COVID-19 Vaccine Acceptance and Hesitancy among Teachers and Students: A Scoping Review of Prevalence and Risk Factors
Abstract
:1. Introduction
2. Methods
Study Design, Data Source, and Search Strategy
3. Results
3.1. Search Results
3.2. Characteristics of the Reviewed Studies
3.3. Prevalence of COVID-19 Vaccine Hesitancy
Authors | Country | Population | Hesitancy (%) |
---|---|---|---|
Zhou et al. [27] | China | Nursing students | 4.7 |
Chen et al. [15] | China | College students | 23.8 |
Chen et al. [15] | China | College teachers | 31.8 |
Xu et al. [20] | China | College teachers | 42.2 |
Riad et al. [34] | Czech Republic | College students | 7.4 |
Saied et al. [16] | Egypt | Medical students | 46 |
Sharaf et al. [25] | Egypt | College teachers | 54.4 |
Tavolacci et al. [30] | France | College students | 17 |
Scharff et al. [32] | Germany | Secondary school students | 7 |
Jain et al. [31] | India | College students | 36.2 |
Hamdan et al. [36] | Lebanon | College teachers | 10 |
Montvidas et al. [33] | Lithuania | Health science students | 10 |
Estrela et al. [23] | Portugal | Preschool to higher education teachers | 10 |
Šorgo et al. [24] | Slovenia | Post-secondary school students | 29.2 |
Lucia et al. [28] | USA | Medical students | 23 |
Kelekar et al. [19] | USA | Dental and medical students | 34.9 |
Khuc et al. [35] | Vietnam | College students | 16.6 |
3.4. Prevalence of COVID-19 Vaccine Acceptance
3.5. Risk Factors for COVID-19 Vaccine Hesitancy among Teachers and Students
3.6. Predictors of COVID-19 Vaccine Acceptance among Teachers and Students
4. Discussion
4.1. Limitations and Recommendations for Future Research
4.2. Policy Recommendations
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
References
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Item | Search Strategy |
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Database | Dimensions, PubMed, JSTOR, Google Scholar, Google, the WHO Library, and HINARI |
Language filter | English |
Date filter | No limits |
Spatial filter | Global |
Keywords |
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Inclusion criteria | The paper should be:
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Exclusion criteria | The paper should be:
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Authors and Country | Population | Sample Size | Prevalence (%) | Acceptance/Hesitancy Predictors | |
---|---|---|---|---|---|
Acceptance | Hesitancy | ||||
Dafogianni et al. [18] Greece | Students, teachers, and professors | 3697 | NA | NA | Lower personal and general perceived risk due to side effects of the COVID-19 vaccine was significantly associated with lower intention to be vaccinated. |
Chen et al. [15] China | College students and teachers | 835 | NA | 31.8 Teachers 23.8 Students | Believed that vaccine safety was low and did not give any attention to vaccine news, with those who suffered from chronic diseases being more hesitant. |
Kelekar et al. [19] USA | Dental and medical students | 415 | NA | 34.9 | |
Xu et al. [20] China | College teachers | 251 | NA | 42.2 | Non-decision makers in the family were more hesitant. |
Saied et al. [16] Egypt | Medical students | 2133 | 6 | 46 | Concerns for the vaccine’s adverse effects, ineffectiveness, deficient data regarding the vaccine’s adverse effects, and insufficient information regarding the vaccine itself. |
Cahapay [21] Philippine | High school teachers | 1070 | 20.7 | NA | Male gender, high income, and education (graduate level) were associated with intentions to accept vaccines. |
Kecojevic et al. [22] USA | College students | 457 | 23 | NA | Student healthcare workers, who had a family member who had received the COVID-19 vaccine, had greater positive attitudes towards vaccination, and received the seasonal flu vaccine were more likely to have received the vaccine. |
