Review Article

Healthcare Workers and Nonhealthcare Workers Pro-Vaccination Attitude and Its Associated Factors towards COVID-19 Vaccine Globally: A Systematic Review and Meta-Analysis

Table 2

Characteristics of the studies included in the systematic review and meta-analysis on the level of positive attitude towards COVID-19 vaccine among HCWs and non-HCWs over different countries.

S. NAuthorsYearSPCountryParticipantsSSSDLevel (%)FactorsQuality score

1.Vignier et al. [46]2021January 22 to March 26, 2021FranceHCWs579CS65.6Confidence in pharmaceutical companies, and confidence in the management of the epidemic.8

2.Alle and Oumer [47]2021February 5 to March 20, 2021EthiopiaHealth professions319CS42.3Age and profession.7

3.Kaur et al. [48]2021Not explainedIndiaMedical and dental professionals520CS65NA6

4.Verger et al. [49]2021October and November 2020France and French-speaking parts of Belgium and CanadaHCWs2,678CS48.6Age, history of taking influenza vaccine, vaccine recommendation, perceived risk of new vaccines, and perceived utility of vaccine.7

5.Ahmed et al. [50]2021Not explainedSaudi ArabiaHealthcare providers236CS55.5Sex, age, presence of chronic illnesses, and allergy.8

6.Fakonti et al. [51]2021December 8 to 28, 2020CyprusNurses and midwives437CS30Receiving a seasonal flu vaccination in the last 5 years, recommended vaccines for health professionals, and working in a private hospital.7

7.Chew et al. [52]2021December 12 to 21, 2020Asia-PacificHCWs1720CS95A high perceived pandemic risk index, low vaccine harm index and high pro-socialness index.8

8.Guangul et al. [53]2021Not explainedEthiopiaHCWs668CS72.2NA6

9.Nasir et al. [54]2021In February 2021BangladeshHCWs550CS70.23NA6

10.Paudel et al. [55]2021January 27 to February 3, 2021.NepalHCWs266CS38.3NA6

11.Baghdadi et al. [56]2021July to September 2020Saudi ArabiaHCWs356CS61.16Gender, age (middle aged), work experience (<5 years), having no fear of injections, and being a non-smoker.8

12.Di Gennaro et al. [57]20211 October to 1 November 2020ItalyHCWs1723CS67Being a non-MD health professional, using Facebook as main information source about antiSARS-CoV-2 vaccination, being a younger, age (<30 years), being in close contact with a high-risk group, and having undertaken seasonal flu vaccine during the 2019–2020 season.8

13.Elhadi et al. [58]2021December 1 to 18, 2020LibyaPhysicians and paramedic2215CS58.19NA8

14.Ciardi et al. [59]2021December 10, 2020 to January 5, 2021New YorkHCWs428CS64Gender, age, race, home location, role within the hospital, knowledge about the virus, and confidence in and expectations about personal protective equipment and behaviors.7

15.Fares et al. [60]2021December 2020 to January 2021EgyptHCWs385CS21NA6

16.Harsch et al. [61]2021Not explainedGermanyHCWs200CS37.5NA6

17.Szmyd et al. [62]2021December 22, 2020 to January 8, 2021PolandHCWs2300CS82.95NA6

18.Ledda et al. [63]2021September to December 20, 2020ItalyHealthcare personnel787CS75NA6

19.Shaw et al. [64]2021November 23 to December 5, 2020USHealthcare personnel5287CS57.5NA6

20.Bauernfeind et al. [65]2021December 12 to 21, 2020GermanyHospital employees2454CS59.5Age, gender, educational level, risk for severe course of COVID-19, occupation, direct contact with COVID-19 at work, flu shot in influenza 2019/2020, and flu shot in influenza 2020/2021.8

21.Spinewine et al. [66]2021January 6 to 20, 2021BelgiumHospital staffs1132CS62.9Being older, being a physician, being vaccinated against seasonal flu, perceived benefits, and cues to actions.8

22.Mesesle [67]2021March 13 to April 10, 2021EthiopiaAdult population425CS24.2NA8

23.Islam et al. [68]2021December 2020 to February 2021BangladeshAdult population1658CS78Being female, and having previous history vaccination.6

