Global Prevalence and Drivers of Dental Students’ COVID-19 Vaccine Hesitancy
Date
 2021-05-30 
Authors
Riad, Abanoub
Abdulqader, Huthaifa
Morgado, Mariana
Domnori, Silvi
Koščík, Michal
Mendes, José João
Klugar, Miloslav
Kateeb, Elham
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Abstract
 Background: Acceleration of mass vaccination strategies is the only pathway to overcome the COVID-19 pandemic. Healthcare professionals and students have a key role in shaping public opinion about vaccines. This study aimed to evaluate the attitudes of dental students globally to-wards COVID-19 vaccines and explore the potential drivers for students’ acceptance levels. Meth-ods: A global cross-sectional study was carried out in February 2021 using an online questionnaire. The study was liaised by the scientific committee of the International Association of Dental Students (IADS), and data were collected through the national and local coordinators of IADS member or-ganizations.  The  dependent  variable  was  the  willingness  to  take  the  COVID-19  vaccine,  and  the  independent  variables  included  demographic  characteristics,  COVID-19-related  experience,  and  the drivers of COVID-19 vaccine-related attitude suggested by the WHO SAGE. Results: A total of 6639  students  from  22  countries,  representing  all  world  regions,  responded  to  the  questionnaire  properly.  Their  mean  age  was  22.1  ±  2.8  (17–40)  years,  and  the  majority  were  females  (70.5%),  in  clinical years (66.8%), and from upper-middle-income economies (45.7%). In general, 22.5% of den-tal students worldwide were hesitant, and 13.9% rejected COVID-19 vaccines. The students in low- and  lower-middle-income  (LLMI)  economies  had  significantly  higher  levels  of  vaccine  hesitancy  compared to their peers in upper-middle- and high-income (UMHI) economies (30.4% vs. 19.8%; p<  0.01).  Conclusions:  The  global  acceptance  level  of  dental  students  for  COVID-19  vaccines  was  suboptimal,  and  their  worrisome  level  of  vaccine  hesitancy  was  influenced  by  the  socioeconomic  context where the dental students live and study. The media and social media, public figures, in-sufficient knowledge about vaccines, and mistrust of governments and the pharmaceutical industry were barriers to vaccination. The findings of this study call for further implementation of epidemi-ology (infectious diseases) education within undergraduate dental curricula. 
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Keywords
 COVID-19 vaccine , cross-sectional studie , decision making , dental education , dental students; , international  association  of  dental  students , mass  vaccination , multicentre  study; , social  determinants of health