Estrela et al. [23] Portugal | Preschool to higher education teachers | 1062 | 30 | 10 | Concerns about vaccine efficacy and safety increase the risk of hesitancy; a higher perceived risk of being infected, trust in the effectiveness of the vaccine in protecting them against complications of COVID-19, and a higher trust level of information sources were associated with decreased hesitancy. |
Gkentzi et al. [12] Greece | Elementary school teachers | 399 | 38.1 | NA | Previous influenza vaccine uptake, believing COVID-19 vaccination was mandatory, and believing teachers were at high risk of being infected. |
Šorgo et al. [24] Slovenia | Post-secondary school students | 5999 | 39.7 | 29.2 | Fear of COVID-19 played a significant role in the intention to vaccinate. |
Shitu et al. [14] Ethiopia | Primary and secondary school teachers | 301 | 40.8 | NA | Being a male, a private school teacher, having high perceived susceptibility, high perceived seriousness, and perceived benefits of the vaccine were significant predictors of acceptance. |
Sharaf et al. [25] Egypt | Teaching staff of a public university | 171 | 45.6 | 54.4 | Being a female, not intending to travel internationally, and being more anxious about COVID-19 were significantly associated with hesitancy. |
Dubik [26] Ghana | Basic and senior high school teachers | 421 | 49 | NA | Unconfident about the COVID-19 vaccine, perception of not being susceptible to COVID-19, and feeling uncomfortable to receive the vaccine were associated with unwillingness to take the vaccine. Vaccination against hepatitis B, adequacy of information about the expectation of the COVID-19 vaccine, and not believing that the COVID-19 vaccine will cause illness were facilitators of vaccine acceptance. |
Zhou et al. [27] China | Nursing students | 1070 | 51.9 | 4.7 | Positive beliefs towards general vaccination and COVID-19 vaccination, perception of less adverse effects following vaccination, and greater impact of COVID-19 on daily life were associated with intentions to vaccinate. Concerns about the safety of the vaccines and efficacy, the belief that vaccination was unnecessary, and less information about COVID-19 were associated with hesitancy. |
Lucia et al. [28] USA | Medical students | 168 | 53 | 23 | Being public health experts and having fewer concerns about side effects increased the willingness to take the vaccine. |
Handebo et al., [29] Ethiopia | Primary and secondary school teachers | 301 | 54.8 | NA | Education (a Bachelor’s degree), perceived susceptibility, perceived benefits, and cues to action significantly influenced intentions to receive vaccines. |
Tavolacci et al. [30] France | College students | 3089 | 58 | 17 | The female gender and those studying science were at higher risk of vaccine hesitancy. Knowledge about conventional vaccination and the COVID-19 vaccine and confidence in safety and efficacy were associated with a lower risk of vaccine hesitancy. |
Jain et al. [31] India | College students | 655 | 63.8 | 36.2 | Trust in the healthcare system and trust in domestic vaccines were significantly associated with vaccine acceptance. |
Scharff et al. [32] Germany | Secondary school students | 903 | 68.3 | 7 | Students under 16 years and at lower education levels showed significantly higher vaccine hesitancy. |
Montvidas et al. [33] Lithuania | Health science students | 1545 | 72.6 | 10 | Medicine students, non-infected students, and students who volunteered in COVID-19 wards were more willing to take the vaccine. Negative effects of the vaccine on their income and belief in the future were associated with vaccine hesitancy. |
Riad et al. [34] Czech Republic | College students | 1351 | 73.3 | 7.4 | Trust in the pharmaceutical industry, trust in healthcare providers, and perceived knowledge sufficiency predicted higher odds of vaccine acceptance. |
