Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine: a cross-sectional study

Abstract Background This study determined the knowledge, attitudes, and practice regarding COVID-19 and assessed the acceptance of the COVID-19 vaccine among healthcare workers and the general population. Methods A web-based, cross-sectional study was conducted using convenience sampling in Libya from December 1 to 18, 2020 among the general population and healthcare workers. Data on demographic characteristics, COVID-19 vaccination-related concerns, knowledge, attitudes, and practice regarding COVID-19, and knowledge, attitudes, and acceptance regarding the COVID-19 vaccine were collected using a self-administered survey. A binomial logistic regression was performed with 70% efficacy to determine the association between acceptance of the vaccine and study variables. Results Valid and complete responses were collected from 15,087 participants. Of these, 6227 (41.3%) were male and 8860 (58.7%) were female, with a mean (SD) age of 30.6 ± 9.8 years. Moreover, 485 (3.2%) participants were infected with COVID-19 at the time of the study, while 2000 (13.3%) had been previously infected. Overall, 2452 (16.3%) participants agreed, and 3127 (20.7%) strongly agreed, with “having concerns about serious vaccine-related complications.” Mask-wearing adherence was reported by 10,268 (68.1%) of the participants. Most participants (14,050, 93.1%) believed that the vaccine should be provided for free, while 7272 (48.2%) were willing to buy it. Regarding vaccine acceptance and efficacy, 12,006 (79.6%) reported their willingness to take the vaccine with an efficacy of 90% or more, 9143 (60.6%) with an efficacy of 70% or more, and only 6212 (41.2%) with an efficacy of 50%. The binomial logistic regression revealed that vaccine acceptance was not associated with belonging to the medical field versus the general population. Acceptance was statistically associated with younger age groups, especially 31–40 (OR = 1.3 [1.09, 1.55]) and 41–50 years (OR = 1.29, [1.09, 1.54]). However, having a family member or friend infected with COVID-19 was positively associated with the likelihood of vaccine acceptance (OR = 1.09 [1.02, 1.18]), while having a friend or family member who died due to COVID-19 was negatively associated with it (OR = 0.89 [0.84, 0.97]). Conclusions Acceptance of the COVID-19 vaccine is an essential determinant of vaccine uptake and the likelihood of controlling the COVID-19 pandemic. Developing strategies to decrease public hesitation and increase trust is vital for implementing vaccination programs.

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Adherence, Perception of, and Attitude toward Influenza and Flu Vaccination: A Cross-Sectional Study among a Population of Future Healthcare Workers

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413086 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13086

Author(s):

Emanuele Chittano Congedo ◽

Maria Emilia Paladino ◽

Michele Augusto Riva ◽

Michael Belingheri

Keyword(s):

Logistic Regression ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Vaccine Uptake ◽

Sectional Study ◽

Cross Sectional ◽

Flu Vaccination ◽

Seasonal Flu ◽

Vaccination Campaigns ◽

Self Protection

Healthcare students (HCSs) represent a target category for seasonal flu vaccination. This study aimed to examine adherence to flu vaccination campaigns from 2016 to 2019 among HCSs and to investigate knowledge and perception of and attitude toward influenza and flu vaccination. This cross-sectional study was conducted among the HCSs of a northern Italian university. Data on adherence, knowledge, perception, and attitude were investigated through an anonymous online self-administered questionnaire. The questionnaire was filled out by 352 out of 392 third-year HCSs (response rate = 90%). The main reason for refusal was the perception of influenza as non-threatening (24.4%), while self-protection was the main reason for adherence (87.5%). A univariate logistic regression analysis revealed some statistically significant associations with the adherence to the 2018–2019 campaign: being a nursing/midwifery student (OR: 4.14; 95% CI: 1.77–9.71) and agreeing with (OR: 19.28; 95% CI: 2.47–146.85) or being undecided (OR: 10.81; 95% CI: 1.33–88.27) about the obligation of vaccination in health facilities. The associations were also evaluated with a multiple logistic regression model. Despite the low vaccine uptake, good knowledge of the risks for HCSs and patients related to flu has emerged. Improving promotion strategies will be necessary to increase the adhesion of future healthcare workers.

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Understanding COVID-19 vaccine hesitancy in Pakistan: The paradigm of Confidence, Convenience and Complacency; A Cross-sectional study.

