scholarly journals Science, healthcare system, and government effectiveness perception and COVID-19 vaccination acceptance and hesitancy in a global sample: an analytical cross-sectional analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049716
Author(s):  
Timothy D Dye ◽  
Monica Barbosu ◽  
Shazia Siddiqi ◽  
José G Pérez Ramos ◽  
Hannah Murphy ◽  
...  

BackgroundDeterminants of COVID-19 vaccine acceptance are complex; how perceptions of the effectiveness of science, healthcare and government impact personal COVID-19 vaccine acceptance is unclear, despite all three domains providing critical roles in development, funding and provision, and distribution of COVID-19 vaccine.ObjectiveTo estimate impact of perception of science, healthcare systems, and government along with sociodemographic, psychosocial, and cultural characteristics on vaccine acceptance.DesignWe conducted a global nested analytical cross-sectional study of how the perceptions of healthcare, government and science systems have impacted COVID-19 on vaccine acceptance.SettingGlobal Facebook, Instagram and Amazon Mechanical Turk (mTurk) users from 173 countries.Participants7411 people aged 18 years or over, and able to read English, Spanish, Italian, or French.MeasurementsWe used Χ2 analysis and logistic regression-derived adjusted Odds Ratios (aORs) and 95% CIs to evaluate the relationship between effectiveness perceptions and vaccine acceptance controlling for other factors. We used natural language processing and thematic analysis to analyse the role of vaccine-related narratives in open-ended explanations of effectiveness.ResultsAfter controlling for confounding, attitude toward science was a strong predictor of vaccine acceptance, more so than other attitudes, demographic, psychosocial or COVID-19-related variables (aOR: 2.1; 95% CI: 1.8 to 2.5). The rationale for science effectiveness was dominated by vaccine narratives, which were uncommon in other domains.LimitationsThis study did not include participants from countries where Facebook and Amazon mTurk are not available, and vaccine acceptance reflected intention rather than actual behaviour.ConclusionsAs our findings show, vaccine-related issues dominate public perception of science’s impact around COVID-19, and this perception of science relates strongly to the decision to obtain vaccination once available.

Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 119 ◽  
Author(s):  
Rahul Shekhar ◽  
Abu Baker Sheikh ◽  
Shubhra Upadhyay ◽  
Mriganka Singh ◽  
Saket Kottewar ◽  
...  

Background: Acceptance of the COVID-19 vaccine will play a major role in combating the pandemic. Healthcare workers (HCWs) are among the first group to receive vaccination, so it is important to consider their attitudes about COVID-19 vaccination to better address barriers to widespread vaccination acceptance. Methods: We conducted a cross sectional study to assess the attitude of HCWs toward COVID-19 vaccination. Data were collected between 7 October and 9 November 2020. We received 4080 responses out of which 3479 were complete responses and were included in the final analysis. Results: 36% of respondents were willing to take the vaccine as soon as it became available while 56% were not sure or would wait to review more data. Only 8% of HCWs do not plan to get vaccine. Vaccine acceptance increased with increasing age, education, and income level. A smaller percentage of female (31%), Black (19%), Lantinx (30%), and rural (26%) HCWs were willing to take the vaccine as soon as it became available than the overall study population. Direct medical care providers had higher vaccine acceptance (49%). Safety (69%), effectiveness (69%), and speed of development/approval (74%) were noted as the most common concerns regarding COVID-19 vaccination in our survey.


Author(s):  
Sameh N. Saleh ◽  
Christoph U. Lehmann ◽  
Samuel A. McDonald ◽  
Mujeeb A. Basit ◽  
Richard J. Medford

Abstract Objective: Social distancing policies are key in curtailing severe acute respiratory coronavirus virus 2 (SARS-CoV-2) spread, but their effectiveness is heavily contingent on public understanding and collective adherence. We studied public perception of social distancing through organic, large-scale discussion on Twitter. Design: Retrospective cross-sectional study. Methods: Between March 27 and April 10, 2020, we retrieved English-only tweets matching two trending social distancing hashtags, #socialdistancing and #stayathome. We analyzed the tweets using natural language processing and machine-learning models, and we conducted a sentiment analysis to identify emotions and polarity. We evaluated the subjectivity of tweets and estimated the frequency of discussion of social distancing rules. We then identified clusters of discussion using topic modeling and associated sentiments. Results: We studied a sample of 574,903 tweets. For both hashtags, polarity was positive (mean, 0.148; SD, 0.290); only 15% of tweets had negative polarity. Tweets were more likely to be objective (median, 0.40; IQR, 0–0.6) with ~30% of tweets labeled as completely objective (labeled as 0 in range from 0 to 1). Approximately half of tweets (50.4%) primarily expressed joy and one-fifth expressed fear and surprise. Each correlated well with topic clusters identified by frequency including leisure and community support (ie, joy), concerns about food insecurity and quarantine effects (ie, fear), and unpredictability of coronavirus disease 2019 (COVID-19) and its implications (ie, surprise). Conclusions: Considering the positive sentiment, preponderance of objective tweets, and topics supporting coping mechanisms, we concluded that Twitter users generally supported social distancing in the early stages of their implementation.


