scholarly journals Provider Confidence in Counseling Preconception, Pregnant, and Postpartum Patients Regarding COVID-19 Vaccination

2021 ◽  
Author(s):  
Molly R. Siegel ◽  
Kaitlyn E. James ◽  
Elana Jaffe ◽  
Michelle M L'Heureux ◽  
Anjali J Kaimal ◽  
...  
Keyword(s):  
Vaccine Safety ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Web Based ◽  
Keywords Pregnancy ◽  
Internal Medicine Faculty ◽  
English Speaking ◽  
Almost All ◽  
In Pregnancy

Abstract Objective: To assess knowledge and confidence in COVID-19 vaccine counseling among practitioners who provide care to pregnant persons and to describe factors associated with confidence in counseling. Study Design: A web-based anonymous survey was distributed via email to a cross-sectional convenience sample of OB/GYN, Primary Care, and Internal Medicine faculty at three hospitals in a single healthcare network in Massachusetts. Individual demographics and institution-specific variables were included in the survey along with questions assessing both attitudes toward COVID-19 illness in pregnancy as well as confidence in counseling regarding the use of the vaccine for pregnant patients. Results: Almost all providers (151, 98.1%) reported already receiving or being scheduled to receive a COVID-19 vaccine, and a majority of providers (111, 72.1%) reported that they believe the benefits of the mRNA COVID-19 vaccine in pregnancy outweigh the risks. Forty-one (26.6%) reported feeling very confident in counseling patients who primarily speak English about the evidence for mRNA vaccination in pregnancy, and 36 (23%) reported feeling very confident in counseling patients who are not primarily English-speaking. Forty-three providers (28.1%) expressed strong confidence in their comfort talking to individuals with vaccine hesitancy based on historic and continued racism and systemic injustices. The sources that survey respondents most commonly used to find information regarding COVID-19 vaccination in pregnancy were the CDC (112, 74.2%), hospital-specific resources (94, 62.3%) and ACOG (82, 54.3%). Conclusion: While providers reported high personal uptake of COVID-19 vaccination and felt that the benefits of vaccination outweigh the risks in pregnancy, less than one-third felt very confident in counseling pregnant patients about available evidence for mRNA vaccine safety in pregnancy. Ensuring that providers feel comfortable bridging the gap between their belief that the vaccine is beneficial for pregnant patients and their comfort with holding conversations with patients regarding vaccination is paramount in order to ensure equitable access to vaccines for pregnant patients. Keywords Pregnancy, vaccine hesitancy, COVID-19, prenatal, postpartum, preconception, vaccine counseling

scholarly journals Vaccine hesitancy among healthcare providers during COVID-19 pandemic

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
F Algabbani ◽  
A Algabbani
Keyword(s):  
Healthcare Providers ◽  
Vaccine Safety ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Web Based ◽  
Global Health Issue ◽  
Vaccine Confidence ◽  
And Control

Abstract   Public trust in vaccines is a major global health issue. This study aims to assess the vaccine acceptance among healthcare workers and their confidence and hesitancy of the COVID19 vaccine. This was a multicenter cross-sectional survey conducted among healthcare providers in Riyadh, the capital of Saudi Arabia. Data collection was carried out between October and November of 2020 through a web-based survey. COVID19 vaccine hesitancy was assessed using eight structured items adapted from the 5Cs. About 34.6% (95% CI: 27.6%-42.4%) of participants were willing to vaccinate against COVID-19 and 44% (95% CI: 36.5%-51.9%) will recommend the vaccine to their patients. About 45% of participants were neutral regarding vaccine safety and 40% were neutral regarding vaccine effectiveness. Almost 70% believe that the duration of clinical studies of the COVID-19 vaccines affects their confidence in the efficacy and safety of the vaccine. Those who never hesitated or delayed taking any of the recommended vaccination were more likely to be willing to vaccinate COVID-19 (OR 5.46, 95% CI: 2.49-11.98). Assessing the level of vaccine confidence in the population and associated factors will help implement an effective national vaccine program to enhance vaccination uptake and control COVID19 spread during this pandemic. Key messages Vaccine hesitancy is challenging vaccination goals at the national and global level. Hesitancy from the population toward vaccine and concerns regarding its safety and efficacy was observed with the development of a novel vaccine for COVID19 a newly emerged infection.

