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Understanding the shift in COVID-19 vaccine hesitancy and its associated factors for primary and booster doses among university students: A cross-sectional study.

BACKGROUND: Vaccine hesitancy (VH) poses a major challenge to achieving high COVID-19 vaccination rates. Universities, with mandatory primary dose policies but optional boosters, offer a unique setting to study VH dynamics. This study aimed to estimate COVID-19 VH prevalence and identify key factors influencing VH across primary and booster doses among university students. METHODS: In this cross-sectional study, all actively enrolled students at the University of Waterloo, Ontario, Canada, during Winter 2024 were invited to complete an online survey. Means and standard deviations were calcula

Continuity of an essential service during the COVID-19 pandemic: A systematic review and meta-analysis of vaccine perceptions and hesitancy in the emergency medical services profession.

During and subsequent to a natural disaster, there is an expectation that certain elements of society will continue to operate with a degree of normalcy. For example, it is expected that emergency medical services will continue to function and remain reliable for the community served. Expectations such as these are based on the presumed reliability of government and the assumption that those responsible for the relevant infrastructure will have made plans to ensure it remains functional and taken steps to mitigate known weaknesses. The COVID-19 pandemic provides a case in point. Specifically,

COVID-19 vaccine uptake and hesitancy opinions from frontline health care and social care workers: Survey data from 37 countries.

BACKGROUND AND AIMS: Vaccine hesitancy is an ongoing major challenge. We aimed to assess the uptake and hesitancy of the COVID-19 vaccination. METHODS: A short online survey was posted between April 12 to July 31, 2021 targeted at health and social care workers (HCWs) across the globe. RESULTS: 275 from 37 countries responded. Most were hospital or primary care physicians or nurses, 59% women, aged 18-60 years, and 21% had chronic conditions with most prevalent being diabetes, hypertension, and asthma. We found that most HCWs (93%) had taken or willing to receive the COVID-19 vaccine. While

Development of a herpes zoster vaccination intention scale and identification of factors associated with vaccine hesitancy among middle-aged and older attendees in community health centers: A Protection Motivation Theory based study.

A cross-sectional survey was conducted in Shanghai, China, from October to December 2022. Participants aged 40 years or older were recruited from seven community health centers (CHCs). Vaccine hesitancy was defined as participants who had neither received the HZ vaccine nor expressed intention to receive it. Data on socio-demographic characteristics, health behaviors and vaccine hesitancy were collected using a structured questionnaire. A PMT-based HZ vaccination intention scale consisting of five dimensions (Intrinsic Rewards, Extrinsic Rewards, Self-Efficacy, Response Efficacy, and Response

Understanding COVID-19 vaccine hesitancy among Black pregnant individuals: a mixed methods study of social media messenger and content type preferences.

INTRODUCTION: Pregnant individuals are at increased risk of developing severe illness from coronavirus disease 2019 (COVID-19). They also tend to be vaccine-hesitant, which is even more pronounced in certain racial and ethnic minority groups. The study objective was to determine whether social media advertisements promoting COVID-19 vaccination could influence vaccination likelihood among pregnant and recently pregnant participants who self-identified as Black or African American. METHODS: Participants were interviewed individually or in focus groups to explore their attitudes toward vaccinat

Vaccine Hesitancy and Associated Factors Among Caregivers of Children With Special Health Care Needs in the COVID-19 Era in China: Cross-Sectional Study.

BACKGROUND: Immunization is a cost-effective way to prevent infectious diseases in children, but parental hesitancy leads to low vaccination rates, leaving children at risk. Caregivers of children with special health care needs are more hesitant about vaccines than those of healthy children. OBJECTIVE: The aim of the study is to investigate the changes in caregivers' vaccination hesitation of children with special health care needs before, during, and after the COVID-19 pandemic in China and to identify associated factors for caregivers' attitudes toward National Immunization Program (NIP) an

Community-engaged curriculum development using racial justice and biomedical lenses to address COVID-19 vaccine hesitancy in black individuals with rheumatologic conditions.

Despite the efficacy of the COVID-19 vaccine in reducing mortality and illness severity, racial inequities in vaccination uptake persist. Among individuals with rheumatologic conditions who are often immunocompromised, the impact of disparities in preventive care threatens to widen existing inequities in adverse outcomes related to COVID-19 infection. There exists an urgent need to develop interventions that reduce COVID-19 vaccine hesitancy and promote vaccine uptake. We leveraged long-standing community-academic partnerships in two cities to develop a curriculum that will be part of an inter

[Evaluation of the scenario of hesitancy in vaccines against seasonal influenza among public school teachers in Teresina, Piauí State, Brazil, in COVID-19 times].

