Typology of ICU-Healthcare Providers Who Delayed or Declined COVID-19 Vaccination.

Objectives: To assess COVID-19 vaccination rates in ICU-healthcare providers (HCPs) in France and to identify the typology of those who delayed or declined vaccination.
Design: Cross-sectional study.
Setting: Twenty-one ICUs in France.
Subjects: Members of the nursing and medical staff and other allied professionals.
Interventions: None.
Measurements and Main Results: Six hundred ninety-six of the 950 respondents (73.3%) had undergone a full vaccination schedule. Other HCPs either declined vaccination ( n = 112) or delayed vaccination until it became mandatory ( n = 142). Factors independently associated with full vaccination were age older than 50 years (odds ratio, 0.25 [95% CI, 0.12-0.51]), more than 5 years of ICU experience (0.66 [0.47-0.93]), increasing working time during the surge (0.94 [0.88-1.00]), and spending time with the family (0.92 [0.85-0.99]). Conversely, being a nurse (1.94 [1.25-2.99]) or a nurse assistant (2.77 [1.62-4.73]), and feeling not supported by hospital and ICU directors (1.49 [1.01-2.20]) was independently associated with not being vaccinated.
Conclusions: These results are important to take into account to better implement vaccination strategies in HCPs for existing or future pandemics.
Competing Interests: Drs. Azoulay’s and Kentish-Barnes’s institution received funding from the French Ministry of Health. Dr. Azoulay received funding from Alexion, Sanofi, and Pfizer. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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