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Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia
As COVID-19 vaccinations became available and were proven effective in preventing serious infection, uptake amongst individuals varied, including in medically vulnerable populations. This cross-sectional multi-site study examined vaccine uptake, hesitancy, and explanatory factors amongst people with...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9230066/ https://www.ncbi.nlm.nih.gov/pubmed/35746458 http://dx.doi.org/10.3390/vaccines10060851 |
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author | Day, Daphne Grech, Lisa Nguyen, Mike Bain, Nathan Kwok, Alastair Harris, Sam Chau, Hieu Chan, Bryan Blennerhassett, Richard Nott, Louise Hamad, Nada Tognela, Annette Hoffman, David McCartney, Amelia Webber, Kate Wong, Jennifer Underhill, Craig Sillars, Brett Winkel, Antony Savage, Mark Loe, Bao Sheng Freeman, Daniel Segelov, Eva |
author_facet | Day, Daphne Grech, Lisa Nguyen, Mike Bain, Nathan Kwok, Alastair Harris, Sam Chau, Hieu Chan, Bryan Blennerhassett, Richard Nott, Louise Hamad, Nada Tognela, Annette Hoffman, David McCartney, Amelia Webber, Kate Wong, Jennifer Underhill, Craig Sillars, Brett Winkel, Antony Savage, Mark Loe, Bao Sheng Freeman, Daniel Segelov, Eva |
author_sort | Day, Daphne |
collection | PubMed |
description | As COVID-19 vaccinations became available and were proven effective in preventing serious infection, uptake amongst individuals varied, including in medically vulnerable populations. This cross-sectional multi-site study examined vaccine uptake, hesitancy, and explanatory factors amongst people with serious and/or chronic health conditions, including the impact of underlying disease on attitudes to vaccination. A 42-item survey was distributed to people with cancer, diabetes, or multiple sclerosis across ten Australian health services from 30 June to 5 October 2021. The survey evaluated sociodemographic and disease-related characteristics and incorporated three validated scales measuring vaccine hesitancy and vaccine-related beliefs generally and specific to their disease: the Oxford COVID-19 Vaccine Hesitancy Scale, the Oxford COVID-19 Vaccine Confidence and Complacency Scale and the Disease Influenced Vaccine Acceptance Scale-Six. Among 4683 participants (2548 [54.4%] female, 2108 [45.0%] male, 27 [0.6%] other; mean [SD] age, 60.6 [13.3] years; 3560 [76.0%] cancer, 842 [18.0%] diabetes, and 281 [6.0%] multiple sclerosis), 3813 (81.5%) self-reported having at least one COVID-19 vaccine. Unvaccinated status was associated with younger age, female sex, lower education and income, English as a second language, and residence in regional areas. Unvaccinated participants were more likely to report greater vaccine hesitancy and more negative perceptions toward vaccines. Disease-related vaccine concerns were associated with unvaccinated status and hesitancy, including greater complacency about COVID-19 infection, and concerns relating to vaccine efficacy and impact on their disease and/or treatment. This highlights the need to develop targeted strategies and education about COVID-19 vaccination to support medically vulnerable populations and health professionals. |
format | Online Article Text |
id | pubmed-9230066 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92300662022-06-25 Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia Day, Daphne Grech, Lisa Nguyen, Mike Bain, Nathan Kwok, Alastair Harris, Sam Chau, Hieu Chan, Bryan Blennerhassett, Richard Nott, Louise Hamad, Nada Tognela, Annette Hoffman, David McCartney, Amelia Webber, Kate Wong, Jennifer Underhill, Craig Sillars, Brett Winkel, Antony Savage, Mark Loe, Bao Sheng Freeman, Daniel Segelov, Eva Vaccines (Basel) Article As COVID-19 vaccinations became available and were proven effective in preventing serious infection, uptake amongst individuals varied, including in medically vulnerable populations. This cross-sectional multi-site study examined vaccine uptake, hesitancy, and explanatory factors amongst people with serious and/or chronic health conditions, including the impact of underlying disease on attitudes to vaccination. A 42-item survey was distributed to people with cancer, diabetes, or multiple sclerosis across ten Australian health services from 30 June to 5 October 2021. The survey evaluated sociodemographic and disease-related characteristics and incorporated three validated scales measuring vaccine hesitancy and vaccine-related beliefs generally and specific to their disease: the Oxford COVID-19 Vaccine Hesitancy Scale, the Oxford COVID-19 Vaccine Confidence and Complacency Scale and the Disease Influenced Vaccine Acceptance Scale-Six. Among 4683 participants (2548 [54.4%] female, 2108 [45.0%] male, 27 [0.6%] other; mean [SD] age, 60.6 [13.3] years; 3560 [76.0%] cancer, 842 [18.0%] diabetes, and 281 [6.0%] multiple sclerosis), 3813 (81.5%) self-reported having at least one COVID-19 vaccine. Unvaccinated status was associated with younger age, female sex, lower education and income, English as a second language, and residence in regional areas. Unvaccinated participants were more likely to report greater vaccine hesitancy and more negative perceptions toward vaccines. Disease-related vaccine concerns were associated with unvaccinated status and hesitancy, including greater complacency about COVID-19 infection, and concerns relating to vaccine efficacy and impact on their disease and/or treatment. This highlights the need to develop targeted strategies and education about COVID-19 vaccination to support medically vulnerable populations and health professionals. MDPI 2022-05-26 /pmc/articles/PMC9230066/ /pubmed/35746458 http://dx.doi.org/10.3390/vaccines10060851 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Day, Daphne Grech, Lisa Nguyen, Mike Bain, Nathan Kwok, Alastair Harris, Sam Chau, Hieu Chan, Bryan Blennerhassett, Richard Nott, Louise Hamad, Nada Tognela, Annette Hoffman, David McCartney, Amelia Webber, Kate Wong, Jennifer Underhill, Craig Sillars, Brett Winkel, Antony Savage, Mark Loe, Bao Sheng Freeman, Daniel Segelov, Eva Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title | Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title_full | Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title_fullStr | Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title_full_unstemmed | Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title_short | Serious Underlying Medical Conditions and COVID-19 Vaccine Hesitancy: A Large Cross-Sectional Analysis from Australia |
title_sort | serious underlying medical conditions and covid-19 vaccine hesitancy: a large cross-sectional analysis from australia |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9230066/ https://www.ncbi.nlm.nih.gov/pubmed/35746458 http://dx.doi.org/10.3390/vaccines10060851 |
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