Barriers and Motivating Factors in Receiving COVID-19 Vaccination Among the Healthcare Workers of Tehran Military Hospitals

Article ID: e150923221106 Pages: 7

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Abstract

Background: Despite the availability of the vaccine, achieving collective immunity requires the acceptance of the vaccine among the general population. However, the acceptance of vaccines is a constant concern in countries due to their potential side effects. According to current observations, there is not enough evidence about the COVID-19 vaccination acceptance and hesitancy in Iran.

Objective: Due to the insufficient evidence regarding the reluctance to accept COVID-19 vaccination in Iran, the current study was designed to evaluate barrier and motivator factors in receiving COVID-19 vaccination among the healthcare workers of Tehran military hospitals.

Methods: In this descriptive cross-sectional study, 272 healthcare workers of Tehran military hospitals were enrolled. Their demographic, as well as barrier and motivating factors, were prospectively recorded and analyzed. The chi-square test and Fisher's exact test were used to compare the qualitative variables between groups. Also, the Kolmogorov-Smirnov test was used to evaluate the normal distribution of all quantitative parameters.

Results: We found that 11% had a history of vaccination against COVID-19, and 89.3% were willing to be vaccinated if the COVID vaccine was available. As obtained, the highest scores for barrier factors in receiving COVID-19 vaccine among the healthcare workers of Tehran military hospitals were belief in having a sufficient immune system (93.4%), limitation to the number of vaccines (71%), enough knowledge about all types of available vaccines (70.2%), and the side effects of the vaccine (44.5%), respectively. Furthermore, the highest scores for motivator factors in receiving COVID-19 vaccination were believing in the effect of vaccination (89%) and the free vaccine available for staff (72.8%), respectively.

Conclusion: In conclusion, our study suggests that early on in a vaccination campaign, most healthcare workers prefer to be vaccinated with an available vaccine, whether in the present or in the future and also identifies several reasons underlying vaccine acceptance and hesitancy. These results could be used in the future to promote campaigns to increase vaccine acceptance. Thus, increasing healthcare workers’ knowledge and consultations are strictly recommended for preventing vaccine hesitancy. In this study, the healthcare workers of military hospitals were more willing to use vaccines for emerging diseases due to their awareness and the higher risk of deadly infectious diseases.