scholarly journals Knowledge, Attitude and Acceptance of a COVID-19 Vaccine in Indian Population : a Cross Sectional Study

2021 ◽  
Author(s):  
Aditya Soni ◽  
Devanshi Tripathi ◽  
Manju Bhaskar ◽  
Rujul Modi
Keyword(s):  
Online Survey ◽  
Vaccine Safety ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Web Based ◽  
Additional Information ◽  
Study Participants ◽  
Vaccine Availability

Abstract INTRODUCTION: The COVID-19 pandemic keeping on to devastate the world. A vaccine provides the best hope to control the pandemic. Understanding vaccine acceptance is important, because there is relatively high vaccine hesitancy for existing vaccines and relatively low vaccination coverage. MATERIALS AND METHODS: Participants included are adults between the age group of 18-29 years (n=100). This is a cross-sectional, web based observational study conducted over a period of 1 month. An online survey is carried out through distribution of questionnaire via social network with snow ball effect. RESULTS: A total 100 participants were included in the study. Almost more than half (55%) of the young adults aged between 18 and 29 years were oblivious about the COVID-19 vaccine availability, followed by 22% person aged between 30-39 years and 22% of the persons aged between 40- 59 years and around 1% of more than 60 years were oblivious about the vaccine availability. Among the study participants, nearly 40% were willing to take COVID-19 vaccine when it is available for use and only 30% did not want the vaccination. CONCLUSION: The most dominant factor for vaccine hesitancy is because of adverse effects following immunization. Vaccine acceptability may be increased once additional information about vaccine safety and efficacy is available in the public domain, preferably from a trusted, centralized source of information.

scholarly journals COVID-19 Vaccine Acceptance in Mukalla City, Yemen

2021 ◽  
Author(s):  
Abdulla Bin-Ghouth ◽  
Khaled Hussien Al-Kaldy
Keyword(s):  
Health Workers ◽  
Vaccine Safety ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Vaccine Acceptance ◽  
Negative Role ◽  
High Level

Abstract Background: In Yemen the epidemiology of COVID19 is uncertain. Yemen received the first batch of AstraZeneca vaccine in April 2021 and the vaccine campaign starts officially on 20 April 2021 with limited utilization. Media play a negative role about AstraZeneca vaccine safety and efficacy.Objectives: to investigate the acceptance of People and health workers in Mukalla city in Hadharmout (at eastern Yemen) toward the COVID-19 vaccine.Methodology: This is a cross-sectional study to collect data from a convenience sample of health workers and other people during the first week of April 2021. Results: A total of 321 persons agree to participate in the study. Only 9% of the participants and 22% of health workers have knowledge about the COVID19 vaccine, only 15% of people and 26% of health workers agree to get the vaccine while 241 participants (75%) hesitated to get the vaccine. The most reasons for vaccine hesitancy were: the vaccine were arrived to Yemen of bad quality (69%), while 48% of hesitated participants said that the vaccine is unsafe, other reasons for unacceptance the vaccine are: regional believes (38%), other countries stop the vaccine (37%) while 16% of refused participants said that the reason is that the virus is subject to mutation so no need to vaccinate. Conclusions: Lack of knowledge about COVID-19 vaccine and high level of vaccine hesitancy were reported, the most frequent reasons for not accepted the vaccine are: bad quality of the vaccine and doubts about vaccine safety.

scholarly journals Attitudes toward the SARS-CoV-2 Vaccine: Results from the Saudi Residents’ Intention to Get Vaccinated against COVID-19 (SRIGVAC) Study

Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 798
Author(s):  
Sami H. Alzahrani ◽  
Mukhtiar Baig ◽  
Mohammed W. Alrabia ◽  
Mohammed R. Algethami ◽  
Meshari M. Alhamdan ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Health Beliefs ◽  
Multinomial Logistic Regression ◽  
Demographic Data ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Relative Risk Ratio ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Web Based

