Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study

Journal of the Egyptian Public Health Association

Research

Shimaa A. Al-Touny¹  Nader Nemr²  Nermine Elmaraghy³  Rania M. Kishk³  Amani Waheed⁴  Hebatalla M. Aly⁴  Mayada Ghweeba⁴  Noha M. Abu Bakr Elsaid⁵ 

[1] Department of Anaesthesia and ICU, Faculty of Medicine, Suez Canal University, Ismailia, Egypt;Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt;Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt;Department of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt;Department of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt;Department of Basic Medical Sciences, Faculty of Medicine, King Salman International University, South Sinai, Egypt;

关键词: Coronavirus disease 19 vaccination;    Vaccine hesitancy;    Healthcare workers;    Qualitative study;   

DOI  :  10.1186/s42506-022-00122-4

 received in 2021-09-30, accepted in 2022-10-18,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundCoronavirus disease 2019 vaccine acceptance among healthcare workers (HCWs) plays a fundamental role in combating the COVID-19 pandemic. Vaccination acceptance depends on perceptions of competence and motives of the providers, producers, health professionals, and policymakers. This study aimed to identify the frequency and determinants of COVID-19 vaccine uptake acceptance, hesitancy, and barriers among HCWs.MethodsA total of 500 HCWs from 3 different hospital affiliations in Ismailia Governorate, Egypt, were included in this mixed methods study. The study was conducted between March and April 2021 through two phases. Phase 1 included a cross-sectional study using a self-administered questionnaire with inquiries about different determinants of vaccine acceptance, hesitancy, and barriers, which was completed either electronically in a Google form or a hard printed copy. Phase 2 included four focus group discussions to explore the determinants in depth.ResultsThe mean age of participants was 33.9 ± 7.9 years, 70% were females, 51.2% were nurses, and 28.6% were physicians. Of the 500 HCWs, only 27.8% accepted taking the vaccine immediately, 49.2% refused, and 23% were hesitant. Vaccine safety was the highest associated factor with vaccine acceptance (odds ratio (OR) = 6.3, 95% confidence interval (CI) 3.132–12.619), followed by previous uptake of influenza vaccine (OR = 3.3, 95% CI 2.048–5.217) and vaccine effectiveness (OR = 2.6, 95% CI 1.282–5.262). The main barriers to vaccine acceptance were mistrust in governmental policies during the pandemic or in the healthcare facility they work in. Hesitancy was common among females and nurses and was attributed to three prominent factors, including safety concerns, negative stories, and personal knowledge.ConclusionsThe vaccine acceptance frequency among HCWs was considered low, as the majority either refused or was hesitant about taking the vaccine. Concerns about vaccine safety and effectiveness were significant determinants of vaccine acceptance. Factors related to trust were the main barriers to vaccine uptake. The health authority should establish a surveillance system for side effects of the COVID-19 vaccine and communicate this information between HCWs to decrease their worries about safety and increase vaccine uptake.

【 授权许可】

CC BY   
© The Author(s) 2022