The objectives of this study were to evaluate the frequency of vaccine hesitancy against seasonal influenza and to analyze the associated factors among teachers in the municipal school system of Teresina, Piauí State, Brazil. An online questionnaire was applied, adapted from the Health Belief Model, and 449 teachers were included. Of the public interviewed, most live in the capital Teresina, (373, 83.26%), are women (360, 80.54%), aged between 23 and 50 years (306, 81.38%), born in the state of Piauí (382, 86.82%), brown (289, 64.65%), married (254, 56.70%) and with a lato sensu graduate degre

Awareness and Hesitancy of COVID-19 and other Vaccines among People Living with HIV/AIDS Attending Antiretroviral Therapy (ART) Center in North India.

INTRODUCTION: Approximately 40 years have passed since we first learned about the human immunodeficiency virus (HIV), but several people living with HIV (PLHIV) in developing countries such as India cannot avail treatments. This makes preventive measures, such as vaccinations, critical in these persons to avoid vaccine preventable diseases (VPDs). However, little is known about the willingness and perceptions of PLHIV regarding these vaccines. Therefore, we explored vaccine awareness and hesitancy, especially during the recent COVID-19 pandemic. OBJECTIVES: The primary objective was to determ

Common issues and improvement solution of vaccine hesitancy in children with underlying neurological conditions: Experience from one National Children's Medical Center in China.

BACKGROUND: Parents and healthcare providers usually defer or avoid immunization for children with neurological conditions. This study was conducted to investigate the common issues of immunization among these special children and the impact of specialists' recommendation on improving immunization practice. METHOD: We included 2,221 children with underlying neurological conditions seeking vaccination consultation at the first Immunization Advisory Clinic in China during 2017-2019. The primary neurological conditions and immunization status were analyzed. All parents were informed to self-repo

Сохраняется ли нерешительность в отношении вакцинации SARS-COV-2 среди людей с неврологическими заболеваниями - обследование целевой группы NeuroCOVID-19 Европейской академии неврологии.

ОБСУЖДЕНИЕ ПО 3 предметам в онлайновом режиме было направлено в Европейскую академию неврологии (ЕАН) и задалось вопросом о сохранении скептицизма прививок SARS-COV-2, а также о глубинных мыслях и факторах, ограничивающих использование вакцин среди пациентов с неврологическими заболеваниями. Результаты: Мы получили 616 ответов от 84 стран, главным образом из Европы. По мнению лечащего невролога, пациенты с множественным склерозом (MS), нейромнологическими расстройствами (ND) и хроническими неврологическими инфекциями продолжали иметь высокий уровень скептицизма по отношению к вакцинации SARS-C

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… Notably, vaccine hesitancy prospectively predicts nocebo side effects following COVID-19 vaccination [ 14 ]. … Results of the survey There was heterogeneity for vaccination hesitancy among different neurological conditions. …

5C psychological antecedents of vaccine hesitancy toward maternal RSV vaccines and infant monoclonal antibodies among pregnant and postpartum women and their partners in China: A multicenter, dyadic survey design, cross-sectional study.

We assessed vaccine hesitancy toward two novel respiratory syncytial virus (RSV) immunization strategies, maternal vaccines and infant monoclonal antibodies (mAbs), among 4422 couples across eight Chinese provinces, via a multicenter cross-sectional survey with convenience sampling from medical institutions. Vaccine hesitancy was measured using the 5C scale (confidence, complacency, constraints, calculation, collective responsibility), with total scores (higher indicating lower hesitancy) as the primary outcome. Linear mixed-effects models analyzed sociodemographic and pregnancy-related factor

Lack of knowledge, not vaccine hesitancy, is the main cause of low human papilloma virus vaccination rate among systemic lupus erythematosus patients in Japan after suspension of proactive recommendation: Analysis of a patients' survey.

OBJECTIVE: To identify the factors that inhibit human papilloma virus (HPV) vaccination to improve the high HPV infection rate and cervical cancer incidence among SLE patients. METHODS: We conducted a questionnaire survey of female SLE patients aged 18-45 years attending our hospital to analyze factors related to HPV vaccination. RESULTS: We obtained responses of 88 participants. Only 5 (5.7%) were received HPV vaccination, 15 (17.0%) were uncertain of their vaccine history, and 27 (30.7%) had never even heard of HPV vaccination. The reasons for unvaccinated against HPV were "don't know" wit

Using Human-Centered Design in Community-Based Public Health Research: Insights from the ECHO Study on COVID-19 Vaccine Hesitancy in Montreal, Canada.

