Vaccine hesitancy in healthcare workers during COVID-19 pandemic: Draw on experience.

Francesca Riccardi, Elena Sarcletti, Matteo Bassetti, Francesco Copello, Paola Del Sette, Antonio DI Biagio, Paolo Durando, Giancarlo Icardi, Gabriella Biffa
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Abstract

Objectives: The present study aimed to identify factors that affect healthcare workers' (HCWs) vaccine hesitancy and the subsequent changes in psychological well-being.

Study design: 800 employees (207 M; 14 aged ≤ 25; 145 aged 26-35; 381 aged 36-55; 260 aged > 55 years) were recruited from the San Martino Hospital during the first months 2021.

Methods: HCWs were asked to fill in an online survey assessing (a) demographics, (b) having contracted COVID-19 infection, (c) vaccination history (against COVID-19 and influenza), (d) expected changes in psychological well-being, (e) vaccine hesitancy and (f) factors leading to a decision about the vaccine (Information Trust, Information Seeking, Fear for the Self, and Sense of Responsibility).

Results: We found that, in vaccinated HCW, years of employment and adherence to the influenza vaccine indirectly affected vaccine hesitancy. These effects were mediated by HCWs' sense of responsibility and information trust. Moreover, while information trust promoted positive changes in psychological well-being, vaccine hesitancy negatively affected it.

Conclusions: The present study consistently points to the crucial role of trusting information and having a sense of responsibility on vaccine hesitancy and, consequently, on psychological well-being. We discuss the practical implications for public health of these findings. In the conclusions, we suggest short-term and long-term strategies for improving vaccine adherence.

Abstract Image

COVID-19大流行期间卫生保健工作者的疫苗犹豫:借鉴经验
目的:本研究旨在确定影响医护人员(HCWs)疫苗犹豫的因素和随后的心理健康变化。研究设计:800名员工(207m;年龄≤25岁14人;26-35岁145人;36-55岁381人;在2021年的头几个月从圣马蒂诺医院招募了260名年龄在100至55岁之间的人。方法:要求卫生保健工作者填写一份在线调查,评估(a)人口统计学,(b)感染COVID-19, (c)疫苗接种史(针对COVID-19和流感),(d)心理健康的预期变化,(e)疫苗犹豫和(f)导致疫苗决定的因素(信息信任,信息寻求,自我恐惧和责任感)。结果:我们发现,在接种HCW疫苗的人群中,工作年限和流感疫苗依从性间接影响疫苗犹豫。这些影响是由医护人员的责任感和信息信任介导的。此外,虽然信息信任促进了心理健康的积极变化,但疫苗犹豫对其产生了负面影响。结论:本研究一致指出,信任信息和对疫苗犹豫,从而对心理健康具有责任感的关键作用。我们讨论了这些发现对公共卫生的实际影响。在结论中,我们提出了提高疫苗依从性的短期和长期战略。
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