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Expert Rev Vaccines . COVID-19 vaccine acceptance and hesitancy among healthcare workers in South Africa

tetano

Editor, Senior Moderator
Expert Rev Vaccines


. 2022 Jan 6;1-11.
doi: 10.1080/14760584.2022.2023355. Online ahead of print.
COVID-19 vaccine acceptance and hesitancy among healthcare workers in South Africa


Charles S Wiysonge[SUP] 1 2 3 [/SUP], Samuel M Alobwede[SUP] 4 [/SUP], Patrick de Marie C Katoto[SUP] 1 5 [/SUP], Elvis B Kidzeru[SUP] 6 7 [/SUP], Evelyn N Lumngwena[SUP] 8 9 10 [/SUP], Sara Cooper[SUP] 1 2 [/SUP], Rene Goliath[SUP] 11 [/SUP], Amanda Jackson[SUP] 11 [/SUP], Muki S Shey[SUP] 4 8 11 [/SUP]



Affiliations

Abstract

Background: We assessed willingness to accept vaccination against coronavirus disease 2019 (COVID-19) among healthcare workers(HCWs) at the start of South Africa's vaccination roll-out.
Research design and methods: We conducted a cross-sectional survey among HCWs in Cape Town in March-May 2021 and assessed predictors of vaccination intentions.
Results: We recruited 395 participants; 64% women, 49% nurses, and 13% physicians. Of these, 233(59.0%) would accept and 163 (41.0%) were vaccine hesitant i.e. would either refuse or were unsure whether they would accept COVID-19 vaccination. People who did not trust that COVID-19 vaccines are effective were the most hesitant (p = 0.038). Older participants and physicians were more likely to accept vaccination than younger participants (p < 0.01) and other HCWs (p = 0.042) respectively. Other predictors of vaccine acceptance were trust that vaccines are compatible with religion (p < 0.001), consideration of benefits and risks of vaccination (p < 0.001), willingness to be vaccinated to protect others (p < 0.001), and viewing vaccination as a collective action for COVID-19 control (p = 0.029).
Conclusions: COVID-19 vaccine hesitancy is high among HCWs in Cape Town. Reducing this would require trust-building interventions, including tailored education.

Keywords: COVID-19 vaccines; South Africa; healthcare workers; vaccine attitudes; vaccine confidence; vaccine hesitancy.
 
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