Fatores de indecisão vacinal entre adultos no contexto da pandemia de COVID-19: revisão integrativa
DOI:
https://doi.org/10.70368/gecs.v1i2.12232Palavras-chave:
Vacinas, Recusas de vacinação, Hesitação vacinal, Adulto, COVID-19Resumo
O objetivo deste estudo é identificar os fatores preditores da indecisão vacinal entre adultos no contexto da pandemia COVID-19, utilizando-se de uma revisão integrativa, por meio de busca avançada nas bases de dados Medline, LILACS e SCOPUS, conduzida pelo seguinte questionamento: Quais os fatores relacionados com a indecisão vacinal entre adultos, no contexto da pandemia COVID-19? Foram incluídos 23 estudos, nos quais houve a identificação de fatores contribuintes para a indecisão vacinal, tais como: preocupação com a segurança das vacinas; conhecimento inadequado sobre a COVID-19 e efeitos colaterais das vacinas; menor percepção de risco da COVID-19; influência de mídias sociais; posição socioeconômica baixa; desconfiança no governo. Foram fatores protetores: sentimento de proteção familiar e/ou dever de proteger a sociedade; alto nível de preocupação com a COVID-19; confiança nos serviços/autoridades de saúde OMS; sexo masculino; percepção da COVID-19 como risco; maior escolaridade e nível socioeconômico e intenção de alcançar a imunidade coletiva. Foram apresentados os fatores colaboradores para indecisão vacinal entre adultos com relação à vacina contra COVID-19, assim como os que influenciam positivamente a vacinação.
Referências
AKBAR, R. Dez ameaças à saúde global em 2019. Organização Mundial da Saúde [internet], 2019. Disponível em: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
ALRAJEH, A.M. et al. COVID-19 Vaccine Hesitancy Among the Adult Population in Saudi Arabia. Cureus, v.13, n.12, p. e20197, 2021. Disponível em: https://doi.org/10.7759/cureus.20197.
BAGIĆ, D.; ŠULJOK, A.; ANČIĆ, B. Determinants and reasons for coronavirus disease 2019 vaccine hesitancy in Croatia. Croat Med J, v. 63, n. 1, p. 89-97, 2022. Disponível em: https://doi.org/10.3325/cmj.2022.63.89.
CORDINA, M.; LAURI, M.A.; LAURI, J. Attitudes towards COVID-19 vaccination, vaccine hesitancy and intention to take the vaccine. Pharm Pract (Granada), v. 19, n. 1, p. 2317, 2021. Disponível em: https://10.18549/PharmPract.2021.1.2317.
DANIEL, C.L. et al. Factors associated with COVID-19 vaccination intentions among adults in the deep South, 2022. Vaccine, v. 40, n. 6, p. 841-53. Disponível em: https://doi.org/10.1016/j.vaccine.2021.12.059.
DOLU, İ.; TURHAN, Z.; YALNIZ DILCEN, H. COVID-19 vaccine acceptance is associated with vaccine hesitancy, perceived risk and previous vaccination experiences. Disaster Med Public Health Prep., v. 17, p. e97, 2023. Disponível em: https://doi.org/10.1017/dmp.2021.370.
DUBÉ, E.; VIVION, M.; MACDONALD, N.E. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vaccines, v. 14, n. 1, p. 99-117, 2015. Disponível em: https://doi.org/10.1586/14760584.2015.964212.
EBRAHIMI, O.V. et al. Risk, trust, and flawed assumptions: vaccine hesitancy during the COVID-19 pandemic. Front Public Health, v. 9, p. 700213, 2021. Disponível em: https://doi.org/10.3389/fpubh.2021.700213.
EDWARDS, B.; BIDDLE, N.; GRAY, M.; SOLLIS, K. COVID-19 vaccine hesitancy and resistance: Correlates in a nationally representative longitudinal survey of the Australian population. PLoS One [Internet], v. 16, n. 3, p. e0248892, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990228/.
FADHEL, F.H. Vaccine hesitancy and acceptance: an examination of predictive factors in COVID-19 vaccination in Saudi Arabia. Health Promot Int., v. 38, n. 4, 2021. doi: https://doi.org/10.1093/heapro/daab209.
FOJNICA, A. et al. COVID-19 vaccine acceptance and rejection in an adult population in Bosnia and Herzegovina. PLoS One, v. 17, n. 2, p. e0264754, 2022. Disponível em: https://doi.org/10.1371/journal.pone.0264754.
JENNINGS, W. et al. Lack of Trust, Conspiracy Beliefs, and Social Media Use Predict COVID-19 Vaccine Hesitancy. Vaccines (Basel), v. 9, n. 6, p. 593, 2021. Disponível em: https://doi.org/10.3390/vaccines9060593.
KHUBCHANDANI, J. et al. COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment. Journal of community health, v. 46, n. 2, p. 270–277, 2021. doi: https://doi.org/10.1007/s10900-020-00958-x.