[1]
Bendaif H, Hammouti B, Stiane I, Bendaif Y, El Ouadi M, El Ouadi Y. Investigation of spread of novel coronavirus (COVID-19) pandemic in MOROCCO & estimated confinement duration to overcome the danger phase. Caspian J Environ Sci 2020; 18(2): 149-56.
[http://dx.doi.org/10.22124/cjes.2020.4070]
[2]
Karimi M, Gholami-Ahangaran M. A brief report of current evidence of traditional chinese medicine in the treatment of patients infected with SARS-CoV-2. Plant Biotechnol Persa 2021; 3(1): 0.
[http://dx.doi.org/10.52547/pbp.3.1.1]
[3]
Hassanzadeh Khanmiri H, Mohammad AA, Yousif RS, et al. SARS-CoV2 neuroinvasive potential in respiratory failure in COVID-19 patients. Caspian J Environ Sci 2023; 21(2): 467-72.
[http://dx.doi.org/10.22124/cjes.2023.6635]
[4]
Hatami A, Hajiloo A, Bayati R, et al. Public COVID-19 vaccination acceptance: A narrative review of correlated factors. Adv Life Sci 2022; 9(2): 143-50.
[5]
Widoyo H, Mohammed ZY, Ramírez-Coronel AA, Iswanto AH, Thattarauthodiyil U. Herbal therapy in COVID-19: A systematic review of medicinal plants effective against COVID-19. Caspian J Environ Sci 2022; 1-10.
[http://dx.doi.org/10.22124/cjes.2022.6062]
[6]
Raimi IO, Musyoki AM, Olatunji OA, Jimoh MO, Dube WV, Olowoyo JO. Potential medicinal, nutritive and antiviral food plants: Africa’s plausible answer to the low COVID-19 mortality. J Herbmed Pharmacol 2021; 11(1): 20-34.
[http://dx.doi.org/10.34172/jhp.2022.03]
[7]
Jarrett C, Wilson R, O’Leary M, Eckersberger E, Larson HJ. Strategies for addressing vaccine hesitancy - A systematic review. Vaccine 2015; 33(34): 4180-90.
[http://dx.doi.org/10.1016/j.vaccine.2015.04.040] [PMID: 25896377]
[8]
Lane S, MacDonald NE, Marti M, Dumolard L. Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF joint reporting Form data-2015–2017. Vaccine 2018; 36(26): 3861-7.
[http://dx.doi.org/10.1016/j.vaccine.2018.03.063] [PMID: 29605516]
[9]
Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother 2013; 9(8): 1782-9.
[http://dx.doi.org/10.4161/hv.25959] [PMID: 23900266]
[10]
Salmon DA, Moulton LH, Omer SB, deHart MP, Stokley S, Halsey NA. Factors associated with refusal of childhood vaccines among parents of school-aged children: A case-control study. Arch Pediatr Adolesc Med 2005; 159(5): 470-6.
[http://dx.doi.org/10.1001/archpedi.159.5.470] [PMID: 15867122]
[11]
Omer SB, Salmon DA, Orenstein WA, deHart MP, Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. N Engl J Med 2009; 360(19): 1981-8.
[http://dx.doi.org/10.1056/NEJMsa0806477] [PMID: 19420367]
[12]
Lucia VC, Arati K, Nelia MA. COVID-19 vaccine hesitancy among medical students. J Public Health 2020; 43(3): 445-9.
[13]
Darvishi M, Hajiparvaneh R, Mohammadi M, Akhlaghdoust M, Akhlaghdoust M. Barriers and motivators factors effecting influenza vaccination uptake among healthcare workers. Med Sci 2017; 27(3): 217-21.
[14]
Fisher KA, Bloomstone SJ, Walder J, Crawford S, Fouayzi H, Mazor KM. Attitudes toward a potential SARS-CoV-2 vaccine. Ann Intern Med 2020; 173(12): 964-73.
[http://dx.doi.org/10.7326/M20-3569] [PMID: 32886525]
[15]
Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine 2020; 26: 100495.
[http://dx.doi.org/10.1016/j.eclinm.2020.100495] [PMID: 32838242]
[16]
Pogue K, Jensen JL, Stancil CK, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines 2020; 8(4): 582.
[http://dx.doi.org/10.3390/vaccines8040582] [PMID: 33022917]
[17]
Fontanet A, Cauchemez S. COVID-19 herd immunity: Where are we? Nat Rev Immunol 2020; 20(10): 583-4.
[http://dx.doi.org/10.1038/s41577-020-00451-5] [PMID: 32908300]
[18]
Lemaitre M, Meret T, Rothan-Tondeur M, et al. Effect of influenza vaccination of nursing home staff on mortality of residents: A cluster-randomized trial. J Am Geriatr Soc 2009; 57(9): 1580-6.
[http://dx.doi.org/10.1111/j.1532-5415.2009.02402.x] [PMID: 19682118]
[19]
