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Published on: October 6, 2015
Attitudes and perceptions about COVID-19 vaccination in the population with chronic HIV infection: A systematic
Emilia Afonso López Shirley1, Jover-Diaz Francisco1, Delgado Sánchez Elisabet1
1Infectious Diseases Unit Hospital of San Juan Alicante Spain.
Insights
HIV-infected patients showed very high acceptance of COVID-19 vaccines. Older patients were more aware of vaccine safety concerns, but medical staff remained the most trusted information source for vaccination decisions.
Area of Science:
- Infectious Diseases
- Vaccinology
- Public Health
Background:
- The COVID-19 pandemic has led to rapid development and deployment of vaccines.
- Concerns regarding the safety and efficacy of mRNA COVID-19 vaccines have emerged.
- Vulnerable populations, including those with HIV, require specific attention regarding vaccination attitudes.
Purpose of the Study:
- To assess the attitudes and perceptions of HIV-infected patients towards COVID-19 vaccination.
- To identify factors influencing vaccination decisions in this high-risk group.
Main Methods:
- A cross-sectional survey was conducted between June 2021 and March 2022.
- Anonymous, self-administered questionnaires were used to collect data from HIV-infected patients.
- Descriptive and bivariate analyses were performed on survey responses.
Main Results:
- An extremely high COVID-19 vaccine acceptance rate of 95.7% was observed among participants.
- Older HIV-infected patients were more likely to have received more vaccine doses and were more aware of vaccine safety controversies.
- No significant differences were found in attitudes towards vaccine safety or efficacy based on age.
Conclusions:
- HIV-infected patients demonstrate a strong acceptance of COVID-19 vaccination.
- Awareness of vaccine safety controversies is higher in older individuals within this cohort.
- Medical professionals are the most trusted source of information regarding COVID-19 vaccines for this population.
Background And Aims:
The coronavirus disease 2019 (COVID-19)-infected population has been increasing during the last 3 years worldwide. Moreover, simultaneously, COVID-19 vaccine clinical trials were launched. By the end of 2020, the Food and Drug Administration had authorized the emergency use of two messenger RNA vaccines against COVID-19. These fast-track vaccine approvals have produced controversy about their safety and efficacy. The purpose of this research was to discover attitudes and perceptions regarding vaccination against COVID-19 disease among vulnerable groups such as human immunodeficiency virus (HIV)-infected patients.
Methods:
Between June 2, 2021 and March 4, 2022, we conducted a cross-sectional study through a survey of high-risk patients with severe COVID-19, such as HIV-infected patients in the Infectious Diseases Unit (Hospital Clínico Universitario San Juan, Alicante). For the data collection strategy, a nonprobabilistic snowball sampling was adopted. A structured, anonymous, self-administered questionnaire was developed in which questions and statements were designed to evaluate their attitudes and perceptions about COVID-19 vaccination. Descriptive and bivariate analyses were performed for the obtained data.
Results:
Forty-eight participants were recruited with a mean age of 51.5 ± 11.9 years. Thirty-nine of them (81.3%) were male. The acceptance rate of COVID-19 vaccination was extremely high (95.7%). Bivariate analysis showed older patients significantly received a higher proportion of vaccine doses at the time of the survey (p = 0.047). Older patients were more aware of the vaccine safety controversy (61.1%) compared to younger patients (p = 0.054). There were no other significant differences between groups among questions regarding safety, efficacy, or attitudes about COVID-19 vaccination.
Conclusion:
An extremely high degree of acceptance for COVID-19 vaccination was reported. Older patients were more aware of the vaccine safety controversy. Medical staff is the most trustworthy source of information, far above all other sources. Social networks and opinion leaders have not been shown to significantly influence our population.
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