What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System

Introduction: Italy was one of the earliest countries to experience a severe COVID-19 epidemic and vaccinating the elderly, who constitute 23% of the population and have experienced the highest mortality rates, is a top priority. Estimating prevalences and understanding risk factors for COVID-19 vac...

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Autores principales:	Benedetta Contoli, Valentina Possenti, Valentina Minardi, Nancy J. Binkin, Mauro Ramigni, Giuliano Carrozzi, Maria Masocco
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	vaccine uptake hesitancy elderly COVID-19 behavioral surveillance system seasonal flu Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e7ed5f165f434e6e91146fb0347ecce4
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spelling	oai:doaj.org-article:e7ed5f165f434e6e91146fb0347ecce42021-11-05T05:58:37ZWhat Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System2296-256510.3389/fpubh.2021.736976https://doaj.org/article/e7ed5f165f434e6e91146fb0347ecce42021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.736976/fullhttps://doaj.org/toc/2296-2565Introduction: Italy was one of the earliest countries to experience a severe COVID-19 epidemic and vaccinating the elderly, who constitute 23% of the population and have experienced the highest mortality rates, is a top priority. Estimating prevalences and understanding risk factors for COVID-19 vaccine hesitancy or refusal are important for development of targeted interventions.Methods: We used data from a specially developed COVID-19 module of PASSI D'Argento, an ongoing surveillance system of residents 65+ years of age to measure the prevalence and identify risk factors for hesitancy and refusal to receive the COVID-19 vaccine. We calculated multinomial regression relative risk ratios to examine the association between demographic characteristics, health status, COVID-19 attitudes and experiences and likely vaccine hesitancy and refusal.Results: Of the 1876 respondents, 55% reported they would accept vaccination and 16% would likely refuse; the remaining 29% were categorized as hesitant. Compared with the acceptance group, we identified several risk factors in common between the hesitancy group and the refusal group, including not having received vaccination against influenza during the previous flu season (hesitancy: RRR = 2.0; 95% CI 1.4–2.9; refusal: RRR = 12.1; 95%CI 7.6–19.4) and lower risk of having had a death from COVID-19 among family or friends (hesitancy: RRR = 4.8; 95%CI 2.0–11.4; refusal: RRR = 15.4; 95%CI 3.7–64.5). The hesitancy group was significantly more likely being worried and they did not know if consequences of the disease would be serious for them.Conclusion: Our findings show the importance of establishing and maintaining active contact between the preventive services, primary care providers and the population because trust is difficult to establish during an emergency like the COVID-19 pandemic. Italian public health is based on a capillary network of general practitioners and having them reach out to their patients who have not previously received influenza vaccine may be a useful strategy for targeting efforts to further encourage uptake of COVID-19 vaccination.Benedetta ContoliValentina PossentiValentina MinardiNancy J. BinkinMauro RamigniGiuliano CarrozziMaria MasoccoFrontiers Media S.A.articlevaccine uptakehesitancyelderlyCOVID-19behavioral surveillance systemseasonal fluPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	vaccine uptake hesitancy elderly COVID-19 behavioral surveillance system seasonal flu Public aspects of medicine RA1-1270
spellingShingle	vaccine uptake hesitancy elderly COVID-19 behavioral surveillance system seasonal flu Public aspects of medicine RA1-1270 Benedetta Contoli Valentina Possenti Valentina Minardi Nancy J. Binkin Mauro Ramigni Giuliano Carrozzi Maria Masocco What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
description	Introduction: Italy was one of the earliest countries to experience a severe COVID-19 epidemic and vaccinating the elderly, who constitute 23% of the population and have experienced the highest mortality rates, is a top priority. Estimating prevalences and understanding risk factors for COVID-19 vaccine hesitancy or refusal are important for development of targeted interventions.Methods: We used data from a specially developed COVID-19 module of PASSI D'Argento, an ongoing surveillance system of residents 65+ years of age to measure the prevalence and identify risk factors for hesitancy and refusal to receive the COVID-19 vaccine. We calculated multinomial regression relative risk ratios to examine the association between demographic characteristics, health status, COVID-19 attitudes and experiences and likely vaccine hesitancy and refusal.Results: Of the 1876 respondents, 55% reported they would accept vaccination and 16% would likely refuse; the remaining 29% were categorized as hesitant. Compared with the acceptance group, we identified several risk factors in common between the hesitancy group and the refusal group, including not having received vaccination against influenza during the previous flu season (hesitancy: RRR = 2.0; 95% CI 1.4–2.9; refusal: RRR = 12.1; 95%CI 7.6–19.4) and lower risk of having had a death from COVID-19 among family or friends (hesitancy: RRR = 4.8; 95%CI 2.0–11.4; refusal: RRR = 15.4; 95%CI 3.7–64.5). The hesitancy group was significantly more likely being worried and they did not know if consequences of the disease would be serious for them.Conclusion: Our findings show the importance of establishing and maintaining active contact between the preventive services, primary care providers and the population because trust is difficult to establish during an emergency like the COVID-19 pandemic. Italian public health is based on a capillary network of general practitioners and having them reach out to their patients who have not previously received influenza vaccine may be a useful strategy for targeting efforts to further encourage uptake of COVID-19 vaccination.
format	article
author	Benedetta Contoli Valentina Possenti Valentina Minardi Nancy J. Binkin Mauro Ramigni Giuliano Carrozzi Maria Masocco
author_facet	Benedetta Contoli Valentina Possenti Valentina Minardi Nancy J. Binkin Mauro Ramigni Giuliano Carrozzi Maria Masocco
author_sort	Benedetta Contoli
title	What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
title_short	What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
title_full	What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
title_fullStr	What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
title_full_unstemmed	What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System
title_sort	what is the willingness to receive vaccination against covid-19 among the elderly in italy? data from the passi d'argento surveillance system
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e7ed5f165f434e6e91146fb0347ecce4
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What Is the Willingness to Receive Vaccination Against COVID-19 Among the Elderly in Italy? Data From the PASSI d'Argento Surveillance System

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