Coronavirus disease 2019 (COVID-19) vaccine hesitancy among physicians, physician assistants, nurse practitioners, and nurses in two academic hospitals in Philadelphia
| Autor: | Walter Faig, Paul A. Offit, Barbara J. Kuter, Kristen A. Feemster, Judith Green-McKenzie, Florence M Momplaisir, Safa Browne, Angela K. Shen |
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| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
Male medicine.medical_specialty COVID-19 Vaccines Coronavirus disease 2019 (COVID-19) Epidemiology Nurse practitioners Ethnic group Physicians Health care Medicine Humans Nurse Practitioners Physician assistants Philadelphia business.industry Vaccination COVID-19 Odds ratio Hospitals Infectious Diseases Physician Assistants Osteopathy Family medicine Female Original Article Vaccination Hesitancy business |
| Zdroj: | Infection Control and Hospital Epidemiology |
| ISSN: | 1559-6834 0899-823X |
| Popis: | Objective:To evaluate coronavirus disease 2019 (COVID-19) vaccine hesitancy among healthcare personnel (HCP) with significant clinical exposure to COVID-19 at 2 large, academic hospitals in Philadelphia, Pennsylvania.Design, setting, and participants:HCP were surveyed in November–December 2020 about their intention to receive the COVID-19 vaccine.Methods:The survey measured the intent among HCP to receive a COVID-19 vaccine, timing of vaccination, and reasons for or against vaccination. Among patient-facing HCP, multivariate regression evaluated the associations between healthcare positions (medical doctor, nurse practitioner or physician assistant, and registered nurse) and vaccine hesitancy (intending to decline, delay, or were unsure about vaccination), adjusting for demographic characteristics, reasons why or why not to receive the vaccine, and prior receipt of routine vaccines.Results:Among 5,929 HCP (2,253 medical doctors [MDs] and doctors of osteopathy [DOs], 582 nurse practitioners [NPs], 158 physician assistants [PAs], and 2,936 nurses), a higher proportion of nurses (47.3%) were COVID-vaccine hesitant compared with 30.0% of PAs and NPs and 13.1% of MDs and DOs. The most common reasons for vaccine hesitancy included concerns about side effects, the newness of the vaccines, and lack of vaccine knowledge. Regardless of position, Black HCP were more hesitant than White HCP (odds ratio [OR], ∼5) and females were more hesitant than males (OR, ∼2).Conclusions:Although most clinical HCP intended to receive a COVID-19 vaccine, intention varied by healthcare position. Consistent with other studies, hesitancy was also significantly associated with race or ethnicity across all positions. These results highlight the importance of understanding and effectively addressing reasons for hesitancy, especially among frontline HCP who are at increased risk of COVID exposure and play a critical role in recommending vaccines to patients. |
| Databáze: | OpenAIRE |
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