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COVID-19 Vaccination Acceptance and Hesitancy in Healthcare Workers and the General Population

dc.contributor.authorPereira da Silva, Alessandra
dc.contributor.authorCastaneda, Luciana Ribeiro
dc.contributor.authorCavalcante de Oliveira, Ana Paula
dc.contributor.authorFronteira, Inês
dc.contributor.authorCraveiro, Isabel
dc.contributor.authorMaia, Leila Senna
dc.contributor.authorChança, Raphael
dc.contributor.authorBoniol, Mathieu
dc.contributor.authorFerrinho, Paulo
dc.contributor.authorDal Poz, Mario Roberto
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2025-03-13T21:15:18Z
dc.date.available2025-03-13T21:15:18Z
dc.date.issued2024-08-28
dc.descriptionPublisher Copyright: © 2024 by the authors. Acknowledgments Centro de Estudos, Pesquisa e Desenvolvimento Tecnológico em Saúde Colectiva (CEPESC) and Instituto de Medicina Social at Universidade do Estado do Rio de Janeiro (IMS/UERJ) provided management/administrative support. The Portuguese Fundação para a Ciência e Tecnologia provides funds to Global Health and Tropical Medicine (GHTM), the Instituto de Higiene e Medicina Tropical, and Universidade Nova de Lisboa (IHMT/UNL) (GHTM UID/04413/2020). The authors wish to thank Giorgio Cometto (Health Workforce Department, World Health Organization, Geneva) for helpful discussions and guidance.
dc.description.abstractIntroduction: The COVID-19 pandemic challenged the scientific community to find and develop a vaccine to fight the disease. However, problems with achieving high vaccine coverage have emerged, even among high-risk groups such as healthcare workers (HCWs). Objective: The objective of this study is to examine factors that influence HCW’s and the general population’s adherence to COVID-19 vaccination and national policies to vaccinate HCWs and other target groups. Methods: This study implemented a systematic review. The eligibility criterion for inclusion was being a HCW, target population for COVID-19 vaccination, or general population. Vaccination was the target intervention, and the COVID-19 pandemic was the context. We selected publications published between 1 January 2020 and 31 March 2022. Qualitative synthesis used a meta-aggregation approach. Results: Nineteen articles were included in the review, with study samples varying from 48 to 5708 participants. Most of the evidence came from cross-sectional and qualitative studies. The main findings were related to vaccine hesitancy rather than acceptance. Factors associated with HCW vaccine hesitancy included subjective feelings such as safety concerns, rapid vaccine development, and insufficient testing. Countries have adopted few public policies to address this problem, and the main concern is whether to enforce vaccination and the extent to which measures are legal. Conclusion: The quality of the evidence base remains weak. Skepticism, mistrust, and hesitancy toward vaccination are global issues that can jeopardize vaccination coverage.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent14
dc.format.extent1142792
dc.identifier.doi10.3390/ijerph21091134
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 112588643
dc.identifier.otherPURE UUID: eb018a37-9daa-41b8-add4-a6b82f93aeb1
dc.identifier.otherScopus: 85205250670
dc.identifier.otherPubMed: 39338017
dc.identifier.otherPubMedCentral: PMC11430955
dc.identifier.urihttp://hdl.handle.net/10362/180602
dc.identifier.urlhttps://www.scopus.com/pages/publications/85205250670
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjecthealthcare workers
dc.subjectvaccination coverage
dc.subjectvaccination refusal
dc.subjectvaccine hesitancy
dc.subjectPollution
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectHealth, Toxicology and Mutagenesis
dc.subjectSDG 3 - Good Health and Well-being
dc.titleCOVID-19 Vaccination Acceptance and Hesitancy in Healthcare Workers and the General Populationen
dc.title.subtitleA Systematic Review and Policy Recommendationsen
dc.typereview
degois.publication.issue9
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume21
dspace.entity.typePublication
rcaap.rightsopenAccess

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