Intention to vaccinate against COVID-19 of Thai people in Trang province, Thailand: a cross-sectional study

Background: Coronavirus disease 2019 (COVID-19) is an epidemic that has greatly affected the daily life of people around the world. This epidemic, in addition to affecting lives, also affects other matters such as the economy or government administration that need to find ways to reduce the epidemic rate. That is to provide adequate quality vaccines for the people of the country. Finally, the government finds measures to stop the spread of COVID-19. Objectives: This study aimed to assess an acceptance to be vaccinated against COVID-19. Materials and Methods: Intention to be vaccinated against COVID-19 was measured with a question A"When a vaccine for COVID-19 is ready for you, will you get vaccinated?A" Response options were A"yes, A" A"not sureA" and A"no.A" Participants who responded A"not sureA" or A"noA" were asked to provide a reason. Results: A total of 400 responses were received. Overall, 38.5% (n = 154) of participants intended to get vaccinated, 29.5% (n = 117) were unsure, and 32.25% (n = 129) were not planning to get vaccinated. Factors that are independently related to vaccine hesitancy (A"not sureA" or A"yesA" response) include being male, risk perception of getting COVID-19, confidence in the government in handling the pandemic. Conclusion: A total of 400 participants, in the study, 38.5% (n = 154) of participants intended to get vaccinated, 29.5% (n = 117) were unsure, and 32.25% (n = 129) were not planning to get vaccinated. Male participants had a higher chance to refuse to vaccinate more than female 2.69 times. Predictive factors for COVID-19 vaccination were risk perception of contracting COVID-19 and lack of confidence in the government handling the pandemic of COVID-19.

Willingness to vaccinate against coronavirus disease-19 of high school students

Background: Over a year of the spreading of coronavirus disease (COVID-19), there is now the development of COVID- 19 vaccines with various developers. In Thailand, there are two developers;Sinovac and AstraZeneca. Due to the limited supply, the government of Thailand announced the first very first group to be vaccinated is health workers and persons younger than 18 were not recommended to take the vaccine. According to the Thailand situation, knowing the willingness of Grade 12 students is important because they are the next group of people to take the vaccine. The government should consider the factors that make them or make them not take the vaccine for the country to pass through the COVID-19. Objectives: The purpose of this study was to assess knowledge and understanding regarding COVID19, risk perception of getting COVID-19, level of news perception about COVID-19, and the concern with the willingness to vaccinate against COVID-19 among grade 12 students of Chonkanyanukoon school. Materials and Methods: The study was conducted using a questionnaire in April 2021. A total of 246 students participated. Questions related to knowledge and understanding regarding COVID19, risk perception of getting COVID-19, level of news perception about COVID-19, and the concern with a willingness to vaccinate against COVID-19 were assessed. Differences between outcomes and socio-demographics were analyzed through independent t-test and the ANOVA. For the willingness to vaccinate was analyzed by a generalized linear model. This study is quantitative research, which involves developing a survey. The survey is in the format of Google Forms which was developed from March 01 to April 27, 2021, and was sent out to Grade 12 students of Chonkanyanukoon school, Chonburi, Thailand students on April 08. The survey was voluntary and 246 responses were received. Results: Students revealed good knowledge and understanding regarding COVID-19, correctly answering 8.5 scores (standard deviation [S.D.] = 1.64) from 10 questions, moderate level of risk perception at an average score of 17.17 (S.D. = 5.99) out of 25 questions, and a high Level of COVID-19 news perception which the average score of 7.97 (S.D. = 1.48) from ten questions and willingness to vaccinate against COVID-19 with the average score of 3.10 (S.D. = 1.73) out of five questions. The news perceptions of COVID-19 (Beta = 0.314, P = 0.01) and the chance of contracting COVID-19 (Beta= 0.130, P = 0.01). Conclusion: This study provides useful data to identify the probability of the students taking the COVID- 19 vaccine. Consistency is essential to promote good knowledge and attitude in taking the COVID19 vaccine.