2016 ◽  
Vol 7 (3) ◽  
Author(s):  
Mukesh Edavalath

Chronic back and neck pain are common clinical entities in ayurvedic practice. Most of the patients are not rendered pain free with the current ayurvedic treatment regimens. Ayurveda considers agni (digestive power) derangements as the basic cause for all nija rogas (endogenous diseases). The term agnivaishamya is implied for functional derangement of agni. Emerging evidences through modern researches point to the role of GI dysfunctions in pain pathologies.  A cross sectional analysis of patients with chronic pain in the neck and back was conducted at VPSV Ayurveda college hospital to explore associations between pain and features of agnivaishamya in koshta (GIT). In the twenty eight patients analyzed, significant association has been found between pain in low back and koshta (GIT) features like Arsas (hemorrhoids) and vibandha (Constipation). Strength of association was more between arsas and low back pain with OR  of 4.2 (P<0.05). In the case of cervical pain , multiple features of Koshta like avipaka (feeling of indigestion), aruchi (anorexia), amlodgara (sour eructations), urodhumayana (chest burn) and muhurbadha muhurdrava pureesha (alternating constipation and loose stools) were found to be associated. Hence it can be concluded that there is significant association of agnivaishamya with chronic pain in neck and back.


2020 ◽  
Author(s):  
Orr Shauly ◽  
Gregory Stone ◽  
Daniel Gould

BACKGROUND COVID-19 is a rapidly developing threat to most people in the United States and abroad. The behaviors of the public are important to understand, as they may have a tremendous impact on the course of this novel coronavirus pandemic. OBJECTIVE This study intends to assess the US population’s perception and knowledge of the virus as a threat and the behaviors of the general population in response. METHODS A prospective cross-sectional study was conducted with random volunteers recruited through Amazon Mechanical Turk, an internet crowdsourcing service, on March 24, 2020. RESULTS A total of 969 participants met the inclusion criteria. It was found that the perceived severity of the COVID-19 pandemic significantly differed between age groups (<i>P</i>&lt;.001) and men and women (<i>P</i>&lt;.001). A majority of study participants were actively adhering to the Centers for Disease Control and Prevention guidelines. CONCLUSIONS Though many participants identified COVID-19 as a threat, many failed to place themselves appropriately in the correct categories with respect to risk. This may indicate a need for additional public education for appropriately defining the risk of this novel pandemic.


2021 ◽  
Vol 5 (2) ◽  
pp. 150-158
Author(s):  
Ni Nyoman Ayu Ardiningsih ◽  
Made Pasek Kardiwinata

