The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries
The aim of this study was to investigate the COVID-19 vaccination acceptance rate and its determinants among healthcare workers in a multicenter study. This was a cross-sectional multi-center survey conducted from February 5 to April 29, 2021. The questionnaire consisted of 26 items in 6 subscales....
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| Format: | Article |
| Language: | English |
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IfADo - Leibniz Research Centre for Working Environment and Human Factors, Dortmund
2022-01-01
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| Series: | EXCLI Journal : Experimental and Clinical Sciences |
| Subjects: | |
| Online Access: | https://www.excli.de/index.php/excli/article/view/4439 |
| _version_ | 1827963876397809664 |
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| author | Mehrdad Askarian Aleksandr Semenov Ferran Llopis Francesca Rubulotta Gorana Dragovac Natalia Pshenichnaya Ojan Assadian Yvon Ruch Zahra Shayan Cristobal Padilla Fortunatti Daniel Lucey Abdullah Almohaizeie Abu Hena Mostafa Kamal Adenike Ogunshe Aidos Konkayev Asim Beg Enzo Primerano Fatma Amer Hema Prakash Kumari Pilli Ivan Hung Folusakin Ayoade Jean Yves Lefrant Joanna Zajkowska Jordi Rello Momin Kazi Mohammad Hossein Taghrir Stijn Blot Stephen Leib Parisa Hosseinpour Hamidreza Hosseinpour Amirhossein Erfani Roham Borazjani Hossein Akbarialiabad Masoud Najafi Ardalan Askarian Hakan Erdem |
| author_facet | Mehrdad Askarian Aleksandr Semenov Ferran Llopis Francesca Rubulotta Gorana Dragovac Natalia Pshenichnaya Ojan Assadian Yvon Ruch Zahra Shayan Cristobal Padilla Fortunatti Daniel Lucey Abdullah Almohaizeie Abu Hena Mostafa Kamal Adenike Ogunshe Aidos Konkayev Asim Beg Enzo Primerano Fatma Amer Hema Prakash Kumari Pilli Ivan Hung Folusakin Ayoade Jean Yves Lefrant Joanna Zajkowska Jordi Rello Momin Kazi Mohammad Hossein Taghrir Stijn Blot Stephen Leib Parisa Hosseinpour Hamidreza Hosseinpour Amirhossein Erfani Roham Borazjani Hossein Akbarialiabad Masoud Najafi Ardalan Askarian Hakan Erdem |
| author_sort | Mehrdad Askarian |
| collection | DOAJ |
| description | The aim of this study was to investigate the COVID-19 vaccination acceptance rate and its determinants among healthcare workers in a multicenter study. This was a cross-sectional multi-center survey conducted from February 5 to April 29, 2021. The questionnaire consisted of 26 items in 6 subscales. The English version of the questionnaire was translated into seven languages and distributed through Google Forms using snowball sampling; a colleague in each country was responsible for the forward and backward translation, and also the distribution of the questionnaire. A forward stepwise logistic regression was utilized to explore the variables and questionnaire factors tied to the intention to COVID-19 vaccination. 4630 participants from 91 countries completed the questionnaire. According to the United Nations Development Program 2020, 43.6 % of participants were from low Human Development Index (HDI) regions, 48.3 % high and very high, and 8.1 % from medium. The overall vaccination hesitancy rate was 37 %. Three out of six factors of the questionnaire were significantly related to intention to the vaccination. While ‘Perceived benefits of the COVID-19 vaccination’ (OR: 3.82, p-value<0.001) and ‘Prosocial norms’ (OR: 5.18, p-value<0.001) were associated with vaccination acceptance, ‘The vaccine safety/cost concerns’ with OR: 3.52, p-value<0.001 was tied to vaccination hesitancy. Medical doctors and pharmacists were more willing to take the vaccine in comparison to others. Importantly, HDI with OR: 12.28, 95 % CI: 6.10-24.72 was a strong positive determinant of COVID-19 vaccination acceptance. This study highlighted the vaccination hesitancy rate of 37 % in our sample among HCWs. Increasing awareness regarding vaccination benefits, confronting the misinformation, and strengthening the prosocial norms would be the primary domains for maximizing the vaccination coverage. The study also showed that the HDI is strongly associated with the vaccination acceptance/hesitancy, in a way that those living in low HDI contexts are more hesitant to receive the vaccine. |
| first_indexed | 2024-04-09T17:06:02Z |
| format | Article |
| id | doaj.art-10e00a13d2a4497aa3ed5eff309efd92 |
| institution | Directory Open Access Journal |
| issn | 1611-2156 |
| language | English |
| last_indexed | 2024-04-09T17:06:02Z |
| publishDate | 2022-01-01 |
| publisher | IfADo - Leibniz Research Centre for Working Environment and Human Factors, Dortmund |
| record_format | Article |
