TY - JOUR
T1 - Acceptance of COVID-19 Vaccination among Health System Personnel
AU - Parente, Daniel J.
AU - Ojo, Akinlolu
AU - Gurley, Tami
AU - Le Master, Joseph W.
AU - Meyer, Mark
AU - Wild, David M.
AU - Mustafa, Reem A.
N1 - Funding Information:
Funding: Statement: This work was not externally funded but utilized the REDCap survey platform at the University of Kansas Medical Center, which was supported by a Clinical and Translational Science Award (CTSA) grant from the National Center for Advancing Translational Sciences (NCATS) awarded to the University of Kansas for Frontiers: University of Kansas Clinical and Translational Science Institute (#UL1TR002366). This work is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or NCATS. This agency had
Publisher Copyright:
© 2021 American Board of Family Medicine. All rights reserved.
PY - 2021/5
Y1 - 2021/5
N2 - Introduction: One-Third of the general public will not accept Coronavirus disease 2019 (COVID-19) vaccination but factors influencing vaccine acceptance among health care personnel (HCP) are not known. We investigated barriers and facilitators to vaccine acceptance within 3 months of regulatory approval (primary outcome) among adult employees and students at a tertiary-care, academic medical center. Methods: We used a cross-sectional survey design with multivariable logistic regression. Covariates included age, gender, educational attainment, self-reported health status, concern about COVID-19, direct patient interaction, and prior influenza immunization. Results: Of 18,250 eligible persons, 3,347 participated. Two in 5 (40.5%) HCP intend to delay (n = 1020; 30.6%) or forgo (n = 331; 9.9%) vaccination. Male sex (adjusted OR [aOR], 2.43; 95% confidence interval [CI], 2.00 2.95; P.001), prior influenza vaccination (aOR, 2.35; 95% CI, 1.75-3.18; P.001), increased concern about COVID-19 (aOR, 2.40; 95% CI, 2.07-2.79; P.001), and postgraduate education (aOR, 1.41; 95% CI, 1.21 1.65; P.001) but not age, direct patient interaction, or self-reported overall health were associated with vaccine acceptance in multivariable analysis. Barriers to vaccination included concerns about long-Term side effects (n = 1197, 57.1%), safety (n = 1152, 55.0%), efficacy (n = 777, 37.1%), risk-To-benefit ratio (n = 650, 31.0%), and cost (n = 255, 12.2%). Subgroup analysis of Black respondents indicates greater hesitancy to accept vaccination (only 24.8% within 3 months; aOR 0.13; 95% CI, 0.08-0.21; P.001). Conclusions: Many HCP intend to delay or refuse COVID-19 vaccination. Policymakers should impartially address concerns about safety, efficacy, side effects, risk-To-benefit ratio, and cost. Further research with minority subgroups is urgently needed. ( J Am Board Fam Med 2021;34:498 508.).
AB - Introduction: One-Third of the general public will not accept Coronavirus disease 2019 (COVID-19) vaccination but factors influencing vaccine acceptance among health care personnel (HCP) are not known. We investigated barriers and facilitators to vaccine acceptance within 3 months of regulatory approval (primary outcome) among adult employees and students at a tertiary-care, academic medical center. Methods: We used a cross-sectional survey design with multivariable logistic regression. Covariates included age, gender, educational attainment, self-reported health status, concern about COVID-19, direct patient interaction, and prior influenza immunization. Results: Of 18,250 eligible persons, 3,347 participated. Two in 5 (40.5%) HCP intend to delay (n = 1020; 30.6%) or forgo (n = 331; 9.9%) vaccination. Male sex (adjusted OR [aOR], 2.43; 95% confidence interval [CI], 2.00 2.95; P.001), prior influenza vaccination (aOR, 2.35; 95% CI, 1.75-3.18; P.001), increased concern about COVID-19 (aOR, 2.40; 95% CI, 2.07-2.79; P.001), and postgraduate education (aOR, 1.41; 95% CI, 1.21 1.65; P.001) but not age, direct patient interaction, or self-reported overall health were associated with vaccine acceptance in multivariable analysis. Barriers to vaccination included concerns about long-Term side effects (n = 1197, 57.1%), safety (n = 1152, 55.0%), efficacy (n = 777, 37.1%), risk-To-benefit ratio (n = 650, 31.0%), and cost (n = 255, 12.2%). Subgroup analysis of Black respondents indicates greater hesitancy to accept vaccination (only 24.8% within 3 months; aOR 0.13; 95% CI, 0.08-0.21; P.001). Conclusions: Many HCP intend to delay or refuse COVID-19 vaccination. Policymakers should impartially address concerns about safety, efficacy, side effects, risk-To-benefit ratio, and cost. Further research with minority subgroups is urgently needed. ( J Am Board Fam Med 2021;34:498 508.).
KW - Academic Medical Centers
KW - Acute Disease
KW - Chronic Disease
KW - COVID-19
KW - Cross-Sectional Studies
KW - Health Personnel
KW - Linear Models
KW - Logistic Models
KW - Outpatients
KW - Pandemics
KW - Primary Health Care
KW - Quality of Life
KW - Self Report
KW - Surveys and Questionnaires
KW - Vaccination
UR - http://www.scopus.com/inward/record.url?scp=85107821458&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85107821458&partnerID=8YFLogxK
U2 - 10.3122/JABFM.2021.03.200541
DO - 10.3122/JABFM.2021.03.200541
M3 - Article
C2 - 34088810
AN - SCOPUS:85107821458
SN - 1557-2625
VL - 34
SP - 498
EP - 522
JO - Journal of the American Board of Family Medicine
JF - Journal of the American Board of Family Medicine
IS - 3
ER -