ABSTRAKLatar Belakang: Vaksinasi COVID-19 merupakan salah satu upaya untuk mengatasi pandemi COVID-19 yang terjadi saat ini. Tingkat penerimaan vaksinasi yang rendah dapat menghambat tercapainya herd immunity. Tujuan dari penelitian ini adalah untuk mengetahui gambaran persepsi masyarakat terhadap penerimaan vaksinasi COVID-19 di Kecamatan Karangasem Kabupaten Karangasem.Metode: Desain penelitian studi cross-sectional dengan populasi masyarakat Kecamatan Karangasem berusia 18-59 tahun. Besar sampel 184 orang didapat dengan teknik voluntary sampling. Data dikumpulkan secara online menggunakan google form. Analisis data menggunakan uji chi-square.Hasil: penerimaan vaksinasi sebesar 96,20% dan 3,80% menolak karena memiliki riwayat penyakit komorbid. Variabel yang berhubungan signifikan dengan penerimaan vaksinasi COVID-19 adalah jenis kelamin perempuan (OR=1,62; 95% CI 0,26-11,32), usia lebih dari 55 tahun (OR=3,42; 95% CI 0,44-26,59), pendidikan terakhir perguruan tinggi (OR=11,41; 95% CI 1,32-529,13), persepsi kerentanan terinfeksi COVID-19 yang tinggi (OR=7,79; 95% CI 1,20-83,41), persepsi keparahan terinfeksi COVID-19 yang tinggi (OR=4,37, 95% CI 0,67-46,07), persepsi manfaat vaksinasi COVID-19 yang tinggi (OR=7,79; 95% CI 1,20-83,41), dan persepsi hambatan melakukan vaksinasi yang rendah (OR=5,73; 95% CI 0,10-64,08).Kesimpulan: penelitian selanjutnya perlu untuk mengkaji terkait penyakit komorbid terhadap penerimaan vaksin COVID-19.Kata kunci: COVID-19, penerimaan vaksin, KarangasemABSTRACTBackground: The COVID-19 vaccination is one of the efforts to overcome the current COVID-19 pandemic. Low vaccination acceptance rates can hinder the achievement of herd immunity. The purpose of this study was to describe the public perception of receiving COVID-19 vaccination in the Sub-district of Karangasem, Karangasem Regency.Methods: The design of study used a cross-sectional study with the population of Karangasem Sub-district aged 18-59 years. The sample size of 184 people was obtained by voluntary sampling. Data collected online using google form. Chi-square test were used for data analysis.Results: vaccine acceptance rate was 96.20% and 3,80% refuse to get vaccine because they have comorbid. Variables that have a significant associate to the acceptance of COVID-19 vaccination are female gender (OR=1,62; 95% CI 0,26-11,32), age more than 55 years (OR=3,42; 95% CI 0,44-26,59), last college education (OR=11,41; 95% CI 1,32-529,13), high perceived of susceptibility to COVID-19 infection (OR=7,79; 95% CI 1,20-83,41), high perceived of severity if infected with COVID-19 (OR=4,37, 95% CI 0,67-46,07), high perceived benefits of COVID-19 vaccination (OR=7,79; 95% CI 1,20-83,41), and low perceived barriers to vaccination (OR=5,73; 95% CI 0,10-64,08).Conslusion: Further research need to study related comorbid to COVID-19 vaccine acceptance.Keyword: COVID-19, vaccine acceptance, Karangasem


Viruses ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1199
Author(s):  
Sarah Stuckelberger ◽  
Guillaume Favre ◽  
Michael Ceulemans ◽  
Hedvig Nordeng ◽  
Eva Gerbier ◽  
...  

As pregnant women are at high risk of severe SARS-CoV-2 infection and COVID-19 vaccines are available in Switzerland, this study aimed to assess the willingness of Swiss pregnant and breastfeeding women to become vaccinated. Through a cross-sectional online study conducted after the first pandemic wave, vaccination practices and willingness to become vaccinated against SARS-CoV-2 if a vaccine was available were evaluated through binary, multi-choice, and open-ended questions. Factors associated with vaccine willingness were evaluated through univariable and multivariable analysis. A total of 1551 women responded to questions related to the primary outcome. Only 29.7% (153/515) of pregnant and 38.6% (400/1036) of breastfeeding women were willing to get vaccinated against SARS-CoV-2 if a vaccine had been available during the first wave. Positive predictors associated with SARS-CoV-2 vaccine acceptance were an age older than 40 years, a higher educational level, history of influenza vaccination within the previous year, having an obstetrician as the primary healthcare practitioner, and being in their third trimester of pregnancy. After the first pandemic wave, Switzerland had a low SARS-CoV-2 vaccination acceptance rate, emphasizing the need to identify and reduce barriers for immunization in pregnant and breastfeeding women, particularly among the youngest and those with a lower educational level.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lara Nasr ◽  
Nadine Saleh ◽  
Mira Hleyhel ◽  
Abbass El-Outa ◽  
Ziad Noujeim

Abstract Background Dentists are at high risk of exposure to occupational Coronavirus Disease 2019 (COVID-19). Since vaccination is crucial to control COVID-19 pandemic, we aimed to assess COVID-19 vaccination acceptance and its determinants among Lebanese practicing dentists. Methods A cross-sectional online study was conducted between February 15 and 22, 2021, among dentists practicing in Lebanon. Prevalence of COVID-19 vaccine acceptance was estimated. A multivariable modified Poisson regression model was used to explore determinants of COVID-19 vaccine acceptance. Results In total, 86% of participants were willing to receive or have already received a COVID-19 vaccine. Having received the influenza vaccine during the COVID-19 pandemic was linked to a 12% increase in the COVID-19 vaccination acceptance rate. In addition, participants having moderate and high COVID-19 vaccination knowledge levels were more likely to accept receiving the vaccine, and participants whose fear of COVID-19 level was high were more likely to accept receiving the vaccine compared to those having a low fear level. Contrarily, those who visit the medical doctor only when needed and once a year were less likely to accept COVID-19 vaccine compared to participants who routinely visit the medical doctor. Conclusions Our study showed a high level of acceptance of COVID-19 vaccination among Lebanese practicing dentists. And since knowledge about COVID-19 vaccination was associated with the vaccine acceptance, it should be improved and updated to further increase the acceptance rate. High acceptability of COVID-19 vaccination among dentists is expected to have a positive impact among the population in terms of increasing awareness and vaccine uptake.


