The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 countries: a multicenter cross-sectional study

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dc.catalogadoryvc
dc.contributor.authorAskarian, Mehrdad
dc.contributor.authorSemenov, Aleksandr
dc.contributor.authorLlopis, Ferran
dc.contributor.authorRubulotta, Francesca
dc.contributor.authorDragovac, Gorana
dc.contributor.authorPshenichnaya, Natalia
dc.contributor.authorRuch, Yvon
dc.contributor.authorShayan, Zahra
dc.contributor.authorPadilla Fortunatti, Cristóbal Felipe
dc.contributor.authorLucey, Daniel
dc.contributor.authorAlmohaizeie, Abdullah
dc.contributor.authorMostafa Kamal, Abu Hena
dc.contributor.authorOgunshe, Adenike
dc.contributor.authorKonkayev, Aidos
dc.contributor.authorBeg, Asim
dc.contributor.authorPrimerano, Enzo
dc.contributor.authorAmer, Fatma
dc.contributor.authorKumari Pilli, Hema Prakash
dc.contributor.authorHung, Ivan
dc.date.accessioned2024-01-19T14:06:46Z
dc.date.available2024-01-19T14:06:46Z
dc.date.issued2022
dc.description.abstractThe 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.
dc.fechaingreso.objetodigital2024-04-11
dc.fuente.origenORCID
dc.identifier.doi10.17179/EXCLI2021-4439
dc.identifier.eissn1611-2156
dc.identifier.pubmedid35221837
dc.identifier.scopusidSCOPUS_ID:85126552796
dc.identifier.urihttps://doi.org/10.17179/excli2021-4439
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80646
dc.identifier.wosidWOS:000747025900001
dc.information.autorucEscuela de Enfermería; Padilla Fortunatti, Cristobal Felipe; 0000-0001-5452-8415; 124847
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final103
dc.pagina.inicio93
dc.revistaEXCLI J .
dc.rightsacceso abierto
dc.rights.licenseAtribución 4.0 Internacional (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.es
dc.subjectCOVID-19
dc.subjectCOVID-19 vaccines
dc.subjectHuman Development Index
dc.subjectHDI
dc.subjectHealth personnel
dc.subjectVaccination coverage
dc.subject.ddc610
dc.subject.deweyMedicina y salud
dc.titleThe COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 countries: a multicenter cross-sectional study
dc.typeartículo
dc.volumen21
sipa.codpersvinculados124847
sipa.trazabilidadORCID;2024-01-08
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