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.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Determinants of Acceptance of COVID-19 Vaccination in Healthcare and Public Health Professionals: A Review

et al. 2023

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Barriers and drivers of positive COVID-19 vaccination behaviours among healthcare workers in Europe and Central Asia: a qualitative cross-country synthesis

Jackson,

Smith,

Aghasaryan

et al. 2023

Humanit Soc Sci Commun

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Vaccination uptake is essential to controlling the ongoing COVID-19 pandemic. Healthcare workers (HCWs) play a critical role in receiving, recommending and delivering COVID-19 vaccination. Understanding the specific influences on each behaviour enables the development of targeted and tailored interventions to improve vaccination uptake. This paper presents a qualitative synthesis of HCWs’ individual and context barriers and drivers to these three vaccination behaviours across 10 countries in Europe and Central Asia. Qualitative data from interviews and focus group discussions with 378 HCWs between December 2020 and March 2022 were synthesised and organised by four COM (capability, physical and social opportunity, motivation) factors. Differences by stage of COVID-19 vaccine roll-out (in preparation, early and late delivery) were explored. Receiving vaccination related to all four factors. Recommending vaccination mostly related to capability and motivation. HCWs were generally well-informed by official sources and viewed vaccination as the way to end the pandemic, acknowledging their important role in this. Colleagues, family and friends were positive influences on personal vaccination decisions. However, knowledge gaps were evident, particularly amongst nurses who relied on (social) media. Concerns about safety and effectiveness, often connected to knowledge gaps, were heightened by the accelerated timeline for COVID-19 vaccine development and approval. This impeded some HCWs’ motivation to receive and recommend vaccination even in the later roll-out countries. Delivering vaccination was facilitated by support from public health organisations, teamwork and service re-organisation, more evident amongst later roll-out countries. Ongoing high workloads, stress and burnout hindered delivery. Complex and inter-related factors affecting HCWs’ vaccination behaviours were identified. These insights should inform the design of multifaceted interventions (e.g., communication skills training, management support for HCWs’ mental health, and engaging them in decision-making for service redesign); not only for COVID-19 vaccination as it is integrated into routine services but for routine immunization as a whole.

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COVID-19 vaccine hesitancy among healthcare workers in Arab Countries: A systematic review and meta-analysis

Alalawi,

Alsalloum,

Garwan

et al. 2024

PLoS ONE

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Background Vaccine hesitancy is a major obstacle to the large efforts made by governments and health organizations toward achieving successful COVID-19 vaccination programs. Healthcare worker’s (HCWs) acceptance or refusal of the vaccine is an influencing factor to the attitudes of their patients and general population. This study aimed to report the acceptance rates for COVID-19 vaccines among HCWs in Arab countries and identify key factors driving the attitudes of HCWs in the Arab world toward vaccines. Methods This systematic review and meta-analysis followed the PRISMA guidelines. PubMed and Scopus databases were searched using pre-specified keywords. All cross-sectional studies that assessed COVID-19 vaccine hesitancy and/or acceptance among HCWs in Arab countries until July 2022, were included. The quality of the included studies and the risk of bias was assessed using the JBI critical appraisal tool. The pooled acceptance rate of the COVID-19 vaccine was assessed using a random-effects model with a 95% confidence interval. Results A total of 861 articles were identified, of which, 43 were included in the study. All the studies were cross-sectional and survey-based. The total sample size was 57,250 HCWs and the acceptance rate of the COVID-19 vaccine was 60.4% (95% CI, 53.8% to 66.6%; I2, 41.9%). In addition, the COVID-19 vaccine acceptance rate among males was 65.4% (95% CI, 55.9% to 73.9%; I2, 0%) while among females was 48.2% (95% CI, 37.8% to 58.6%; I2, 0%). The most frequently reported factors associated with COVID-19 vaccine acceptance were being male, higher risk perception of contracting COVID-19, positive attitude toward the influenza vaccine, and higher educational level. Predictors of vaccine hesitancy most frequently included concerns about COVID-19 vaccine safety, living in rural areas, low monthly income, and fewer years of practice experience. Conclusion A moderate acceptance rate of COVID-19 vaccines was reported among HCWs in the Arab World. Considering potential future pandemics, regulatory bodies should raise awareness regarding vaccine safety and efficacy and tailor their efforts to target HCWs who would consequently influence the public with their attitude towards vaccines.

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Determinants of Obtaining COVID-19 Vaccination among Health Care Workers with Access to Free COVID-19 Vaccination: A Cross-Sectional Study

Cited by 4 publications

References 48 publications

Determinants of Acceptance of COVID-19 Vaccination in Healthcare and Public Health Professionals: A Review

Determinants of Acceptance of COVID-19 Vaccination in Healthcare and Public Health Professionals: A Review

Barriers and drivers of positive COVID-19 vaccination behaviours among healthcare workers in Europe and Central Asia: a qualitative cross-country synthesis

COVID-19 vaccine hesitancy among healthcare workers in Arab Countries: A systematic review and meta-analysis

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