Determinants of COVID-19 vaccine acceptance amongst doctors practising in Cross River State, Nigeria

Background: COVID-19 vaccine is one of the most effective public health intervention approaches for prevention of COVID-19. Despite its well-known efficacy and safety, significant proportion of frontline COVID-19 healthcare workers remain hesitant about accepting the vaccine for whatever reasons. This study aimed to determine acceptance rate and determinants of vaccine refusal among doctors in Cross River State, Nigeria. Methodology: This was a cross-sectional survey of doctors using structured online questionnaire administered via the WhatsApp platform of the medical doctors' association, in order to assess their rate of acceptance of COVID-19 vaccines, and reasons for vaccine refusal. The predictors of vaccine acceptance were analysed by univariate and multivariate logistic regression analyses. Result(s): Of the 443 medical doctors targeted on the WhatsApp platform, 164 responded to the questionnaire survey, giving a response rate of 37.0% (164/443). The mean age of the respondents is 38 +/-6.28 years, 91 (55.5%) are 38 years old and above, 97 (59.1%) are males and 67 (40.9%) are females, giving a male-to-female ratio of 1.4:1. The greater proportion of the respondents are physicians (70/148, 47.3%) and about three-quarter of the participants (127/164, 77.4%) had received COVID-19 vaccine. The proportion of physicians who had received COVID-19 vaccine (57/70, 81.4%) was more than the proportion of general practitioners (31/42, 73.8%) and surgeons (24/35, 68.6%). Low perceived benefit of vaccination was the main reason given for COVID-19 vaccine refusal (45.9%, 17/37). No significant association was found between vaccine refusal and suspected predictors (p>0.05). Conclusion(s): Our study revealed high rate of COVID-19 vaccine acceptance among medical doctors especially among the physicians, with the surgeons showing lowest acceptance rate. A significant proportion would not take vaccine because they perceived it lacks much benefits. To raise vaccine acceptance among doctors, more efforts on vaccine literacy that would target doctors from all sub-specialties especially surgeons and incorporate vaccine benefits should be made.Copyright 2023 AJCEM Open Access. This article is licensed and distributed under the terms of the Creative Commons Attrition 4.0 International License <a rel="license" href="http://creativecommons.org/licenses/by/4.0/", which permits unrestricted use, distribution and reproduction in any medium, provided credit is given to the original author(s) and the source. Editor-in-Chief: Prof. S. S. Taiwo.

Successfully completed the European project to support and strengthen vaccine awareness

IMMUNION (Improving IMMunisation cooperation in the European UNION) is a European project having the objective to support vaccine strategies. The project (active from April 2021 to March 2023) has contributed to improve knowledge on vaccines and vaccinations among health professionals and the information circulation in different target groups, through a multistakeholder collaboration including institutions, associations and media. The IMMUNION consortium has been focusing on activities of survey, professional training and communication, even with the aim to sustain visibility and role of the Coalition for Vaccination. In particular, ISS has coordinated the Work Package on finalising vaccine communication tools to increase vaccination compliance in target communities.

A cross sectional study of the parent's willingness to vaccinate children of age group between 5-12 years against COVID-19

Introduction: The emerging respiratory illness caused by SARS-CoV-2 has posed the threat to human life across the globe. Various physical measures applied to curb the spread of the virus in initial phase of pandemic but high level of immunity by vaccination is an effective strategy to reduce the morbidity and mortality. To achieve this parent's willingness is important for vaccination of children. Objectives: To study the parent's willingness and associated factors to vaccinate the children with Covid-19 vaccine. Material & Methods: The cross sectional study conducted in the month of July 2022. A confidential interview of 300 parents visited to OPD was taken. Information obtained about socio-demography, routine immunization and comorbidity in children, parents COVID-19 vaccination, COVID-19 infection and hospitalization in family members and willingness for children's covid-19 vaccination. Results: Out of 300 parents around 253(84.3%) parentswere willing, 10(3.3%) not willing and 37(12.3%) not sure about children's vaccination. hospitalization of family members, parental vaccination against Covid-19, vaccination of siblings > 12 years, parents having 1- 2 children were significantly associated with willingness. Conclusion: Counselling of parents to relieve the anxiety is needed, communicating clear information about vaccination and expected side effects of the vaccine, provision of reliable source of information like family physician, health care workers.

