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COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: The Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability.
Front Public Health. 2022; 10:834545.FP

Abstract

Introduction

The arrival of COVID-19 vaccines in Thailand has supported the fight against the COVID-19 pandemic. This study examined COVID-19 vaccine acceptance among health care workers (HCWs) in Thailand before and after vaccines' availability and investigated factors (both enablers and barriers) affecting their decisions.

Methods

Two online self-administered questionnaires were distributed to HCWs in two time-periods: (1) the pre-vaccine arrival period (prior to COVID-19 vaccines' arrival in Thailand, January 28 to February 16, 2021); and (2) the post-vaccine arrival period (April 21 to May 9, 2021). Descriptive analyses and multinomial logistic regression were conducted to examine factors associated with vaccine hesitancy.

Results

There were 55,068 respondents in the pre-vaccine arrival period and 27,319 respondents in the post-vaccine arrival period. In the pre-vaccine arrival period, 55.0% of respondents were willing to accept the vaccines, 35.4% were uncertain, and 9.6% declined. In the post-vaccine arrival period, ~16% already received two doses of either the Sinovac or AstraZeneca vaccine, and 43% were administered one dose. Approximately 12% of those who had received the first dose were uncertain or not willing to accept the second dose. Demographic and socio-demographic factors of participants, including their sex, place of residence, and whether they were frontline COVID-19 workers, were found to be the significant factors explaining vaccination hesitancy. Moreover, when comparing the pre-vaccine arrival and post-vaccine arrival periods, it was found that older HCWs were more likely to decline a COVID-19 vaccine in the pre-vaccine arrival period; on the other hand, older HCWs were less likely to decline or be uncertain to receive a COVID-19 vaccine in the post-vaccine arrival period.

Conclusion

Information on HCWs' acceptance of COVID-19 vaccines, including who is more likely to accept the vaccines, could assist in planning vaccine allocation to both HCWs and the general public, who often believe HCWs' recommendations. This study's findings set out how policies can be addressed to reduce vaccine hesitancy. This study also highlights HCWs' characteristics (including gender, work region, occupation, and history of receiving influenza vaccination) and the reasons they cited for their vaccine acceptance or hesitance.

Links

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Authors+Show Affiliations

Pheerapanyawaranun C
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Wang Y
Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Kittibovorndit N
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Pimsarn N
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Sirison K
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Teerawattananon Y
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand. Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Isaranuwatchai W
Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, Nonthaburi, Thailand. Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, ON, Canada.

MeSH

Attitude of Health PersonnelCOVID-19COVID-19 VaccinesCross-Sectional StudiesHealth PersonnelHumansInfluenza VaccinesInfluenza, HumanPandemicsPatient Acceptance of Health CareSurveys and QuestionnairesThailandVaccination Hesitancy

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

35979452

Citation

Pheerapanyawaranun, Chatkamol, et al. "COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: the Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability." Frontiers in Public Health, vol. 10, 2022, p. 834545.
Pheerapanyawaranun C, Wang Y, Kittibovorndit N, et al. COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: The Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability. Front Public Health. 2022;10:834545.
Pheerapanyawaranun, C., Wang, Y., Kittibovorndit, N., Pimsarn, N., Sirison, K., Teerawattananon, Y., & Isaranuwatchai, W. (2022). COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: The Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability. Frontiers in Public Health, 10, 834545. https://doi.org/10.3389/fpubh.2022.834545
Pheerapanyawaranun C, et al. COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: the Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability. Front Public Health. 2022;10:834545. PubMed PMID: 35979452.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COVID-19 Vaccine Hesitancy Among Health Care Workers in Thailand: The Comparative Results of Two Cross-Sectional Online Surveys Before and After Vaccine Availability. AU - Pheerapanyawaranun,Chatkamol, AU - Wang,Yi, AU - Kittibovorndit,Nachawish, AU - Pimsarn,Nopphadol, AU - Sirison,Kanchanok, AU - Teerawattananon,Yot, AU - Isaranuwatchai,Wanrudee, Y1 - 2022/08/01/ PY - 2021/12/13/received PY - 2022/06/15/accepted PY - 2022/8/18/entrez PY - 2022/8/19/pubmed PY - 2022/8/20/medline KW - COVID-19 KW - COVID-19 vaccine KW - Thailand KW - health care workers KW - vaccine KW - vaccine acceptance KW - vaccine hesitancy SP - 834545 EP - 834545 JF - Frontiers in public health JO - Front Public Health VL - 10 N2 - Introduction: The arrival of COVID-19 vaccines in Thailand has supported the fight against the COVID-19 pandemic. This study examined COVID-19 vaccine acceptance among health care workers (HCWs) in Thailand before and after vaccines' availability and investigated factors (both enablers and barriers) affecting their decisions. Methods: Two online self-administered questionnaires were distributed to HCWs in two time-periods: (1) the pre-vaccine arrival period (prior to COVID-19 vaccines' arrival in Thailand, January 28 to February 16, 2021); and (2) the post-vaccine arrival period (April 21 to May 9, 2021). Descriptive analyses and multinomial logistic regression were conducted to examine factors associated with vaccine hesitancy. Results: There were 55,068 respondents in the pre-vaccine arrival period and 27,319 respondents in the post-vaccine arrival period. In the pre-vaccine arrival period, 55.0% of respondents were willing to accept the vaccines, 35.4% were uncertain, and 9.6% declined. In the post-vaccine arrival period, ~16% already received two doses of either the Sinovac or AstraZeneca vaccine, and 43% were administered one dose. Approximately 12% of those who had received the first dose were uncertain or not willing to accept the second dose. Demographic and socio-demographic factors of participants, including their sex, place of residence, and whether they were frontline COVID-19 workers, were found to be the significant factors explaining vaccination hesitancy. Moreover, when comparing the pre-vaccine arrival and post-vaccine arrival periods, it was found that older HCWs were more likely to decline a COVID-19 vaccine in the pre-vaccine arrival period; on the other hand, older HCWs were less likely to decline or be uncertain to receive a COVID-19 vaccine in the post-vaccine arrival period. Conclusion: Information on HCWs' acceptance of COVID-19 vaccines, including who is more likely to accept the vaccines, could assist in planning vaccine allocation to both HCWs and the general public, who often believe HCWs' recommendations. This study's findings set out how policies can be addressed to reduce vaccine hesitancy. This study also highlights HCWs' characteristics (including gender, work region, occupation, and history of receiving influenza vaccination) and the reasons they cited for their vaccine acceptance or hesitance. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/35979452/COVID_19_Vaccine_Hesitancy_Among_Health_Care_Workers_in_Thailand:_The_Comparative_Results_of_Two_Cross_Sectional_Online_Surveys_Before_and_After_Vaccine_Availability_ DB - PRIME DP - Unbound Medicine ER -