24.Kasrine Al Halabi et al. [69]2021November to December 2020LebanonAdult population579CS21.4Gender and marital status.8

25.Szmyd et al. [70]2021December 22 to 25, 2020PolandMedical students632CS91.99Fear of passing on the disease to relatives, and the year of medical study.7

26.Bai et al. [71]2021December 27, 2020 to January 18, 2021ChinaCollege students2,881CS76.3Residency (urban), and studying health-related courses.7

27.Brodziak et al. [72]2021Not explainedPolandCancer patients635CS73.7NA8

28.Akarsu et al. [73]202110/06/2020 and 10/07/2020TurkeyAdult population759CS49.7NA6

29.Ward et al. [74]2020Each week of April 2020FranceAdult population5018CS76Gender, age, COVID-19 concern, and HICU.8

30.Szmyd et al. [70]2021December 22 to 25, 2020PolandNonmedical students763CS59.42NA8

31.Freeman et al. [75]2021September 24 to October 17, 2020UKAdult population5,114CS71.7Younger age, female gender, lower income, ethnicity, and lower adherence to social distancing guidelines.7

32.Pogue et al. [76]2020Not explainedUnited StatesAdult population316CS68NA6

33.Paul et al. [77]2021March 21/2020UKAdult population32,361CS84NA8

34.Cordina et al. [78]202130/10/2020 to 16/11/2020MaltaAdult population2529CS50Gender(male), and being health profession.7

35.Alabdulla et al. [79]2021October 15 to November 15, 2020QatarAdult population7821CS79.8NA8

36.Chen et al. [80]2021Not explainedChinaAdult population3195CS76.6NA7

37.La Vecchia et al. [81]2020September 16 to 28, 2020Italy15–85 years population1055CS53.7NA6

38.Largent et al. [82]2020September 14 to 27, 2020USAdult population2730CS61.4NA6

39.El-Elimat et al. [83]2021November 2020JordanAdult population3,100CS66.5NA8

40.Graeber et al. [84]2021June and July 2020GermanyAdult population851CS70NA7

41.Al-Marshoudi et al. [85]2021December15 to 31, 2020OmanAdult population3000CS59.3Gender (male), history of chronic disease, pregnancy, perceived vaccine safety, education levels, and occupation.8

42.Villarreal-Garza et al. [86]2021March 12 to 26, 2021MexicoBreast cancer patients540CS66Age, having a close acquaintance who did not experience a vaccine-related adverse reaction, having more information about vaccine effectiveness, mandatory vaccination, and being recommended by their oncologist to be vaccinated.6

43.Jiang et al. [87]2021Mid-March 2021ChinaNursing college students1,488CS70.07NA6

44.Omar and Hani [88]2021January 7 to March 30, 2021EgyptAdult population1011CS46Gender (female), residence (urban), educational level (university/post graduate), marital status (married), having flu vaccine, and lack of the confidence in the healthcare system to control epidemic.7

45.Cai et al. [89]2021November 27, 2020 and March 12, 2021ChinaAdolescent population1,057CS75.59Age (younger), heard about COVID-19 vaccines, believe in COVID-19 vaccines protection from COVID-19 infection, and those who encouraged their family members and friends to get vaccinated, and believing that vaccines are safe.8

46.Kuhn et al. [90]2021December 2020 to January 2021USAPEH90CS52NA7

47.Petravić et al. [91]2021December 17 to 27, 2020SloveniaResidents >15 years12,042CS33NA8

48.Kumari et al. [92]2021March 13 to 25, 2021India≥18 years population1294CS83.6NA7

49.Koh et al. [93]2022May to June

2021SingaporePrimary healthcare workers528CS94.9%NA7

50.AW et al. [94]2022March to July 2021SingaporeHCWs241CS48.5Being female, a younger age, not having had a loved one or friend infected with COVID-19 and obtaining information from newspapers7

51.Kanyike et al. [95]2021March 15 to 21 2021UgandaMedical students600CS30.7NA7

Notice: SP, study period; SS, sample size; SD, study design; CS, cross-sectional; HCWs, healthcare workers; NA, not applicable; HICU, household income per consumption unit; PEH, people experiencing homelessness.