(1) Background: This study used human-centered design (HCD) within a community-based research project to collaboratively develop local strategies aimed at enhancing COVID-19 vaccine confidence among children and youth. (2) Methods: HCD projects were carried out between December 2021 and August 2022 by four community-based design (CBD) teams in Montreal, Canada. The CBD teams were composed of parent and youth community members, public health and social science researchers, and HCD specialists. Process evaluation data, collected from the CBD team members through focus group discussions and writt

From institutional trust to digital literacy: Socioeconomic and political determinants of COVID-19 vaccine hesitancy among Czech adults based on a national panel survey.

Vaccine hesitancy remains a significant public health challenge, particularly during pandemics when high immunization rates are crucial. While individual psychological antecedents of vaccine hesitancy have been extensively studied, limited empirical evidence exists on how contextual determinants, such as socioeconomic status, political trust, and digital literacy, collectively shape vaccine-related behaviors, particularly in Central European populations. This study explores the key determinants of COVID-19 vaccine hesitancy among Czech adults. A cross-sectional study was conducted using data f

COVID-19 in the homeless population: a scoping review and meta-analysis examining differences in prevalence, presentation, vaccine hesitancy and government response in the first year of the pandemic.

AIMS: People experiencing homelessness (PEH) have been identified as being increasingly susceptible to Coronavirus disease (COVID-19), with policies enacted to test, isolate, increase hygiene practices and prioritise vaccines among this population. Here, we conduct a scoping review of the current evidence-base pertaining to the prevalence and presentation of COVID-19 in PEH, COVID-vaccine hesitancy rates and government interventions enacted within the first year of the pandemic for PEH. MATERIALS AND METHODS: A systematic search was conducted on Pubmed, Cochrane, Embase and MedRxiv databases

Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey.

BACKGROUND: In China, the national prevalence of parental influenza vaccine hesitancy (IVH) during the pandemic of coronavirus disease 2019 (COVID-19), and the association between risk perception and parental IVH are still unclear. We aimed to explore the association between risk perception and IVH for children among reproductive women in China, a poorly studied area. METHODS: From December 14, 2020, to January 31, 2021, we conducted a national anonymous online survey on IVH for children among reproductive women in China. We assessed risk perception including perceived susceptibility, severit

COVID-19 vaccine hesitancy among health care worker-parents (HCWP) in Puducherry, India and its implications on their children: A cross sectional descriptive study.

BACKGROUND: Vaccine hesitancy affects immunization programs worldwide and can impact vaccine coverage and fight against Coronavirus disease 2019 (COVID-19) too. OBJECTIVES: Primary objectives: To find out the magnitude of COVID-19 vaccine hesitancy among the Health Care Worker Parents (HCWPs), the reasons for vaccine hesitancy, and their perceptions regarding COVID-19 vaccination of their children. SECONDARY OBJECTIVE: To analyze the clinic-socio-demographic correlates of COVID-19 vaccine hesitancy among HCWPs. METHODS: This was a cross sectional descriptive study. Health care workers who a

A Cross-Sectional Study to Understand COVID-19 Vaccine Hesitancy Among Nursing Students and Health Workers: Implications for Future Outbreak Preparedness in South Africa.

BACKGROUND: Vaccine hesitancy is a global challenge affecting workplaces and academic institutions. Despite efforts, low vaccination rates persist in South Africa, increasing the risks associated with pathogen exposure. This study assessed the knowledge, attitudes, and perceptions (KAPs) of healthcare workers (HCWs) and students at a Nursing College regarding voluntary and mandatory COVID-19 vaccination. METHODS: A quantitative cross-sectional study was conducted using a structured, self-administered electronic questionnaire. All eligible nursing students and staff at the participating Nursin

The Role of Information Uses and Trust in COVID-19 and Influenza Vaccine Hesitancy Among Undergraduate Students in the United States and Republic of Korea: A Cross-Sectional Study.

INTRODUCTION: As the COVID-19 vaccine transitions into an annual immunization, it is important to understand the factors contributing to vaccine hesitancy and uptake. This study aims to examine how information source use and trust are associated with COVID-19 and influenza vaccine hesitancy and influenza vaccine uptake. METHODS: This cross-sectional study surveyed undergraduate students aged 18-25 years between August 29, 2023, and February 20, 2024. A total of 230 participants were included in the analysis. Chi-square tests and multivariable logistic regression were used. RESULTS: Using Int