Patient autonomy regarding the COVID-19 vaccine

Ferro, Gustavo Batista; Morais, Carlos Arthur da Silva; Mendes, Erick Antonio Rodrigues; Pinto, Francinei Gomes; Neder, Patrícia Regina Bastos

doi:10.1590/1983-803420233410EN

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Sumário

Research • Rev. Bioét. 31 • 2023 • https://doi.org/10.1590/1983-803420233410EN copy

Patient autonomy regarding the COVID-19 vaccine

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Amidst the serious public health crises caused by the COVID-19 pandemic, vaccination became a key measure to combat the disease; however, vaccination refusal or hesitancy hinders the efforts to reach collective immunity. Such refusal is a right arising from patient autonomy and can be influenced by political factors, trust in governments, skepticism towards the pharmaceutical industry, and media exposure. Thus, knowledge of these aspects added to public health efforts is paramount to mitigate refusal and promote vaccination acceptance.

Personal autonomy; Vaccination refusal; COVID-19 vaccines

Author, year, country, and journal	Design and population	Objective	Main results
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Leach and collaborators; 2022 ¹⁷17. Leach M , MacGregor H , Akello G , Babawo L , Baluku M , Desclaux A<italic> e t al< /italic>. Vaccine anxieties, vaccine preparedness: perspectives from Africa in a Covid-19 era . Soc Sci Med [ Internet ]. 2022 [ acesso 20 mar 2023 ]; 298 : 114826 . DOI: 10.1016/j.socscimed.2022.114826 https://doi.org/10.1016/j.socscimed.2022... Senegal, Uganda and Sierra Leone Social Science & Medicine	Descriptive study Not applicable	Approach the anxieties of local public in African settings about COVID-19 vaccines from a point of view that addresses these broader bodily, social, and political dimensions.	It emphasizes the importance of understanding and communication on the part of health authorities, based on respectful dialogue with community members.
Kerr and collaborators; 2021 ¹⁸18. Kerr JR , Freeman ALJ , Marteau TM , van der Linden S . Effect of information about COVID-19 vaccine effectiveness and side effects on behavioural intentions: two online experiments . Vaccines ( Basel ) [ Internet ]. 2021 [ acesso 1 jul 2022 ]; 9 ( 4 ): 379 . DOI: 10.3390/vaccines9040379 https://doi.org/10.3390/vaccines9040379... , 2021 United Kingdom Vaccines	Cross-sectional study 4,997 participants	Check the influence of information specifically directed to beliefs about vaccine efficacy or concerns on COVID-19 vaccination intent.	Reading detailed information about the risks and benefits of vaccination, the vaccine approval process, or how vaccines induce immunity had no significant impact on vaccination intent.
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McElfish and collaborators; 2021 ³⁰30. McElfish PA , Willis DE , Shah SK , Moore KB , Rojo MO , Selig JP . Sociodemographic determinants of COVID-19 vaccine hesitancy, fear of infection, and protection self-efficacy . J Prim Care Community Health [ Internet ]. 2021 [ acesso 20 mar 2023 ]; 12 . DOI: 10.1177/21501327211040746 https://doi.org/10.1177/2150132721104074... United States Journal of Primary Care & Community Health	Cross-sectional study 754 participants	Examine associations between sociodemographic factors and COVID-19 vaccine hesitancy, fear of infection, and self-efficacy of protection.	Overall confidence in vaccines differs significantly between age, sex, race and education.
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Hossain and collaborators; 2021 ³⁶36. Hossain MB , Alam Z , Islam S , Sultan S , Faysal M , Rima S et al . Health belief model, theory of planned behavior, or psychological antecedents: what predicts COVID-19 vaccine hesitancy better among the Bangladeshi adults? Front Public Health [ Internet ]. 2021 [ acesso 20 mar 2023 ]; 9 : 711066 . DOI: 10.3389/fpubh.2021.711066 https://doi.org/10.3389/fpubh.2021.71106... Bangladesh Frontiers in Public Health	Cross-sectional study 1,497 participants	Determine the prevalence and investigate the myriad of psychological determinants of hesitancy regarding the COVID-19 vaccine among the adult population of Bangladesh.	Level of knowledge related to COVID-19, vaccination process, level of preventive practices, subjective norm, perceived behavioral control, and early regret are factors that have the greatest predictive power.
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[1] Correspondence: Gustavo Batista Ferro – Universidade do Estado do Pará. Trav. Perebebuí, 2623, Marco CEP 66087-662. Belém/PA, Brasil.