Impact of DHCWs' Safety Perception on Vaccine Acceptance and Adoption of Risk Mitigation Strategies.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

JDR Clinical & Translational Research Pub Date : 2023-04-01 DOI:10.1177/23800844211071111

M O Coker, G Subramanian, A Davidow, J Fredericks-Younger, M L Gennaro, D H Fine, C A Feldman

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引用次数: 6

Abstract

Objectives: To estimate the association between safety perception on vaccine acceptance and adoptions of risk mitigation strategies among dental health care workers (DHCWs).

Methods: A survey was emailed to DHCWs in the New Jersey area from December 2020 to January 2021. Perceived safety from regular SARS-CoV-2 testing of self, coworkers, and patients and its association with vaccine hesitancy and risk mitigation were ascertained. Risk Mitigation Strategy (RiMS) scores were computed from groupings of office measures: 1) physical distancing (reduced occupancy, traffic flow, donning of masks, minimal room crowding), 2) personal protective equipment (fitted for N95; donning N95 masks; use of face shields; coverings for head, body, and feet), and 3) environmental disinfection (suction, air filtration, ultraviolet, surface wiping).

Results: SARS-CoV-2 testing of dental professionals, coworkers, and patients were perceived to provide safety at 49%, 55%, and 68%, respectively. While dentists were least likely to feel safe with regular self-testing for SARS-CoV-2 (P < 0.001) as compared with hygienists and assistants, they were more willing than hygienists (P = 0.004; odds ratio, 1.79 [95% CI, 1.21 to 2.66]) and assistants (P < 0.001; odds ratio, 3.32 [95% CI, 1.93 to 5.71]) to receive the vaccine. RiMS scores ranged from 0 to 19 for 467 participants (mean [SD], 10.9 [2.9]). RiMS scores did not significantly differ among groups of DHCWs; however, mean RiMS scores were higher among those who received or planned to receive the COVID-19 vaccine than those with who did not (P = 0.004). DHCWs who felt safer with regular testing had greater RiMS scores than those who did not (11.0 vs. 10.3, P = 0.01).

Conclusions: Understanding DHCWs' perception of risk and safety is crucial, as it likely influences attitudes toward testing and implementation of office risk mitigation policies. Clinical studies that correlate risk perception and RiMS with SARS-CoV-2 testing are needed to demonstrate the effectiveness of RiMS in dental care settings.

Knowledge transfer statement: Educators, clinicians, and policy makers can use the results of this study when improving attitudes toward testing and implementation of risk mitigation policies within dental offices, for current and future pandemics.

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卫生员安全认知对疫苗接受和风险缓解策略的影响

目的:评估牙科卫生保健工作者(DHCWs)对疫苗接受的安全认知与采取风险缓解策略之间的关系。方法:从2020年12月至2021年1月，通过电子邮件对新泽西州地区的DHCWs进行调查。确定了自我、同事和患者定期进行SARS-CoV-2检测的感知安全性及其与疫苗犹豫和风险缓解的关系。风险缓解策略(RiMS)得分是根据办公室措施分组计算的:1)物理距离(减少占用、交通流量、戴口罩、最小化房间拥挤)，2)个人防护装备(适合N95;佩戴N95口罩;使用面罩;3)环境消毒(吸力、空气过滤、紫外线、表面擦拭)。结果:对牙科专业人员、同事和患者进行SARS-CoV-2检测的安全性分别为49%、55%和68%。虽然与卫生师和助理相比，牙医对定期自我检测SARS-CoV-2感到最不安全(P < 0.001)，但他们比卫生师更愿意(P = 0.004;优势比，1.79 [95% CI, 1.21 ~ 2.66])和助手(P < 0.001;优势比为3.32 [95% CI, 1.93 ~ 5.71])。467名参与者的RiMS评分从0到19不等(平均[SD]， 10.9[2.9])。各组DHCWs患者的RiMS评分差异无统计学意义;然而，接种或计划接种COVID-19疫苗的患者的平均RiMS评分高于未接种疫苗的患者(P = 0.004)。感到定期检查更安全的DHCWs的RiMS评分高于没有定期检查的DHCWs(11.0比10.3,P = 0.01)。结论:了解DHCWs对风险和安全的感知是至关重要的，因为它可能影响对办公室风险缓解政策的测试和实施的态度。需要进行临床研究，将风险认知和RiMS与SARS-CoV-2检测联系起来，以证明RiMS在牙科保健机构中的有效性。知识转移声明:教育工作者、临床医生和政策制定者可以利用这项研究的结果，改善对牙科诊所内检测和实施风险缓解政策的态度，以应对当前和未来的流行病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.