Abstract
Hesitancy towards the coronavirus disease 2019 (COVID-19) vaccine has been a topic of considerable concern in recent months. Studies have reported hesitancy within the general population and specific facets of the health care system. Little evidence has been published about vaccine hesitancy among Emergency Medical Services (EMS) providers despite them having played a frontline role throughout the pandemic. A 27-question survey examining vaccination decisions and potential influencing factors among EMS providers was created and disseminated. Responses from providers who declined a COVID-19 vaccine were compared with responses from providers who did not decline a COVID-19 vaccine. Across 166 respondents, 16% reported declining a COVID-19 vaccine. Providers who self-identified as men, providers who reported conservative or conservative-leaning beliefs, and providers surrounded by environments where the vaccine was discussed negatively or not encouraged are significantly more likely to decline a vaccine (P <.01). Providers who have declined a vaccine reported significantly greater levels of concern about its safety, effectiveness, and development (P <.01). This study answers key questions about why some EMS providers might be declining COVID-19 vaccinations. Initiatives to improve vaccination among EMS providers should focus on the areas highlighted, and further studies should continue to examine vaccine hesitancy among EMS providers as well as in other populations.
Highlights
In the United States, the first vaccines designed for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2)/coronavirus disease 2019 (COVID-19) were authorized and first administered in therapeutic settings beginning in December 2020.1 Early vaccine doses were prioritized for health care workers, and this allocation strategy has epidemiological and ethical support.[2,3,4] Despite this, vaccine hesitancy has been widely reported among the general public and health care workers, including Emergency Medical Services (EMS) providers.[5,6,7,8] Experts suggest minimal vaccine hesitancy will yield the greatest chance of ending the pandemic.[9]
Initiatives to improve vaccination among EMS providers should focus on the areas highlighted, and further studies should continue to examine vaccine hesitancy among EMS providers as well as in other populations
This study aims to explore the sociological, psychological, and environmental factors influencing vaccine hesitancy among EMS providers
Summary
In the United States, the first vaccines designed for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2)/coronavirus disease 2019 (COVID-19) were authorized and first administered in therapeutic settings beginning in December 2020.1 Early vaccine doses were prioritized for health care workers, and this allocation strategy has epidemiological and ethical support.[2,3,4] Despite this, vaccine hesitancy has been widely reported among the general public and health care workers, including Emergency Medical Services (EMS) providers.[5,6,7,8] Experts suggest minimal vaccine hesitancy will yield the greatest chance of ending the pandemic.[9]. This study aims to explore the sociological, psychological, and environmental factors influencing vaccine hesitancy among EMS providers. Hesitancy towards the coronavirus disease 2019 (COVID-19) vaccine has been a topic of considerable concern in recent months. Methods: A 27-question survey examining vaccination decisions and potential influencing factors among EMS providers was created and disseminated. Results: Across 166 respondents, 16% reported declining a COVID-19 vaccine. Providers who have declined a vaccine reported significantly greater levels of concern about its safety, effectiveness, and development (P
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