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Abstract

Background

The start of the COVID-19 vaccination campaign among French healthcare and welfare sector workers in January 2021 offered an opportunity to study psychological antecedents of vaccination in this group.

Aim

We explored whether knowledge and attitude items related to social conformism and confidence in systems contributed to explaining intention for COVID-19 vaccination.

Methods

We developed a knowledge and attitude questionnaire with 30 items related to five established and two hypothetical psychological antecedents of vaccination (KA-7C). The online questionnaire was distributed from 18 December 2020 to 1 February 2021 through chain-referral via professional networks, yielding a convenience sample. We used multivariable logistic regression to explore the associations of individual and grouped KA-7C items with COVID-19 vaccine intention.

Results

Among 5,234 participants, the vaccine intention model fit (pseudo R-squared values) increased slightly but significantly from 0.62 to 0.65 when adding social conformism and confidence in systems items. Intention to vaccinate was associated with the majority opinion among family and friends (OR: 11.57; 95% confidence interval (CI): 4.51–29.67) and a positive perception of employer’s encouragement to get vaccinated (vs negative; OR: 6.41; 95% CI: 3.36–12.22). The strongest association of a knowledge item was identifying the statement ‘ as false (OR: 2.36; 95% CI: 1.73–3.22).

Conclusion

The results suggest that social conformism and confidence in systems are distinct antecedents of vaccination among healthcare and welfare workers, which should be taken into account in vaccine promotion.

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/content/10.2807/1560-7917.ES.2022.27.17.2100617
2022-04-28
2024-11-22
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2022.27.17.2100617
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References

