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Determinants of COVID-19 vaccine hesitancy in French hospitals.
Infect Dis Now. 2021 Nov; 51(8):647-653.ID

Abstract

OBJECTIVES

COVID-19 vaccines have become the new hope for stemming the pandemic. We aimed to assess pre-launch vaccine acceptance among hospital workers in the Auvergne-Rhône-Alpes Administrative Region of France.

METHODS

We performed a cross sectional study involving all hospital workers in 11 Auvergne-Rhône-Alpes hospitals in December 2020. Univariate and multivariate analyses were performed to identify factors associated with vaccine hesitancy.

RESULTS

We analyzed completed questionnaires from 1,964 respondents (78% women, mean age 42 years, 21.5% physicians, 41% private care centers). A total of 1,048 (53%) hospital workers were in favor of COVID-19 vaccination. Vaccine hesitancy was associated with: female gender; young age; paramedical, technical, and administrative professions (i.e., all non-medical professions); no prior flu vaccination; and employment in the private medical care sector (p<0.05). Distrust of health authorities and pharmaceutical lobbying were the main obstacles to vaccination. Inversely, creating herd immunity and protecting patients and household members were the most frequently cited reasons in favor of vaccination. More than two-thirds of participants feared that the clinical and biological research was too rapid and worried about serious adverse effects. Most participants were interested in written information on the available vaccines, but the most vaccine-hesitant categories preferred oral information. Only 35% supported mandatory vaccination.

CONCLUSIONS

Targeted written and oral information campaigns will be necessary to improve vaccination coverage among hospital workers who show a surprisingly high hesitancy rate. Imposing mandatory vaccination could be counterproductive.

Authors+Show Affiliations

Infectiologie, Centre Hospitalier de Valence, 179, avenue du Maréchal Juin, 26953 Valence, France; Université Claude Bernard Lyon 1, 43, boulevard du 11 Novembre 1918, 69622 Villeurbanne cedex, France. Electronic address: chloe.navarre.cn@gmail.com.Université Claude Bernard Lyon 1, 43, boulevard du 11 Novembre 1918, 69622 Villeurbanne cedex, France; Laboratoire de Biométrie et Biologie Évolutive, CNRS UMR 5558, Villeurbanne, France; Service de Biostatistique-Bioinformatique, Hospices Civils de Lyon, 162, avenue Lacassagne, 69003 Lyon, France.Réanimation polyvalente, Centre Hospitalier Pierre Oudot, 30, avenue du Médipôle, BP 40348, 38302 Bourgoin-Jallieu cedex, France.Maladies infectieuses, Centre Hospitalier Pierre Oudot, 30, avenue du Médipôle, BP 40348, 38302 Bourgoin-Jallieu cedex, France.Infectiologie, Clinique de l'Infirmerie Protestante de Lyon, 1-3, chemin du Penthod, 69300 Caluire et Cuire, France.Médecine Interne et Maladies Infectieuses, Médipôle Lyon-Villeurbanne, Médipôle Hôpital Mutualiste, 158, rue Léon Blum, 69100 Villeurbanne, France.Médecine Interne et Maladies Infectieuses, Médipôle Lyon-Villeurbanne, Médipôle Hôpital Mutualiste, 158, rue Léon Blum, 69100 Villeurbanne, France.Infectiologie, Clinique de l'Infirmerie Protestante de Lyon, 1-3, chemin du Penthod, 69300 Caluire et Cuire, France; Médecine Interne et Maladies Infectieuses, Médipôle Lyon-Villeurbanne, Médipôle Hôpital Mutualiste, 158, rue Léon Blum, 69100 Villeurbanne, France.Médecine Interne et Maladies Infectieuses, Médipôle Lyon-Villeurbanne, Médipôle Hôpital Mutualiste, 158, rue Léon Blum, 69100 Villeurbanne, France.Infectiologie, Centre Hospitalier de Vienne-Lucien HUSSEL, Montée du Docteur Chapuis, 38200 Vienne, France.Infectiologie, Centre Hospitalier Saint Joseph Saint Luc, 20, quai Claude Bernard, 69007 Lyon, France.Infectiologie, Centre Hospitalier de Macon, 350, boulevard Louis Escande, 71018 Macon, France.Infectiologie, Centre Hospitalier de Valence, 179, avenue du Maréchal Juin, 26953 Valence, France.Infectiologie, Centre Hospitalier de Valence, 179, avenue du Maréchal Juin, 26953 Valence, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34492344

