BMC Health Services Research,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: May 2, 2023
Abstract
Background
While
many
healthcare
providers
(HCPs)
have
navigated
patients’
vaccine
concerns
and
questions
prior
to
the
rollout
of
COVID-19
vaccines,
sentiments
surrounding
vaccines
presented
new
distinct
challenges.
Objective
To
understand
provider
experience
counseling
patients
about
vaccinations,
aspects
pandemic
environment
that
impacted
trust,
communication
strategies
found
supportive
patient
education.
Methods
7
focus
groups
were
conducted
recorded
during
December
2021
January
2022,
at
height
Omicron
wave
in
United
States.
Recordings
transcribed,
iterative
coding
analysis
was
applied.
Results
44
group
participants
representing
24
US
states
with
majority
(80%)
fully
vaccinated
time
data
collection.
Most
doctors
(34%)
or
physician’s
assistants
nurse
practitioners
(34%).
The
negative
impact
misinformation
on
patient-provider
both
intrapersonal
interpersonal
levels
as
well
barriers
facilitators
uptake
are
reported.
People
sources
play
a
role
health
(“messengers”)
persuasive
messages
behavior
attitudes
towards
vaccination
(“messages”)
described.
Providers
expressed
frustration
need
continuously
address
clinical
appointments
among
who
remained
unvaccinated.
Many
value
resources
provided
up-to-date
evidence-based
information
guidelines
continued
change.
Additionally,
indicated
patient-facing
materials
designed
support
education
not
frequently
available,
but
they
most
valuable
changing
environment.
Conclusions
decision-making
is
complex
hinges
diverse
factors
such
care
access
(i.e.,
convenience,
expense)
individual
knowledge,
can
major
navigating
these
their
patients.
But
strengthen
promote
uptake,
comprehensive
infrastructure
must
be
sustained
dyad.
findings
provide
recommendations
maintain
an
facilitates
effective
provider-patient
community,
organizational
policy
levels.
There
for
unified
multisectoral
response
reinforce
settings.
Human Vaccines & Immunotherapeutics,
Journal Year:
2021,
Volume and Issue:
17(10), P. 3495 - 3499
Published: June 30, 2021
The
ongoing
coronavirus
disease
(COVID-19)
vaccination
drive
aims
to
achieve
global
coverage
that
will
help
control
the
pandemic.
Therefore,
individuals
who
are
reluctant
be
vaccinated
or
forego
COVID-19
can
delay
progress
of
overall
coverage,
leading
slower
rates
and
may
create
obstacles
in
efforts
circulation
SARS-CoV-2
as
unvaccinated
act
reservoirs
could
further
outbreaks.
Vaccine
hesitancy
is
one
major
threats
directly
impact
health
it
challenges
our
ability
eradicate
infectious
diseases
significant
herd
immunity
through
vaccination.
One
strategies
counter
vaccine
follow
a
multisectoral
approach
involves
collaboration
between
various
stakeholders,
such
government,
private
companies,
religious
groups,
other
agencies,
leverage
knowledge,
expertise,
resources,
thereby
enabling
creation
longstanding
public
trust
vaccines.
Vaccines,
Journal Year:
2021,
Volume and Issue:
9(12), P. 1437 - 1437
Published: Dec. 6, 2021
The
emerging
SARS-CoV-2
variants
and
waning
vaccine-elicited
immunity
are
two
public
health
challenges
that
occurred
simultaneously
synergistically
during
the
summer
of
2021
led
to
a
surging
demand
for
COVID-19
vaccine
booster
dose
(BD)
rollout.
This
study
aimed
evaluate
hesitancy
(VBH)
among
Czech
healthcare
workers
explore
potential
determinants
VBH.
A
national
cross-sectional
survey-based
was
carried
out
between
3
11
November
2021,
using
an
online
self-administered
questionnaire
(SAQ)
explored
participants'
demographic
characteristics,
infection
anamneses,
willingness
receive
BD,
psychosocial
drivers
total
3454
HCW
properly
responded
SAQ,
which
80.9%
were
females,
30.3%
medical
professionals,
50.5%
≤47
years
old.
Most
participants
already
inoculated
against
(95.2%),
BTN162b2
most
commonly
administered
(90.7%).
As
sample
planned
represent
target
population,
it
revealed
high
level
BD
acceptance
(71.3%)
HCW,
while
12.2%
still
hesitant
16.6%
currently
available
BD.
These
results
consistent
with
other
recent
from
central
Europe.
Medical
professional,
male,
older
more
likely
accept
rather
than
allied
female,
younger
participants.
BDs'
perceived
effectiveness
severe
illness,
symptomatic
infection,
community
transmission
significant
strong
predictor
acceptance,
circulating
not
important
our
population.
safety
ethical
dilemmas
justice
should
be
addressed
sufficiently
communicating
population
groups.
altruistic
reasons
i.e.,
family
protection,
patient
underpin
recommendation
postponing
mandating
in
favour
stressing
these
concerns
amid
messaging.