  1. Labetoulle R, Detoc M, Gagnaire J, Berthelot P, Pelissier C, Fontana L, et al. COVID-19 in health-care workers: lessons from SARS and MERS epidemics and perspectives for chemoprophylaxis and vaccines. Expert Rev Vaccines. 2020;19(10):937-47.  https://doi.org/10.1080/14760584.2020.1843432  PMID: 33107353 
  2. Santé Publique France. COVID-19: point épidémiologique du 8 juillet 2021. [COVID-19: epidemiological update of 8 July 2021]. Saint-Maurice: Santé Publique France; 2021. French. Available from: https://www.santepubliquefrance.fr/recherche/#search=COVID%2019%20%20%20point%20epidemiologique&publications=donn%C3%A9es&regions=National&sort=date
  3. Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, 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.  https://doi.org/10.1016/j.jhin.2020.11.020  PMID: 33259883 
  4. Mueller JE, Olivier C, Diaz Luevano C, Bouvet E, Abiteboul D, Pellissier G, et al. Étude transversale des intentions de vaccination contre la grippe saisonnière et la Covid-19 des professionnels de santé: quels leviers pour la promotion vaccinale? [Cross-sectional study of seasonal flu and Covid-19 vaccination intentions of healthcare professionals: what are levers for vaccine promotion?]. Bull. Epidémiol Hebd. 2021;(Cov_2):2-9. French. Available from: https://beh.santepubliquefrance.fr/beh/2021/cov_2/2021_Cov_2_ 1.html
  5. MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4.  https://doi.org/10.1016/j.vaccine.2015.04.036  PMID: 25896383 
  6. Betsch C, Schmid P, Heinemeier D, Korn L, Holtmann C, Böhm R. Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLoS One. 2018;13(12):e0208601.  https://doi.org/10.1371/journal.pone.0208601  PMID: 30532274 
  7. Gigerenzer G. Moral satisficing: rethinking moral behavior as bounded rationality. Top Cogn Sci. 2010;2(3):528-54.  https://doi.org/10.1111/j.1756-8765.2010.01094.x  PMID: 25163875 
  8. Seanehia J, Treibich C, Holmberg C, Müller-Nordhorn J, Casin V, Raude J, et al. Quantifying population preferences around vaccination against severe but rare diseases: A conjoint analysis among French university students, 2016. Vaccine. 2017;35(20):2676-84.  https://doi.org/10.1016/j.vaccine.2017.03.086  PMID: 28408120 
  9. Godinot LD, Sicsic J, Lachatre M, Bouvet E, Abiteboul D, Rouveix E, et al. Quantifying preferences around vaccination against frequent, mild disease with risk for vulnerable persons: A discrete choice experiment among French hospital health care workers. Vaccine. 2021;39(5):805-14.  https://doi.org/10.1016/j.vaccine.2020.12.057  PMID: 33419603 
  10. Verelst F, Willem L, Kessels R, Beutels P. Individual decisions to vaccinate one’s child or oneself: A discrete choice experiment rejecting free-riding motives. Soc Sci Med. 2018;207:106-16.  https://doi.org/10.1016/j.socscimed.2018.04.038  PMID: 29738898 
  11. Verger P, Scronias D, Dauby N, Adedzi KA, Gobert C, Bergeat M, et al. Attitudes of healthcare workers towards COVID-19 vaccination: a survey in France and French-speaking parts of Belgium and Canada, 2020. Euro Surveill. 2021;26(3):2002047.  https://doi.org/10.2807/1560-7917.ES.2021.26.3.2002047  PMID: 33478623 
  12. Larson HJ, Clarke RM, Jarrett C, Eckersberger E, Levine Z, Schulz WS, et al. Measuring trust in vaccination: A systematic review. Hum Vaccin Immunother. 2018;14(7):1599-609.  https://doi.org/10.1080/21645515.2018.1459252  PMID: 29617183 
  13. Díaz Luévano C, Sicsic J, Pellissier G, Chyderiotis S, Arwidson P, Olivier C, et al. Quantifying healthcare and welfare sector workers’ preferences around COVID-19 vaccination: a cross-sectional, single-profile discrete-choice experiment in France. BMJ Open. 2021;11(10):e055148.  https://doi.org/10.1136/bmjopen-2021-055148  PMID: 34607874 
  14. French Ministry of Health and Solidarity. Les métiers de la santé. Les fiches-métiers. [Jobs in the healthcare system. Job descriptions]. Paris: Ministry of Health and Solidarity. [Accessed: Apr 2022]. French. Available from: https://solidarites-sante.gouv.fr/metiers-et-concours/les-metiers-de-la-sante/les-fiches-metiers/
  15. French Ministry of Health and Solidarity. Les fiches-métiers du travail social. [Job descriptions for social work]. Paris: Ministry of Health and Solidarity. [Accessed: Apr 2022]. French. Available from: https://solidarites-sante.gouv.fr/metiers-et-concours/les-metiers-du-travail-social/les-fiches-metiers-du-travail-social/
  16. French Ministry of Health and Solidarity. Quelle démographie récente et à venir pour les professions médicales et pharmaceutiques? [Recent and future demographics for professions in the medical and pharmaceutical fields]. Paris: Ministry of Health and Solidarity. Mar 2021. French. Available from: https://drees.solidarites-sante.gouv.fr/sites/default/files/2021-03/DD76_0.pdf
  17. French Ministry of Health and Solidarity. La profession d’infirmière : situation démographique et trajectoires professionnelles? [Nurse profession: demographic situation and forward looking]. Paris: Ministry of Health and Solidarity. May 2011. French. Available from: https://drees.solidarites-sante.gouv.fr/sites/default/files/2020-10/er759.pdf
  18. Brewer NT, Chapman GB, Rothman AJ, Leask J, Kempe A. Increasing vaccination: putting psychological science into action. Psychol Sci Public Interest. 2017;18(3):149-207.  https://doi.org/10.1177/1529100618760521  PMID: 29611455 
  19. Peretti-Watel P, Seror V, Cortaredona S, Launay O, Raude J, Verger P, et al. , COCONEL Group. A future vaccination campaign against COVID-19 at risk of vaccine hesitancy and politicisation. Lancet Infect Dis. 2020;20(7):769-70.  https://doi.org/10.1016/S1473-3099(20)30426-6  PMID: 32445713 
