COVID-19 Vaccines From the Perspective of Healthcare Professionals and Medical School Students: How did Vaccine-related Concerns Influence Our Decisions?

Öz

AIM Vaccination hesitancy poses a solemn resistance to ensuring society's immunity. In our study, we aimed to investigate the level of hesitation and rejection of the Coronavirus disease of 2019 (COVID-19) vaccine and define the factors that may affect the vaccine decision-making process. MATERIALS AND METHODS: A survey study was conducted with the medical students, assistants and academicians of Selcuk University Faculty of Medicine. A total of 701 individuals agreed to participate in the cross-sectional study. Data were assembled from February to March 2022. RESULTS: 73% of the participants were students, 13.6% were assistants, and 13.4% were academics. The majority of the participants (97.7%) had the COVID-19 vaccine. 2.3% of the participants refused to be vaccinated against COVID-19, and 37.5% of the vaccinated had concerns about the vaccine. Those with hesitant about vaccines had concerns about the side effects and safety. The most significant concern was the possibility of adverse effects other than defined (n = 125). The number of participants who stated there was not enough time to confirm vaccine safety was 104 (14.8%). The number of participants who thought the vaccine was not sufficiently tested enough was 96 (13.7%). The number of participants who doubted the vaccine's safety was 91 (13%) due to the vaccine production process being swift. Eighty-five (11.7%) participants thought the vaccine might fail in new viral strains. CONCLUSION: Vaccine acceptance is elevated among the academics, assistants and students of the faculty of medicine. The most crucial reason for vaccine hesitation is safety and efficacy concerns. However, these concerns have not led to robust vaccine rejection.

Anahtar Kelimeler

• COVID-19
• Vaccine concern
• Helathcare Professionals
• Medical School Students

Sağlık Çalışanları ve Tıp Fakültesi Öğrencilerinin Gözünden COVID-19 Aşısı: Aşı İle İlgili Endişeler Kararımızı Ne Kadar Etkiledi?

Öz

AMAÇ Aşı tereddütü, toplum bağışıklığının sağlanmasında ciddi zorluklar doğurur. Çalışmamızda, COVID-19 aşı tereddüt ve red düzeyini araştırmayı ve aşı karar verme sürecini etkileyebilecek faktörleri belirlemeyi amaçladık. GEREÇ VE Yöntem: Selçuk Üniversitesi Tıp Fakültesi öğrencileri,asistanları ve öğretim üyelerini kapsayan bir anket çalışması yapıldı. Toplam 701 kişi bu kesitsel çalışmaya katılmayı kabul etti. Veriler Şubat-Mart 2022 aralığında toplandı. BULGULAR: Katılımcıların %73’ü öğrenci, %13.6’sı asistan ve %13.4’ü öğretim üyesi idi. Katılımcıların çoğunluğu (%97,7) COVID-19 aşısı yaptırmıştı. Katılımcıların %2.3’ü COVID-19 aşısı olmayı reddederken,aşı yaptırmış olanların %37.5’inin aşı ile ilgi endişelere sahip olduğu tespit edildi. Aşı tereddütü yaşayanların çoğu aşıların yan etkileri ve güvenliği ile ilgili endişelere sahipti. olabileceği(%17.8), Öğrencilerin çoğu aşının yan etkileri (%96,8) ve etkisizliği (%93,2) ile ilgili endişelere sahipti. COVID-19 aşısının en çok teyit edilen engelleri, aşının olumsuz etkilerine ilişkin eksik veriler (potansiyel %74,17 ve bilinmeyen %56,31) ve aşının kendisine ilişkin yetersiz bilgidir (%72,76). SONUÇ: Hükümet, sağlık otoritesi karar vericileri, tıp uzmanları, ve Mısır'daki üniversitelerin birlikte çalışması ve tereddütleri azaltmak ve aşılar konusunda farkındalığı artırmak, dolayısıyla COVID-19 aşılarının kabulünü iyileştirmek için çaba sarf etmesi gerekiyor.

