The landscape of COVID-19 vaccination among healthcare workers at the first round of COVID-19 vaccination in China: willingness, acceptance and self-reported adverse effects

Ye, Xinxin; Wan, Ye; Yu, Jinyue; Gao, Yinghong; Ren, Ziyang; Chen, Lanzhen; Dong, Ao; Qian, Yi; Zhan, Chenju; Lin, Yanni; Wang, Yangxin; Huang, Shenglan; Song, Peige

doi:10.1080/21645515.2021.1985354

Cited by 10 publications

(23 citation statements)

References 57 publications

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“…This systematic review and meta-analysis showed a pooled overall acceptance rate (78%) for COVID-19 vaccination among HCWs in China. But this result was lower than the acceptance rate in three previous national cross-sectional studies with more than 2,000 participants (87.94% [32], 80.85% [35], and 84.65% [38], respectively) and slightly higher than the result in a national study [31] with 1,329 participants, which indicated an overall acceptance rate of 76.98%. In addition to the small sample effect, another possible contributor to this finding was that in the latter study, the addition of attitudes of hesitation to the questionnaire led to a lower overall acceptance rate.…”

Section: Discussioncontrasting

confidence: 68%

“…S3 Table represents the quality assessment using the AHRQ appraisal tool and the level of evidence for each included 18 study. In general, two studies were considered high quality [13,34], while the remaining were stated as moderate quality [22][23][24][25][26][27][28][29][30][31][32][33][35][36][37][38]. All included studies were rated "yes" in items 1, 2, and 8, "unclear" in item 4, and "no" in item 9 and 11.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…were conducted across 3 provinces [28,29], and four studies were conducted on whole national scale [31,32,35,38]. Two studies included nurses or practice nurses [24,37], and the remaining studies included different types of HCWs.…”

Section: Plos Onementioning

confidence: 99%

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COVID-19 vaccine acceptance among healthcare workers in China: A systematic review and meta-analysis

Shui

Wang

et al. 2022

PLoS ONE

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Background Since the successful development of Coronavirus Disease (COVID-19) vaccine, COVID-19 vaccination has been actively advocated all over the world. As the key population for COVID-19 vaccination, the acceptance of Healthcare Workers (HCWs) is not only related to their risk of contracting COVID-19 infection at work, but also affects the decision of the general population on COVID-19 vaccination. Currently, a series of observational studies have been conducted on the acceptance of COVID-19 vaccines among HCWs in China, but there are presently no all-inclusive reviews. Therefore, this paper reviewed to identify a reliable estimate of acceptance rate of COVID-19 vaccine among HCWs in China. Methods We conducted a search on PubMed, EMbase, The Cochrane Library, Web of Science, CNKI (Chinese National Knowledge Infrastructure), Wanfang Database, CBM (Chinese Biomedical Literature Database) and VIP database (Chinese Scientific Journal Database) from January 2020 to June 2022. The quality of included articles was estimated using the Newcastle-Ottawa Quality Assessment tool suitable for cross-sectional studies and STATA 16 was used for analysis, A random-effects model was used to calculate acceptance rate for COVID-19 vaccine, as well as subgroup analysis and sensitivity analysis. Result This review included 18 studies involving 45,760 subjects, all of which were of medium or high quality. Meta-analysis results represented that, the pooled estimated acceptance rate of COVID-19 vaccine among HCWs in China was 78% (95%CI: 73–83%), and the pooled acceptance rate in 2021 (82%, 95%CI: 78–86%) was significantly higher than that in 2020 (73%, 95%CI: 65%-81%). Subgroup analysis showed different acceptance rates for COVID-19 vaccine among HCWs with different characteristics. Conclusion The result revealed that HCWs in China generally have a high acceptance rate of COVID-19 vaccines, but the acceptance rate varies with different characteristics of the population. Therefore, corresponding training should be carried out for HCWs with different characteristics, and they should play an exemplary and leading role in COVID-19 vaccination, so as to improve the vaccination rate of the whole population and form an immune barrier at an early date.

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Section: Discussioncontrasting

confidence: 68%

Section: Quality Assessmentmentioning

confidence: 99%

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COVID-19 vaccine acceptance among healthcare workers in China: A systematic review and meta-analysis

Shui

Wang

et al. 2022

PLoS ONE

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“…For the majority (81%) of vaccine refusers in our study, acceptance of COVID-19 vaccines would be possible on the condition that physicians or ministers and high officials get vaccinated. This is a known situation from previous research that willingness to receive the vaccine is primarily influenced by powerful others’ actions [ 22 ]⁠. This not only emphasizes the importance of role modeling in widening vaccine acceptance and diminishing vaccine refusal but also means that HCWs as role models for vaccination actually need their own role models as well.…”

Section: Discussionmentioning

confidence: 98%

Turkish Healthcare Workers’ Personal and Parental Attitudes to COVID-19 Vaccination From a Role Modeling Perspective

