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Determinants of Actual COVID-19 Vaccine Uptake in a Cohort of Essential Workers: An Area-Based Longitudinal Study in the Province of Prato, Italy

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Listed:
  • Vieri Lastrucci

    (Epidemiology Unit, Meyer Children’s Hospital, 50139 Florence, Italy
    Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Chiara Lorini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Lorenzo Stacchini

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Enrica Stancanelli

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Andrea Guida

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Alessio Radi

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Chiara Morittu

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Salvatore Zimmitti

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Giorgia Alderotti

    (Epidemiology Unit, Meyer Children’s Hospital, 50139 Florence, Italy)

  • Marco Del Riccio

    (Medical Specialization School of Hygiene and Preventive Medicine, University of Florence, 50134 Florence, Italy)

  • Angela Bechini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Sara Boccalini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • COVID-19 Population Research Group

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Guglielmo Bonaccorsi

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

Abstract

Identifying determinants of COVID-19 vaccine uptake is essential for developing effective strategies for promoting vaccination. This longitudinal study aimed to explore predictors of actual COVID-19 vaccine uptake in workers involved in essential services during the first lockdown period in the Prato Province (Italy). All essential workers were invited and surveyed before COVID-19 vaccine approval (96.5% participation rate). Participants were followed up to evaluate their actual COVID-19 vaccination uptake using the vaccination register. Multinomial models were performed to assess predictors of delayed vaccination or non-vaccination. A total of 691 participants were included, of whom 21.7% had delayed the vaccination and 4.4% were unvaccinated. Participants with a sufficient level of health literacy were 50.2% in the vaccinated-on-time group and 32.3% in the unvaccinated group. The multinomial model predictors of delayed vaccination were work type (OR = 0.51), age between 50 and 59 years (OR = 1.82), and influenza vaccination uptake in the last season (OR = 2.51). Predictors of being unvaccinated were work type (OR = 0.33) and attitudes related to attributing less importance to COVID-19 preventive measures (OR = 0.47). Findings showed distinct predictors for COVID-19 vaccination delay and for being unvaccinated. Being unvaccinated seems to be associated with a general skepticism toward prevention measures.

Suggested Citation

  • Vieri Lastrucci & Chiara Lorini & Lorenzo Stacchini & Enrica Stancanelli & Andrea Guida & Alessio Radi & Chiara Morittu & Salvatore Zimmitti & Giorgia Alderotti & Marco Del Riccio & Angela Bechini & S, 2022. "Determinants of Actual COVID-19 Vaccine Uptake in a Cohort of Essential Workers: An Area-Based Longitudinal Study in the Province of Prato, Italy," IJERPH, MDPI, vol. 19(20), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13216-:d:941926
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    References listed on IDEAS

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    1. Chiara Lorini & Vieri Lastrucci & Beatrice Zanella & Eleonora Gori & Fabrizio Chiesi & Angela Bechini & Sara Boccalini & Marco Del Riccio & Andrea Moscadelli & Francesco Puggelli & Renzo Berti & Paolo, 2022. "Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy)," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    2. Bara’ Abdallah AlShurman & Amber Fozia Khan & Christina Mac & Meerab Majeed & Zahid Ahmad Butt, 2021. "What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review," IJERPH, MDPI, vol. 18(17), pages 1-43, September.
    3. Vieri Lastrucci & Chiara Lorini & Marco Del Riccio & Eleonora Gori & Fabrizio Chiesi & Andrea Moscadelli & Beatrice Zanella & Sara Boccalini & Angela Bechini & Francesco Puggelli & Renzo Berti & Paolo, 2021. "The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province o," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    4. Amanda Hudson & William J. Montelpare, 2021. "Predictors of Vaccine Hesitancy: Implications for COVID-19 Public Health Messaging," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
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