Vaccine uptake could influence vaccination efforts to control the widespread COVID-19 pandemic; however, little is known about vaccine acceptance in Saudi Arabia. The present study aimed to assess the Saudi public’s intent to get vaccinated against COVID-19 and explore the associated demographic determinants of their intentions as well as the reasons for vaccine hesitancy. A cross-sectional, web-based survey was distributed to public individuals in Saudi Arabia between 25 December 2020 and 15 February 2021. Participants were asked if they were willing to get vaccinated, and the responses, along with demographic data were entered into a multinomial logistic regression model to assess the relative risk ratio (RRR) for responding “no” or “unsure” versus “yes”. Among 3048 participants (60.1% female, 89.5% Saudi), 52.9% intend to get vaccinated, 26.8% were unsure, and 20.3% refused vaccination. Vaccine hesitancy was significantly higher among females (RRR = 2.70, p < 0.0001) and those who had not been recently vaccinated for influenza (RRR = 2.63, p < 0.0001). The likelihood was lower among Saudis (RRR = 0.49, p < 0.0001), those with less than a secondary education (RRR = 0.16, p < 0.0001), perceived risks of COVID-19, and residents of the southern region (RRR = 0.46, p < 0.0001). The most often cited reasons for hesitancy were short clinical testing periods and concerns about adverse events or effectiveness. Vaccine hesitancy is mediated by many demographic factors and personal beliefs. To address vaccine-related concerns and amend deeply rooted health beliefs, communication should provide transparent information.

Increasing vaccine uptake in Sudan: Development of a web-based intervention (Preprint)

2021 ◽  
Author(s):  
Majdi Sabahelzain ◽  
Rik Crutzen ◽  
Mohamed Moukhyer ◽  
Hans Bosma ◽  
Bart van den Borne
Keyword(s):  
User Experience ◽  
Vaccine Safety ◽  
Arabic Language ◽  
Essential Elements ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Local Context ◽  
Middle Income ◽  
Web Based ◽  
Content Quality

BACKGROUND WHO described Vaccine hesitancy in 2019 as one of the top 10 threats to global health in high, and low, and middle-income countries. Various communication approaches have been used to engage the public about vaccines and immunization such as mass media and e-health strategies. With the expansion in the use of communication technologies in health in recent years, websites have increasingly been used to support vaccine acceptance and demand and thus increase vaccine uptake. We recently established a web-based intervention called the Tat3im initiative website in Sudan. It aims to increase uptake of vaccines in Sudan by increasing knowledge and addressing issues related to vaccine hesitancy and vaccine safety in the Arabic language OBJECTIVE This article describes the processes that we used to develop and improve this website including the creation of its content. METHODS These processes were informed by using and combining three sources including, Garrett’s user experience framework as a basis for the development, the WHO Vaccine Safety Net's (VSN) criteria for good information practices (i.e. credibility, content (quality and quantity), design and accessibility criteria), and previous relevant research that assessed the local context in Sudan. RESULTS We found that using such evidence as well as combining the VSN's criteria and previous research findings in the five planes of Garrett's framework enabled us to cover many essential elements of user experience and to address issues related to the website’s strategy and content. CONCLUSIONS As the website may be limited due to the high rates of illiteracy as well as relatively low internet use in Sudan, we suggest using social marketing to promote the use of the website as well as monitoring and evaluating the website and users’ experience using different approaches such as visitor traffic and qualitative measures.

scholarly journals COVID-19 vaccine hesitancy in underserved communities of North Carolina

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0248542
Author(s):  
Irene A. Doherty ◽  
William Pilkington ◽  
Laurin Brown ◽  
Victoria Billings ◽  
Undi Hoffler ◽  
...  
Keyword(s):  
North Carolina ◽  
Health Care Providers ◽  
Vaccine Safety ◽  
The United States ◽  
Vaccine Hesitancy ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Underserved Communities ◽  
Safety Concerns

