000 03112cam a2200277 4500500
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041 _afre
042 _adc
100 1 0 _aSacco, Guillaume
_eauthor
700 1 0 _aChapuis, Elisa
_eauthor
700 1 0 _aMichel, Emeline
_eauthor
700 1 0 _aBrière, Olivier
_eauthor
700 1 0 _aAquino, Jean-Pierre
_eauthor
700 1 0 _aGavazzi, Gaétan
_eauthor
700 1 0 _aBonin-Guillaume, Sylvie
_eauthor
700 1 0 _aGuerin, Olivier
_eauthor
700 1 0 _aSalles, Nathalie
_eauthor
700 1 0 _aAnnweiler, Cédric
_eauthor
700 1 0 _aon behalf of the SFGG study group
_eauthor
245 0 0 _aMotivations for accepting or refusing Covid-19 vaccination in nursing homes and long-term care centers in France: the Vaccovid-senior study
260 _c2026.
500 _a47
520 _aBackgroundVaccination against SARS-CoV-2 remains the most powerful strategy to fight against the Covid-19 pandemic around the word. Nevertheless, the level of complete vaccination (including all recommended boosters) is not optimal, even in the most vulnerable population, i.e. older adults living in nursing homes (NH) and long-term care units (LTCU). In this context, the understanding of the patients’ reluctance to vaccination seems particularly important and our objective was to understand the acceptance or refusal mechanisms of the Covid-19 vaccine among people living in NH and LTCU.MethodNational French cross-sectional study conducted between June and September 202 including 101 health care professionals working in NH or LTCU and represents 10,152 residents living in the respondents’ establishments.ResultsThe Vaccovid-Senior cohort included 323 residents (89 ± 6.5 years, 69% women, 89.2% living in NH); 179 agreed to vaccination and 144 were not vaccinated. In multivariate analysis, the only modifiable characteristics associated with the acceptance was a regular influenza vaccination (OR = 29.43; 95CI [12.11-71.53]; p < 0.001), and with refusal was receiving information from Internet and social media (OR = 0.34; 95CI [0.13-0.88]; p = 0.026). Remarkably, the interaction analysis revealed that the residents who were usually vaccinated against influenza and able to understand the information given about Covid-19 were 17,5 times more likely to accept the Covid-19 vaccination (RR = 17,5; 95CI [4,5-68,0]) compared to residents with polypharmacy but without regular influenza vaccination.ConclusionsVaccine acceptance can be improved by repeated efforts to listen to and explain the vaccine to the older population, their families, and the care teams. Isolating these situations of refusal allowed us to foresee avenues of improvement such as the communication of information on the vaccine, the nudge strategy and training to give information adapted to the level of understanding.
786 0 _nGériatrie et Psychologie Neuropsychiatrie du Vieillissement | 23 | 4 | 2026-02-04 | p. 417-426 | 2115-8789
856 4 1 _uhttps://stm.cairn.info/journal-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2025-4-page-417?lang=en&redirect-ssocas=7080
999 _c1741467
_d1741467