| series | EXCLI Journal : Experimental and Clinical Sciences |
| spelling | doaj.art-10e00a13d2a4497aa3ed5eff309efd922023-04-20T13:35:19ZengIfADo - Leibniz Research Centre for Working Environment and Human Factors, DortmundEXCLI Journal : Experimental and Clinical Sciences1611-21562022-01-01219310310.17179/excli2021-44393878The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 CountriesMehrdad Askarian0https://orcid.org/0000-0003-4163-7414Aleksandr Semenov1https://orcid.org/0000-0003-3223-8219Ferran Llopis2https://orcid.org/0000-0003-1922-1092Francesca Rubulotta3https://orcid.org/0000-0001-8644-1728Gorana Dragovac4https://orcid.org/0000-0001-9243-7522Natalia Pshenichnaya5https://orcid.org/0000-0003-2570-711XOjan Assadian6https://orcid.org/0000-0003-0129-8761Yvon Ruch7https://orcid.org/0000-0002-4713-9478Zahra Shayan8https://orcid.org/0000-0002-3172-6862Cristobal Padilla Fortunatti9https://orcid.org/0000-0001-5452-8415Daniel Lucey10https://orcid.org/0000-0002-1027-1926Abdullah Almohaizeie11https://orcid.org/0000-0003-4920-3741Abu Hena Mostafa Kamal12https://orcid.org/0000-0002-0550-4182Adenike Ogunshe13https://orcid.org/0000-0002-7741-9104Aidos Konkayev14https://orcid.org/0000-0002-3778-7877Asim Beg15https://orcid.org/0000-0002-1788-5349Enzo Primerano16https://orcid.org/0000-0002-4256-4117Fatma Amer17https://orcid.org/0000-0001-6684-0107Hema Prakash Kumari Pilli18https://orcid.org/0000-0003-1281-8582Ivan Hung19https://orcid.org/0000-0002-1556-2538Folusakin Ayoade20https://orcid.org/0000-0002-3680-1278Jean Yves Lefrant21https://orcid.org/0000-0002-7774-2497Joanna Zajkowska22https://orcid.org/0000-0002-5695-1652Jordi Rello23https://orcid.org/0000-0003-0676-6210Momin Kazi24https://orcid.org/0000-0001-8253-1777Mohammad Hossein Taghrir25https://orcid.org/0000-0003-2293-0383Stijn Blot26https://orcid.org/0000-0003-2145-0345Stephen Leib27https://orcid.org/0000-0002-1106-6123Parisa Hosseinpour28https://orcid.org/0000-0001-8879-3946Hamidreza Hosseinpour29https://orcid.org/0000-0001-7694-1884Amirhossein Erfani30https://orcid.org/0000-0001-9065-5083Roham Borazjani31https://orcid.org/0000-0001-5391-2490Hossein Akbarialiabad32https://orcid.org/0000-0003-2018-6378Masoud Najafi33https://orcid.org/0000-0002-4896-8577Ardalan Askarian34https://orcid.org/0000-0002-0759-1267Hakan Erdem35https://orcid.org/0000-0002-6265-5227Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Health Behavior Science Research Center, Shiraz University of Medical Sciences, ShirazEkaterinburg Research Institute of Viral Infections SRC VB Vector, Ekaterinburg, RussiaEmergency Department. Bellvitge University Hospital, l’Hospitalet de Llobregat, Barcelona, SpainDepartment of Intensive Care Medicine, Charing Cross Hospital, Imperial College, NHS Trust London, UKDepartment of Epidemiology, Faculty of Medicine, University of Novi Sad, Serbia; Center of Disease Prevention and Control, Institute of Public Health of Vojvodina, Novi Sad, SerbiaClinical Department of Infectious Pathology, Central Research Institute of Epidemiology, Moscow, RussiaRegional Hospital Wiener Neustadt, Austria; Institute of Skin Integrity and Infection Prevention, University of Huddersfield, UK Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, FranceTrauma Research Center, Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranSchool of Nursing, Pontificia Universidad Catolica de Chile, Santiago, ChileDepartment of Infectious Diseases, Georgetown University Medical Center, Washington, DC 20057, USAKing Faisal Specialist Hospital and Research Center, Riyadh, Alfaisal University Riyadh, Saudi ArabiaDepartment of Anaesthesiology & ICU, Rajshahi Medical College Hospital, Rajshahi, BangladeshApplied Microbiology and Infectious Diseases, Department of Microbiology, Faculty of Science, University of Ibadan, Oyo State, NigeriaDepartment of Anesthesiology and Intensive Care, Astana Medical University, Nur-Sultan, Kazakhstan; National Centre of Traumatology and Orthopedia named by Batpenov, Nur-Sultan, KazakhstanDepartment of Pathology and Laboratory Medicine, Aga Khan University, Karachi, PakistanDepartment of Anesthesia and Intensive Care, Polyclinic of Monza, Monza, ItalyDepartment of Medical Microbiology and Immunology, School of Medicine, Zagazig University, Zagazig, EgyptDepartment of Microbiology, GITAM Institute of Medical Sciences and Research, GITAM, Deemed to be University, Visakhapatnam, IndiaDepartment of Infectious Diseases; Gastroenterology & Hepatology, The University of Hong KongDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Anaesthesia, Critical Care Emergency and Pain Medicine, University Hospital of Nimes, Montpellier University, Nimes, FranceDepartment of Infectious Diseases and Neuroinfections, Medical