Background In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19. This study sought to estimate the prevalence of COVID-19 vaccine hesitancy, describe attitudes related to vaccination, and identify correlates among historically marginalized populations across 9 counties in North Carolina. Methods We conducted a cross-sectional survey distributed at free COVID-19 testing events in underserved rural and urban communities from August 27 –December 15, 2020. Vaccine hesitancy was defined as the response of “no” or “don’t know/not sure” to whether the participant would get the COVID-19 vaccine as soon as it became available. Results The sample comprised 948 participants including 27.7% Whites, 59.6% Blacks, 12.7% Latinx, and 63% female. 32% earned <$20K annually, 60% owned a computer and ~80% had internet access at home. The prevalence of vaccine hesitancy was 68.9% including 62.7%, 74%, and 59.5% among Whites, Blacks, and Latinx, respectively. Between September and December, the largest decline in vaccine hesitancy occurred among Whites (27.5 percentage points), followed by Latinx (17.6) and only 12.0 points among Blacks. 51.2% of respondents reported vaccine safety concerns, 23.7% wanted others to get vaccinated first, and 63.1% would trust health care providers about the COVID-19 vaccine. Factors associated with hesitancy in multivariable logistic regression included being female (OR = 1.90 95%CI [1.36, 2.64]), being Black (OR = 1.68 1.16, 2.45]), calendar month (OR = 0.76 [0.63, 0.92]), safety concerns (OR = 4.28 [3.06, 5.97]), and government distrust (OR = 3.57 [2.26, 5.63]). Conclusions This study engaged the community to directly reach underserved minority populations at highest risk of COVID-19 that permitted assessment of vaccine hesitancy (which was much higher than national estimates), driven in part by distrust, and safety concerns.

Symptom Responses to a Continuum of Sexual Trauma

2013 ◽  
Vol 28 (2) ◽  
pp. 248-258 ◽  
Author(s):  
Carrie M. Carretta ◽  
Ann W. Burgess
Keyword(s):  
Sexual Trauma ◽  
The United States ◽  
Symptom Presentation ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Web Based ◽  
Significant Difference ◽  
Different Types ◽  
Cross Sectional Design ◽  
Post Hoc

This study reports the findings of an anonymous web-based survey to test differences in symptom presentation (depression, anxiety, posttraumatic stress disorder [PTSD]) among women who experienced different types of sexual trauma (forcible, pressured, sex stress). The study used a descriptive cross-sectional design with an online convenience sample of 243 adult females living primarily in the United States. The findings revealed that there was a statistically significant difference among type of sexual trauma groups for depression (p = .013) and PTSD (p = .044) but not for anxiety (p = .183). Post hoc analysis of the overall difference in depression revealed that the multiple rape type group (p = .010) and the forcible sex group (p = .016) had higher levels of depression.

Tornado Hazard Communication Disparities among Spanish-Speaking Individuals in an English-Speaking Community

2012 ◽  
Vol 27 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Leslie Ahlborn ◽  
Jeffrey Michael Franc ◽  
D Sport Med
Keyword(s):  
Limited English Proficient ◽  
Native Language ◽  
Census Bureau ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Spanish Speaking ◽  
English Speaking ◽  
The Mean ◽  
Us Census

AbstractBackground: The state of Oklahoma, known for destructive tornados, has a native Spanish-speaking (NSS) population of approximately 180,241, of which 50% report being able to speak English “very well” (US Census Bureau). With almost 50% of these native Spanish-speaking persons being limited English proficient (LEP), their reception of tornado hazard communications may be restricted. This study conducted in northeast Oklahoma (USA) evaluates the association between native language and receiving tornado hazard communications.Methods: This study was a cross-sectional survey conducted among a convenience sample of NSS and native English-speaking (NES) adults at Xavier Clinic and St. Francis Trauma Emergency Center in Tulsa, OK, USA from September 2009 through December 2009. Of the 82 surveys administered, 80 were returned, with 40 NES and 40 NSS participants. A scoring system (Severe Weather Information Reception (SWIR)) was developed to quantify reception of hazard information among the study participants (1–3 points = poor reception, 4–5 = adequate reception, 6–8 = excellent reception). Pearson’s chi-squared test was used to calculate differences between groups with Yates’ continuity correction applied where appropriate, and SWIR scores were analyzed using ANOVA. P-values <.05 were considered significant.Results: NSS fluency in English was 25.6%. No significant association was found between native language and those who watch television, listen to radio, have a National Oceanic and Atmospheric Administration (NOAA) All Hazards radio or telephone, or are in audible range of a tornado siren. NSS were less likely to have Internet access (P < .004), and less likely to know of local telephone warning programs (P < .03). The mean NSS SWIR score was 3.2 (95% CI, 2.8-3.7) while LEP NSS averaged 2.8 (95% CI, 2.4-3.2). The mean NES SWIR score was 4.5 (95% CI, 4.1-5.0).Conclusion: Results demonstrate a disparity in tornado warning reception between NSS and NES. Poor English proficiency was noted to be 75% among NSS, which is approximately 25% more than estimated by the US Census Bureau. This study demonstrates a need for emergency managers to recognize when appropriate and overcome communication disparities among limited English proficient populations.