10.1101/2021.07.12.21260409 ◽

2021 ◽

Author(s):

Naveen Siddique Sheikh ◽

Mumtaz Touseef ◽

Riddah Sultan ◽

Kanwal Hassan Cheema ◽

Sidra Shafiq Cheema ◽

...

Keyword(s):

General Population ◽

Healthcare Workers ◽

Herd Immunity ◽

Population Data ◽

Cross Sectional Study ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Sectional Study ◽

Cross Sectional ◽

Vaccination Programs

Background and objectives: Vaccine hesitancy is a big obstacle for vaccination programs, as is anticipated for the COVID-19 vaccination program, resulting in low uptake of vaccines thereby hindering the process of reaching herd immunity. Bearing this in mind the current study was aimed to explore the determinants of vaccine hesitancy amongst the Pakistani population. Methodology: A cross-sectional study was carried out from the 23rd-31st January 2021. The conceptual framework of the study was based on the 3Cs (Confidence, Convenience, Complacency) model. Google-forms-based questionnaire was disseminated amongst the general population. Data collected were entered into SPSS version 26 and analyzed. Results: Of the 421 participants, 68.4% were females. Non-healthcare workers were 55.8% of respondents. Vaccine hesitant individuals, 26.13% reported they were very unlikely to get vaccinated. Vaccine was not safe as it came out too fast was agreed upon by 12.6% individuals, 50.6% were worried about experiencing side-effects, 18% believed vaccine will not offer protection and 5.9% believed vaccine would cause death. Low Practice of SOP in non-Healthcare workers was the strongest contributor to vaccine hesitancy (OR: 5.338, p=0.040, 95% CI: 1.082-26.330) followed by High complacency (p=0.026) and Moderate Complacency (OR: 0.212, p=0.007, 95% CI: 0.069-0.654) towards COVID-19 vaccination. In Healthcare workers the strongest contributor to vaccine hesitancy was having a Moderate Confidence (OR: 0.323, p=0.042, 95% CI: 0.109-0.958) in the vaccine followed by Moderate Convenience (OR: 0.304, p=0.049, 95% CI: 0.093-0.993) for vaccination Conclusion: Campaigning and communication strategies to reaffirm confidence in the COVID-19 vaccine and educating the general population about the vaccine could lead to increased perception of vaccine safety and effectiveness thereby restoring confidence in vaccine and decreasing vaccine hesitancy. Likewise, working to increase vaccine convenience and decreasing complacency towards the COVID-19 vaccine would translate into high vaccine uptake.

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COVID-19 infections among Healthcare Workers and Transmission within Households

10.1101/2020.06.12.20129619 ◽

2020 ◽

Cited By ~ 3

Author(s):

Kevin L. Schwartz ◽

Camille Achonu ◽

Sarah A. Buchan ◽

Kevin A. Brown ◽

Brenda Lee ◽

...

Keyword(s):

General Population ◽

Personal Protective Equipment ◽

Healthcare Workers ◽

Population Based ◽

Cross Sectional Study ◽

Nosocomial Transmission ◽

Protective Equipment ◽

Sectional Study ◽

Cross Sectional ◽

Testing Bias

AbstractImportanceProtecting healthcare workers (HCWs) from COVID-19 is a priority to maintain a safe and functioning healthcare system. The risk of transmitting COVID-19 to family members is a source of stress for many.ObjectiveTo describe and compare HCW and non-HCW COVID-19 cases in Ontario, Canada, as well as the frequency of COVID-19 among HCWs’ household members.Design, Setting, and ParticipantsUsing reportable disease data at Public Health Ontario which captures all COVID-19 cases in Ontario, Canada, we conducted a population-based cross-sectional study comparing demographic, exposure, and clinical variables between HCWs and non-HCWs with COVID-19 as of 14 May 2020. We calculated rates of infections over time and determined the frequency of within household transmissions using natural language processing based on residential address.Exposures and OutcomesWe contrasted age, gender, comorbidities, clinical presentation (including asymptomatic and presymptomatic), exposure histories including nosocomial transmission, and clinical outcomes between HCWs and non-HCWs with confirmed COVID-19.ResultsThere were 4,230 (17.5%) HCW COVID-19 cases in Ontario, of whom 20.2% were nurses, 2.3% were physicians, and the remaining 77.4% other specialties. HCWs were more likely to be between 30-60 years of age and female. HCWs were more likely to present asymptomatically (8.1% versus 7.0%, p=0.010) or with atypical symptoms (17.8% versus 10.5%, p<0.001). The mortality among HCWs was 0.2% compared to 10.5% of non-HCWs. HCWs commonly had exposures to a confirmed case or outbreak (74.1%), however only 3.1% were confirmed to be nosocomial. The rate of new infections was 5.5 times higher in HCWs than non-HCWs, but mirrored the epidemic curve. We identified 391 (9.8%) probable secondary household transmissions and 143 (3.6%) acquisitions. Children < 19 years comprised 14.6% of secondary cases compared to only 4.2% of the primary cases.Conclusions and RelevanceHCWs represent a disproportionate number of COVID-19 cases in Ontario but with low confirmed numbers of nosocomial transmission. The data support substantial testing bias and under-ascertainment of general population cases. Protecting HCWs through appropriate personal protective equipment and physical distancing from colleagues is paramount.Key PointsQuestionWhat are the differences between healthcare workers and non-healthcare workers with COVID-19?FindingsIn this population-based cross-sectional study there were 4,230 healthcare workers comprising 17.5% of COVID-19 cases. Healthcare workers were diagnosed with COVID-19 at a rate 5.5 times higher than the general population with 0.8% of all healthcare workers, compared to 0.1% of non-healthcare workers.MeaningHigh healthcare worker COVID-19 burden highlights the importance of physical distancing from colleagues, appropriate personal protective equipment, as well as likely substantial testing bias and under-ascertainment of COVID-19 in the general population.

