2,676 results match your criteria hesitancy observed

Longitudinal assessment of COVID-19 vaccine acceptance and uptake among frontline medical workers in Los Angeles, California.

Clin Infect Dis 2021 Jul 22. Epub 2021 Jul 22.

Department of Epidemiology, Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, USA.

Background: Sentiments of vaccine hesitancy and distrust in public health institutions have complicated the government-led COVID-19 vaccine control strategy in the United States. As the first to receive the vaccine, COVID-19 vaccine attitudes among front line workers are consequential for COVID-19 control and public opinion of the vaccine.

Methods: This study employed a repeated cross-sectional survey administered at three time points between September 24 - February 6, 2021 to a cohort of employees of University of California, Los Angeles (UCLA) Health and the Los Angeles County Fire Department (LACoFD). Read More

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Uptake rates, knowledge, attitudes, and practices toward seasonal influenza vaccination among healthcare workers in Lebanon.

Hum Vaccin Immunother 2021 Jul 22:1-9. Epub 2021 Jul 22.

Department of Experimental Pathology, Immunology & Microbiology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Despite recommendations and their occupational risk to influenza infection vaccine hesitancy remains a challenge among healthcare workers (HCWs). No studies have been conducted in Lebanon to assess the influenza vaccine's acceptance among HCWs. We conducted a survey to assess factors associated with vaccine uptake and practices among HCWs in Lebanon. Read More

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A Systematic Map of Non-Clinical Evidence Syntheses Published Globally on COVID-19.

Disaster Med Public Health Prep 2021 Jul 22:1-19. Epub 2021 Jul 22.

Institute of Health Policy, Management and Evaluation, University of Toronto, ON, Canada.

Study Objective: Evidence syntheses perform rigorous investigations of the primary literature and they have played a vital role in generating evidence-based recommendations for governments worldwide during the COVID-19 pandemic. However, there has not yet been an attempt to organize them across topic and other characteristics. This study performed a systematic mapping exercise of non-clinical evidence syntheses pertaining to COVID-19. Read More

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Beliefs and barriers associated with COVID-19 vaccination among the general population in Saudi Arabia.

BMC Public Health 2021 07 21;21(1):1438. Epub 2021 Jul 21.

Pharmacology Department, Faculty of Medicine, King Abdulaziz University, P.O. Box 42751, Jeddah, 21551, Saudi Arabia.

Background: Developing a vaccine against COVID-19 is considered a key strategy to end the pandemic. However, public acceptance is reliant on beliefs and perception toward the vaccine. Therefore, the study aimed to assess the beliefs and barriers associated with COVID-19 vaccination among the Saudi population. Read More

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COVID-19 vaccination intention and influencing factors among different occupational risk groups: a cross-sectional study.

Hum Vaccin Immunother 2021 Jul 21:1-8. Epub 2021 Jul 21.

Institute of Social Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

As an effective measure to manage the Coronavirus disease 2019 (COVID-19) pandemic, the acceptance of the COVID-19 vaccine and understanding the influencing factors of vaccination intention is particularly important. This study aimed to describe the COVID-19 vaccination intention among three different occupational risk groups and identify influencing factors of vaccination intention since a COVID-19 vaccine is available in China. A cross-sectional questionnaire survey was conducted from January 10 to February 5, 2021 in Hangzhou city of Zhejiang Province, an eastern coastal province in China. Read More

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Lassa fever amidst the COVID-19 Pandemic in Africa: A rising concern, Efforts, Challenges and Future recommendations.

J Med Virol 2021 Jul 21. Epub 2021 Jul 21.

School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, B152TT, UK.

Lassa fever, caused by the Lassa virus of the Arenaviruses family, is a re-emerging public health concern that has led to 300,000 infections and 5,000 deaths annually in Africa. Highly prevalent in Sierra Leone, Liberia, Guinea, Nigeria, Côte d'lvoire, Ghana, Togo, and Benin, patients infected with the virus can manifest with cough, sore throat, headache, nausea, and vomiting among other symptoms. Coexisting with the COVID-19 pandemic and its impacts, cases of Lassa fever in the African population have been reported to decrease due to hesitancy in visiting clinics that leads to unreported cases - all contributing to a silent outbreak in West Africa. Read More

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Promoting coronavirus disease 2019 (COVID-19) vaccination among healthcare personnel: A multifaceted intervention at a tertiary-care center in Japan.

Infect Control Hosp Epidemiol 2021 Jul 21:1-6. Epub 2021 Jul 21.

Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, United States.

Objective: The coronavirus disease 2019 (COVID-19) vaccine may hold the key to ending the pandemic, but vaccine hesitancy is hindering the vaccination of healthcare personnel (HCP). We examined their perceptions of the COVID-19 vaccine and implemented an intervention to increase vaccination uptake.

Design: Before-and-after trial. Read More

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Real-world impact of vaccination on COVID-19 incidence in health care personnel at an academic medical center.

Infect Control Hosp Epidemiol 2021 Jul 21:1-21. Epub 2021 Jul 21.

Division of Infectious Diseases, Department of Medicine, University of California, Davis, School of Medicine, Sacramento, California.

Objective: COVID-19 vaccination effectiveness in healthcare personnel (HCP) has been established, however, questions remain about its performance in high-risk healthcare occupations and work locations. We describe the effect of a COVID-19 HCP vaccination campaign on SARS-CoV-2 infection by timing of vaccination, job type, and work location.

Methods: A retrospective review of COVID-19 vaccination acceptance, incidence of post-vaccination COVID-19 infection, hospitalization, and mortality among 16,156 faculty, students, and staff at a large academic medical center was conducted. Read More

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Gap between willingness and behavior in the vaccination against influenza, pneumonia, and herpes zoster among Chinese aged 50-69 years.

Expert Rev Vaccines 2021 Jul 21:1-6. Epub 2021 Jul 21.

Department of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, Fudan School of Public Health, Shanghai, China.

Background: Vaccination uptake of influenza vaccine, 23-valent pneumococcal polysaccharide vaccine (PPV23) and herpes zoster vaccine (HZV) remains low among Chinese aged 50-69 years, posing a significant public health concern. This study's aim is to determine the gap between the vaccination willingness and uptake.

Research Design And Methods: We conducted a face-to-face questionnaire survey among the persons aged 50-69 years in 13 communities in Shanghai in November-December 2020 to measure vaccination willingness, vaccine price sensitivity, vaccination service accessibility, and vaccine hesitancy. Read More

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A rare case of congenital anterior urethral diverticulum in a two-year-old boy.

Urol Case Rep 2021 Nov 6;39:101768. Epub 2021 Jul 6.

Department of Urology, Medical University Pleven, Bulgaria.

Congenital diverticulum is a very rare disease of the urethra in which there is a sacculus enlargement on its ventral surface. We present a Case of a 2-year-old boy with symptoms of urinary hesitancy and swelling in the penoscrotal angle that appears during micturition. The diagnosis of urethral diverticulum is confirmed by retrograde urethrography and voiding cystogram. Read More

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November 2021

Vaccination hesitancy among women of reproductive age in resource-challenged settings: a cause for public health concern.

Pan Afr Med J 2021 7;38:336. Epub 2021 Apr 7.

Unit of Obstetrics and Gynaecology, Department of Primary Health Sciences, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.

Women of reproductive age are a key population for the control of COVID-19 owing to their levels of socio-economic activities and central role in the upkeep of stable families. Therefore, adequate vaccination uptake in this population is critical. However, this may be negatively affected by circulating rumours regarding SARS-CoV-2 vaccines and subfertility and pregnancy and breastfeeding concerns that have circulated widely on diverse social media. Read More

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Vaccinating Australia: How long will it take?

Vaccine 2021 Jul 17. Epub 2021 Jul 17.

Centre for Big Data Research in Health, UNSW Sydney, Australia. Electronic address:

The Australian Government began to roll out the national COVID-19 vaccination program in late February 2021, with the initial aim to vaccinate the Australian adult population by the end of October 2021. The task of vaccinating some 20 million people presents considerable logistic challenges, but a rapid rollout is essential to allow for the reopening of borders and is especially urgent as new more transmissible variants arise. Here, we run a series of projections to estimate how long it will take to vaccinate the Australian population under different assumptions about the rate of vaccine administration, the schedule for vaccine eligibility and prevalence of vaccine hesitancy. Read More

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Plans to Vaccinate Children for COVID-19: A Survey of Us Parents.

J Pediatr 2021 Jul 17. Epub 2021 Jul 17.

Department of Epidemiology and Biostatistics, CUNY Graduate School of Public Health and Health Policy (SPH), New York, NY; Institute for Implementation Science in Population Health, CUNY SPH, New York, NY.

In a national survey of 2,074 US parents of children <12 years old conducted in March 2021, 49.4% reported plans to vaccinate their child for COVID-19 when available. Lower income and less education were associated with greater parental vaccine hesitancy/resistance; safety and lack of need were primary reasons for vaccine hesitancy/resistance. Read More

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Prevention of COVID-19 by mRNA-based vaccines within the general population of California.