The effect of having COVID-19 on anti-vaccination: observational prospective study

Objective: In this study, the effect of having had coronavirus disease-2019 (COVID-19) disease on anti-vaccination was investigated. Material and Methods: The study was conducted between February 2022-August 2022 in the COVID chest diseases clinic in our hospital. The cases who were COVID-19 vaccine hesitancy and not vaccinated against COVID-19 hospitalized in our clinic were included in the study. The level of anti-vaccination of the cases was measured with the Vaccine Hesitancy Scale (VHS). In addition, demographic informations such as age, gender, educational status, marital status, number of people living in the household, average monthly income, smoking history, and additional chronic diseases were recorded. Routine radiological and laboratory examinations, follow-up times in the clinic, and treatment results were recorded for cases like all patients hospitalized in our COVID chest diseases clinic. Results: 46 cases were included in the study. The mean age of the cases was 54.63+or-14.81 years, 24 (52.1%) were female. VHS was applied to all cases at the time of hospitalization. Since 6 cases were referred to the intensive care unit due to respiratory failure, the second VHS could not be applied to these cases, and these 6 cases were excluded from the study. A 2nd VHS was performed in the remaining 40 patients just before discharge. Each question score, A-B-C section score and total scale score were compared for the pre-COVID-19 and post-COVID-19 cases. While the VHS total score before COVID-19 infection was 36.48+or-7.36, the post-COVID-19 total score was found to be 25.65+or-9.10, a statistically significant decrease was observed (p < 0.001). It was observed that the mean scores of A-B-C decreased statistically in all sections (p < 0.001). Conclusion: As a result of our study, we found that the degree of anti-vaccine resistance decreased after the patients who were against the COVID-19 vaccine had the disease. As a result of our study, we found that the degree of COVID-19 vaccine hesitancy of patients decreased after they had the disease. We believe that conducting similar studies and sharing their results through mass media, can change the perspective of vaccine hesitancy individuals in society on this situation, especially during pandemic periods.

Effect of knowledge, social and religious factors effecting the intention of Muslims in Pakistan to receive COVID-19 vaccination: mediating role of attitude towards COVID-19 vaccination

PurposeThis study aims to empirically examine the knowledge, social and religious factors effecting the intention to receive COVID-19 vaccination while considering the mediating role of attitude towards COVID-19 vaccination. The research explores how the Islamic ideologies shape Muslims' knowledge, social and religious beliefs towards COVID-19 vaccination acceptance or refusal.Design/methodology/approachTheoretically, the study is based on the functional theory of attitudes. The model of the study is comprised of nine variables explaining the attitude and intention towards COVID-19 vaccination. Among nine variables, perceived Islamic religiosity, perceived behavioural control and Halal consciousness among Muslims are explained through the value-expressive function of attitude. Furthermore, the perceived risk of COVID-19, the perceived side effect of COVID-19 vaccination and the perceived efficacy of COVID-19 vaccination are considered in the model based on the utility function of attitude. Moreover, social influence for COVID vaccination, subjective norms and group conformity are ed from the social-adjustive function of attitude. This study used a quantitative survey research method to test the hypotheses. A total of 1,000 questionnaires were distributed to non-vaccinated Muslim respondents from five cities in Pakistan. The structural equation modelling (SEM) technique was used to test the relationship among the variables in the proposed model. The partial least square-SEM method explained the variances in the dependent variables. Moreover, to test the structure of data, different statistical tests, including exploratory factor analysis (EFA), factor loadings and average variance extracted, were used with the help of Statistical Package for the Social Sciences (SPSS) and analysis of a moment structures (AMOS) 23.0 version.FindingsResults for direct effect showed a significant negative effect of Islamic religiosity, perceived behavioural control, halal consciousness, perceived side effect of COVID-19 vaccination, social influence, subjective norm and group conformity on attitude towards COVID-19 vaccination. In contrast, insignificant results showed no relationship of perceived risk from COVID-19 infection and perceived efficacy of COVID-19 vaccination with attitude towards COVID-19 vaccination. Results for mediating effect showed the significant negative mediating effect of attitude towards COVID-19 vaccination between Islamic religiosity, perceived behavioural control, halal consciousness, perceived side effect, social influence, subjective norm, group conformity and intention to receive COVID-19 vaccination. While results showed the insignificant mediation of attitude towards COVID-19 between perceived risk from COVID-19 infection, perceived efficacy of COVID-19 vaccination and intention to receive COVID-19 vaccination.Research limitations/implicationsFurther studies are required to compare the attitude and intention among the temporary refusal group (those who will consider vaccination the future) and the permanent refusal group (those who will not consider vaccination the future). Comparing Muslim and non-Muslim groups can also explain differences in attitude and intention towards COVID-19 vaccination.Originality/valueThe area of acceptance and refusal of COVID-19 vaccination has been given limited attention in academic literature. Theoretically, this research has proposed a well-defined model to explain the attitude of Muslims towards COVID-19 vaccination. This model can helpf predict the attitude and intentions of Muslims towards vaccination or medicines. Moreover, this research is a unique contribution for the vaccination brands to consider the discussed factors before launching their brand in Muslim countries.