Khuc et al. [35] Vietnam | College students | 398 | 83.41 | 16.59 | Concerns about the vaccine’s side effects and lack of information were associated with hesitancy. |
Hamdan et al. [36] Lebanon | University students | 3805 | 87 | 10 | Perceived vaccine safety was associated with vaccine acceptance or less hesitancy. Those who did not receive the flu vaccine and agreed with the conspiracy theory were more hesitant. |
Racey et al. [13] Canada | Public school teachers | 5076 | 89.7 | NA | The male gender, a science or engineering education background, the belief that COVID-19 is a serious illness, higher vaccine knowledge, and reliable information sources on vaccination predicted intentions for vaccine acceptance. |
Galle et al. [37] Italy | College students | 3226 | 91.9 | NA | Previous vaccination against influenza and knowledge were associated with the intention to receive the vaccine. |
Watts et al. [38] Canada | Public school teachers | 2393 | 92.7 | NA | Valued expert recommendations, perceived susceptibility, accepted routine vaccines, and the perception of higher benefits were associated with vaccine acceptance. |
Hossian et al. [39] Pakistan | College students | 2865 | 72.5 | NA | Higher education was associated with vaccine acceptance. |
Authors | Country | Population | Acceptance (%) |
---|---|---|---|
Racey et al. [13] | Canada | Public school teachers | 89.7 |
Watts et al. [38] | Canada | Public school teachers | 92.7 |
Zhou et al. [27] | China | Nursing students | 51.9 |
Riad et al. [34] | Czech Republic | College students | 73.3 |
Saied et al. [16] | Egypt | Medical students | 6 |
Sharaf et al. [25] | Egypt | College teachers | 45.6 |
Shitu et al. [14] | Ethiopia | Primary and secondary school teachers | 40.8 |
Handebo et al. [29] | Ethiopia | Primary and secondary school teachers | 54.8 |
Tavolacci et al. [30] | France | College students | 58 |
Scharff et al. [32] | Germany | Secondary school students | 68.3 |
Dubik [26] | Ghana | Basic and senior high school teachers | 49 |
Gkentzi et al. [12] | Greece | Elementary school teachers | 38.1 |
Jain et al. [31] | India | College students | 63.8 |
Galle et al. [37] | Italy | College students | 91.9 |
Hamdan et al. [36] | Lebanon | College students | 87 |
Montvidas et al. [33] | Lithuania | Health science students | 72.6 |
Hossian et al. [39] | Pakistan | College students | 72.5 |
Cahapay [21] | Philippine | High school teachers | 20.7 |
Estrela et al. [23] | Portugal | Preschool to college education teachers | 30 |
Šorgo et al. [24] | Slovenia | Post-secondary school students | 39.7 |
Kecojevic et al. [22] | USA | College students | 23 |
Lucia et al. [28] | USA | Medical students | 53 |
Khuc et al. [35] | Vietnam | College students | 83.4 |
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Sarfo, J.O.; Amoadu, M.; Ansah, E.W.; Hagan Jnr, J.E. COVID-19 Vaccine Acceptance and Hesitancy among Teachers and Students: A Scoping Review of Prevalence and Risk Factors. COVID 2024, 4, 557-570. https://doi.org/10.3390/covid4040037
Sarfo JO, Amoadu M, Ansah EW, Hagan Jnr JE. COVID-19 Vaccine Acceptance and Hesitancy among Teachers and Students: A Scoping Review of Prevalence and Risk Factors. COVID. 2024; 4(4):557-570. https://doi.org/10.3390/covid4040037
Chicago/Turabian StyleSarfo, Jacob Owusu, Mustapha Amoadu, Edward Wilson Ansah, and John Elvis Hagan Jnr. 2024. "COVID-19 Vaccine Acceptance and Hesitancy among Teachers and Students: A Scoping Review of Prevalence and Risk Factors" COVID 4, no. 4: 557-570. https://doi.org/10.3390/covid4040037
APA StyleSarfo, J. O., Amoadu, M., Ansah, E. W., & Hagan Jnr, J. E. (2024). COVID-19 Vaccine Acceptance and Hesitancy among Teachers and Students: A Scoping Review of Prevalence and Risk Factors. COVID, 4(4), 557-570. https://doi.org/10.3390/covid4040037