Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study
Abstract Background Coronavirus 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. Th...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | Journal of the Egyptian Public Health Association |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42506-022-00122-4 |
| _version_ | 1828090110621515776 |
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| author | Amani Waheed Noha M. Abu Bakr Elsaid Mayada Ghweeba Nermine Elmaraghy Shimaa A. Al-Touny Nader Nemr Rania M. Kishk Hebatalla M. Aly |
| author_facet | Amani Waheed Noha M. Abu Bakr Elsaid Mayada Ghweeba Nermine Elmaraghy Shimaa A. Al-Touny Nader Nemr Rania M. Kishk Hebatalla M. Aly |
| author_sort | Amani Waheed |
| collection | DOAJ |
| description | Abstract Background Coronavirus 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. Methods A 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. Results The 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. Conclusions The 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. |
| first_indexed | 2024-04-11T05:51:56Z |
| format | Article |
| id | doaj.art-2ecb84f693304695ad3393e8315927f6 |
| institution | Directory Open Access Journal |
| issn | 2090-262X |
| language | English |
| last_indexed | 2024-04-11T05:51:56Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian Public Health Association |
| spelling | doaj.art-2ecb84f693304695ad3393e8315927f62022-12-22T04:42:03ZengSpringerOpenJournal of the Egyptian Public Health Association2090-262X2022-12-0197111310.1186/s42506-022-00122-4Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods studyAmani Waheed0Noha M. Abu Bakr Elsaid1Mayada Ghweeba2Nermine Elmaraghy3Shimaa A. Al-Touny4Nader Nemr5Rania M. Kishk6Hebatalla M. Aly7Department of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal UniversityDepartment of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal UniversityDepartment of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal UniversityDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal UniversityDepartment of Anaesthesia and ICU, Faculty of Medicine, Suez Canal UniversityDepartment of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal UniversityDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal UniversityDepartment of Public Health, Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal UniversityAbstract Background Coronavirus 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. Methods A 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. Results The 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. Conclusions The 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.https://doi.org/10.1186/s42506-022-00122-4Coronavirus disease 19 vaccinationVaccine hesitancyHealthcare workersQualitative study |
| spellingShingle | Amani Waheed Noha M. Abu Bakr Elsaid Mayada Ghweeba Nermine Elmaraghy Shimaa A. Al-Touny Nader Nemr Rania M. Kishk Hebatalla M. Aly 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 Coronavirus disease 19 vaccination Vaccine hesitancy Healthcare workers Qualitative study |
| title | Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study |
| title_full | Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study |
| title_fullStr | Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study |
| title_full_unstemmed | Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study |
| title_short | Determinants of coronavirus disease 2019 vaccine acceptance, hesitancy, and barriers among healthcare workers in Ismailia, Egypt: a mixed methods study |
| title_sort | determinants of coronavirus disease 2019 vaccine acceptance hesitancy and barriers among healthcare workers in ismailia egypt a mixed methods study |
| topic | Coronavirus disease 19 vaccination Vaccine hesitancy Healthcare workers Qualitative study |
| url | https://doi.org/10.1186/s42506-022-00122-4 |
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