Appropriateness of COVID-19 vaccine and misconceptions among Pakistani population: a web-based national survey

Background: Uncertainty about any kind of medication will be a potential threat. Hesitancy regarding vaccination is a danger to overall global public health. Since it's the first-time global efforts were made to develop a vaccine against the pandemic of COVID-19. So, this is unknown its acceptance in the community. Getting information regarding the key determinants that influence and potential myths about the vaccine might help full to develop strategies that can help improve the vaccination programs globally. This study aimed to assess the prevalence of the acceptance of the COVID-19 vaccine, its determinants, and myths about the vaccine among people in Pakistan. Methods: A descriptive web-based based study was done, using snowball sampling, bilingual, and a self-administered close-ended questionnaire was sent to participants through google forms on social media platforms and email. Results: A total of 463 participants from all over Pakistan showed the minimum level of secondary education. The occupational status of the participants showed that (45.1%) were currently employed. Vaccination and their perception can be influenced by educational/socioeconomic statuses, participants were also asked about factors they considered to be the most influential in terms of encouraging and discouraging. Fear of getting an infection was the most encouraging factor (39.1%) for people to get vaccinated, whereas adverse effects via social and digital media were the most demotivating factor (36.5%). Participants were asked the reasons for their reluctance;most were afraid of an allergic reaction to the vaccine. The various myths and misconceptions associated with the Covid vaccine showed by logistic regression analysis for factors that were potentially associated with the intake of covid vaccination. Conclusion: Addressing educational/sociodemographic factors relating to the COVID-19 vaccination might help encourage the uptake of the vaccination program globally which also tackles future pandemics.

Barriers, refusal and a hypothetical monetary incentive for Covid-19 vaccination in Mexican adults

Objective. To estimate vaccine uptake and assess sociodemographic conditions associated with vaccination barriers and refusal and to explore the effect of a monetary incentive to overcome them. Materials and methods. We used data from adults from the 2021 National Continuous Health and Nutrition Survey conducted during August-October 2021. We evaluated if an hypothetical monetary incentive between 50-650 MXN (~2.5-31 USD) would overcome barriers or refusal. Results. 73.9% were vaccinated with at least one dose, 7.5% refused, 4.8% reported barriers and 13.8% were ineligible at the time of the survey. Refusal and barriers were more frequent in men, older age, lower education and socioeconomic status, unemployed and informal workers. In people with barriers and refusal, the hypothetical incentive increased the acceptance in 57.6% (95%CI 50.7,64.4%) and 17.4% (95%CI 13.2,21.7%) in people with barriers and refusal, respectively. Conclusion. Understanding the reasons for barriers and refusal is crucial for future Covid-19 vaccination campaigns or epidemics. A monetary incentive might increase vaccination uptake, although, cost-effectiveness analyses are needed. © 2023,Salud Publica de Mexico. All Rights Reserved.

COVID-19 vaccine hesitancy and its associated factors among Health Care Workers of Islamabad

Background: Covid-19 has been declared a global pandemic by WHO. Health Care Workers (HCWs) being the front-line warriors have been most exposed to the SARS-CoV-2 virus. Vaccine hesitancy against Covid-19 has been seen among HCWs. The main aim of the research was to find the hesitancy rates of vaccine among HCWs and the pulling and pushing factors to get vaccinated. Methods: A descriptive cross-sectional study was conducted on HCWs. Questionnaires on Google forms were sent to all participants through their WhatsApp number and data was analysed through SPSS version 23.0. Results: Out of 81 HCWs selected, 51.9% (n=42) were initially hesitant when the vaccine was first introduced. The main pulling factor initially to get vaccinated was to shield loved ones, 38.75% (n=31) and 46.2% (n=37) of them received a booster dose of vaccine mainly due to employment requirements. Out of the total, 19.75% (n=16) are still hesitant even after vaccination and the most common pushing factors were fear of the side effects and inadequately tested vaccines. Conclusion: Though the majority of the HCWs got vaccinated, vaccine hesitancy is still present among the HCWs and the major reason is uncertainty about the side effects it could cause in the long term.

Exploring the underlying factors of COVID-19 vaccination hesitancy in Ahvaz, Iran: a comprehensive cross-sectional study.