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Risks related to drug use among male construction workers

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400077 ◽

2014 ◽

Vol 27 (5) ◽

pp. 471-478 ◽

Cited By ~ 3

Author(s):

Aroldo Gavioli ◽

Thais Aidar de Freitas Mathias ◽

Robson Marcelo Rossi ◽

Magda Lúcia Félix de Oliveira

Keyword(s):

Logistic Regression ◽

Drug Use ◽

General Population ◽

Cross Sectional Study ◽

Construction Workers ◽

Sectional Study ◽

Cross Sectional ◽

Construction Company ◽

Measure Of Association ◽

Substance Involvement

Objective To identify the prevalence of risk related to drug use among workers of a construction company and to evaluate how it relates with sociodemographic variables. Methods A cross-sectional study conducted with 418 workers who were given the Alcohol, Smoking and Substance Involvement Screening Test. Multinominal logistic regression was used as a measure of association. Results Tobacco, alcohol, cannabis, cocaine and inhalants were the most used drugs. Moderate and high risks were related, respectively, to the use of tobacco (32.5% and 5.7%), alcohol (26.8% and 6.9%), cannabis (2.6% and 2.4%) and cocaine (1.2% and 0.5%). Conclusion Tobacco and alcohol were the main drugs used by workers. The level of risk related to the use of tobacco, alcohol, cannabis and cocaine were high when compared to that of the general population.

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ACCEPTANCE OF COVID-19 VACCINE AMONG GENERAL POPULATION IN IRAQ

Iraqi National Journal of Medicine ◽

10.37319/iqnjm.3.1.9 ◽

2021 ◽

Vol 3 (1) ◽

pp. 93-103

Author(s):

Hasanain Ghazi ◽

Taqi Taher ◽

Shaymaa Alfadhul ◽

Sumayah Al-Mahmood ◽

Shaimaa Hassan ◽

...

Keyword(s):

General Population ◽

Cross Sectional Study ◽

P Value ◽

Pharmaceutical Companies ◽

Global Public Health ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

The Public ◽

Flu Vaccine

COVID19 emerged as one of the biggest global public health crises in recent history. Many pharmaceutical companies have raced against time to develop a vaccine, so that the pandemic can be brought under control. The aim of the current study was to assess the acceptance of the COVID19 vaccine among the general population in Iraq. A cross-sectional study was conducted among 1069 respondents from different states of Iraq using questionnaires administered online. Though a total of 77.6% of the respondents agreed to take the COVID19 vaccine when available, a majority (64.3%) said they would wait for some time before taking the vaccine. Around two-thirds agreed to pay a price for the vaccine and the majority (48.6%) preferred the Oxford (AstraZeneca) vaccine. There was a significant association between age, working status, educational level, having family members infected with COVID19 and taking flu vaccine before with acceptance of Covid19 vaccine with P value (<0.001, <0.001, <0.001,0.05, <0.001) respectively. Overall, there is high acceptance willingness among the general population to pay for COVID19 vaccine, once it is available. More education and promotion are needed to assure the public that the vaccine is effective and safe. Keywords: Vaccine, Acceptance, COVID-19, Iraq.

