Acceptability of Covid-19 Vaccines and the Associated Factors That Influence the Decisions of Healthcare Workers in Jordan
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Abstract
Introduction: This study examined the factors that influence healthcare workers’ decisions regarding COVID-19 vac- cines’ acceptability in Jordan. It also examined the impact of perceived risks of the vaccine on healthcare workers’ decisions toward accepting it. Methods: Jordanian healthcare workers in governmental and private hospitals com- pleted a cross-sectional online questionnaire. Results: A total of 904 respondents (age, 35.04 ± 9.07 years) complet- ed the survey. The results indicate that most participants (88.9%) were at risk of contracting COVID-19, and many (51.4%) were afraid of contracting it. Moreover, 48.3% of healthcare professionals stated they would get vaccinated against COVID-19. Furthermore, most of the healthcare workers in this study perceived the vaccine as neither safe nor effective and that it could have serious side effects. At last, in terms of afraid of contracting COVID-19, the gen- der of the healthcare worker and his/her profession was identified to be the most influential factors in the decision to accept the vaccine. Conclusion: Our findings emphasize the ongoing need for government agencies to provide accurate and consistent information that is essential in developing trust in the vaccination program. Nurses can lead campaigns to inform the healthcare workers about the efficacy, safety, and the impact of COVID-19 vaccine in lim- iting the spread of this pandemic among them. We recommend that nursing council lead these efforts to improve knowledge about the vaccine and its impact on the safety of the healthcare workers and the public.
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World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. Available at https://covid19.who.int/?gclid. Accessed April 26, 2021
Temsah MH, Barry M, Aljamaan F, Alhuzaimi, A, Al-Eyadhy A, Saddik B, et al. Adenovirus and RNA-based COVID-19 vaccines: perceptions and acceptance among healthcare workers. Med Rxiv 2020.12.22.20248657. doi:10.1101/2020.12.22.20248657
Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, et al. COVID-19 vaccine acceptance among health care workers in the United States. Vaccines 2021; 9:119. doi:10.3390/ vaccines9020119
Fu C, Wei Z, Pei S, Li S, Sun X, Liu P. Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs). MedRxiv 2020. 2962(548): 2020.04.09.20060103. doi:10.1101/2020.04.09.20060103
Gadoth A, Halbrook M, Martin-Blais R, Gray A, Tobin NH, Ferbas KG, et al. Assessment of COVID-19 vaccine acceptance among healthcare workers in Los Angeles. Med Rxiv 2020.11.18.20234468. doi:10.1101/2020.11.18.20234468
Paterson P, Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL. Vaccine hesitancy and healthcare providers vaccine hesitancy and healthcare providers. Vaccine 2016; 34(October):6700–6706. doi:10.1016/j.
vaccine.2016.10.042
Larson HJ, Smith DMD, Paterson P, Cumming M, Eckersberger E, Freifeld CC, et al. Measuring vaccine confidence: analysis of data obtained by a media surveillance system used to analyse public concerns about vaccines. Lancet Infect Dis 2013; 13(7):606–613. doi:10.1016/S1473-3099(13)70108-7
Phadke VK, Bednarczyk RA, Salmon DA, Omer SB. Association between vaccine refusal and vaccine-preventable diseases in the United States: a review of measles and pertussis. JAMA 2016; 315(11):1149-1158. doi: 10.1001/jama.2016.1353
MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine 2015; 33(34):4161- 4164. doi: 10.1016/j.vaccine.2015.04.036
World Health Organization. Ten threats to global health in 2019. 2019; https://www.who.int/ news-room/spotlight/ten-threats-to-global-health-in-2019, 2020. Accessed January 20, 2021
Larson HJ, Clarke RM, Jarrett C, Eckersberger E, Levine Z. Schulz WZ, et al. Measuring trust in vaccination: a systematic review. Hum Vaccin Immunother 2018; 14 (7):1599–1609. doi:10.108 0/21645515.2018.1459252
Xiao X, Wong RM. Vaccine hesitancy and perceived behavioral control: a meta-analysis. Vaccine 2020; 38(33):5131–5138. doi:10.1016/j.vaccine.2020.04.076
Halpin C, Reid B. Attitudes and beliefs of healthcare workers about influenza vaccination. Nurs Older People 2019; 31(2):32–39. doi:10.7748/nop.2019. e1154
Larson HJ, de Figueiredo A, Xiahong Z et al. The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey. EBio Medicine 2016; 12:295-301. doi: 10.1016/j.ebiom.2016.08.042
Bankamp B, Hickman C, Icenogle JP, Rota PA. Successes and challenges for preventing measles, mumps and rubella by vaccination. Current Opinion in Virology 2019; 34:110-6. doi: 10.1016/j.coviro.2019.01.002
MacDonald NE, Dubé E. Unpacking Vaccine Hesitancy Among Healthcare Providers. EBio Medicine 2015; 2(8):792-793. doi: 10.1016/j. ebiom.2015.06.028
Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother 2013; 9(8):1782-1789. doi:10.4161/ hv.25959
Mereckiene J, Cotter S, Nicoll A, Lopalco P, Noori T, Weber JT et al. Seasonal influenza immunisation in Europe. Overview of recommendations and vaccination coverage for three seasons: pre- pandemic (2008/09), pandemic (2009/10) and post-pandemic (2010/11). Euro Surveill 2014; 19(16):20780. doi:10.2807/1560-7917.ES2014.19
International Council of Nurses. Available online: https://www.icn.ch/news/more-600-nurses-die- covid-19-worldwide (accessed on 12 February 2021).
Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross sectional survey. Journal of Hospital Infection 2021; 8:168-73. doi:10.1016/j.jhin.2020.11.020
World Health Organization (WHO). WHO SAGE roadmap for prioritizing uses of Covid-19 vaccines in the context of limited supply. Geneva: WHO; 2020. Available from: https://www. who.int/ docs/default-source/immunization/sage/covid/ sageprioritization-roadmap-covid19-vaccines. pdf?Status=Temp&sfvrsn=bf227443_2. Accessed February 22, 2021
Kabamba Nzaji M, Kabamba Ngombe L, Ngoie Mwamba G, Banza Ndala5 DB, Miema JM, Lungoyo CL, et al. Acceptability of Vaccination Against COVID-19 Among Healthcare Workers in the Democratic Republic of the Congo. Pragmatic and Observational Research 2020; 11:103–9. doi: 10.2147/POR.S271096
Alshammari TM, Yusuff KB, Aziz MM, Subaie GM. Healthcare professionals’ knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study. BMC Health Services Research 2019; 19:229. doi:10.1186/s12913-019-4054-9
Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013; 35:121. doi: 10.4103/0253- 7176.116232.
Barry M, Temsah M-H, Alhuzaimi A, Alamro N, Al-Eyadhy A, Aljamaan F, et al. COVID-19 vaccine confidence and hesitancy among healthcare workers: a cross-sectional survey from a MERS-CoV experienced nation. MedRxiv 2020. doi:10.1101/2 020.12.09.20246447.
Wang K, Wong ELY, Ho KF, Cheung AW, Chan EY, Yeoh EK, et al. Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine 2020; 38:7049–56. doi:10.1016/j.vaccine.2020.09.021.
Alsubaie S, Hani Temsah M, Al-Eyadhy AA, Gossady I, Hasan G, Al-Rabiaah A, et al. Middle East respiratory syndrome coronavirus epidemic impact on healthcare workers’ risk perceptions, work and personal lives. J Infect Dev Ctries 2019; 13(10):920–6. doi:10.3855/jidc.11753
Karafillakis E, Dinca I, Apfel F, Cecconi S, Wűrz A, Takacs J, et al. Vaccine hesitancy among healthcare workers in Europe: a qualitative study. Vaccine 2016; 34(41):5013-20. doi:10.1016/j.vaccine2016.08.029
Lazarus JV, Ratzan SC, Palayew A, Gostin L, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med 2021; 27: 225–228. doi:10.1038/s41591-020-1124-9
Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinical Medicine 2020; 26:100495. doi:10.1016/j.eclinm.2020.100495
Detoc M, Bruel S, Frappe P, Tardy B, Botelho- Nevers E, Gagneux-Brunon A. Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine 2020; 38:7002–6. doi:10.1016/j.vaccine.2020.09.041.
Padureanu V, Bogdan M, Simona Subtirelu M, Padureanu R, Turcu-Stiolica A. Perceptions of covid-19 vaccination among healthcare professionals in Romania. Med. Surg. J. – Rev. Med. Chir. Soc. Med. Nat. Iaşi 2020; 124(3): 454-460.