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Am J Infect Control . COVID-19 Vaccination Hesitancy among Health Care Workers, Communication, and Policy-Making

tetano

Editor, Senior Moderator
Am J Infect Control


. 2021 Oct 12;S0196-6553(21)00648-9.
doi: 10.1016/j.ajic.2021.10.004. Online ahead of print.
COVID-19 Vaccination Hesitancy among Health Care Workers, Communication, and Policy-Making


Stephanie M Toth-Manikowski[SUP] 1 [/SUP], Eric S Swirsky[SUP] 2 [/SUP], Rupali Gandhi[SUP] 3 [/SUP], Gina Piscitello[SUP] 4 [/SUP]



Affiliations

Abstract

Background: Coronavirus disease 2019 (COVID-19) vaccine hesitancy in healthcare workers (HCWs) contributes to personal and patient risk in contracting COVID-19. Reasons behind hesitancy and how best to improve vaccination rates in HCWs are not clear.
Methods: We adapted a survey using the Health Belief Model framework to evaluate HCW vaccine hesitancy and reasons for choosing for or against COVID-19 vaccination. The survey was sent to three large academic medical centers in the Chicagoland area between March and May 2021.
Results: We received 1974 completed responses with 85% of HCWs receiving or anticipating receiving COVID-19 vaccination. Multivariable logistic regression found HCWs were less likely to receive COVID-19 vaccination if they were Black (OR 0.34, 95% CI 0.15-0.80), Republican (OR 0.54, 95% CI 0.31-0.91), or allergic to any vaccine component (OR 0.27, 95% CI 0.10-0.70) and more likely to receive if they believed people close to them thought it was important for them to receive the vaccine (OR 5.2, 95% CI 3-8).
Conclusions: A sizable number of HCWs remain vaccine hesitant one year into the COVID-19 pandemic. As HCWs are positively influenced by colleagues who believe COVID-19 vaccination, development of improved communication across HCW departments and roles may improve vaccination rates.

Keywords: Health Belief Model; Vaccine hesitancy; coronavirus disease 2019; healthcare workers.
 
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