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Knowledge towards standard precautions among healthcare providers of hospitals in Amhara region, Ethiopia, 2017: a cross sectional study

Archives of Public Health ◽

10.1186/s13690-020-00509-9 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Ayele Semachew Kasa ◽

Worku Animaw Temesgen ◽

Yinager Workineh ◽

Tadesse Dagget Tesfaye ◽

Sitotaw Kerie ◽

...

Keyword(s):

Logistic Regression ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Good Knowledge ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Amhara Region ◽

Standard Precautions ◽

Cross Sectional ◽

Study Participants

Abstract Background Literatures revealed that healthcare-associated infections are still a great concern in many developing countries including in Ethiopia. Despite the development of detailed guidelines for infection control, they remain as a critical challenge for the public health sectors and the knowledge of standard precautions among healthcare workers in many developing countries is low and not properly applied. Hence, the present study tried to determine the level of knowledge about standard precautions among healthcare workers of Amhara region, Ethiopia. Methods Institutional based cross-sectional study was conducted on a randomly selected public hospitals of Amhara region, Northwest Ethiopia from March 01–April 01/2017. A multistage sampling strategy was utilized to select 795 sampled healthcare workers. Data were collected using pretested self-administered questionnaire. The collected data entered using EpiData Version 3.1 statistical software and analyzed using SPSS version 20 statistical package. After using binary logistic regression, multivariable logistic regression analysis used to form the model. Variables which had statistically significant association with the outcome variable (P < 0.05) were identified as significant in the multivariable logistic regression analysis. Results Almost half (49.2%) of the study participants were female healthcare workers. Three-fourth (74.3%) of the healthcare workers involved in the current study had good knowledge towards standard precautions. Good knowledge towards standard precautions refers to scoring correct responses to > 60% of knowledge items from the survey. Year of service (AOR: 0.27, 95% CI: 0.16 to 0.44), educational status (AOR: 1.7, 95% CI: 1.13 to 2.56) were among the predictor variables. In addition, physicians were 6.97 times more likely to be knowledgeable (AOR: 6.97, 95% CI 2.42 to 20.12) than laboratory technician/technology counterparts. Study participants working in medical, Gyn/obs, pediatrics wards, and OPD were about 2.23, 4.27, 2.81 and 2.52 times more likely to be knowledgeable than study participants working in surgical ward. Conclusions Overall, the majority of healthcare workers had good knowledge of standard precautions. But variation in knowledge was detected across healthcare workers by hospital type and ward/units. This may help to design a solution by prioritizing the problem.

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Attitude of healthcare workers towards coronavirus 2019 disease vaccine: a hospital based cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213542 ◽

2021 ◽

Vol 8 (9) ◽

pp. 4394

Author(s):

Shaveta Kundra ◽

Jasmine Kaur ◽

Ankit Dadra ◽

Sandeep Kundra

Keyword(s):

Healthcare Workers ◽

Negative Attitude ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Targeted Interventions ◽

Mixed Response ◽

Paramedical Staff ◽

To Receive

Background: Healthcare workers are among the first group to receive coronavirus 2019 disease (COVID-19) vaccine, and their attitude towards the vaccine is likely to affect vaccine acceptance among general population. We aimed to study the attitude of HCWs towards COVID-19 vaccine and determine the factors associated with it.Methods: A cross-sectional study was conducted through a written questionnaire prior to first dose of COVID-19 vaccine in the month of January, 2021, at a district hospital in Ludhiana, Punjab. HCWs were categorized as having negative, positive or mixed attitude based on their response to a written questionnaire. Data was analysed using SPSS version 24.0.Results: More than half of the participants had negative attitude towards COVID-19 vaccine (N=274, 54.5%), while less than a third had positive attitude (N=141, 28.0%) and rest had mixed attitude (N=88, 17.5%). Younger HCWs (<50 years), nurses, females and those living with chronic medical or psychiatric illness showed higher chance of negative attitude towards COVID-19 vaccine, while doctors, paramedical staff, HCWs with higher qualification and urban dwellers had mixed response. On logistic regression analysis, being a female HCW was significantly associated with negative attitude while being a doctor or nurse was significantly associated with mixed attitude towards COVID-19 vaccine. Doubt regarding safety was the commonest response observed among all variables.Conclusions: In the presence of a high proportion of HCWs having negative attitude, targeted interventions should be planned to address specific concerns of HCWs, so as to increase the overall vaccine acceptance for COVID-19 vaccine.

