Typology of ICU-Healthcare Providers Who Delayed or Declined COVID-19 Vaccination

Crit Care Med. 2024 Jan 1;52(1):e21-e26. doi: 10.1097/CCM.0000000000006090. Epub 2023 Oct 30.

Abstract

Objectives: To assess COVID-19 vaccination rates in ICU-healthcare providers (HCPs) in France and to identify the typology of those who delayed or declined vaccination.

Design: Cross-sectional study.

Setting: Twenty-one ICUs in France.

Subjects: Members of the nursing and medical staff and other allied professionals.

Interventions: None.

Measurements and main results: Six hundred ninety-six of the 950 respondents (73.3%) had undergone a full vaccination schedule. Other HCPs either declined vaccination ( n = 112) or delayed vaccination until it became mandatory ( n = 142). Factors independently associated with full vaccination were age older than 50 years (odds ratio, 0.25 [95% CI, 0.12-0.51]), more than 5 years of ICU experience (0.66 [0.47-0.93]), increasing working time during the surge (0.94 [0.88-1.00]), and spending time with the family (0.92 [0.85-0.99]). Conversely, being a nurse (1.94 [1.25-2.99]) or a nurse assistant (2.77 [1.62-4.73]), and feeling not supported by hospital and ICU directors (1.49 [1.01-2.20]) was independently associated with not being vaccinated.

Conclusions: These results are important to take into account to better implement vaccination strategies in HCPs for existing or future pandemics.

MeSH terms

  • COVID-19 Vaccines*
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Cross-Sectional Studies
  • Health Personnel
  • Humans
  • Intensive Care Units
  • Middle Aged
  • Vaccination

Substances

  • COVID-19 Vaccines