COVID-19 Vaccine Acceptance and Uptake Among Healthcare Workers in Trinidad & Tobago

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Abstract

Background

COVID-19 vaccine acceptance is important in ensuring the widespread vaccination of the population to achieve herd immunity. Establishing the acceptance of vaccines among healthcare workers, who play a vital role immunization program success, is important. The aim of this study was to assess the influence of social trust and demographic factors on COVID-19 vaccine acceptance among healthcare workers.

Methods

A cross-sectional survey utilizing an electronic questionnaire inquiring about COVID-19 vaccine uptake, preferences, and concerns was distributed via email to 1,351 North Central Regional Health Authority (NCRHA) healthcare workers of the following categories: medical practitioners, nursing personnel, veterinary surgeons, medical interns, dental interns, paramedics, and pharmacists. These professions were selected as they were granted power to administer COVID-19 vaccines during this period of public emergency by the President of Trinidad and Tobago and were therefore likely to be NCRHA healthcare workers directly involved in vaccine administration services. 584 participants returned a completed questionnaire. Bivariate analysis using Chi-square analysis of association was used to determine the association between the respondents’ characteristics and the acceptance of the vaccine and the association between vaccine acceptance among healthcare workers and trust. The association between the acceptance of the COVID-19 vaccines and healthcare workers’ characteristics and trust was established using multinomial logistic regression.

Results

A total of 584 healthcare workers took part in the study and 1.4% showed unwillingness to receive COVID-19 vaccine. The study indicates that age, profession, and the trust in international organizations and other healthcare providers predict the uptake of COVID-19 vaccines among healthcare workers. However, gender of the healthcare workers does not predict vaccine acceptance.

Conclusions and Relevance

Efforts towards enhanced vaccine acceptance among healthcare workers should take into consideration age, profession, and the trust in international organizations and other healthcare providers. Sensitization programs should be age-specific as well as occupation-based.

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  1. SciScore for 10.1101/2022.05.09.22274854: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsConsent: Participation in this study was voluntary and HCWs received no form of financial remuneration in order to reduce the risk of response bias. 2.3. Instrument: The electronic self-administered questionnaire was prefaced with an informed consent form which explained that the survey was anonymous, that participation was voluntary, and explained the purpose of the study.
    IRB: Outcome Measures: The main outcome measures of this study included the HCWs’ COVID-19 vaccine acceptance. 2.5. Ethics: This study was granted ethical approval by The North Central Regional Health Authority Ethics Committee, Trinidad, and The Ministry of Health of Trinidad and Tobago (3/13/441 Vol.
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    The collated responses were downloaded as a Microsoft Excel file by the principal investigator, and subsequently coded into an SPSS database and analyzed using IBM SPSS V.21 software.
    Microsoft Excel
    suggested: (Microsoft Excel, RRID:SCR_016137)
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    4.1 Study limitations: One of the limitations in study is the unequal sample size. The number of male participants was smaller compared to that of females, which made the determination of the influence of gender problematic. Given on the reported level of vaccine hesitancy of 1.4%, it is likelihood that the chosen population was not appropriate for evaluating the factors associated with hesitancy.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.