Attitudes towards COVID-19 vaccination and containment measures in Italy and the role of occupational physicians

Main Article Content

Carlo La Vecchia
Gianfranco Alicandro
Eva Negri
Vilma Scarpino
Maurizio Coggiola
Giovanna Spatari

Keywords

COVID-19, SARS-CoV-2, vaccine, web survey

Abstract

Background. Vaccine hesitancy is the main barrier to the effective management of COVID-19. This study aims to evaluate attitudes towards vaccination and containment measures in Italy, and the role of occupational physicians in the management of COVID-19.


Methods. Between 26 and 31 January 2022, we conducted a national online survey including 1000 respondents (631 workers) representative of the Italian population. A series of questions were asked to get information on attitudes towards COVID-19 vaccination, containment measures and management of COVID-19. Sampling weights were used to obtain national estimates.


Results. The majority of respondents (92.6%) received at least two doses of SARS-CoV-2 vaccine (or one dose of Janssen, Ad26.COV2.S), only 4.9% did not get any dose. Most interviewees (79.2%) stated that the decision to be vaccinated was their own choice, while only 4.3% were convinced by the general practitioner or the occupational physician. History of SARS-CoV-2 infection was reported by 23.9% of the participants (30.2% among workers); and 40% of the infected workers were contacted/visited by an occupational physician.


Conclusions. Vaccine uptake was remarkably high in Italy. Occupational physicians played a relevant role in the management of COVID-19 in occupational settings

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References

1. Islam N, Shkolnikov VM, Acosta RJ, et al. Excess deaths associated with covid-19 pandemic in 2020: Age and sex disaggregated time series analysis in 29 high income countries. BMJ. 2021;373. doi:10.1136/bmj.n1137
2. Alicandro G, La Vecchia C, Remuzzi G, Gerli A, Centanni S. Excess mortality in Italy in 2020 by sex and age groups accounting for demographic changes and temporal trends in mortality. Panminerva Med. Published online 2021. doi:10.23736/s0031-0808.21.04397-4
3. Alicandro G, Remuzzi G, Centanni S, Gerli A, Vecchia C La. Excess total mortality in 2021 in Italy was about one third of that observed in 2020. Med del Lav. 2021;112(6):414-421. doi:10.23749/mdl.v112i6.12601
4. Achilleos S, Quattrocchi A, Gabel J, et al. Excess all-cause mortality and COVID-19-related mortality: a temporal analysis in 22 countries, from January until August 2020. Int J Epidemiol. 2022;51(1):35-53. doi:10.1093/ije/dyab123
5. Ministero della Salute. Report vaccini anti-Covid19. Covid-19-open-data vaccini. https://github.com/italia/covid19-opendata-vaccini/tree/master/dati
6. World Health Organization. Survey tool and guidance. Rapid, simple, flexible behavioural insights on COVID-19. Accessed March 10, 2022. https://www.euro.who.int/__data/assets/pdf_file/0007/436705/COVID-19-survey-tool-and-guidance.pdf
7. Rao JNK, Scott AJ. The analysis of categorical data from complex sample surveys: Chi-squared tests for goodness of fit and independence in two-way tables. J Am Stat Assoc. 1981;76(374):221-230. doi:10.1080/01621459.1981.10477633
8. Negri E, Scarpino V, La Vecchia C. Prevalence of COVID-19-like symptoms in Italy and Lombardy, March-April 2020, and their implications on cancer prevention, diagnosis and management. Eur J Cancer Prev. 2021;30(2):123-125. doi:10.1097/CEJ.0000000000000604
9. La Vecchia C, Negri E, Alicandro G, Scarpino V. Attitudes towards influenza vaccine and a potential COVID-19 vaccine in Italy and differences across occupational groups, September 2020. Med Lav. 2020;111(6):445-448. doi:10.23749/mdl.v111i6.10813
10. European Centre for Disease Prevention and Control. Covid-19 Vaccine Tracker. Published 2022. Accessed February 18, 2022. https://qap.ecdc.europa.eu/public/extensions/COVID-19/vaccine-tracker.html#uptake-tab
11. MacDonald NE, Eskola J, Liang X, et al. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4164. doi:10.1016/j.vaccine.2015.04.036
12. Wang VH-C, Silver D, Pagán JA. Generational differences in beliefs about COVID-19 vaccines. Prev Med (Baltim). Published online February 2022:107005. doi:10.1016/J.YPMED.2022.107005
13. Attwell K, Hannah A, Leask J. COVID-19: talk of “vaccine hesitancy” lets governments off the hook. Nature. 2022;602(7898):574-577. doi:10.1038/D41586-022-00495-8
14. Riccò M, Ferraro P, Peruzzi S, Balzarini F, Ranzieri S. Mandate or not mandate: Knowledge, attitudes, and practices of italian occupational physicians towards SARS-CoV-2 immunization at the beginning of vaccination campaign. Vaccines. 2021;9(8). doi:10.3390/vaccines9080889
15. European Centre for Disease Prevention and Control. Data on country response measures to COVID-19. Accessed February 25, 2022. https://www.ecdc.europa.eu/en/publications-data/download-data-response-measures-covid-19
16. Gostin LO, Parmet WE, Rosenbaum S. The US Supreme Court’s Rulings on Large Business and Health Care Worker Vaccine Mandates. Jama. 2022;327(8). doi:10.1001/jama.2022.0852
17. Iacobucci G. Covid-19: Government abandons mandatory vaccination of NHS staff. Bmj. 2022;376:o269. doi:10.1136/bmj.o269
18. Nulty DD. The adequacy of response rates to online and paper surveys: What can be done? Assess Eval High Educ. 2008;33(3):301-314. doi:10.1080/02602930701293231
19. Istituto Nazionale di Statistica. Demografia in cifre. Popolazione Residente 2021. Accessed March 10, 2022. https://demo.istat.it/popres/index.php?anno=2021&lingua=ita