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

Vieri Lastrucci, Chiara Lorini, Lorenzo Stacchini (), Enrica Stancanelli, Andrea Guida, Alessio Radi, Chiara Morittu, Salvatore Zimmitti, Giorgia Alderotti, Marco Del Riccio, Angela Bechini, Sara Boccalini, Population Research Group Covid-19 and Guglielmo Bonaccorsi
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Vieri Lastrucci: Epidemiology Unit, Meyer Children’s Hospital, 50139 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
Population Research Group Covid-19: 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

IJERPH, 2022, vol. 19, issue 20, 1-12

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.

Keywords: COVID-19; vaccine; vaccination uptake; predictors; health literacy; infection prevention behaviors; risk perception; knowledge; attitudes and practices; area-based (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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