COVID-19 vaccine hesitancy among health care workers in the middle east region

ABSTRACT

Background: Coronavirus disease 2019 (COVID-19) vaccine development is the best approach to fight the disease. However, rising vaccine hesitancy can make widespread vaccine application difficult. Objectives: To explore health care workers' attitudes towards the COVID-19 vaccine and find the reasons lying behind vaccine hesitancy among participants. Methods: Our study was a cross-sectional survey. An anonymous online questionnaire was sent to a sample of health care workers living and working in the Middle East region. Data collected included demographic data, educational attainment, household crowding, risk factors for severe COVID-19 infection, influenza vaccination history, and questions about COVID-19 vaccine acceptance. Results: We received 864 validated responses. The study included 365 physicians, 391 nurses, and 108 allied professions. Females represented 61% of participants and 98.5% of participants were below 65 years old. Around 60% of participants were hesitant to get the COVID-19 vaccine. The commonest reasons for hesitancy were lack of information and fear of side effects. Vaccine acceptance was higher among males (p< 0.001), physicians (p= 0.017), participants with medical risk factors (p= 0.017), and participants vaccinated against influenza (p< 0.001). After control for other factors, male (OR, 1.94;CI 1.42-2.66), married participant (OR, 1.89;CI 1.22-2.92), living in a less crowded accommodation (OR, 1.33;CI 1.11-1.59), and who got influenza vaccine (OR, 1.64;CI 1.13-2.37) tended to accept the COVID-19 vaccine more likely. Conclusion: Rates of vaccine hesitancy among health care workers were high. The current pandemic offers an opportunity to establish better vaccine confidence towards the COVID-19 vaccine and vaccines in general.