Anahtar Kelimeler

• COVID-19
• Aşı tereddütü
• Sağlık çalışanları
• Tıp fakültesi öğrencileri

Kaynakça

1. 1. Sallam M. COVID-19 Vaccine Hesitancy Worldwide: A Concise Systematic Review of Vaccine Acceptance Rates. Vaccines (Basel). 2021;9(2):160.
2. 2. Karafillakis E, Dinca I, Apfel F, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016 Sep 22;34(41):5013-5020.
3. 3. Saied SM, Saied EM, Kabbash IA, Abdo SAE. Vaccine hesitancy: Beliefs and barriers associated with COVID-19 vaccination among Egyptian medical students. J Med Virol. 2021 Jul;93(7):4280-4291.
4. 4. Tanrıkulu Y,Tanrıkulu G. Aşı tereddütü ve ebeveynlerin tutumları Balıkesir Sağlık Bilimleri DEgisi 2021;10(2),199-204
5. 5. Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA. How do physicians immunize their own children? Differences among pediatricians and nonpediatricians. Pediatrics. 2005 Nov;116(5):e623-33.
6. 6. H.G. Hollmeyer, F. Hayden, G. Poland, U. Buchholz Influenza vaccination of health care workers in hospitals–a review of studies on attitudes and predictors. Vaccine, 2009;27(30): 3935-3944
7. 7. Kader Ç, Erbay A, Demirel MS, et al . Evaluation of attitudes and behaviors of healthcare professionals towards COVID-19 vaccination. Klimik Derg. 2022;35(1):31-5.
8. 8. Kurtuluş Ş, Can R. What do health care professionals think about Covid-19 vaccine applications: A university example. Harran Univ Tıp Fak Derg. 2021;18(1):29-34

9. 9. Xu B, Gao X, Zhang X, Hu Y, Yang H, Zhou YH. Real-world acceptance of covid-19 vaccines among healthcare workers in perinatal medicine in China. Vaccines. 2021;9(7):1–10.
10. 10. Elharake JA, Galal B, Alqahtani SA, et al. COVID-19 Vaccine Acceptance among Health Care Workers in the Kingdom of Saudi Arabia. Int J Infect Dis. 2021;109:286–93.
11. 11. Dzieciolowska S, Hamel D, Gadio S, et al. Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey. Am J Infect Control. 2021;49:1152–7.
12. 12. Holzmann-Littig C, Braunisch MC, Kranke P, et al. Covid-19 vaccination acceptance and hesitancy among healthcare workers in Germany. Vaccines. 2021;9(7).
13. 13. Abuown A, Ellis T, Miller J, et al. COVID-19 vaccination intent among London healthcare workers. Occup Med (Chic Ill). 2021;71(4–5):211–4.
14. 14. Maraqa B, Nazzal Z, Rabi R, Sarhan N, Al-Shakhra K, Al-Kaila M. COVID-19 vaccine hesitancy among health care workers in Palestine: A call for action. Prev Med. 2021;149:106618.
15. 15. Gagneux-Brunon A, Detoc M, Bruel S, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021;108:168-73
16. 16. Farah W, Breeher L, Shah V, Hainy C, Tommaso CP, Swift MD. Disparities in COVID-19 vaccine uptake among health care workers. Vaccine. 2022 Apr 26; 40(19): 2749–2754
17. 17. Qunaibi E, Basheti I, Soudy M, Sultan I. Hesitancy of Arab Healthcare Workers towards COVID-19 Vaccination: A Large-Scale Multinational Study. Vaccines (Basel). 2021;9(5).
18. 18. Ackah M, Ameyaw L, Gazali Salifu M, et al. (2022) COVID-19 vaccine acceptance among health care workers in Africa: A systematic review and meta-analysis. Plos One 17(5): e0268711.
19. 19. Oh SW. COVID-19 Vaccine Hesitancy among Health Care Workers. Korean J Fam Med. 2021 Nov;42(6):411-412.
20. 20. Jain J, Saurabh S, Kumar P, et al. COVID-19 vaccine hesitancy among medical students in India.Epidemiol Infect. 2021; 149: e132.
21. 21. Gao X, Li H, He W, Zeng W. COVID-19 Vaccine Hesitancy Among Medical Students: The Next COVID-19 Challenge in Wuhan, China. Disaster Med Public Health Prep. 2021;9:1–6.
22. 22. Raja SM, Osman ME, Musa AO, Hussien AA, Yusuf K. COVID-19 vaccine acceptance, hesitancy, and associated factors among medical students in Sudan. PLoS One. 2022; 17(4): e0266670.
23. 23. Alıcılar HE, Türk MT, Toprak ÖN, ve ark. Ankara Üniversitesi Tıp Fakültesi Dönem 3 Öğrencilerinin COVID-19 Aşılarına Karşı Tutumları ve İlişkili Faktörler Ankara Üniversitesi Tıp Fakültesi Mecmuası 2022;75(1):69-76
24. 24. Biswas N, Mustapha T, Khubchandani J. et al. The Nature and Extent of COVID-19 Vaccination Hesitancy in Healthcare Workers. J Community Health 2021;46:1244–1251.