COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand

Abstract Background The COVID-19 vaccines provide renewed hope in the fight against the recent pandemic. To ensure widespread vaccination, it is crucial to analyze vaccine willingness and its determinants among physicians, key health care influencers. This study aimed to assess acceptance rate and i...

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Autores principales: May Sirikalyanpaiboon, Krittin Ousirimaneechai, Jeerath Phannajit, Panyavee Pitisuttithum, Watsamon Jantarabenjakul, Roongruedee Chaiteerakij, Leilani Paitoonpong
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Publicado: BMC 2021
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spelling oai:doaj.org-article:343d0dcad42d4d57967fed777a23cb3d2021-11-28T12:41:37ZCOVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand10.1186/s12879-021-06863-51471-2334https://doaj.org/article/343d0dcad42d4d57967fed777a23cb3d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06863-5https://doaj.org/toc/1471-2334Abstract Background The COVID-19 vaccines provide renewed hope in the fight against the recent pandemic. To ensure widespread vaccination, it is crucial to analyze vaccine willingness and its determinants among physicians, key health care influencers. This study aimed to assess acceptance rate and identify factors associated with vaccine hesitancy among Thai physicians. Methods A cross-sectional online-based questionnaire was distributed to all physicians at King Chulalongkorn Memorial Hospital during March 31, 2021 to April 30, 2021 in order to assess their attitudes toward receiving the COVID-19 vaccine. Reasons for vaccine acceptance and refusal as well as predictors of vaccine hesitancy were analyzed by bivariate and multivariable analysis. Results A total of 705 complete responses were received with 95.6% (n = 675) of physicians expressing willingness to receive a COVID-19 vaccine. Only one of the 31 physicians (4.4%) who expressed a hesitancy or unwillingness to be vaccinated was a faculty member; the others were physicians-in-training. Approximately one-fifths of physicians surveyed were also not willing to recommend the vaccine to their family members (21.4%, n = 151) or patients (18.7%, n = 132). Using multivariable logistic regression, vaccine hesitancy was independently associated with preference for particular vaccines over the government allocated option, especially for mRNA vaccine (aOR 8.86; 95% CI 1.1–71.54; p = 0.041). Vaccine literacy showed an inverse relationship (aOR 0.34; 95% CI 0.13–0.9; p = 0.029) with vaccine hesitancy. Uncertainty of the vaccine efficacy (83.9%) and fear of adverse events (48.4%) were major concerns contributing to vaccine hesitancy. Conclusion This study revealed a high rate of physician willingness to take the COVID-19 vaccine especially among staffs; however, a significant proportion would not currently suggest vaccination to their families or patients. Restrictions on vaccine choice and vaccine illiteracy, together with concerns over adverse effects and uncertainty of efficacy, were associated with negative attitudes toward vaccination. To raise acceptance of the vaccination program, efforts should be made to balance individual preference for vaccine type in addition to increasing the availability of accurate data on safety and efficacy for each vaccine.May SirikalyanpaiboonKrittin OusirimaneechaiJeerath PhannajitPanyavee PitisuttithumWatsamon JantarabenjakulRoongruedee ChaiteerakijLeilani PaitoonpongBMCarticleCOVID-19Vaccine hesitancyVaccine acceptanceSARS-CoV-2 vaccineHealthcarePhysiciansInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
Vaccine hesitancy
Vaccine acceptance
SARS-CoV-2 vaccine
Healthcare
Physicians
Infectious and parasitic diseases
RC109-216
spellingShingle COVID-19
Vaccine hesitancy
Vaccine acceptance
SARS-CoV-2 vaccine
Healthcare
Physicians
Infectious and parasitic diseases
RC109-216
May Sirikalyanpaiboon
Krittin Ousirimaneechai
Jeerath Phannajit
Panyavee Pitisuttithum
Watsamon Jantarabenjakul
Roongruedee Chaiteerakij
Leilani Paitoonpong
COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
description Abstract Background The COVID-19 vaccines provide renewed hope in the fight against the recent pandemic. To ensure widespread vaccination, it is crucial to analyze vaccine willingness and its determinants among physicians, key health care influencers. This study aimed to assess acceptance rate and identify factors associated with vaccine hesitancy among Thai physicians. Methods A cross-sectional online-based questionnaire was distributed to all physicians at King Chulalongkorn Memorial Hospital during March 31, 2021 to April 30, 2021 in order to assess their attitudes toward receiving the COVID-19 vaccine. Reasons for vaccine acceptance and refusal as well as predictors of vaccine hesitancy were analyzed by bivariate and multivariable analysis. Results A total of 705 complete responses were received with 95.6% (n = 675) of physicians expressing willingness to receive a COVID-19 vaccine. Only one of the 31 physicians (4.4%) who expressed a hesitancy or unwillingness to be vaccinated was a faculty member; the others were physicians-in-training. Approximately one-fifths of physicians surveyed were also not willing to recommend the vaccine to their family members (21.4%, n = 151) or patients (18.7%, n = 132). Using multivariable logistic regression, vaccine hesitancy was independently associated with preference for particular vaccines over the government allocated option, especially for mRNA vaccine (aOR 8.86; 95% CI 1.1–71.54; p = 0.041). Vaccine literacy showed an inverse relationship (aOR 0.34; 95% CI 0.13–0.9; p = 0.029) with vaccine hesitancy. Uncertainty of the vaccine efficacy (83.9%) and fear of adverse events (48.4%) were major concerns contributing to vaccine hesitancy. Conclusion This study revealed a high rate of physician willingness to take the COVID-19 vaccine especially among staffs; however, a significant proportion would not currently suggest vaccination to their families or patients. Restrictions on vaccine choice and vaccine illiteracy, together with concerns over adverse effects and uncertainty of efficacy, were associated with negative attitudes toward vaccination. To raise acceptance of the vaccination program, efforts should be made to balance individual preference for vaccine type in addition to increasing the availability of accurate data on safety and efficacy for each vaccine.
format article
author May Sirikalyanpaiboon
Krittin Ousirimaneechai
Jeerath Phannajit
Panyavee Pitisuttithum
Watsamon Jantarabenjakul
Roongruedee Chaiteerakij
Leilani Paitoonpong
author_facet May Sirikalyanpaiboon
Krittin Ousirimaneechai
Jeerath Phannajit
Panyavee Pitisuttithum
Watsamon Jantarabenjakul
Roongruedee Chaiteerakij
Leilani Paitoonpong
author_sort May Sirikalyanpaiboon
title COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
title_short COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
title_full COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
title_fullStr COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
title_full_unstemmed COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand
title_sort covid-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in thailand
publisher BMC
publishDate 2021
url https://doaj.org/article/343d0dcad42d4d57967fed777a23cb3d
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