University in Biaøystok, PolandCRIPS, Vall Hebron Institute of Research (VHIR) & CHRU Nimes, Nimes, FranceResearch Department of Paediatrics and Child Health, Aga Khan University, Karachi, PakistanTrauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran, Postal code: 7143838167, Phone: +989107031235, E-mail: Mhtaghrir@gmail.comDepartment of Internal Medicine and Pediatrics, Ghent University, Ghent, BelgiumInstitute for Infectious Diseases, University of Bern, Bern, SwitzerlandSchool of Medicine, Islamic Azad University, Kazeroun branch, Kazeroun, IranDepartment of Surgery, Shiraz Laparoscopic Research Center, Shiraz University of Medical Sciences, Shiraz, IranThoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, IranTrauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranStudent, College of Arts & Science, University of Saskatchewan, Saskatoon, CanadaID-IRI Lead Coordinator, Ankara, TurkeyThe aim of this study was to investigate the COVID-19 vaccination acceptance rate and its determinants among healthcare workers in a multicenter study. This was a cross-sectional multi-center survey conducted from February 5 to April 29, 2021. The questionnaire consisted of 26 items in 6 subscales. The English version of the questionnaire was translated into seven languages and distributed through Google Forms using snowball sampling; a colleague in each country was responsible for the forward and backward translation, and also the distribution of the questionnaire. A forward stepwise logistic regression was utilized to explore the variables and questionnaire factors tied to the intention to COVID-19 vaccination. 4630 participants from 91 countries completed the questionnaire. According to the United Nations Development Program 2020, 43.6 % of participants were from low Human Development Index (HDI) regions, 48.3 % high and very high, and 8.1 % from medium. The overall vaccination hesitancy rate was 37 %. Three out of six factors of the questionnaire were significantly related to intention to the vaccination. While ‘Perceived benefits of the COVID-19 vaccination’ (OR: 3.82, p-value<0.001) and ‘Prosocial norms’ (OR: 5.18, p-value<0.001) were associated with vaccination acceptance, ‘The vaccine safety/cost concerns’ with OR: 3.52, p-value<0.001 was tied to vaccination hesitancy. Medical doctors and pharmacists were more willing to take the vaccine in comparison to others. Importantly, HDI with OR: 12.28, 95 % CI: 6.10-24.72 was a strong positive determinant of COVID-19 vaccination acceptance. This study highlighted the vaccination hesitancy rate of 37 % in our sample among HCWs. Increasing awareness regarding vaccination benefits, confronting the misinformation, and strengthening the prosocial norms would be the primary domains for maximizing the vaccination coverage. The study also showed that the HDI is strongly associated with the vaccination acceptance/hesitancy, in a way that those living in low HDI contexts are more hesitant to receive the vaccine.https://www.excli.de/index.php/excli/article/view/4439covid-19covid-19 vaccineshuman development indexhdihealth personnelvaccination coverage |
| spellingShingle | Mehrdad Askarian Aleksandr Semenov Ferran Llopis Francesca Rubulotta Gorana Dragovac Natalia Pshenichnaya Ojan Assadian Yvon Ruch Zahra Shayan Cristobal Padilla Fortunatti Daniel Lucey Abdullah Almohaizeie Abu Hena Mostafa Kamal Adenike Ogunshe Aidos Konkayev Asim Beg Enzo Primerano Fatma Amer Hema Prakash Kumari Pilli Ivan Hung Folusakin Ayoade Jean Yves Lefrant Joanna Zajkowska Jordi Rello Momin Kazi Mohammad Hossein Taghrir Stijn Blot Stephen Leib Parisa Hosseinpour Hamidreza Hosseinpour Amirhossein Erfani Roham Borazjani Hossein Akbarialiabad Masoud Najafi Ardalan Askarian Hakan Erdem The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries EXCLI Journal : Experimental and Clinical Sciences covid-19 covid-19 vaccines human development index hdi health personnel vaccination coverage |
| title | The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries |
| title_full | The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries |
| title_fullStr | The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries |
| title_full_unstemmed | The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries |
| title_short | The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries |
| title_sort | covid 19 vaccination acceptance hesitancy rate and its determinants among healthcare workers of 91 countries |
| topic | covid-19 covid-19 vaccines human development index hdi health personnel vaccination coverage |
| url | https://www.excli.de/index.php/excli/article/view/4439 |
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