Citation

Navarre, C, et al. "Determinants of COVID-19 Vaccine Hesitancy in French Hospitals." Infectious Diseases Now, vol. 51, no. 8, 2021, pp. 647-653.
Navarre C, Roy P, Ledochowski S, et al. Determinants of COVID-19 vaccine hesitancy in French hospitals. Infect Dis Now. 2021;51(8):647-653.
Navarre, C., Roy, P., Ledochowski, S., Fabre, M., Esparcieux, A., Issartel, B., Dutertre, M., Blanc-Gruyelle, A. L., Suy, F., Adelaide, L., Pariset, C., Kisterman, J. P., Champagne, H., & Saison, J. (2021). Determinants of COVID-19 vaccine hesitancy in French hospitals. Infectious Diseases Now, 51(8), 647-653. https://doi.org/10.1016/j.idnow.2021.08.004
Navarre C, et al. Determinants of COVID-19 Vaccine Hesitancy in French Hospitals. Infect Dis Now. 2021;51(8):647-653. PubMed PMID: 34492344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of COVID-19 vaccine hesitancy in French hospitals. AU - Navarre,C, AU - Roy,P, AU - Ledochowski,S, AU - Fabre,M, AU - Esparcieux,A, AU - Issartel,B, AU - Dutertre,M, AU - Blanc-Gruyelle,A-L, AU - Suy,F, AU - Adelaide,L, AU - Pariset,C, AU - Kisterman,J P, AU - Champagne,H, AU - Saison,J, Y1 - 2021/09/04/ PY - 2021/04/07/received PY - 2021/07/11/revised PY - 2021/08/27/accepted PY - 2021/9/8/pubmed PY - 2021/11/9/medline PY - 2021/9/7/entrez KW - COVID-19 KW - Health worker KW - Hospital worker KW - Vaccination KW - Vaccine hesitancy SP - 647 EP - 653 JF - Infectious diseases now JO - Infect Dis Now VL - 51 IS - 8 N2 - OBJECTIVES: COVID-19 vaccines have become the new hope for stemming the pandemic. We aimed to assess pre-launch vaccine acceptance among hospital workers in the Auvergne-Rhône-Alpes Administrative Region of France. METHODS: We performed a cross sectional study involving all hospital workers in 11 Auvergne-Rhône-Alpes hospitals in December 2020. Univariate and multivariate analyses were performed to identify factors associated with vaccine hesitancy. RESULTS: We analyzed completed questionnaires from 1,964 respondents (78% women, mean age 42 years, 21.5% physicians, 41% private care centers). A total of 1,048 (53%) hospital workers were in favor of COVID-19 vaccination. Vaccine hesitancy was associated with: female gender; young age; paramedical, technical, and administrative professions (i.e., all non-medical professions); no prior flu vaccination; and employment in the private medical care sector (p<0.05). Distrust of health authorities and pharmaceutical lobbying were the main obstacles to vaccination. Inversely, creating herd immunity and protecting patients and household members were the most frequently cited reasons in favor of vaccination. More than two-thirds of participants feared that the clinical and biological research was too rapid and worried about serious adverse effects. Most participants were interested in written information on the available vaccines, but the most vaccine-hesitant categories preferred oral information. Only 35% supported mandatory vaccination. CONCLUSIONS: Targeted written and oral information campaigns will be necessary to improve vaccination coverage among hospital workers who show a surprisingly high hesitancy rate. Imposing mandatory vaccination could be counterproductive. SN - 2666-9919 UR - https://www.unboundmedicine.com/medline/citation/34492344/Determinants_of_COVID_19_vaccine_hesitancy_in_French_hospitals_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2666-9919(21)00488-7 DB - PRIME DP - Unbound Medicine ER -