Zaffina S, Gilardi F, Rizzo C, et al. Seasonal influenza vaccination and absenteeism in health-care workers in two subsequent influenza seasons (2016/17 and 2017/18) in an Italian pediatric hospital. Expert Rev Vaccines 2019; 18(4): 411-8.
[http://dx.doi.org/10.1080/14760584.2019.1586541] [PMID: 30919703]
[20]
Murti M, Otterstatter M, Orth A, et al. Measuring the impact of influenza vaccination on healthcare worker absenteeism in the context of a province-wide mandatory vaccinate-or-mask policy. Vaccine 2019; 37(30): 4001-7.
[http://dx.doi.org/10.1016/j.vaccine.2019.06.014] [PMID: 31204156]
[21]
Imai C, Toizumi M, Hall L, Lambert S, Halton K, Merollini K. A systematic review and meta-analysis of the direct epidemiological and economic effects of seasonal influenza vaccination on healthcare workers. PLoS One 2018; 13(6): e0198685.
[http://dx.doi.org/10.1371/journal.pone.0198685] [PMID: 29879206]
[22]
Verger P, Scronias D, Dauby N, et al. Attitudes of healthcare workers towards COVID-19 vaccination: A survey in France and French-speaking parts of Belgium and Canada, 2020. Euro Surveill 2021; 26(3): 2002047.
[http://dx.doi.org/10.2807/1560-7917.ES.2021.26.3.2002047] [PMID: 33478623]
[23]
Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud 2021; 114: 103854.
[http://dx.doi.org/10.1016/j.ijnurstu.2020.103854] [PMID: 33326864]
[24]
Gagneux-Brunon A, Detoc M, Bruel S, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: A cross-sectional survey. J Hosp Infect 2021; 108: 168-73.
[http://dx.doi.org/10.1016/j.jhin.2020.11.020] [PMID: 33259883]
[25]
Schrading WA, Trent SA, Paxton JH, et al. Vaccination rates and acceptance of SARS-CoV-2 vaccination among U.S. emergency department health care personnel. Acad Emerg Med 2021; 28(4): 455-8.
[http://dx.doi.org/10.1111/acem.14236] [PMID: 33608937]
[26]
Galanis PA, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Intention of health care workers to accept COVID-19 vaccination and related factors: A systematic review and meta-analysis. MedRxiv 2020; 2020; 20246041.
[http://dx.doi.org/10.1101/2020.12.08.20246041]
[27]
Martin CA, Marshall C, Patel P. Association of demographic and occupational factors with SARS-CoV-2 vaccine uptake in a multi-ethnic UK healthcare workforce: A rapid real-world analysis. medRxiv 2021; 2021; 21251548.
[http://dx.doi.org/10.1101/2021.02.11.21251548]
[28]
Malik A, Malik J, Ishaq U. Acceptance of COVID-19 vaccine in Pakistan among health care workers. medRxiv 2021; 2021; 21252271.
[http://dx.doi.org/10.1101/2021.02.23.21252271]
[29]
Barry M, Temsah M-H, Aljamaan F. COVID-19 vaccine uptake among healthcare workers in the fourth country to authorize BNT162b2 during the first month of rollout. medRxiv 2021; 2021; 21250749.
[http://dx.doi.org/10.1101/2021.01.29.21250749]
[30]
El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan. PLoS One 2021; 16(4): e0250555.
[http://dx.doi.org/10.1371/journal.pone.0250555] [PMID: 33891660]
[31]
Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H. Fidancı İ Cankurtaran M. While studies on COVID‐19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID‐19 vaccine. Int J Clin Pract 2021; 75(4): e13891.
[http://dx.doi.org/10.1111/ijcp.13891] [PMID: 33278857]
[32]
Spinewine A, Pétein C, Evrard P, et al. Attitudes towards COVID-19 vaccination among hospital staff-understanding what matters to hesitant people. Vaccines 2021; 9(5): 469.
[http://dx.doi.org/10.3390/vaccines9050469] [PMID: 34066476]
[33]
Kuter BJ, Browne S, Momplaisir FM, et al. Perspectives on the receipt of a COVID-19 vaccine: A survey of employees in two large hospitals in Philadelphia. Vaccine 2021; 39(12): 1693-700.
[http://dx.doi.org/10.1016/j.vaccine.2021.02.029] [PMID: 33632563]
[34]
Al-Rawajfah OM, Al-Mugeed KA, Alaloul F, Al-Rajaibi HM, Al Omari O. COVID-19 knowledge, attitude, and precautionary practices among health professional students in Oman. Nurse Educ Pract 2021; 52: 103041.