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COVID-19 Vaccine Acceptance Among Rural Appalachian Healthcare Workers (Eastern Kentucky/West Virginia): A Cross-Sectional Study

Cureus ◽

10.7759/cureus.16842 ◽

2021 ◽

Author(s):

Tuong Vi C Do ◽

Sanjana Thota Kammili ◽

Michael Reep ◽

Lauren Wisnieski ◽

Subramanya shyam Ganti ◽

...

Keyword(s):

West Virginia ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Eastern Kentucky

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Anxiety and Depression in Health Workers and General Population During COVID-19 Epidemic in IRAN: A Web-Based Cross-Sectional Study

10.1101/2020.05.05.20089292 ◽

2020 ◽

Cited By ~ 7

Author(s):

Leila Hassannia ◽

Fatemeh Taghizadeh ◽

Mahmood Moosazadeh ◽

Mehran Zarghami ◽

Hassan Taghizadeh ◽

...

Keyword(s):

Logistic Regression ◽

General Population ◽

Regression Models ◽

Health Workers ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models

ABSTRACTBackgroundThe COVID-19 outbreak has exerted a great deal of psychological pressure on Iranian health workers and the general population. In the present study, the prevalence of anxiety and depression symptoms along with the related variables in this epidemic were investigated.MethodAn online cross-sectional study was conducted for the general public and healthcare workers in IRAN using a questionnaire comprised of demographic questions and Hospital Anxiety and Depression Scale. Chi square test was used to compare categorical variables, and univariate and multivariate logistic regression models were conducted.ResultsOf the 2045 participants,1136 (65.6%) were considered to have moderate and severe anxiety symptoms, and 865(42.3%) had moderate and severe depression symptoms. Based on the logistic regression models, the prevalence of anxiety was higher in the females than in the males (OR=1.4, 95% CI: 1.123-1.643, P=.002); the prevalence of anxiety was significantly higher in those aged 30-39 years than in other age groups (OR=1.6, 95% CI: 1.123-2.320, P=0.001); furthermore, the prevalence of anxiety and depression was significantly higher in doctors and nurses compared with other occupations (OR=1.9, 95% CI: 1.367-2.491, P< 0.001) and(OR=1.5, 95% CI: 1.154-2.021, P=0.003). In addition, the prevalence of anxiety symptoms in the likely-infected COVID-19 group was higher than in the noninfected COVID-19 group (OR=1.35, 95% CI: 1.093-1.654, P=0.005).ConclusionsRegarding the high prevalence of anxiety and depression symptoms, especially among health care workers, appropriate psychological/psychiatric intervention necessitates.

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COVID-19: Fear and Anxiety among Healthcare Workers in Saudi Arabia. A Cross-Sectional Study

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211025225 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110252

Author(s):

Syed Fareed Mohsin ◽

Muhammad Atif Agwan ◽

Sameer Shaikh ◽

Ziyad Ahmad Alsuwaydani ◽

Saleh Ahmad AlSuwaydani

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Healthcare Workers ◽

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Multinomial Logistic Regression Analysis ◽

Fear And Anxiety

The novel coronavirus (COVID-19) is an extremely contagious respiratory disease. It poses a serious threat to healthcare workers which may cause substantial degree of psychological distress. This study aimed to evaluate the level of fear and anxiety among healthcare workers. A cross sectional study was designed to collect data from healthcare workers in Saudi Arabia using an online questionnaire. A non-probability convenient sampling technique was used to collect the data from 1st August to 10th August 2020 with the exclusion of non-healthcare worker and general public. A 5-point Likert scale was used to evaluate the level of fear and anxiety. The data was analyzed by using Spss version 23 .The descriptive data were represented as frequencies and percentage. Multinomial logistic regression analysis was applied to control the confounding factors and assess the relationship between variables. Data analyzed 737 participants revealed that 10.7%, 73.5%, and 15.7% of HCWs had a mild, moderate, and severe degree of fear and anxiety respectively. The multinomial logistic regression analysis revealed that gender and specialty of the participants were significantly associated with moderate and severe anxiety level. This study demonstrates that two-third of the healthcare workers had a moderate risk of fear and anxiety. However, females participants found to have elevated fear and anxiety level. Social distancing has a major impact on social well-being therefore its important to address social support through a policy. Further studies are needed to explore the mental health condition of healthcare workers in order to develop evidence based strategies.

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