Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France

Wilson, Rose; Zaytseva, Anna; Bocquier, Aurélie; Nokri, Amale; Fressard, Lisa; Chamboredon, Patrick; Carbonaro, Christian; Bernardi, Stéphane; Dubé, Ève; Verger, Pierre

doi:10.1016/j.vaccine.2019.11.018

Cited by 82 publications

(91 citation statements)

References 26 publications

(40 reference statements)

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“…Hesitancy already exists among healthcare workers with regard to ordinary vaccines, such as seasonal influenza vaccination [ [22] , [23] , [24] ]. It is anticipated that the next challenge will be vaccination for COVID-19 when this desperately awaited vaccine becomes available.…”

Section: Discussionmentioning

confidence: 99%

Withdrawn: Vaccine hesitancy among Maltese Healthcare workers toward influenza and novel COVID-19 vaccination

Grech

Gauci

Agius

2020

Early Human Development

114

112

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Introduction Vaccine hesitancy is a chronic public health threat. This study was carried out to ascertain Maltese healthcare workers' hesitancy to a novel COVID-19 vaccine and correlate this with influenza vaccine uptake. Methods A short, anonymous questionnaire was sent out to all of Malta's government sector healthcare workers via the service's standard email services (11–19/09/2020). A total of 9681 questionnaires were posted electronically, with 10.4% response. Results The proportion of Maltese healthcare workers who will take the influenza vaccine increased significantly. Doctors had the highest baseline uptake and highest likely influenza vaccine uptake next winter. The likely/undecided/unlikely to take a COVID-19 vaccine were 52/22/26% respectively. Males were likelier to take the vaccine. Doctors were the occupation with the highest projected vaccine uptake. Likelihood of taking COVID-19 vaccine was directly related to the likelihood of influenza vaccination. Concerns raised were related to insufficient knowledge about such a novel vaccine, especially unknown long term side effects. Discussion The increased uptake of influenza vaccine is probably due to increased awareness of respiratory viral illness. Doctors may have higher vaccine uptakes due to greater awareness and knowledge of vaccine safety. The proportions of who are likely/undecided/unlikely (half, quarter, quarter respectively) to take a COVID-19 are similar to rates reported in other countries. The higher male inclination to take the vaccine may be due the innate male propensity for perceived risk taking. Shared COVID-19 with influenza vaccine hesitancy implies an innate degree of vaccine reluctance/hesitancy and not merely reluctance based on novel vaccine knowledge gap.

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Section: Discussionmentioning

confidence: 99%

Withdrawn: Vaccine hesitancy among Maltese Healthcare workers toward influenza and novel COVID-19 vaccination

Grech

Gauci

Agius

2020

Early Human Development

114

112

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“…26 For example, providing communication training to healthcare workers, together with tailored information sheets and patient education websites, should be evaluated for increasing SIV uptake, as it has been shown to be an effective strategy for increasing uptake for HPV vaccine. 28 As healthcare workers are also prone to vaccine hesitancy, 29,30 and SIV coverage remains suboptimal among them in many countries, [29][30][31][32] health authorities should also promote and evaluate multicomponent interventions to promote SIV among healthcare professionals. The strengths of this study include its large sample size, and the use of a combination of different criteria to identify patients with diabetes with various clinical features (Supplementary Table 1).…”

Section: Discussionmentioning

confidence: 99%

Seasonal influenza vaccination among people with diabetes: influence of patients’ characteristics and healthcare use on behavioral changes

Bocquier

Cortaredona

Fressard

et al. 2020

Human Vaccines & Immunotherapeutics

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Annual seasonal influenza vaccination (SIV) is recommended for people with diabetes, but vaccine coverage remains low. We estimated the probabilities of stopping or starting SIV, their correlates, and the expected time spent in the vaccinated state over 10 seasons for different patient profiles. We set up a retrospective cohort study of patients with diabetes in 2006 (n = 16,026), identified in a representative sample of beneficiaries of the French National Health Insurance Fund. We followed them up over 10 seasons (2005/06-2015/16). We used a Markov model to estimate transition probabilities and a proportional hazards model to study covariates. Between two consecutive seasons, the probabilities of starting (0.17) or stopping (0.09) SIV were lower than those of remaining vaccinated (0.91) or unvaccinated (0.83). Men, older patients, those with type 1 diabetes, treated diabetes or more comorbidities, frequent contacts with doctors, and with any hospital stay for diabetes or influenza during the last year were more likely to start and/or less likely to stop SIV. The mean expected number of seasons with SIV uptake over 10 seasons (range: 2.6-7.9) was lowest for women <65 years with untreated diabetes and highest for men ≥65 years with type 1 diabetes. Contacts with doctors and some clinical events may play a key role in SIV adoption. Healthcare workers have a crucial role in reducing missed opportunities for SIV. The existence of empirical patient profiles with different patterns of SIV uptake should encourage their use of tailored educational approaches about SIV to address patients' vaccine hesitancy.

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“…Other segments that need dedicated foci are health and social care workers. Studies have revealed that certain healthcare workers hesitate to vaccinate themselves or their family members [ 9 , 18 ]. The ECDC provides guides and toolkits for healthcare workers, immunization program managers, and public health experts, to support their efforts in addressing vaccine hesitancy [ 19 ].…”

Section: Audience Targeting and Segmentation Strategymentioning

confidence: 99%

“…If, however, people hold incorrect opinions about the social norms prevailing in their community, for example, the erroneous belief that most people oppose vaccination, it can be helpful to inform them that a high percentage of people do in fact, support vaccination. Subjective social norms, i.e., those that are informed by what we think key others in our social circles believe, are also crucial in promoting vaccine uptake [ 18 , 26 , 27 ].…”

Section: Competition Strategymentioning

confidence: 99%

Key Guidelines in Developing a Pre-Emptive COVID-19 Vaccination Uptake Promotion Strategy

French

Deshpande

Evans

et al. 2020

IJERPH

176

164

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This paper makes the case for immediate planning for a COVID-19 vaccination uptake strategy in advance of vaccine availability for two reasons: first, the need to build a consensus about the order in which groups of the population will get access to the vaccine; second, to reduce any fear and concerns that exist in relation to vaccination and to create demand for vaccines. A key part of this strategy is to counter the anti-vaccination movement that is already promoting hesitancy and resistance. Since the beginning of the COVID-19 pandemic there has been a tsunami of misinformation and conspiracy theories that have the potential to reduce vaccine uptake. To make matters worse, sections of populations in many countries display low trust in governments and official information about the pandemic and how the officials are tackling it. This paper aims to set out in short form critical guidelines that governments and regional bodies should take to enhance the impact of a COVID-19 vaccination strategy. We base our recommendations on a review of existing best practice guidance. This paper aims to assist those responsible for promoting COVID-19 vaccine uptake to digest the mass of guidance that exists and formulate an effective locally relevant strategy. A summary of key guidelines is presented based on best practice guidance.

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Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France

Cited by 82 publications

References 26 publications

Withdrawn: Vaccine hesitancy among Maltese Healthcare workers toward influenza and novel COVID-19 vaccination

Withdrawn: Vaccine hesitancy among Maltese Healthcare workers toward influenza and novel COVID-19 vaccination

Seasonal influenza vaccination among people with diabetes: influence of patients’ characteristics and healthcare use on behavioral changes

Key Guidelines in Developing a Pre-Emptive COVID-19 Vaccination Uptake Promotion Strategy

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