Clin Infect Dis 2021 Jul 20. Epub 2021 Jul 20.

Division of Epidemiology and Biostatistics, School of Public Health, University of California at Berkeley, Berkeley, California, United States.

Background: Estimates of COVID-19 vaccine effectiveness under real-world conditions, and understanding of barriers to uptake, are necessary to inform vaccine rollout.

Methods: We enrolled cases (testing positive) and controls (testing negative) from among the population whose SARS-CoV-2 molecular diagnostic test results from 24 February-29 April 2021 were reported to the California Department of Public Health. Participants were matched on age, sex, and geographic region. Read More

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Marketing the COVID-19 vaccine and the implications for public health.

Emmanuel Mogaji

Vaccine 2021 Jul 13. Epub 2021 Jul 13.

Department of Marketing, Events and Tourism, University of Greenwich, London, United Kingdom. Electronic address:

COVID-19 vaccines are new brands of consumer health technology being introduced to the market. Considering consumer behaviour approaches in this time of crisis, the risk of vaccine hesitancy, the call for more transparency and effective messaging to gain trust, and equitable distribution of this vaccine, this is unexplored theoretical terrain. This commentary takes a multidisciplinary approach to understand and theoretically explore the marketing, distribution, and acceptance of the COVID-19 vaccine. Read More

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COVID-19 in Ghana: challenges and countermeasures for maternal health service delivery in public health facilities.

Reprod Health 2021 Jul 19;18(1):151. Epub 2021 Jul 19.

Heidelberg Institute of Global Health, Heidelberg University Medical Faculty, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

We provide a situational update on COVID-19 in Ghana, the seventh African country reporting the most cases. Some modifications occurring within the health system to curtail the outbreak and its potential impact on the delivery of antenatal care services are also highlighted. With the discovery of the Delta variant in Ghana, the current attention is to prevent a third wave of infection, and also control and manage existing cases. Read More

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The role of trust in the likelihood of receiving a COVID-19 vaccine: Results from a national survey.

Prev Med 2021 Jul 16;153:106727. Epub 2021 Jul 16.

Dornsife College of Letters Arts and Sciences Center for Economic and Social Research, University of Southern California, Los Angeles, CA, United States of America.

High acceptance of coronavirus disease 2019 (COVID-19) vaccines is instrumental to ending the pandemic. Vaccine acceptance by subgroups of the population depends on their trust in COVID-19 vaccines. We surveyed a probability-based internet panel of 7832 adults from December 23, 2020-January 19, 2021 about their likelihood of getting a COVID-19 vaccine and the following domains of trust: an individual's generalized trust, trust in COVID-19 vaccine's efficacy and safety, trust in the governmental approval process and general vaccine development process for COVID-19 vaccines, trust in their physician about COVID-19, and trust in other sources about COVID-19. Read More

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Health belief model perspective on the control of COVID-19 vaccine hesitancy and the promotion of vaccination: a web-based cross-sectional.

J Med Internet Res 2021 Jul 12. Epub 2021 Jul 12.

Fudan University, NO.130, Dong an Road, Shanghai, CN.

Background: The control of vaccine hesitancy and the promotion of vaccination are key protective measures against COVID-19.

Objective: This study assesses the prevalence of vaccine hesitancy and the vaccination rate and examines the association between factors of the health belief model and vaccination.

Methods: A convenience sample of 2,531 valid participants from 31 provinces and autonomous regions of mainland China was enrolled in this online survey study from January 1st to 24th, 2021. Read More

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Understanding COVID-19 vaccine hesitancy and resistance: another challenge in cancer patients.

Support Care Cancer 2021 Jul 19. Epub 2021 Jul 19.

Medical Oncology Department, Abderrahmane Mami Hospital, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia.

Introduction: We aimed to measure the acceptability towards the COVID-19 vaccination in cancer patients and to investigate determinant factors associated with the patient's choice.

Methods: We conducted a cross-sectional survey with a self-administered questionnaire delivered to 329 cancer patients in 3 oncology cancer centers in Tunisia between February-May 2021. Logistic regression was used to evaluate odds ratio predicting patient's intentions toward the vaccine. Read More

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Pro-vaccination subjective norms moderate the relationship between conspiracy mentality and vaccination intentions.

Br J Health Psychol 2021 Jul 18. Epub 2021 Jul 18.

