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Article

Essential Workers’ COVID-19 Vaccine Hesitancy, Misinformation, and Informational Needs in the Republic of North Macedonia

1
Emergency Preparedness Research Evaluation & Practice Program, Harvard T.H. Chan School of Public Health, 90 Smith Street, Boston, MA 02115, USA
2
Department of Biostatistics, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
3
Department of Hygiene and Public Health, Local Health Unit 3 Serenissima, 30100 Venice, Italy
4
Military Academy, “General Mihailo Apostolski”-Skopje, Ul. “Vasko Karangeleski bb”, University “Goce Delcev Shtip”, 1000 Skopje, North Macedonia
*
Author to whom correspondence should be addressed.
Vaccines 2022, 10(3), 348; https://doi.org/10.3390/vaccines10030348
Submission received: 25 January 2022 / Revised: 17 February 2022 / Accepted: 19 February 2022 / Published: 23 February 2022
(This article belongs to the Special Issue COVID-19 Vaccination and Globe Public Health)

Abstract

The COVID-19 pandemic has resulted in over 5.2 million deaths. Vaccine hesitancy remains a public health challenge, especially in Eastern Europe. Our study used a sample of essential workers living in the Republic of North Macedonia to: (1) Describe rates of vaccine hesitancy and risk perception of COVID-19; (2) Explore predictors of vaccine hesitancy; and (3) Describe the informational needs of hesitant and non-hesitant workers. A phone survey was administered in North Macedonia from 4–16 May 2021. Logistic regression explored associations of COVID-19 vaccine hesitancy with sociodemographic characteristics, non-COVID-19 vaccine hesitancy, previous diagnosis of COVID-19, and individual risk perception of contracting COVID-19. Chi-squared analyses compared differences in informational needs by hesitancy status. Of 1003 individuals, 44% were very likely to get the vaccine, and 56% reported some level of hesitancy. Older age, Albanian ethnicity, increased education, previous COVID-19 diagnosis, acceptance of other vaccines, and increased risk perception of COVID-19 infection were negatively associated with vaccine hesitancy. Results indicated significant differences in top informational needs by hesitancy status. The top informational needs of the hesitant were the freedom to choose to be vaccinated without consequences (57% vs. 42%, p < 0.01) and that all main international agencies recommended the vaccine (35% vs. 24%, p < 0.01).
Keywords: COVID-19 vaccine hesitancy; North Macedonia; informational needs; misinformation COVID-19 vaccine hesitancy; North Macedonia; informational needs; misinformation

Share and Cite

MDPI and ACS Style

Fucaloro, S.P.; Yacoubian, V.S.; Piltch-Loeb, R.; Harriman, N.W.; Burmaz, T.; Hadji-Janev, M.; Savoia, E. Essential Workers’ COVID-19 Vaccine Hesitancy, Misinformation, and Informational Needs in the Republic of North Macedonia. Vaccines 2022, 10, 348. https://doi.org/10.3390/vaccines10030348

AMA Style

Fucaloro SP, Yacoubian VS, Piltch-Loeb R, Harriman NW, Burmaz T, Hadji-Janev M, Savoia E. Essential Workers’ COVID-19 Vaccine Hesitancy, Misinformation, and Informational Needs in the Republic of North Macedonia. Vaccines. 2022; 10(3):348. https://doi.org/10.3390/vaccines10030348

Chicago/Turabian Style

Fucaloro, Stephen P., Vahe S. Yacoubian, Rachael Piltch-Loeb, Nigel Walsh Harriman, Tea Burmaz, Metodi Hadji-Janev, and Elena Savoia. 2022. "Essential Workers’ COVID-19 Vaccine Hesitancy, Misinformation, and Informational Needs in the Republic of North Macedonia" Vaccines 10, no. 3: 348. https://doi.org/10.3390/vaccines10030348

APA Style

Fucaloro, S. P., Yacoubian, V. S., Piltch-Loeb, R., Harriman, N. W., Burmaz, T., Hadji-Janev, M., & Savoia, E. (2022). Essential Workers’ COVID-19 Vaccine Hesitancy, Misinformation, and Informational Needs in the Republic of North Macedonia. Vaccines, 10(3), 348. https://doi.org/10.3390/vaccines10030348

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