Purpose: Around 70% of the Iranian population had received two doses of coronavirus disease 2019 (COVID-19) vaccines by the end of 2021. In this study, we evaluated the reasons for vaccination refusal among people in Ahvaz, Iran. Materials and Methods: In this cross-sectional study, 800 participants (400 vaccinated and 400 unvaccinated) were recruited. A demographic questionnaire was completed through interviews. The unvaccinated participants were asked about the reasons for their refusal. The Shapiro-Wilk test, independent t-test, chi-square test, and logistic regression were used for analyzing data. Results: Older people were 1.018 times more likely to refrain from vaccination (95% confidence interval [CI], 1.001-1.039; p=043). People who were manual workers as well as those who were unemployed/housewives were 0.288 and 0.423 times less likely to receive vaccination, respectively. Those with high school education and married women were 0.319 and 0.280 times less likely to receive vaccination, respectively (95% CI, 198-0.515; p<0.001; 95% CI, 0.186-0.422; p<0.001). Participants who had hypertension or suffered from neurological disorders were more likely to receive the vaccination. Finally, people affected with severe COVID-19 infection were 3.157 times more likely to get vaccinated (95% CI, 1.672-5.961; p<0.001). Conclusion: The results of this study showed that lower level of education and older age were contributed to reluctance for vaccination, while having chronic diseases or being already infected with severe COVID-19 infection were associated with more acceptance of vaccination.

Factors influencing parents' decisions to give COVID-19 vaccinations to children

The Covid-19 vaccination policy for children caused a different response in the community, especially from parents. There are still parents who decide not to vaccinate their children. This study aims to look at the factors that influence the decision of parents to give Covid-19 vaccinations to their children. Some of the independent variables in this study were the children's characteristics, parent characteristics, the history of Covid-19 sufferers in the family, and the history of Covid-19 vaccination in relatives' children. This is a cross-sectional survey study with a sample of 280 parents with children aged 6-11 years in Greater Jakarta. The results showed there were still many respondents who said they were afraid of the side effects of the covid-19 vaccination in children (39.4%), did not know the directions for the vaccine and did not know that the covid-19 vaccination could be given to children (15.2%) and still have doubts about the covid-19 vaccination in children (6.1%). The dominant variable that influences parents' decisions in giving vaccinations to children is the children's age (p-value: 0,001, odds ratio: 1,677, confidence interval: 1,252-2,246), number of children (p-value: 0,013 odds ratio: 0,304, confidence interval: 0,070-1,445) and the history of Covid-19 vaccination in relatives' children (p-value: 0,000, odds ratio: 4,881, confidence interval: 2,175-10,954). This study concludes that there are doubts and obstacles for parents in making decisions to give covid-19 vaccinations to their children. To make a positive response from parents to the covid-19 vaccination policy, good information and examples of the covid-19 vaccination policy for children are needed.

Qualitative assessment of COVID-19 vaccination acceptance among healthcare workers in Pima County.

In the Spring of 2021, the COVID-19 vaccination was authorized for emergency use by the Food and Drug Administration. Healthcare workers (HCWs) are one of the most trusted sources of information for vaccination choices. However, HCWs at this time appeared to continue to have lower rates of COVID-19 vaccination uptake than expected in Arizona. The objective of this study was to examine factors that play a role in the vaccination decision-making process among Arizona HCWs. Between January and April 2021, 18 semi-structured interviews were conducted among physicians, emergency medical technicians and long-term care nurses in Pima County. The informed consent process was completed for each participant. The interview guide was informed by the Increasing Vaccination model to collect information on vaccination decision-making. A codebook was developed using an inductive approach. Coding and analysis was conducted using the software MAXQDA. Participants were primarily male (11/18, 61%) and white (11/18, 61%). Three participants identified as Hispanic. Initial themes that emerged included: mixed opinions concerning the innovations in COVID-19 vaccine development, access-related barriers, issues related to distribution inequities, concerns about misinformation and conspiracy theories, and dialogue concerning the benefits of requiring mandatory vaccination. The results gathered from this study indicate that there continues to be hesitancy among some healthcare professionals in Pima County. These results will be used to help Arizonan Health Departments promote rollout of novel vaccines more effectively through targeting relevant vaccination decision-making factors among HCWs.