Leibniz-Institut für Wissensmedien, Tübingen, Germany.

Objectives: Increasing vaccination hesitancy threatens societies' capacity to contain pandemics and other diseases. One factor that is positively associated with vaccination intentions is a supportive subjective norm (i.e. Read More

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Tranexamic acid evidence and controversies: An illustrated review.

Res Pract Thromb Haemost 2021 Jul 14;5(5):e12546. Epub 2021 Jul 14.

Department of Medicine St. Michael's Hospital University of Toronto Toronto ON Canada.

Tranexamic acid (TXA) is an antifibrinolytic agent commonly used for the treatment or prevention of bleeding. Indications for TXA are diverse, including heavy menstrual bleeding, trauma, postpartum hemorrhage, traumatic brain injury, and surgical site bleeding. Despite decades of use and a robust body of evidence, hesitancy using TXA persists in many clinical settings. Read More

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Risk, Trust, and Flawed Assumptions: Vaccine Hesitancy During the COVID-19 Pandemic.

Front Public Health 2021;9:700213. Epub 2021 Jul 1.

Department of Psychology, University of Oslo, Oslo, Norway.

The pace at which the present pandemic and future public health crises involving viral infections are eradicated heavily depends on the availability and routine implementation of vaccines. This process is further affected by a willingness to vaccinate, embedded in the phenomenon of vaccine hesitancy. The World Health Organization has listed vaccine hesitancy among the greatest threats to global health, calling for research to identify the factors associated with this phenomenon. Read More

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Why are Some People Reluctant to be Vaccinated for COVID-19? A Cross-Sectional Survey among U.S. Adults in May-June 2020.

Prev Med Rep 2021 Jul 14:101494. Epub 2021 Jul 14.

Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.

Understanding reasons for COVID-19 vaccine hesitancy is necessary to ensure maximum uptake, needed for herd immunity. We conducted a cross-sectional online survey between May 29-June 20, 2020 among a national sample of U.S. Read More

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Young Adult Perspectives on COVID-19 Vaccinations.

J Adolesc Health 2021 Jul 10. Epub 2021 Jul 10.

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, UCSF Benioff Children's Hospital, University of California San Francisco, San Francisco, California.

Purpose: Young adults have the highest cumulative incidence of COVID-19 infection in the country. Using March 2021 Household Pulse Survey data, an ongoing, cross-sectional nationally representative survey, we examined U.S. Read More

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Deliberation, Dissent, and Distrust: Understanding distinct drivers of COVID-19 vaccine hesitancy in the United States.

Clin Infect Dis 2021 Jul 16. Epub 2021 Jul 16.

Division of Infectious Diseases, Department of Medicine, Washington University in St. Louis, St. Louis, Missouri, United States of America.

Background: Despite the availability of safe and efficacious COVID-19 vaccines, a significant proportion of the American public remains unvaccinated and does not appear immediately interested in receiving the vaccine.

Methods: In this study, we analyzed data from the U.S. Read More

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Understanding COVID-19 vaccine hesitancy.

Nat Med 2021 Jul 16. Epub 2021 Jul 16.

School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

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COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries.

Nat Med 2021 Jul 16. Epub 2021 Jul 16.

Trinity College Dublin, Dublin, Ireland.

Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80. Read More

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Influenza-Related Knowledge, Beliefs, and Experiences Among Caregivers of Hospitalized Children.

Hosp Pediatr 2021 Jul 16. Epub 2021 Jul 16.

Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington.

Objective: Caregivers frequently decline influenza vaccine for their hospitalized child. In this study, we aimed to examine factors impacting their influenza vaccine decision-making.

Methods: We conducted a cross-sectional survey study of English- and Spanish-speaking caregivers of children hospitalized at a tertiary care pediatric hospital between November 2017 and April 2018. Read More

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The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study.

Ann Emerg Med 2021 May 31. Epub 2021 May 31.

Department of Emergency Medicine, University of California San Francisco Fresno, Fresno, CA.

Study Objective: Emergency departments (EDs) often serve vulnerable populations who may lack primary care and have suffered disproportionate COVID-19 pandemic effects. Comparing patients having and lacking a regular source of medical care and other ED patient characteristics, we assessed COVID-19 vaccine hesitancy, reasons for not wanting the vaccine, perceived access to vaccine sites, and willingness to get the vaccine as part of ED care.

Methods: This was a cross-sectional survey conducted from December 10, 2020, to March 7, 2021, at 15 safety net US EDs. Read More

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