COVID-19 concern question.

Although COVID-19 vaccines have demonstrated efficacy, there is variability in health professionals’ attitudes towards these agents. Factors associated with mental health professionals’ attitudes towards COVID-19 vaccination are not well understood. We investigated these factors by administering a newly developed measure, the COVID-19 Vaccine Attitudes Questionnaire (C-VAQ), to members of the World Health Organization’s Global Clinical Practice Network (GCPN) of mental health professionals. 1,931 GCPN members representing all world regions participated between July 28 and September 7, 2021. Mental health professionals’ attitudes towards COVID-19 vaccination were assessed in one of five languages (Chinese, English, French, Japanese, Russian, or Spanish) using the C-VAQ. Internal consistency, factor structure, and predictive validity of the C-VAQ were examined, and a multiple-linear regression model was employed to assess C-VAQ score predictors, including sociodemographic variables (age, gender, WHO region, country income level, profession, and years of professional experience) as well as country mortality rate and the stringency of each country’s response to COVID-19. The C-VAQ demonstrated good internal consistency and external validity. Items loaded on to a single factor. Having received a COVID-19 vaccine, higher country mortality rate, and higher stringency index was significantly associated with more positive vaccine attitudes. Lower age, residing in a low-and-middle income country, and living in Asia were all was significantly associated with less positive vaccine attitudes. The C-VAQ scores were negatively correlated with the number of concerns about the COVID-19 vaccination. The C-VAQ was useful in demonstrating the extent to which additional work is needed to improve mental health professionals’ attitudes towards COVID-19 vaccines globally. Relatively poorer attitudes toward vaccination among some mental health clinicians around the world suggests the need for broad, multi-pronged interventions.

尽管新冠疫苗已被证实具有有效性，但医疗卫生专业人员对这类疫苗的态度仍存在差异。目前学界对与精神卫生专业人员新冠疫苗接种态度相关的影响因素尚缺乏充分认识。本研究针对精神卫生专业人员，采用新开发的新冠疫苗态度调查问卷（COVID-19 Vaccine Attitudes Questionnaire，C-VAQ），对影响其疫苗接种态度的相关因素展开探究。2021年7月28日至9月7日期间，来自全球所有地区的1931名世界卫生组织（World Health Organization，WHO）全球临床实践网络（Global Clinical Practice Network，GCPN）成员参与了本次调研。本次调研以五种语言（中文、英语、法语、日语、俄语及西班牙语）中的任意一种版本的C-VAQ，对精神卫生专业人员的新冠疫苗接种态度开展评估。研究人员对C-VAQ的内部一致性、因子结构及预测效度进行了检验，并采用多元线性回归模型分析C-VAQ得分的预测因素，其中包括社会人口学变量（年龄、性别、WHO区域、国家收入水平、职业及从业年限），以及各国新冠死亡率与疫情防控严格指数。C-VAQ表现出良好的内部一致性与外部效度，所有条目均载荷于单个因子之上。已接种新冠疫苗、所在国家新冠死亡率更高以及疫情防控严格指数更高，均与更积极的疫苗接种态度显著相关。年龄更小、身处中低收入国家以及居住在亚洲地区，则与更不积极的疫苗接种态度显著相关。C-VAQ得分与新冠疫苗接种顾虑的数量呈显著负相关。C-VAQ可有效量化全球范围内改善精神卫生专业人员新冠疫苗接种态度所需开展的额外工作的程度。全球部分精神卫生临床工作者的疫苗接种态度相对消极，这表明亟需开展多维度、多层面的干预措施。