Article ; Online: Despite mandated primary series, health care personnel still hesitant about COVID-19 vaccine and immunizing children.
2024 Volume 42, Issue 12, Page(s) 3122–3133
Abstract: Importance: Healthcare personnel (HCP) are important messengers for promoting vaccines, for both adults and children. Our investigation describes perceptions of fully vaccinated HCP about COVID-19 vaccine for themselves and primary series for their ... ...
| Abstract | Importance: Healthcare personnel (HCP) are important messengers for promoting vaccines, for both adults and children. Our investigation describes perceptions of fully vaccinated HCP about COVID-19 vaccine for themselves and primary series for their children. Objective: To determine associations between sociodemographic, employment characteristics and perceptions of COVID-19 vaccines among HCP overall and the subset of HCP with children, who were all mandated to receive a COVID-19 vaccine, in a large US metropolitan region. Design: Cross-sectional survey of fully vaccinated HCP from a large integrated health system. Setting: Participants were electronically enrolled within a multi-site NYS healthcare system from December 21, 2021, to January 21, 2022. Participants: Of 78,000 employees, approximately one-third accessed promotional emails; 6,537 employees started surveys and 4165 completed them. Immunocompromised HCP (self-reported) were excluded. Exposure(s) (for observational studies): We conducted a survey with measures including demographic variables, employment history, booster status, child vaccination status; vaccine recommendation, confidence, and knowledge. Main outcome(s) and measures: The primary outcome was COVID-19 vaccine hesitancy for all dose types - primary series or booster doses - among HCP. Results: Findings from 4,165 completed surveys indicated that almost 17.2 % of all HCP, including administrative and clinical staff, were hesitant or unsure about receiving a COVID-19 vaccine booster, despite the NYS recommendation to do so. Depending on age group, between 20 % and 40 % of HCP were hesitant about having their children vaccinated for COVID-19, regardless of clinical versus non-clinical duties. In multivariable regression analyses, lack of booster dose, unvaccinated children, females, income less than $50,000, and residence in Manhattan remained significantly associated with vaccine hesitancy. Conclusions and relevance: Despite mandated COVID-19 vaccination, a substantial proportion of HCP remained vaccine hesitant towards adult booster doses and pediatric COVID-19 vaccination. While provider recommendation has been the mainstay of combatting COVID-19 vaccine hesitancy, a gap exists between HCP-despite clinical or administrative status-and the ability to communicate the need for vaccination in a healthcare setting. While previous studies describe the HCP vaccine mandate as a positive force to overcome vaccine hesitancy, we have found that despite a mandate, there is still substantial COVID-19 vaccine hesitancy, misinformation, and reluctance to vaccinate children. |
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| MeSH term(s) | Adult ; Female ; Humans ; Child ; COVID-19 Vaccines ; COVID-19/epidemiology ; COVID-19/prevention & control ; Cross-Sectional Studies ; Electronic Mail ; Health Personnel ; Vaccination ; Immunization, Secondary |
| Chemical Substances | COVID-19 Vaccines |
| Language | English |
| Publishing date | 2024-04-11 |
| Publishing country | Netherlands |
| Document type | Journal Article |
| ZDB-ID | 605674-x |
| ISSN | 1873-2518 ; 0264-410X |
| ISSN (online) | 1873-2518 |
| ISSN | 0264-410X |
| DOI | 10.1016/j.vaccine.2024.04.028 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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