Determinants of COVID-19 vaccination acceptance or hesitancy in Italy: an overview of the current evidence

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Abstract

Introduction. Vaccine hesitancy is a major public health issue and a challenge for the implementation of COVID-19 immunization campaigns. The objective of this study was to address the determinants of COVID-19 vaccination acceptance or hesitancy in the Italian population.
Materials and methods. We conducted a rapid systematic review by searching PubMed  until May 3rd, 2022, according to Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Articles assessing determinants of Italians’ attitudes towards COVID- 19 vaccination in terms of hesitancy and/or acceptance were considered eligible. Quality and risk of bias assessment was performed through the Newcastle Ottawa Scale appraisal tool. Determinants were grouped in three categories: contextual, individual and group, and vaccine/vaccination specific influences.
Results. Out of 606 articles, 59 studies were included in the analysis. Included studies demonstrated that, in Italy, COVID-19 vaccination  acceptance or hesitancy is mostly influenced by perceived safety, efficacy and usefulness of the vaccine.
Conclusion. These findings should be considered to plan tailored interventions for counteracting COVID-19 vaccination hesitancy in Italy.

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Authors

Chiara Primieri - (1) School of Specialization in Hygiene and Preventive Medicine, University of Perugia, 06129 Perugia, Italy

Carla Bietta - (2) Local Health Unit 1 of Umbria, Prevention Department, Epidemiology Unit, 06129 Perugia, Italy

Irene Giacchetta - (1) School of Specialization in Hygiene and Preventive Medicine, University of Perugia, 06129 Perugia, Italy

Manuela Chiavarini - (3) Department of Medicine and Surgery, Section of Public Heath, University of Perugia, 06132 Perugia, Italy

Chiara de Waure - (3) Department of Medicine and Surgery, Section of Public Heath, University of Perugia, 06132 Perugia, Italy

How to Cite
Primieri , C. ., Bietta , C. ., Giacchetta, I., Chiavarini , M. ., & de Waure , C. . (2023). Determinants of COVID-19 vaccination acceptance or hesitancy in Italy: an overview of the current evidence. Annali dell’Istituto Superiore Di Sanità, 59(1), 10–25. https://doi.org/10.4415/ANN_23_01_03
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