Luk, T.T. et al. Prevalence and determinants of SARS-CoV-2 vaccine hesitancy in Hong Kong: a population-based survey. Vaccine, v. 39, n. 27, p. 3602-3607, 2021. Disponível em: https://doi.org/10.1016/j.vaccine.2021.05.036.
MACDONALD, N.E.; SAGE WORKING GROUP ON VACCINE HESITANCY. Vaccine hesitancy: Definition, scope and determinants. Vaccine, v. 33, n. 34, p. 4161-4, 2015. Disponível em: https://doi.org/10.1016/j.vaccine.2015.04.036.
Marzo RR, et al. Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries. Trop Med Health., v. 50, n. 1, p. 4, 2022. Disponível em: https://doi.org/10.1186/s41182-021-00393-1.
MOHER, D.; LIBERATI, A.; TETZLAFF, J.; ALTMAN, D.G.; PRISMA GROUP. Reprint—preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Physical therapy, v. 89, n. 9, p. 873-880, 2009. Disponível em: https://doi.org/10.1093/ptj/89.9.873.
MUHAJARINE, N. et al. COVID-19 vaccine hesitancy and refusal and associated factors in an adult population in Saskatchewan, Canada: Evidence from predictive modelling. PLoS One [Internet], v. 16, n. 11, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589208/.
MURPHY, J. et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nature Commun, v. 12, n. 29, 2021. Disponível em: https://doi.org/10.1038/s41467-020-20226-9.
OLIVEIRA, B.L.C.A. et al. Prevalence and factors associated with covid-19 vaccine hesitancy in Maranhão, Brazil. Revista de Saúde Pública, São Paulo, v. 55, p. 12, 2021. Disponível em: https://doi.org/10.11606/s1518-8787.2021055003417.
OMAR, D.I.; HANI, B.M. Attitudes and intentions towards COVID-19 vaccines and associated factors among Egyptian adults. J Infect Public Health, v. 14, n. 10, p. 1481-1488, 2021. Disponível em: https://doi.org/10.1016/j.jiph.2021.06.019.
PAUL E, FANCOURT D. Predictors of uncertainty and unwillingness to receive the COVID-19 booster vaccine: An observational study of 22,139 fully vaccinated adults in the UK. Lancet Reg Health Eur, v. 14, p. 100317, 2022. Disponível em: https://doi.org//10.1016/j.lanepe.2022.100317
RAHMAN, M.; HOSSAIN, A.; SUFIAN, A.; ANWAR, N. COVID-19 vaccine demand, hesitancy, and nationalism: a case of protection motivation behavior in Bangladesh. J Infect Dev Ctries, v. 15, n. 10, p. 1388-95, 2021. Disponível em: https://doi.org/10.3855/jidc.15029
RENO, C. et al. Enhancing COVID-19 Vaccines Acceptance: Results from a Survey on Vaccine Hesitancy in Northern Italy. Vaccines (Basel), v. 9, n. 4, p. 378, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33924534/.
SYAN, S.K. et al. COVID-19 vaccine perceptions and differences by sex, age, and education in 1,367 community adults in Ontario. Front Public Health, v.9, p. 719665, 2021. Disponível em: https://doi.org/10.3389/fpubh.2021.719665.
VETTER, V. et al. Understanding modern-day vaccines: what you need to know. Ann Med., v. 50, n. 2, p. 110-20, 2018. Disponível em: https://doi.org/10.1080/07853890.2017.1407035.
VRIES, H.; VERPUTTEN, W.; PREISSNER, C.; KOK, G. COVID-19 Vaccine Hesitancy: The Role of Information Sources and Beliefs in Dutch Adults. Int J Environ Res Public Health, v. 19, n. 6, p. 3205, 2022. Disponível em: https://doi.org/10.3390/ijerph19063205.
WHITTEMORE, R.; KNAFF, K. The integrative review: Updated methodology. Journal of Advanced Nursing, v. 52, n. 5, p. 546-553, 2005. Disponível em: http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x.
WORLD HEALTH ORGANIZATION. WHO Data, Coronavirus (COVID-19) dashboard, 2022. WHO Health Emergencies Programme. Disponível em: https://covid19.who.int/.
WU, J. et al. COVID-19 Vaccine Hesitancy Among Chinese Population: A Large-Scale National Study. Front Immunol, v. 12, p. 781161, 2021. Disponível em: https://doi.org/10.3389/fimmu.2021.781161.
Downloads
Publicado
Como Citar
Licença
Copyright (c) 2024 Francisco João de Carvalho Neto, Loisláyne Barros Leal , Paulo Cilas de Carvalho Sousa, Rafaela Pereira Lima, Lucilane Maria Sales da Silva, Ana Roberta Vilarouca da Silva
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.