Allergology assessment prior to administration of COVID-19 vaccine in patients with allergy history

Background: The diagnosis of drug allergy requires a previous medical history suggestive of a Drug Hypersensitivity Reaction (DHR). DHRs caused by vaccines are rare (< 1/100.000 doses) and are mainly due to excipients. At the beginning of the COVID-19 vaccination, occasional cases of severe reactions were reported in patients with allergy history. This warning led to an increased demand for allergy testing to evaluate pre-vaccination risk assessment, especially due to the refusal of allergic patients to receive the vaccine. Method(s): Twenty patients were evaluated between May to July 2021, referred for allergology study prior to receiving the vaccine against COVID-19. All patients tested had allergy history. Skin tests were performed with the available excipients of the COVID-19 vaccine: polyethylene glycol (PEG-1500, 10% prick ROXALL), polysorbate 80 (tween 80 prick 0.04 -ID 0.004 mg/ml), and trometamol (prick 1 -ID 0.1 mg/ml). A telephone follow-up was subsequently performed to assess tolerance to the vaccine. Result(s): The median age of the patients was 54.5 years and ninety percent were female. (Table 1) The most frequent allergy history was adverse drug reactions (ADRs) in 18 patients (90%), followed by bronchial asthma (35%), rhinitis (25%), food allergy (25%), and dermatitis (15%). 12 patients (60%) had multiple allergic diseases. The drugs implicated in these ADRs were beta-lactam antibiotics (40%), NSAIDs (20%), radiographic contrast media (15%), and vaccines (15%). Skin tests with the excipients studied were negative in all cases. Subsequently, the COVID-19 vaccine was administered in 16 patients (80%). Six patients (30%) reported side effects expected from the vaccine and no DHRs were described. Although vaccination was recommended to all patients after the study, 4 patients (20%) refused the administration. Conclusion(s): Patients with atopic history do not require an allergology study prior to the administration of the COVID-19 vaccine. Exceptionally, it may be necessary if the patient has a history of suspected DHRs to the excipients involved. The previous allergology assessment did not prevent refusal of vaccination in 20% of the patients. (Table Presented).

Thoughts on vaccine hesitancy in the context of coronavirus disease 2019 epidemic.

Vaccines have made great contributions to the prevention of infectious diseases, but vaccine hesitancy is widespread in the world. The reasons for vaccine hesitancy are complex, but the main reasons are the lack of public awareness of vaccine-preventable diseases and the lack of confidence in vaccine effectiveness and safety. In the context of the continuous spread of the coronavirus disease 2019 (COVID-19) epidemic, boosting public confidence and ensuring the orderly development of the vaccination work of COVID-19 vaccines and conventional vaccines are necessary to curb the resurgence of the COVID-19 epidemic and prevent the outbreak of various infectious diseases in China. Under the current situation, the main measures to deal with vaccine hesitancy are to play the role of health care institutions, improve public health literacy, normalize the public opinion orientation of the media platform, strengthen the supervision of vaccine clinical research and production, and do a good job in surveillance and compensation for adverse events following immunization.Copyright © 2021 by the Chinese Medical Association.

Review on COVID-19 vaccine hesitancy

COVID-19 vaccination is one of the most effective ways in the prevention and control of the pandemic worldwide. Achieving high levels of vaccine coverage is a key in minimizing the impact of COVID-19 pandemic on health systems, aged care systems, and communities. However, in many countries and regions, COVID-19 vaccine hesitation and rejection gradually become a huge hurdle for open-up the world again and for the recovery of the global economy. Vaccine hesitancy was already a growing concern worldwide even before COVID-19 pandemic, which significantly reduced the vaccine coverage and hindered the speed of vaccination. Therefore, it was listed as one of the top 10 threats to global health in 2019. The reasons for vaccine hesitancy and rejection remain complex and omnifarious. Targeted interventions tailored to vaccine hesitancy and refusal in specific populations may increase vaccine uptake. The communication-based interventions in health education and health promotion can effectively address the issues of vaccine hesitancy, such as raising vaccine knowledge and prevention awareness in specific populations, improving vaccine availability and accessibility, enforcing vaccination or implementing regulations to those unvaccinated, integrating the newest vaccine knowledge and evidence into routine health practices and procedures, addressing mistrust via dialogue and improving authority of healthcare providers and institutions.