scholarly journals Vaccination willingness for COVID-19 among health care workers in Switzerland

2021 ◽  
Author(s):  
Kathrin Zuercher ◽  
Catrina Mugglin ◽  
Matthias Egger ◽  
Sandro Mueller ◽  
Michael Fluri ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Vaccination Campaign ◽  
Vaccine Safety ◽  
Willingness To Accept ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Web Based ◽  
Care Workers ◽  
Vaccination Hesitancy

Aims of the study: Vaccination is regarded as the most promising response to the COVID-19 pandemic. We assessed opinions towards COVID-19 vaccination, willingness to be vaccinated, and reasons for vaccination hesitancy among health care workers (HCWs). Methods: We conducted a cross-sectional, web-based survey among 3,793 HCWs in December 2020 in the Canton of Solothurn, Switzerland, before the start of the national COVID-19 vaccination campaign. Results: Median age was 43 years (interquartile range [IQR] 31-53), 2,841 were female (74.9%). 1,511 HCWs (39.8%) reported willingness to accept vaccination, while 1,114 (29.4%) were unsure, and 1,168 (30.8%) would decline vaccination. Among medical doctors, 76.1% were willing, while only 27.8% of nurses expressed willingness. Among 1,168 HCWs who would decline vaccination, 1,073 (91.9%) expressed concerns about vaccine safety and side effects. The willingness of HCWs to be vaccinated was associated with older age (adjusted odds ratio [aOR] 1.97, 95%Cl 1.71-2.27) and having been vaccinated for influenza this year (aOR 2.70, 95%Cl 2.20-3.31). HCWs who reported a lack of confidence in government were less likely to be willing to be vaccinated (aOR 0.58, 95%Cl 0.40-0.84), and women were less willing to be vaccinated than men (OR 0.33 (0.28-0.38). Conclusion: Less than half of HCWs reported willingness to be vaccinated before the campaign start, but proportions varied greatly depending on the profession and workplace. Strategies with clear and objective messages that particularly address the concerns of HCWs are needed if their willingness to be vaccinated is to be increased.

scholarly journals Explaining COVID-19 Vaccine Rejection Using Social Cognitive Theory in Qassim, Saudi Arabia

Vaccines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1304
Author(s):  
Aseel Ali AlSaeed ◽  
Unaib Rabbani
Keyword(s):  
Saudi Arabia ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Vaccine Safety ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Personal Factors ◽  
Cross Sectional ◽  
Primary Health Care Centers

Acceptance of COVID-19 vaccines needs a health promotion approach to address various social, environmental and personal factors leading to vaccine hesitancy. We assessed the vaccine hesitancy rate and applied social cognitive theory (SCT) to understand COVID-19 vaccine rejection in Qassim, Saudi Arabia. A cross-sectional study was conducted among visitors of 10 randomly selected primary health care centers in Buraidah, Saudi Arabia. Data was collected by a self-administrated questionnaire. The variables were grouped into six constructs of SCT. Logistic regression was used to assess the predictors of vaccine rejection. Out of 486 participants included in the study, 30.5% rejected the vaccine. The most common reason for vaccine rejection was uncertainty about the vaccine’s effectiveness (78%). Among various constructs of SCT, reciprocal determinism (nationality, income and suffering from COVID-19 infection), behavioral capability (knowledge about vaccine safety), self-efficacy (registered for vaccine), and observational learning (getting the vaccine after friends and family members) were significant predictors. Expectation and reinforcement constructs did not show significant association. There was high vaccine rejection in Qassim, KSA. This calls for further improving the mass education strategies. Social cognitive theory can be used to predict vaccine rejection and to develop strategies to increase the utilization of COVID-19 vaccines in Saudi Arabia.

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