10.2196/19768 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e19768
Author(s):  
Orr Shauly ◽  
Gregory Stone ◽  
Daniel Gould

Background COVID-19 is a rapidly developing threat to most people in the United States and abroad. The behaviors of the public are important to understand, as they may have a tremendous impact on the course of this novel coronavirus pandemic. Objective This study intends to assess the US population’s perception and knowledge of the virus as a threat and the behaviors of the general population in response. Methods A prospective cross-sectional study was conducted with random volunteers recruited through Amazon Mechanical Turk, an internet crowdsourcing service, on March 24, 2020. Results A total of 969 participants met the inclusion criteria. It was found that the perceived severity of the COVID-19 pandemic significantly differed between age groups (P<.001) and men and women (P<.001). A majority of study participants were actively adhering to the Centers for Disease Control and Prevention guidelines. Conclusions Though many participants identified COVID-19 as a threat, many failed to place themselves appropriately in the correct categories with respect to risk. This may indicate a need for additional public education for appropriately defining the risk of this novel pandemic.


2021 ◽  
Author(s):  
Rahul Shekhar ◽  
Abu Baker Sheikh ◽  
Shubhra Upadhyay ◽  
Mriganka Singh ◽  
Saket Kottewar ◽  
...  

Background: Acceptance of the COVID-19 vaccine will play a major role in combating the pandemic. Healthcare workers (HCWs) are amongst the first group to receive the vaccination, so it is important to consider their attitudes about COVID-19 vaccination to better address barriers to widespread vaccination acceptance. Methods: We conducted a cross-sectional study to assess the attitude of HCWs toward the COVID-19 vaccination. Data was collected between October 7th and November 9th, 2020. We received 4080 responses out of which 3479 were complete responses and were included in the final analysis. Results: 36% of respondents were willing to take the vaccine as soon as it became available while 56% were not sure or would wait to review more data. Vaccine acceptance increased with increasing age, education, and income level. Lower acceptance was noted in females (31%), Black (10%), Latinx (30%) and Conservative/Republican (21%) HCWs, and those working in a rural setting (26%). Direct medical care providers had higher vaccine acceptance (49%). Safety (69%), effectiveness (69%), and speed of development/approval (74%) were noted as the most common concerns regarding COVID-19 vaccination in our survey. Conclusion: Immediate acceptance of a COVID-19 vaccine is low, with the majority of HCWs choosing to wait to review more data before deciding on personal vaccination. Overall attitudes toward vaccination were positive but specific concerns regarding COVID-19 vaccine are prevalent. Differences in vaccine acceptance were noted between individual and group characteristics which should be addressed to avoid exacerbating health inequities.


2020 ◽  
Vol 5 (2) ◽  
pp. 20-25
Author(s):  
Meenu Agrawal ◽  
Meena Singh ◽  
Pranav Bansal ◽  
Tushar Jindal ◽  
Ishrat Yousuf

Introduction: Anaesthesia as a specialty is reaching its zenith with multiple sub-specialties, but anaesthesiologist remains obscure personnel behind the drapes due to lack of public perception and knowledge pertaining to their role. The aim is to the study was conducted to assess the perception and knowledge of general public about the role of anaesthesia and the anaesthesiologist. Subjects and Methods : A prospective, cross-sectional study, conducted in a 500-bedded, rural medical college over a 3-month period. A total of 172 attendees accompanying their patients for surgical procedures were enrolled and assessed based on preformed, pretested questionnaire in the pre-anaesthetic clinic. The questionnaire contained 30 questions to determine their knowledge and attitude towards anaesthesia and anaesthesia provider. Results: Out    of total 172 participants, 43.02% % recognized anaesthesiologist as specially trained doctors. Eighty two (47.67%) of the attendees knew that anesthesia is administered by an anesthesiologist but 71.5% were not aware of their role in providing peri-operative care. The attendees apprised of anesthesiologists role in labour analgesia, chronic pain management, intensive care units and emergency resuscitation was Sixty seven (39%), forty nine (28.49%), forty five (26.7%) and twenty six (15.1%) out of 172 respectively. Majority of the attendees (93.6%) were receptive to know more about anaesthesia. Conclusion: The awareness regarding role of anaesthesiologist in general public is still low and the perception of people about anaesthesia as an evolved specialty is lacking. This calls for corrective measures to be taken by the anaesthesiology fraternity for propagation of anesthesiology skills via social media and other government aided platforms.


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