Awareness towards COVID-19 prevention and factors related to the willingness to receive COVID-19 vaccine among people living with HIV/AIDS

Objective: To understand the awareness level towards coronavirus disease 2019(COVID-19) prevention and the willingness to receive COVID-19 vaccine among people living with HIV/AIDS, and to discuss the related factors. Methods: A questionnaire survey was conducted among people living with HIV/AIDS who visited the HIV clinic in the PLA General Hospital from June to December 2021.A general descriptive analysis, univariate and binary logistic regression analysis were performed to analyze data. Results: A total of 169 questionnaires were analyzed. Among them, 93.5%(158/169) would like to know more about COVID-19 related knowledge, 88.2%(149/169) were reminded to inject vaccine, 98.8%(167/169) would be far away from medium and high risk areas, 97.0%(164/169) would persuade others to follow the disease preventive requirements, 14.2%(24/169) thought that the propaganda was exaggerated, 30.8%(52/169) were worried about the safety of the vaccine, 80.5%(136/169) thought that they would feel relieved after the vaccination, and 98.2%(166/169) agreed that vaccination was the most effective way to fight against COVID-19. However, only 60.4%(102/169) were willing to receive COVID-19 vaccine. The major factors affecting vaccination intention were age and feeling safe after vaccination. Conclusions: People living with HIV/AIDS are more cautious about COVID-19 vaccination, therefore the coverage rate is relatively low.It is necessary for health providers to understand the specific situation of people living with HIV, and to enhance the heath education on the safety of COVID-19 vaccine especially among people with HIV/AIDS in order to improve the willingness to receive COVID-19 vaccine.

Vaccine hesitancy and its determinants

The COVID-19 pandemic has made the issue of vaccine effectiveness and safety visible to the general public and has manifested public attitudes towards immunization. It is an issue affecting not only the attitudes towards the new coronavirus and the means of preventing the morbidity of it, which, although it exists long before this crisis, seemed to be brand new to the public. The article introduces the concept of vaccine hesitancy by discussing what are its determinants in our contemporary times. It argues that in-depth interdisciplinary research on the conditions of possibility for building sustainable and reliable immunization policies with a focus on building trust among stakeholders is needed.

Rural women's behavior towards food safety and quality at Damanhour district, Beheira Governorate

The research aimed to identify the behavior of rural women towards food safety and quality at Damanhour Distrct, the simple random sample amounted to 240 respondents, representing 5% of the total. The data were collected through a personal interview by questionnaire. The most important results were: 47.9% of the respondents have a low and medium total level of knowledge of food safety and quality, and 59.5% of them have a low and medium level of implementation of those practices, 52.1% have a negative and neutral attitude towards these practices, 68.3% believe that they have not been previously infected with Covid 19, and 49.2% have not taken the vaccine for Covid 19, the All agreed on the availability of the vaccine, 35% of the respondents have a low and medium level of knowledge of practices related to food safety and quality under Covid 19, and 50.8% have a low and medium level of implementation of those practices. Also, five independent variables together explain 65.4% of the total variance in the respondents' knowledge of practices related to food safety and quality, four independent variables together explain about 62.3% of the total variance in the implementation of practices related to food safety and quality by the respondents. And seven independent variables together explain about 55.4% of the total variance in the attitudes of the rural women respondents towards food safety and quality.

Survey of COVID-19 vaccine hesitancy and investigating reasons for vaccine refusal among healthcare professionals

Objective: Although there are many vaccine developments, vaccine side-effect studies globally, limited literature information on COVID-19 vaccine hesitancy/refusal. In our study, we aimed to investigate the factors for COVID-19 vaccine refusal of healthcare professionals (HCPs). Methods: An online questionnaire was administered to HCPs employed who were not vaccinated with the COVID-19 vaccine during the study period at two pandemic hospitals. Results: A total of 74 who were not vaccinated with COVID-19 vaccine HCPs participated in the survey. A large majority of respondents were female (n=49,66.2%) and nurses (n=35,47.3%), and the average age of HCPs was 32.2 .. 7.8.55.4% of HCPs were not vaccinated against COVID-19, and 44.6% of HCPs were one dose COVID-19 vaccinated. 50% of HCPs were confused about the COVID-19 vaccine. 63.5% of HCPs were not vaccinated as they were waiting for a different form of the current vaccine. 58.1% of HCPs believe that the vaccine doesn't effective as vaccinated people became infected. Conclusion: Measures should be taken to increase the COVID-19 immunization rates of HCPs. The level of knowledge of HCPs about COVID-19 vaccines should be increased. If possible, the opportunity to be vaccinated with different forms of COVID-19 vaccines should be given.