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Article

Relationship of Societal Adaptation with Vaccine Worries among Healthcare Workers during the COVID-19 Pandemic: The Mediating Effects of Posttraumatic Stress Disorder

1
Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung 80276, Taiwan
2
Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
3
Department of Nursing, Meiho University, Pingtung 91200, Taiwan
4
Graduate Institute of Counseling Psychology and Rehabilitation Counseling, National Kaohsiung Normal University, Kaohsiung 80201, Taiwan
5
Department of Social Work, National Taiwan University, Taipei 10617, Taiwan
6
Department of Medical Humanities and Education, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
7
Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
*
Authors to whom correspondence should be addressed.
Contributed equally as corresponding authors.
Shared equally with 1st author.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(15), 9498; https://doi.org/10.3390/ijerph19159498
Received: 3 July 2022 / Revised: 25 July 2022 / Accepted: 1 August 2022 / Published: 2 August 2022
Vaccine hesitancy has become a major public health problem among healthcare workers (HCWs) in this coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to examine the relationship between societal adaptation and vaccine worries and the mediating effects of posttraumatic stress disorder (PTSD) indicators in HCWs. A total of 435 HCWs (327 women and 108 men) were recruited. Their levels of societal adaptation were evaluated using the Societal Influences Survey Questionnaire (SISQ). Their severity and frequency of PTSD symptoms were examined using the Disaster-Related Psychological Screening Test (DRPST). The severity of vaccine worries was assessed using the Vaccination Attitudes Examination (VAX) Scale. The relationships among societal adaptation, PTSD, and vaccine worries were examined using structural equation modeling. The severity of societal adaptation was positively associated with both the severity of PTSD and the severity of vaccine worries. In addition, the severity of PTSD indicators was positively associated with the severity of vaccine worries. These results demonstrated that the severity of societal adaptation was related to the severity of vaccine worries, either directly or indirectly. The indirect relationship was mediated by the severity of PTSD. Societal adaptation and PTSD should be taken into consideration by the community of professionals working on vaccine hesitancy. Early detection and intervention of PTSD should be the objectives for programs aiming to lower vaccine hesitancy among HCWs. View Full-Text
Keywords: coronavirus disease 2019 (COVID-19); posttraumatic stress disorder; healthcare workers; vaccine hesitancy; societal adaptation coronavirus disease 2019 (COVID-19); posttraumatic stress disorder; healthcare workers; vaccine hesitancy; societal adaptation
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MDPI and ACS Style

Hsieh, K.-Y.; Li, D.-J.; Chou, F.H.-C.; Hsu, S.-T.; Wu, H.-C.; Chou, L.-S.; Wu, P.-J.; Lin, G.-G.; Chen, W.-J.; Liu, C.-L.; Huang, J.-J. Relationship of Societal Adaptation with Vaccine Worries among Healthcare Workers during the COVID-19 Pandemic: The Mediating Effects of Posttraumatic Stress Disorder. Int. J. Environ. Res. Public Health 2022, 19, 9498. https://doi.org/10.3390/ijerph19159498

AMA Style

Hsieh K-Y, Li D-J, Chou FH-C, Hsu S-T, Wu H-C, Chou L-S, Wu P-J, Lin G-G, Chen W-J, Liu C-L, Huang J-J. Relationship of Societal Adaptation with Vaccine Worries among Healthcare Workers during the COVID-19 Pandemic: The Mediating Effects of Posttraumatic Stress Disorder. International Journal of Environmental Research and Public Health. 2022; 19(15):9498. https://doi.org/10.3390/ijerph19159498

Chicago/Turabian Style

Hsieh, Kuan-Ying, Dian-Jeng Li, Frank Huang-Chih Chou, Su-Ting Hsu, Hui-Ching Wu, Li-Shiu Chou, Pei-Jhen Wu, Guei-Ging Lin, Wei-Jen Chen, Chin-Lien Liu, and Joh-Jong Huang. 2022. "Relationship of Societal Adaptation with Vaccine Worries among Healthcare Workers during the COVID-19 Pandemic: The Mediating Effects of Posttraumatic Stress Disorder" International Journal of Environmental Research and Public Health 19, no. 15: 9498. https://doi.org/10.3390/ijerph19159498

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