PMID- 36679974
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230308
IS  - 2076-393X (Print)
IS  - 2076-393X (Electronic)
IS  - 2076-393X (Linking)
VI  - 11
IP  - 1
DP  - 2023 Jan 5
TI  - Psychological Distress and Physical Adverse Events of COVID-19 Vaccination among 
      Healthcare Workers in Taiwan.
LID - 10.3390/vaccines11010129 [doi]
LID - 129
AB  - The COVID-19 pandemic places high pressure on everyone, including healthcare 
      workers (HCWs), thus causing them to experience psychological distress. HCWs have 
      priority in receiving the COVID-19 vaccine. However, few studies have identified 
      adverse events (AEs) and psychological distress in the HCWs group. Therefore, we 
      investigated the association between psychological distress and AEs and the 
      determinants of protective behaviors in Taiwanese HCWs. A longitudinal 
      measurement was conducted among HCWs at National Cheng Kung University Hospital 
      (NCKUH), Tainan, Taiwan (n = 483, mean age = 37.55 years). All HCWs completed an 
      online questionnaire on psychological distress, COVID-19 vaccination AEs, and 
      protective behaviors. We used generalized estimating equations (GEE) to analyze 
      the correlation between psychological distress and AEs, and used multivariable 
      logistic regressions to explore the predictors of protective behaviors. 
      Depression and distress and anger were significantly associated with various 
      physical AEs (p = 0.045 to p < 0.001). Suicidal thoughts became a significant 
      independent variable of systemic AEs after COVID-19 vaccination (p = 0.014 to p < 
      0.001). People of older ages or females engaged more in washing their hands, 
      wearing masks, and reducing their presence in crowded places. Suicidal thoughts 
      were related to the occurrence of systemic AEs among HCWs. Doctors performed 
      better at preventive behaviors compared to nurses and other HCWs. HCWs who 
      experienced anxiety and nervousness tended to avoid crowds.
FAU - Rifai, Ahmad
AU  - Rifai A
AUID- ORCID: 0000-0003-3356-5190
AD  - Department of Nursing, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
AD  - International Doctoral Program in Nursing, Department of Nursing, College of 
      Medicine, National Cheng Kung University, Tainan 701, Taiwan.
AD  - Faculty of Nursing, University of Jember, Jember 68121, Indonesia.
FAU - Wu, Wan-Ching
AU  - Wu WC
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
FAU - Tang, Yu-Wen
AU  - Tang YW
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
FAU - Lu, Mei-Yun
AU  - Lu MY
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
FAU - Chiu, Pei-Jen
AU  - Chiu PJ
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
FAU - Strong, Carol
AU  - Strong C
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
FAU - Lin, Chung-Ying
AU  - Lin CY
AUID- ORCID: 0000-0002-2129-4242
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
AD  - Institute of Allied Health Sciences, College of Medicine, National Cheng Kung 
      University, Tainan 701, Taiwan.
AD  - Department of Occupational Therapy, College of Medicine, National Cheng Kung 
      University, Tainan 701, Taiwan.
AD  - Biostatistics Consulting Center, National Cheng Kung University Hospital, College 
      of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
FAU - Chen, Po-Lin
AU  - Chen PL
AUID- ORCID: 0000-0002-4015-1052
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
AD  - Department of Internal Medicine, National Cheng Kung University Hospital, College 
      of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
FAU - Ko, Wen-Chien
AU  - Ko WC
AUID- ORCID: 0000-0001-7497-149X
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
AD  - Department of Internal Medicine, National Cheng Kung University Hospital, College 
      of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
FAU - Ko, Nai-Ying
AU  - Ko NY
AUID- ORCID: 0000-0002-3007-2537
AD  - Department of Nursing, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
AD  - Center for Infection Control, National Cheng Kung University Hospital, Tainan 
      701, Taiwan.
AD  - Department of Public Health, College of Medicine, National Cheng Kung University, 
      Tainan 701, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20230105
PL  - Switzerland
TA  - Vaccines (Basel)
JT  - Vaccines
JID - 101629355
PMC - PMC9866986
OTO - NOTNLM
OT  - COVID-19
OT  - adverse events
OT  - healthcare workers
OT  - preventive behaviors
OT  - psychological distress
OT  - vaccination
COIS- The authors declare no conflict of interest.
EDAT- 2023/01/22 06:00
MHDA- 2023/01/22 06:01
PMCR- 2023/01/05
CRDT- 2023/01/21 01:57
PHST- 2022/11/26 00:00 [received]
PHST- 2022/12/25 00:00 [revised]
PHST- 2022/12/28 00:00 [accepted]
PHST- 2023/01/21 01:57 [entrez]
PHST- 2023/01/22 06:00 [pubmed]
PHST- 2023/01/22 06:01 [medline]
PHST- 2023/01/05 00:00 [pmc-release]
AID - vaccines11010129 [pii]
AID - vaccines-11-00129 [pii]
AID - 10.3390/vaccines11010129 [doi]
PST - epublish
SO  - Vaccines (Basel). 2023 Jan 5;11(1):129. doi: 10.3390/vaccines11010129.