Evidence map›Paper›PMID 35221837›Full record

ArticleEXCLI journal2022

The COVID-19 vaccination acceptance/hesitancy rate and its determinants among healthcare workers of 91 Countries: A multicenter cross-sectional study.

Mehrdad Askarian, Aleksandr Semenov, Ferran Llopis, Francesca Rubulotta, Gorana Dragovac, Natalia Pshenichnaya, Ojan Assadian, Yvon Ruch, Zahra Shayan, Cristobal Padilla Fortunatti and 26 more

Abstract read
In one paragraph

Article in EXCLI journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Article
  14. Medical Residents' Behaviours toward Compulsory COVID-19 Vaccination in a Tertiary Hospital in Italy.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus.Journal of the International Association of Providers of AIDS Care
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors.

Mehrdad AskarianDepartment of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz.
Aleksandr SemenovEkaterinburg Research Institute of Viral Infections SRC VB Vector, Ekaterinburg, Russia.
Ferran LlopisEmergency Department. Bellvitge University Hospital, l'Hospitalet de Llobregat, Barcelona, Spain.
Francesca RubulottaDepartment of Intensive Care Medicine, Charing Cross Hospital, Imperial College, NHS Trust London, UK.
Gorana DragovacDepartment of Epidemiology, Faculty of Medicine, University of Novi Sad, Serbia; Center of Disease Prevention and Control, Institute of Public Health of Vojvodina, Novi Sad, Serbia.
Natalia PshenichnayaClinical Department of Infectious Pathology, Central Research Institute of Epidemiology, Moscow, Russia.
Ojan AssadianRegional Hospital Wiener Neustadt, Austria; Institute of Skin Integrity and Infection Prevention, University of Huddersfield, UK.
Yvon RuchDepartment of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
Zahra ShayanTrauma Research Center, Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Cristobal Padilla FortunattiSchool of Nursing, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Daniel LuceyDepartment of Infectious Diseases, Georgetown University Medical Center, Washington, DC 20057, USA.
Abdullah AlmohaizeieKing Faisal Specialist Hospital and Research Center, Riyadh, Alfaisal University Riyadh, Saudi Arabia.
Abu Hena Mostafa KamalDepartment of Anaesthesiology & ICU, Rajshahi Medical College Hospital, Rajshahi, Bangladesh.
Adenike OgunsheApplied Microbiology and Infectious Diseases, Department of Microbiology, Faculty of Science, University of Ibadan, Oyo State, Nigeria.
Aidos KonkayevDepartment of Anesthesiology and Intensive Care, Astana Medical University, Nur-Sultan, Kazakhstan; National Centre of Traumatology and Orthopedia named by Batpenov, Nur-Sultan, Kazakhstan.
Asim BegDepartment of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
Enzo PrimeranoDepartment of Anesthesia and Intensive Care, Polyclinic of Monza, Monza, Italy.
Fatma AmerDepartment of Medical Microbiology and Immunology, School of Medicine, Zagazig University, Zagazig, Egypt.
Hema Prakash Kumari PilliDepartment of Microbiology, GITAM Institute of Medical Sciences and Research, GITAM , Deemed to be University, Visakhapatnam, India.
Ivan HungDepartment of Infectious Diseases; Gastroenterology & Hepatology, The University of Hong Kong.
Folusakin AyoadeDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Jean Yves LefrantDepartment of Anaesthesia, Critical Care Emergency and Pain Medicine, University Hospital of Nimes, Montpellier University, Nimes, France.
Joanna ZajkowskaDepartment of Infectious Diseases and Neuroinfections, Medical University in Biaøystok, Poland.
Jordi RelloCRIPS, Vall Hebron Institute of Research (VHIR) & CHRU Nimes, Nimes, France.
Momin KaziResearch Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Mohammad Hossein TaghrirTrauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Stijn BlotDepartment of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Stephen LeibInstitute for Infectious Diseases, University of Bern, Bern, Switzerland.
Parisa HosseinpourSchool of Medicine, Islamic Azad University, Kazeroun branch, Kazeroun, Iran.
Hamidreza HosseinpourDepartment of Surgery, Shiraz Laparoscopic Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Amirhossein ErfaniThoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Roham BorazjaniTrauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Hossein AkbarialiabadStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Masoud NajafiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Ardalan AskarianStudent, College of Arts & Science, University of Saskatchewan, Saskatoon, Canada.
Hakan ErdemID-IRI Lead Coordinator, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate the COVID-19 vaccination acceptance rate and its determinants among healthcare workers in a multicenter study. This was a cross-sectional multi-center survey conducted from February 5 to April 29, 2021. The questionnaire consisted of 26 items in 6 subscales. The English version of the questionnaire was translated into seven languages and distributed through Google Forms using snowball sampling; a colleague in each country was responsible for the forward and backward translation, and also the distribution of the questionnaire. A forward stepwise logistic regression was utilized to explore the variables and questionnaire factors tied to the intention to COVID-19 vaccination. 4630 participants from 91 countries completed the questionnaire. According to the United Nations Development Program 2020, 43.6 % of participants were from low Human Development Index (HDI) regions, 48.3 % high and very high, and 8.1 % from medium. The overall vaccination hesitancy rate was 37 %. Three out of six factors of the questionnaire were significantly related to intention to the vaccination. While 'Perceived benefits of the COVID-19 vaccination' (OR: 3.82, p-value<0.001) and 'Prosocial norms' (OR: 5.18, p-value<0.001) were associated with vaccination acceptance, 'The vaccine safety/cost concerns' with OR: 3.52, p-value<0.001 was tied to vaccination hesitancy. Medical doctors and pharmacists were more willing to take the vaccine in comparison to others. Importantly, HDI with OR: 12.28, 95 % CI: 6.10-24.72 was a strong positive determinant of COVID-19 vaccination acceptance. This study highlighted the vaccination hesitancy rate of 37 % in our sample among HCWs. Increasing awareness regarding vaccination benefits, confronting the misinformation, and strengthening the prosocial norms would be the primary domains for maximizing the vaccination coverage. The study also showed that the HDI is strongly associated with the vaccination acceptance/hesitancy, in a way that those living in low HDI contexts are more hesitant to receive the vaccine.

Indexed as

COVID-19COVID-19 vaccinesHDIhealth personnelHuman Development Indexvaccination coverage

Identifiers

PMID35221837
PMCPMC8859647

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.