COVID-19 Vaccination Acceptance and Hesitancy in Healthcare Workers and the General Population: A Systematic Review and Policy Recommendations

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Publicado en:International Journal of Environmental Research and Public Health vol. 21, no. 9 (2024), p. 1134
Autor principal: Alessandra Pereira da Silva
Otros Autores: Luciana Ribeiro Castaneda, Ana Paula Cavalcante de Oliveira, Fronteira, Inês, Craveiro, Isabel, Leila Senna Maia, Chança, Raphael, Boniol, Mathieu, Ferrinho, Paulo, Dal Poz, Mario Roberto
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001 3110483091
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022 |a 1661-7827 
022 |a 1660-4601 
024 7 |a 10.3390/ijerph21091134  |2 doi 
035 |a 3110483091 
045 2 |b d20240101  |b d20241231 
084 |a 107910  |2 nlm 
100 1 |a Alessandra Pereira da Silva  |u Instituto Nacional do Câncer, Rua Marquês de Pombal 125, 12° andar Centro, Rio de Janeiro 20230-240, RJ, Brazil; <email>raphael.chanca@inca.gov.br</email> 
245 1 |a COVID-19 Vaccination Acceptance and Hesitancy in Healthcare Workers and the General Population: A Systematic Review and Policy Recommendations 
260 |b MDPI AG  |c 2024 
513 |a Journal Article 
520 3 |a Introduction: 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. 
610 4 |a World Health Organization 
651 4 |a United States--US 
653 |a Grey literature 
653 |a COVID-19 vaccines 
653 |a Fatalities 
653 |a Severe acute respiratory syndrome coronavirus 2 
653 |a Medical Subject Headings-MeSH 
653 |a Pandemics 
653 |a Medical personnel 
653 |a Vocabularies & taxonomies 
653 |a Productivity 
653 |a Databases 
653 |a Subject heading schemes 
653 |a Developing countries--LDCs 
653 |a Health sciences 
653 |a Doulas 
653 |a Caregivers 
653 |a Midwifery 
653 |a Systematic review 
653 |a Health services 
653 |a Disease transmission 
653 |a Vaccine hesitancy 
700 1 |a Luciana Ribeiro Castaneda  |u Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524-7° andar, Blocos D e E–Maracanã, Rio de Janeiro 20550-013, RJ, Brazil; <email>luciana.ribeiro@ifrj.edu.br</email> (L.R.C.); <email>apco.hrh@gmail.com</email> (A.P.C.d.O.); <email>senna.maia@gmail.com</email> (L.S.M.); <email>dalpozm@uerj.br</email> (M.R.D.P.) 
700 1 |a Ana Paula Cavalcante de Oliveira  |u Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524-7° andar, Blocos D e E–Maracanã, Rio de Janeiro 20550-013, RJ, Brazil; <email>luciana.ribeiro@ifrj.edu.br</email> (L.R.C.); <email>apco.hrh@gmail.com</email> (A.P.C.d.O.); <email>senna.maia@gmail.com</email> (L.S.M.); <email>dalpozm@uerj.br</email> (M.R.D.P.) 
700 1 |a Fronteira, Inês  |u Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Rua da Junqueira 100, 1349-008 Lisboa, Portugal; <email>ines.fronteira@ensp.unl.pt</email> (I.F.); <email>isabelc@ihmt.unl.pt</email> (I.C.); <email>pferrinho@ihmt.unl.pt</email> (P.F.) 
700 1 |a Craveiro, Isabel  |u Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Rua da Junqueira 100, 1349-008 Lisboa, Portugal; <email>ines.fronteira@ensp.unl.pt</email> (I.F.); <email>isabelc@ihmt.unl.pt</email> (I.C.); <email>pferrinho@ihmt.unl.pt</email> (P.F.) 
700 1 |a Leila Senna Maia  |u Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524-7° andar, Blocos D e E–Maracanã, Rio de Janeiro 20550-013, RJ, Brazil; <email>luciana.ribeiro@ifrj.edu.br</email> (L.R.C.); <email>apco.hrh@gmail.com</email> (A.P.C.d.O.); <email>senna.maia@gmail.com</email> (L.S.M.); <email>dalpozm@uerj.br</email> (M.R.D.P.) 
700 1 |a Chança, Raphael  |u Instituto Nacional do Câncer, Rua Marquês de Pombal 125, 12° andar Centro, Rio de Janeiro 20230-240, RJ, Brazil; <email>raphael.chanca@inca.gov.br</email> 
700 1 |a Boniol, Mathieu  |u Health Workforce Department, World Health Organization, Av. Appia 20, 1202 Geneva, Switzerland; <email>boniolm@who.int</email> 
700 1 |a Ferrinho, Paulo  |u Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Rua da Junqueira 100, 1349-008 Lisboa, Portugal; <email>ines.fronteira@ensp.unl.pt</email> (I.F.); <email>isabelc@ihmt.unl.pt</email> (I.C.); <email>pferrinho@ihmt.unl.pt</email> (P.F.) 
700 1 |a Dal Poz, Mario Roberto  |u Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524-7° andar, Blocos D e E–Maracanã, Rio de Janeiro 20550-013, RJ, Brazil; <email>luciana.ribeiro@ifrj.edu.br</email> (L.R.C.); <email>apco.hrh@gmail.com</email> (A.P.C.d.O.); <email>senna.maia@gmail.com</email> (L.S.M.); <email>dalpozm@uerj.br</email> (M.R.D.P.) 
773 0 |t International Journal of Environmental Research and Public Health  |g vol. 21, no. 9 (2024), p. 1134 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3110483091/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
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