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. 2022 Jan;50(1):20-25.
doi: 10.1016/j.ajic.2021.10.004. Epub 2021 Oct 13.

COVID-19 vaccination hesitancy among health care workers, communication, and policy-making

Stephanie M Toth-Manikowski  1 , Eric S Swirsky  2 , Rupali Gandhi  3 , Gina Piscitello  4
Affiliations

COVID-19 vaccination hesitancy among health care workers, communication, and policy-making

Stephanie M Toth-Manikowski et al. Am J Infect Control. 2022 Jan.

Abstract

Background: Coronavirus disease 2019 (COVID-19) vaccine hesitancy in health care workers (HCWs) contributes to personal and patient risk in contracting COVID-19. Reasons behind hesitancy and how best to improve vaccination rates in HCWs are not clear.

Methods: We adapted a survey using the Health Belief Model framework to evaluate HCW vaccine hesitancy and reasons for choosing for or against COVID-19 vaccination. The survey was sent to 3 large academic medical centers in the Chicagoland area between March and May 2021.

Results: We received 1974 completed responses with 85% of HCWs receiving or anticipating receiving COVID-19 vaccination. Multivariable logistic regression found HCWs were less likely to receive COVID-19 vaccination if they were Black (OR 0.34, 95% CI 0.15-0.80), Republican (OR 0.54, 95% CI 0.31-0.91), or allergic to any vaccine component (OR 0.27, 95% CI 0.10-0.70) and more likely to receive if they believed people close to them thought it was important for them to receive the vaccine (OR 5.2, 95% CI 3-8).

Conclusions: A sizable number of HCWs remain vaccine hesitant 1 year into the COVID-19 pandemic. As HCWs are positively influenced by colleagues who believe in COVID-19 vaccination, development of improved communication across HCW departments and roles may improve vaccination rates.

Keywords: Coronavirus disease 2019; Health Belief Model; Vaccine hesitancy.

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References

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