Canadian health care providers' and education workers' hesitance to receive original and bivalent COVID-19 vaccines

作者：Brenda L. Coleman, Iris Gutmanis, Susan J. Bondy, Robyn Harrison, Joanne M. Langley, Kailey Fischer, Curtis Cooper, Louis Valiquette, Matthew Muller, Jeff Powis, Dawn M. E. Bowdish, Kevin Katz, Mark Loeb, Marek Smieja, Shelly McNeil, Samira Mubareka, Jeya Nadarajah, Saranya Arnoldo, Allison McGeer · 发表于：Vaccine · 年份：2024 · DOI：10.1016/j.vaccine.2024.126271 · 被引用次数：7 · 研究领域：Vaccine Coverage and Hesitancy、SARS-CoV-2 and COVID-19 Research、COVID-19 and Mental Health

BACKGROUND: The demand for COVID-19 vaccines has diminished as the pandemic lingers. Understanding vaccine hesitancy among essential workers is important in reducing the impact of future pandemics by providing effective immunization programs delivered expeditiously. METHOD: Two surveys exploring COVID-19 vaccine acceptance in 2021 and 2022 were conducted in cohorts of health care providers (HCP) and education workers participating in prospective studies of COVID-19 illnesses and vaccine uptake. Demographic factors and opinions about vaccines (monovalent and bivalent) and public health measures were collected in these self-reported surveys. Modified multivariable Poisson regression was used to determine factors associated with hesitancy. RESULTS: In 2021, 3 % of 2061 HCP and 6 % of 3417 education workers reported hesitancy (p < 0.001). In December 2022, 21 % of 868 HCP and 24 % of 1457 education workers reported being hesitant to receive a bivalent vaccine (p = 0.09). Hesitance to be vaccinated with the monovalent vaccines was associated with earlier date of survey completion, later receipt of first COVID-19 vaccine dose, no influenza vaccination, and less worry about becoming ill with COVID-19. Factors associated with hesitance to be vaccinated with a bivalent vaccine that were common to both cohorts were receipt of two or fewer previous COVID-19 doses and lower certainty that the vaccines were safe and effective. CONCLUSION: Education workers were somewhat more likely than H...