MMWR Morbidity and Mortality Weekly Report,
Journal Year:
2021,
Volume and Issue:
70(43), P. 1520 - 1524
Published: Oct. 22, 2021
By
September
21,
2021,
an
estimated
182
million
persons
in
the
United
States
were
fully
vaccinated
against
COVID-19.*
Clinical
trials
indicate
that
Pfizer-BioNTech
(BNT162b2),
Moderna
(mRNA-1273),
and
Janssen
(Johnson
&
Johnson;
Ad.26.COV2.S)
vaccines
are
effective
generally
well
tolerated
(1-3).
However,
daily
vaccination
rates
have
declined
approximately
78%
since
April
13,
2021†;
vaccine
safety
concerns
contributed
to
hesitancy
(4).
A
cohort
study
of
19,625
nursing
home
residents
found
those
who
received
mRNA
(Pfizer-BioNTech
or
Moderna)
had
lower
all-cause
mortality
than
did
unvaccinated
(5),
but
no
studies
comparing
within
general
population
been
conducted.
To
assess
not
associated
with
COVID-19
(non-COVID-19
mortality)
after
a
setting,
was
conducted
during
December
2020-July
2021
among
11
enrolled
seven
Vaccine
Safety
Datalink
(VSD)
sites.§
After
standardizing
by
age
sex,
this
recipients
non-COVID-19
persons.
adjusting
for
demographic
characteristics
VSD
site,
adjusted
relative
risk
(aRR)
0.41
(95%
confidence
interval
[CI]
=
0.38-0.44)
dose
1
0.34
CI
0.33-0.36)
2.
The
aRRs
0.32-0.37)
0.31
0.30-0.33)
aRR
receipt
0.54
0.49-0.59).
There
is
increased
recipients.
This
finding
reinforces
profile
currently
approved
States.
BMC Public Health,
Journal Year:
2021,
Volume and Issue:
21(1)
Published: Sept. 26, 2021
Abstract
Background
While
vaccine
development
is
itself
a
challenge;
ensuring
optimal
uptake
at
population
level
can
present
an
even
more
significant
challenge.
Therefore,
this
study
aimed
to
assess
the
Pakistani
population’s
attitude
and
preferences
towards
Coronavirus
disease
2019
(COVID-19)
vaccine.
Method
A
cross-sectional
was
carried
out
through
online
self-administered
questionnaire
from
27
September
2020
11
October
2020.
total
of
883
people
responded
survey.
The
included
participants’
socio-demographic
variables,
attitudes,
beliefs
COVID-19
acceptance
rejection
vaccination,
reasons
for
them.
Logistic
regression
analysis
used
analyze
predictors
willingness
pay
Results
majority
(70.8%)
respondents
will
accept
COVID-19vaccine
if
available,
66.8%
showed
positive
vaccination.
Monthly
family
income,
education
level,
self-diagnosis
or
friend,
member,
colleague
are
factors
influencing
dogma
being
naturally
immune
key
reason
refusal
Less
than
half
(48%)
those
who
refuse
vaccinate
themselves
government
officials
have
made
it
compulsory.
third
(33.9%)
participants
were
willing
up
(7
USD)
1000
Pkr
(Pakistani
Rupees)
Conclusion
should
be
improved
by
increasing
awareness
eradicating
false
myths
about
vaccines
large-scale
campaigns.
Communications Medicine,
Journal Year:
2022,
Volume and Issue:
2(1)
Published: Sept. 12, 2022
The
COVID-19
pandemic
exit
strategies
depend
on
widespread
acceptance
of
vaccines.
We
aim
to
estimate
the
global
and
uptake
vaccination,
their
variations
across
populations,
countries,
time,
sociodemographic
subgroups.We
searched
four
peer-reviewed
databases
(PubMed,
EMBASE,
Web
Science,
EBSCO)
for
papers
published
in
English
from
December
1,
2019
February
27,
2022.
This
review
included
original
survey
studies
which
investigated
or
study
quality
was
assessed
using
Appraisal
tool
Cross-Sectional
Studies.
reported
pooled
rates
95%
confidence
interval
(CI)
meta-analysis
with
a
random-effects
model.Among
15690
identified
studies,
519
articles
7,990,117
participants
are
eligible
meta-analysis.
rate
vaccination
67.8%
(95%
CI:
67.1-68.6)
42.3%
38.2-46.5),
respectively.
Among
all
population
groups,
pregnant/breastfeeding
women
have
lowest
(54.0%,
46.3-61.7)
(7.3%,
1.7-12.8).
varies
ranging
35.9%
(34.3-37.5)
86.9%
(81.4-92.5)
adults,
is
found
Russia,
Ghana,
Jordan,
Lebanon,
Syria
(below
50%).
declines
globally
2020,
then
recovers
2020
June
2021,
further
drops
late
2021.
Females,
those
aged
<
60
years
old,
Black
individuals,
lower
education
income
than
counterparts.
