Περίληψη:
Considering medical and economic burden of coronavirus disease 2019
(COVID-19), a high COVID-19 vaccination coverage among healthcare
workers (HCWs) is an urgent need. The aim of this systematic review and
meta-analysis was to evaluate the intention of HCWs to accept COVID-19
vaccination and to identify related factors. We searched PubMed,
MEDLINE, Scopus, Web of Science, ProQuest, CINAHL and medRxiv until July
14, 2021. The heterogeneity between results was very high; thus, we
applied a random effects model to estimate pooled effects. We performed
subgroup and meta-regression analysis to identify possible resources of
heterogeneity. Twenty four studies, including 50 940 HCWs, met the
inclusion criteria. The overall proportion of HCWs that intend to accept
COVID-19 vaccination was 63.5% (95% confidence interval:
56.5%-70.2%) with a wide range among studies from 27.7% to 90.1%.
The following factors were associated with increased HCWs’ willingness
to get vaccinated against COVID-19: male gender, older age, white HCWs,
physician profession, higher education level, comorbidity among HCWs,
vaccination against flu during previous season, stronger vaccine
confidence, positive attitude towards a COVID-19 vaccine, fear about
COVID-19, individual perceived risk about COVID-19, and contact with
suspected or confirmed COVID-19 patients. The reluctance of HCWs to
vaccinate against COVID-19 could diminish the trust of individuals and
trigger a ripple effect in the general public. Since vaccination is a
complex behavior, understanding the way that HCWs take the decision to
accept or refuse COVID-19 vaccination will give us the opportunity to
develop the appropriate interventions to increase COVID-19 vaccination
uptake.
Συγγραφείς:
Galanis, Petros
Vraka, Irene
Fragkou, Despoina
Bilali,
Angeliki
Kaitelidou, Daphne