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. 2022 May;62(5):705-715.
doi: 10.1016/j.amepre.2021.11.001. Epub 2021 Dec 26.

COVID-19 Vaccination and Intent Among Healthcare Personnel, U.S

Hilda Razzaghi  1 , Svetlana Masalovich  2 , Anup Srivastav  3 , Carla L Black  4 , Kimberly H Nguyen  4 , Marie A de Perio  4 , A Scott Laney  4 , James A Singleton  4
Affiliations

COVID-19 Vaccination and Intent Among Healthcare Personnel, U.S

Hilda Razzaghi et al. Am J Prev Med. 2022 May.

Abstract

Introduction: Healthcare personnel are at increased risk for COVID-19 from workplace exposure. National estimates on COVID-19 vaccination coverage among healthcare personnel are limited.

Methods: Data from an opt-in Internet panel survey of 2,434 healthcare personnel, conducted on March 30, 2021-April 15, 2021, were analyzed to assess the receipt of ≥1 dose of a COVID-19 vaccine and vaccination intent. Multivariable logistic regression was used to assess the factors associated with COVID-19 vaccination and intent for vaccination.

Results: Overall, 68.2% of healthcare personnel reported a receipt of ≥1 dose of a COVID-19 vaccine, 9.8% would probably/definitely get vaccinated, 7.1% were unsure, and 14.9% would probably/definitely not get vaccinated. COVID-19 vaccination coverage was highest among physicians (89.0%), healthcare personnel working in hospitals (75.0%), and healthcare personnel of non-Hispanic White or other race (75.7%-77.4%). Healthcare personnel who received influenza vaccine in 2020-2021 (adjusted prevalence ratio=1.92) and those aged ≥60 years (adjusted prevalence ratio=1.37) were more likely to report a receipt of ≥1 dose of a COVID-19 vaccine. Non-Hispanic Black healthcare personnel (adjusted prevalence ratio=0.74), nurse practitioners/physician assistants (adjusted prevalence ratio=0.55), assistants/aides (adjusted prevalence ratio=0.73), and nonclinical healthcare personnel (adjusted prevalence ratio=0.79) were less likely to have received a COVID-19 vaccine. The common reasons for vaccination included protecting self (88.1%), family and friends (86.3%), and patients (69.2%) from COVID-19. The most common reason for nonvaccination was concern about side effects and safety of COVID-19 vaccine (59.7%).

Conclusions: Understanding vaccination status and intent among healthcare personnel is important for addressing barriers to vaccination. Addressing concerns on side effects, safety, and effectiveness of COVID-19 vaccines as well as their fast development and approval may help improve vaccination coverage among healthcare personnel.

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Figures

Figure 1
Figure 1
(A) Attitudes toward COVID-19 illness and vaccination among healthcare personnel‒U.S., April 2021. (B) Healthcare providers reporting a receipt of ≥1 dose of COVID-19 vaccine and those reporting intenta for vaccination, by attitude—U.S., April 2021. aRespondents who reported not receiving a COVID-19 vaccination were asked how likely they are to get a COVID-19 vaccine (n=609); response options included definitely will, probably will, unsure, probably will not, and definitely will not get a COVID-19 vaccine.
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