COVID-19 Vaccine Acceptance among Liver Transplant Recipients

(1) Background: COVID-19 vaccination hesitancy is a threat for fragile patients. We aimed to evaluate COVID-19 vaccination hesitancy and its reasons in a population of liver transplant (LT) recipients. (2) Methods: In February 2021, a questionnaire on COVID-19 vaccines was sent to LT patients follow...

Full description

Bibliographic Details
Main Authors: Andrea Costantino, Federica Invernizzi, Erica Centorrino, Maurizio Vecchi, Pietro Lampertico, Maria Francesca Donato
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/11/1314
_version_ 1797508324491526144
author Andrea Costantino
Federica Invernizzi
Erica Centorrino
Maurizio Vecchi
Pietro Lampertico
Maria Francesca Donato
author_facet Andrea Costantino
Federica Invernizzi
Erica Centorrino
Maurizio Vecchi
Pietro Lampertico
Maria Francesca Donato
author_sort Andrea Costantino
collection DOAJ
description (1) Background: COVID-19 vaccination hesitancy is a threat for fragile patients. We aimed to evaluate COVID-19 vaccination hesitancy and its reasons in a population of liver transplant (LT) recipients. (2) Methods: In February 2021, a questionnaire on COVID-19 vaccines was sent to LT patients followed at our liver transplant outpatient clinic in Milan, Italy. Sociodemographic and clinical characteristics were recorded. Patients were defined as willing, hesitant, or refusing and their reasons were investigated. Associations between baseline characteristics and willingness were evaluated. Since March 2021, when the COVID-19 vaccines became available for LT candidates and recipients in Italy, the entire cohort of LT recipients was contacted by phone and called for vaccination, and the rate of refusals recorded. (3) Results: The web-based survey was sent to 583 patients, of whom 190 responded (response rate of 32.6%). Among the respondents to the specific question about hesitancy (184), 157 (85.3%) were willing to be vaccinated against COVID-19, while 27 (14.7%) were hesitant. Among the hesitant, three were totally refusing, for a refusal rate of 1.6%. Thirteen hesitant patients (48.1%) answered that their COVID-19 vaccination hesitancy was influenced by being a transplant recipient. The fear of adverse effects was the main reason for refusal (81.5%). Of the 711 LT patients followed at our center, 668 got fully vaccinated, while 43 (6.1%) of them refused the scheduled vaccination. (4) Conclusions: Most patients accepted COVID-19 vaccines, although 6.1% refused the vaccine. Since it is crucial to achieve adequate vaccination of LT patients, it is very important to identify the reasons influencing COVID-19 vaccination hesitancy so that appropriate and targeted communication strategies can be established and specific vaccination campaigns further implemented.
first_indexed 2024-03-10T05:00:30Z
format Article
id doaj.art-c319694c71cf49c9b015a230bfb8e2db
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-10T05:00:30Z
publishDate 2021-11-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-c319694c71cf49c9b015a230bfb8e2db2023-11-23T01:52:55ZengMDPI AGVaccines2076-393X2021-11-01911131410.3390/vaccines9111314COVID-19 Vaccine Acceptance among Liver Transplant RecipientsAndrea Costantino0Federica Invernizzi1Erica Centorrino2Maurizio Vecchi3Pietro Lampertico4Maria Francesca Donato5Division of Gastroenterology and Endoscopy, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyDivision of Gastroenterology and Hepatology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milan, ItalyDivision of Gastroenterology and Endoscopy, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyDivision of Gastroenterology and Hepatology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyDivision of Gastroenterology and Hepatology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy(1) Background: COVID-19 vaccination hesitancy is a threat for fragile patients. We aimed to evaluate COVID-19 vaccination hesitancy and its reasons in a population of liver transplant (LT) recipients. (2) Methods: In February 2021, a questionnaire on COVID-19 vaccines was sent to LT patients followed at our liver transplant outpatient clinic in Milan, Italy. Sociodemographic and clinical characteristics were recorded. Patients were defined as willing, hesitant, or refusing and their reasons were investigated. Associations between baseline characteristics and willingness were evaluated. Since March 2021, when the COVID-19 vaccines became available for LT candidates and recipients in Italy, the entire cohort of LT recipients was contacted by phone and called for vaccination, and the rate of refusals recorded. (3) Results: The web-based survey was sent to 583 patients, of whom 190 responded (response rate of 32.6%). Among the respondents to the specific question about hesitancy (184), 157 (85.3%) were willing to be vaccinated against COVID-19, while 27 (14.7%) were hesitant. Among the hesitant, three were totally refusing, for a refusal rate of 1.6%. Thirteen hesitant patients (48.1%) answered that their COVID-19 vaccination hesitancy was influenced by being a transplant recipient. The fear of adverse effects was the main reason for refusal (81.5%). Of the 711 LT patients followed at our center, 668 got fully vaccinated, while 43 (6.1%) of them refused the scheduled vaccination. (4) Conclusions: Most patients accepted COVID-19 vaccines, although 6.1% refused the vaccine. Since it is crucial to achieve adequate vaccination of LT patients, it is very important to identify the reasons influencing COVID-19 vaccination hesitancy so that appropriate and targeted communication strategies can be established and specific vaccination campaigns further implemented.https://www.mdpi.com/2076-393X/9/11/1314COVID-19 vaccineCOVID-19vaccination hesitancyvaccine hesitancyliver transplantationliver transplant
spellingShingle Andrea Costantino
Federica Invernizzi
Erica Centorrino
Maurizio Vecchi
Pietro Lampertico
Maria Francesca Donato
COVID-19 Vaccine Acceptance among Liver Transplant Recipients
Vaccines
COVID-19 vaccine
COVID-19
vaccination hesitancy
vaccine hesitancy
liver transplantation
liver transplant
title COVID-19 Vaccine Acceptance among Liver Transplant Recipients
title_full COVID-19 Vaccine Acceptance among Liver Transplant Recipients
title_fullStr COVID-19 Vaccine Acceptance among Liver Transplant Recipients
title_full_unstemmed COVID-19 Vaccine Acceptance among Liver Transplant Recipients
title_short COVID-19 Vaccine Acceptance among Liver Transplant Recipients
title_sort covid 19 vaccine acceptance among liver transplant recipients
topic COVID-19 vaccine
COVID-19
vaccination hesitancy
vaccine hesitancy
liver transplantation
liver transplant
url https://www.mdpi.com/2076-393X/9/11/1314
work_keys_str_mv AT andreacostantino covid19vaccineacceptanceamonglivertransplantrecipients
AT federicainvernizzi covid19vaccineacceptanceamonglivertransplantrecipients
AT ericacentorrino covid19vaccineacceptanceamonglivertransplantrecipients
AT mauriziovecchi covid19vaccineacceptanceamonglivertransplantrecipients
AT pietrolampertico covid19vaccineacceptanceamonglivertransplantrecipients
AT mariafrancescadonato covid19vaccineacceptanceamonglivertransplantrecipients