  20. Chyderiotis S, Sicsic J, Raude J, Bonmarin I, Jeanleboeuf F, Le Duc Banaszuk AS, et al. Optimising HPV vaccination communication to adolescents: A discrete choice experiment. Vaccine. 2021;39(29):3916-25.  https://doi.org/10.1016/j.vaccine.2021.05.061  PMID: 34088507 
  21. Mignot A, Wilhelm M-C, Valette A, Gavard-Perret M-L, Abord-De-Chatillon E, Epaulard O. Behavior of nurses and nurse aides toward influenza vaccine: the impact of the perception of occupational working conditions. Hum Vaccin Immunother. 2020;16(5):1125-31.  https://doi.org/10.1080/21645515.2019.1694328  PMID: 31809633 
  22. Verger P, Collange F, Fressard L, Bocquier A, Gautier A, Pulcini C, et al. Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014. Euro Surveill. 2016;21(47):30406.  https://doi.org/10.2807/1560-7917.ES.2016.21.47.30406  PMID: 27918262 
  23. Ward JK, Peretti-Watel P, Bocquier A, Seror V, Verger P. Vaccine hesitancy and coercion: all eyes on France. Nat Immunol. 2019;20(10):1257-9.  https://doi.org/10.1038/s41590-019-0488-9  PMID: 31477920 
  24. Chamoux A, Denis-Porret M, Rouffiac K, Baud O, Millot-Theis B, Souweine B. [Impact study of an active antiflu vaccination programme on the Clermont-Ferrand Teaching Hospital staff]. Med Mal Infect. 2006;36(3):144-50.  https://doi.org/10.1016/j.medmal.2006.01.004  PMID: 16581213 
  25. Ruiz JB, Bell RA. Predictors of intention to vaccinate against COVID-19: Results of a nationwide survey. Vaccine. 2021;39(7):1080-6.  https://doi.org/10.1016/j.vaccine.2021.01.010  PMID: 33461833 
  26. Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. 2014;32(19):2150-9.  https://doi.org/10.1016/j.vaccine.2014.01.081  PMID: 24598724 
  27. Fabrigar LR, Petty RE, Smith SM, Crites SL Jr. Understanding knowledge effects on attitude-behavior consistency: the role of relevance, complexity, and amount of knowledge. J Pers Soc Psychol. 2006;90(4):556-77.  https://doi.org/10.1037/0022-3514.90.4.556  PMID: 16649855 
  28. Sherman SM, Smith LE, Sim J, Amlôt R, Cutts M, Dasch H, et al. COVID-19 vaccination intention in the UK: results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey. Hum Vaccin Immunother. 2021;17(6):1612-21.  https://doi.org/10.1080/21645515.2020.1846397  PMID: 33242386 
  29. Crawshaw J, Konnyu K, Castillo G, van Allen Z, Grimshaw J, Presseau J. Factors affecting COVID-19 vaccination acceptance and uptake among the general public: a living behavioural science evidence synthesis (v3, June 18th, 2021). Available from: https://www.researchgate.net/publication/353044590_HCW_Vaccination_Living_Behavioural_Science_Evidence_Synthesis_v3_Jun_18
  30. Szmyd B, Karuga FF, Bartoszek A, Staniecka K, Siwecka N, Bartoszek A, et al. Attitude and behaviors towards SARS-CoV-2 Vaccination among healthcare workers: A cross-sectional study from Poland. Vaccines (Basel). 2021;9(3):218.  https://doi.org/10.3390/vaccines9030218  PMID: 33806641 
  31. Petravić L, Arh R, Gabrovec T, Jazbec L, Rupčić N, Starešinič N, et al. Factors affecting attitudes towards COVID-19 Vaccination: An online survey in Slovenia. Vaccines (Basel). 2021;9(3):247.  https://doi.org/10.3390/vaccines9030247  PMID: 33808958 
  32. Lehmann BA, Ruiter RAC, Chapman G, Kok G. The intention to get vaccinated against influenza and actual vaccination uptake of Dutch healthcare personnel. Vaccine. 2014;32(51):6986-91.  https://doi.org/10.1016/j.vaccine.2014.10.034  PMID: 25454867 
  33. Rosenstock IM. The health belief model and preventive health behavior. Health Educ Monogr. 1974;2(4):354-86.  https://doi.org/10.1177/109019817400200405 
  34. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(1):42.  https://doi.org/10.1186/1748-5908-6-42  PMID: 21513547 
  35. Paulussen TGW, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA. Determinants of Dutch parents’ decisions to vaccinate their child. Vaccine. 2006;24(5):644-51.  https://doi.org/10.1016/j.vaccine.2005.08.053  PMID: 16157423 
Social conformism and confidence in systems as additional psychological antecedents of vaccination: a survey to explain intention for COVID-19 vaccination among healthcare and welfare sector workers, France, December 2020 to February 2021
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Simi+Moirangthem&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Moirangthem Simi</a>, <a href="/search?value1=Cyril+Olivier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Olivier Cyril</a>, <a href="/search?value1=Amandine+Gagneux-Brunon&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gagneux-Brunon Amandine</a>, <a href="/search?value1=G%C3%A9rard+P%C3%A9llissier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Péllissier Gérard</a>, <a href="/search?value1=Dominique+Abiteboul&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Abiteboul Dominique</a>, <a href="/search?value1=Isabelle+Bonmarin&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bonmarin Isabelle</a>, <a href="/search?value1=Elisabeth+Rouveix&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rouveix Elisabeth</a>, <a href="/search?value1=Elisabeth+Botelho-Nevers&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Botelho-Nevers Elisabeth</a>, <a href="/search?value1=Judith+E+Mueller&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mueller Judith E</a></span>. Social conformism and confidence in systems as additional psychological antecedents of vaccination: a survey to explain intention for COVID-19 vaccination among healthcare and welfare sector workers, France, December 2020 to February 2021. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(17):pii=2100617. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.17.2100617" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.17.2100617</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 17 Jun 2021;&nbsp;&nbsp; <span class="generated">Accepted</span>: 21 Jan 2022 </span> </p>
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