There
large
gaps
(around
20%)
between
populations
low
income.COVID-19
vaccine
needs
be
improved
globally.
Continuous
monitoring
necessary
inform
public
health
decision
making.
Tropical Medicine and Health,
Journal Year:
2021,
Volume and Issue:
49(1)
Published: Dec. 1, 2021
Coronavirus
disease
2019
(COVID-19)
has
already
claimed
over
four
million
lives
globally
and
800
deaths
in
Ghana.
The
COVID-19
vaccine
is
a
key
intervention
towards
containing
the
pandemic.
Over
three
billion
doses
of
have
been
administered
800,000
Ghana,
representing
less
than
5%
vaccination
coverage.
Fear,
uncertainty,
conspiracy
theories
safety
concerns
remain
important
threats
to,
successful
rollout
if
not
managed
well.Ascertain
predictors
citizens'
probability
participating
trial
subsequently
accept
when
given
opportunity.The
study
was
an
online
nation-wide
survey
among
community
members
(n
=
1556)
from
18th
September
to
23rd
October,
2020
16
regions
Binary
probit
regression
analysis
with
marginal
effect
estimations
employed
ascertain
members'
willingness
participate
uptake
vaccine.Approximately
60%
respondents
said
they
will
trial;
65%
take
vaccine,
while
69%
recommend
it
others.
Willingness
voluntarily
trial,
advise
others
do
same
higher
adults
aged
18-48
years,
unmarried
males
(p
<
0.05).
Significant
unwillingness
are:
married
persons,
females,
Muslims,
older
residents
urbanised
persons
lower
or
no
formal
education
Predominant
reasons
cited
for
included
fear,
concerns,
lack
trust
state
institutions,
political
connotations,
spiritual
religious
beliefs.The
accepting
adult
population
Ghana
high
but
country
should
get
complacent
because
mistrust
are
that
potential
entrench
hesitancy.
campaigns
be
targeted
cognisant
perceptions
vaccine.
These
lessons
considered
promote
Ghana's
efforts
vaccinating
at
least
20
people
attain
herd
immunity.
Vaccines,
Journal Year:
2021,
Volume and Issue:
10(1), P. 4 - 4
Published: Dec. 21, 2021
To
assess
attitudes
and
intentions
related
to
the
COVID-19
vaccine
during
pandemic,
we
surveyed
adolescents
aged
13–18
years
parents
of
13–18-year-olds
using
national
research
panels
on
three
occasions
or
“waves”:
before
was
available,
after
it
available
for
adults,
ages
≥12
years.
Data
experiences
with
COVID-19,
importance
adolescent
vaccines,
regarding
vaccination
were
analyzed
across
time
points.
We
found
that
parental
concerns
about
safety
significantly
increased
from
Wave
1
2.
Social
media
had
a
negative
influence
parents’
adolescents’
opinions
safety.
Demographic
variables
associated
rates
reported
in
3,
consistent
known
inequities
access.
Parents
(70%)
supportive
concomitant
other
vaccines
teens.
It
is
important
address
hesitancy
increase
coverage
US.
Annals of Internal Medicine,
Journal Year:
2022,
Volume and Issue:
175(8), P. 1126 - 1134
Published: June 6, 2022
In
the
MOVe-OUT
trial,
molnupiravir
showed
a
clinically
meaningful
reduction
in
risk
for
hospitalization
or
death
adults
with
mild
to
moderate
COVID-19
and
factors
progression
severe
disease.
Journal of the Egyptian Public Health Association,
Journal Year:
2022,
Volume and Issue:
97(1)
Published: Jan. 21, 2022
People
with
mental
health
problems
are
at
particular
risk
both
for
infection
COVID-19
and
more
severe
course
of
illness.
Understanding
vaccine
hesitancy
is
crucial
in
promoting
acceptance
among
people
diagnoses.
This
review
aims
to
identify
the
prevalence
discuss
factors
associated
mentally
ill
population.We
conducted
a
detailed
literature
search
included
15
articles
discussion
this
review.
Several
studies
showed
varying
trends
rates
different
countries.
Major
involved
general
include
mistrust,
misinformation,
believing
conspiracy
theories,
negative
attitudes
towards
vaccines.
It
was
surprising
that
none
were
focused
on
population.
However,
do
show
worse
healthcare
outcomes
psychiatric
patients,
correlated
lower
likelihood
receiving
treatment
vaccinations.
Psychiatrists
need
address
issues
patients
who
particularly
vulnerable
fear
vaccines
which
anxiety,
panic
attacks,
certain
phobias
including
trypanophobia
agoraphobia,
obsessive-compulsive
disorder,
types
traumas.
communicate
effectively,
respect,
empathy,
deliver
accurate
honest
information
about
Motivational
interviewing,
getting
illness
organize
campaigns,
involving
families
may
promote
group.Existing
limited.
The
increase
especially
having
emotional
disorders
such
as
anxiety
phobia.
More
addressing
population
be
done
future.