Öncel¹,

Alvur²,

Çakıcı³

2022

Cureus

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IntroductionAs in many other countries, healthcare workers (HCWs) have been identified as the priority group for vaccination in Turkey for they are in close contact with not only patients with COVID-19 to whom they provide treatment but also asymptomatic individuals with COVID-19 infection while inoculating COVID-19 vaccines. As a result of this prioritization, they will always be in the limelight and regarded as role models for personal and parental acceptance of COVID-19 vaccines. MethodsTurkish healthcare workers (n=1,808) were contacted and invited to fill out an online questionnaire between December 27, 2020, and January 14, 2021, in order to reveal their approaches to COVID-19 vaccines and vaccination. ResultsMost of the participants had moderate concerns of having severe COVID-19. Anxiety on the adverse effects of COVID-19 vaccines was more prevalent in females and among 36-to 50-year-old healthcare workers and less frequent in physicians, nurses, and midwives and in those with a higher level of knowledge about COVID-19 vaccines. Strict anti-vaccination tendency was higher in professional categories other than physicians, nurses, and midwives. Females, physicians, nurses, midwives, healthcare workers aged 51 and over, healthcare workers having children, married healthcare workers, and healthcare workers who use scientific journals and World Health Organization (WHO) announcements as sources of information were more inclined to accept COVID-19 vaccines. The elimination of COVID-19 vaccine hesitancy in healthcare workers would be possible if people around them, physicians, and ministers or high officials get vaccinated but will persist in 19% of the healthcare workers. More than half of the healthcare workers thought vaccination against COVID-19 should not be mandatory. The Pfizer-BioNTech vaccine was the most preferred COVID-19 vaccine (37.3%). The reasons for this preference were the trustworthiness of the country of origin, the manufacturer company, the Turkish origin of its developers, the vaccine's being the first to receive emergency validation, and its non-Indian, non-Russian, and non-Chinese origin. Parental vaccine refusal and hesitancy were present in 15.6% and 31.9% of the healthcare workers, respectively. The mistrust in COVID-19 vaccines among Turkish healthcare workers was directed toward not only pharmaceutical companies but also health authorities and academicians because of their unconvincing, conflicting, or vague statements and toward certain countries known for their production of low-quality merchandise in the past. ConclusionThe parental COVID-19 vaccine hesitancy of 32% of the healthcare workers is unacceptably high for role modeling against anti-vaccine movement and should be diminished by implementing necessary measures as soon as possible.

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“…The reasons for vaccination avoidance comprise the fear of side effects, efficacy concerns, good health conditions, low infection risk, absence of information about vaccines (Choucair et al, 2021;Karasu et al, 2019;Pless et al, 2017;Tay et al, 2015;Zhang et al, 2011). Also, it is important to highlight the influence of several sociodemographic and work-related characteristics with the vaccination acceptance among health professionals (Smith et al, 2016;Ye et al, 2021). COVID-19 is also an emerging vaccine-preventable disease, and, beyond protection for the vaccine recipient, vaccination of healthcare personnel is also a key measure to preserve healthcare services from outbreaks and absenteeism.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes toward vaccination among nurses and midwives in Cyprus: A cross‐sectional study

Fakonti

Kyprianidou

Toumbis

et al. 2021

Int J of Nursing Knowl

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Purpose To assess the level of knowledge and attitudes of nurses and midwives in Cyprus toward vaccinations and provide new insights into the determinants that influence them. Methods An online cross‐sectional study was carried out during the period between December 08 and 28 2020. Participants included registered nurses and midwives working in public or private service provision. A self‐administered questionnaire was used with questions about sociodemographic characteristics, questions assessing attitudes and beliefs toward vaccination, and participants’ general vaccine knowledge. Findings A total of 437 responders answered the survey, with 93% being nurses and 7% midwives. Around two‐thirds (67.3%) of the participants had a high vaccination knowledge, while the remaining have moderate (30.7%), and low (2.1%), respectively. Most of the participants agreed that by vaccinating they protect themselves and those around them (80.5%) and that when most people are not vaccinated, epidemics can easily initiate (74%). Oppositely, many participants disagreed with vaccination and avoided it due to a fear of injections (95.4%) or the belief that it is better to get sick rather than be vaccinated (69.1%). Neutral attitudes toward vaccine‐mediated side effects (43.1%) and vaccination safety (41.7%) were observed. Sociodemographic factors such as age, educational status, and work setting significantly affected the nurses’ and midwives’ knowledge and attitudes toward vaccination (p < 0.05). Conclusions The findings indicate that the overall vaccination knowledge of participants was high, however, gaps in vaccination knowledge were observed. Individuals who adopted a neutral stance toward vaccination can be prone to changes either toward positive or negative attitudes. Implications for nursing practice The survey findings suggest implementing educational strategies and targeted interventions in clinical settings to enhance nurses’ and midwives’ vaccination knowledge and awareness.

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The landscape of COVID-19 vaccination among healthcare workers at the first round of COVID-19 vaccination in China: willingness, acceptance and self-reported adverse effects

Cited by 10 publications

References 57 publications

COVID-19 vaccine acceptance among healthcare workers in China: A systematic review and meta-analysis

COVID-19 vaccine acceptance among healthcare workers in China: A systematic review and meta-analysis

Turkish Healthcare Workers’ Personal and Parental Attitudes to COVID-19 Vaccination From a Role Modeling Perspective

Knowledge and attitudes toward vaccination among nurses and midwives in Cyprus: A cross‐sectional study

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