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Lièvre G, Sicsic J, Galmiche S, Charmet T, Fontanet A, Mueller JE. Are the 7C psychological antecedents associated with COVID-19 vaccine behaviours beyond intentions? A cross-sectional study on at-least-one-dose and up-to-date vaccination status, and uptake speed among adults in France. Vaccine 2024; 42:3288-3299. [PMID: 38643038 DOI: 10.1016/j.vaccine.2024.04.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 03/27/2024] [Accepted: 04/04/2024] [Indexed: 04/22/2024]
Abstract
BACKGROUND Widely documented psychological antecedents of vaccination are confidence in vaccines, complacency, convenience, calculation, collective responsibility (5C model) with the recent addition of confidence in the wider system and social conformism. While the capacity of these seven antecedents (7C) to explain variance in COVID-19 vaccine intentions has been previously documented, we study whether these factors also are associated with vaccine behaviours, beyond intentions. METHODS From February to June 2022, we recruited a sample of adults in France, including persons with notified recent SARS-CoV-2 infection, along with relatives and randomly selected non-infected persons. Participants completed self-administered questionnaires assessing COVID-19 vaccination history and the 7C antecedents. We defined vaccination behaviours as three outcomes: at-least-one-dose vaccine status by 2022 (N = 49,019), up-to-date vaccination status (N = 46,566), and uptake speed of first dose (N = 25,998). We conducted multivariable logistic regressions and Cox models. RESULTS Among the 49,019 participants, 95.0% reported receipt of at least one dose and 89.8% were up to date with recommendations. All 7C antecedents were significantly associated with the outcomes, although effects were weaker for up-to-date vaccination status and uptake speed. The strongest effects (most vs. least vaccine-favourable attitude level, at-least-one-dose vaccination status) were observed for collective responsibility (OR: 14.44; 95%CI: 10.72-19.45), calculation (OR: 10.29; 95%CI: 7.53-14.05), and confidence in the wider system (OR: 8.94; 95%CI: 6.51-12.27). CONCLUSION This study demonstrates that the 7C not only explain vaccine intention, but also vaccine behaviours, and underpins the importance of developing vaccine promotion strategies considering the 7C antecedents.
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Affiliation(s)
- Gaëlle Lièvre
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France; Sorbonne Université, Ecole Doctorale Pierre Louis de Santé Publique, Paris, France
| | | | - Simon Galmiche
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France; Sorbonne Université, Ecole Doctorale Pierre Louis de Santé Publique, Paris, France
| | - Tiffany Charmet
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France
| | - Arnaud Fontanet
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France
| | - Judith E Mueller
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France; Univ. Rennes, EHESP, CNRS, Inserm, Arènes - UMR 6051, RSMS (Recherche sur les Services et Management en Santé) - U 1309 - F-35000 Rennes, France.
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Manoharan B, Stennett R, de Souza RJ, Bangdiwala SI, Desai D, Kandasamy S, Khan F, Khan Z, Lear SA, Loh L, Nocos R, Schulze KM, Wahi G, Anand SS. Sociodemographic factors associated with vaccine hesitancy in the South Asian community in Canada. Can J Public Health 2024:10.17269/s41997-024-00885-7. [PMID: 38713364 DOI: 10.17269/s41997-024-00885-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 03/21/2024] [Indexed: 05/08/2024]
Abstract
OBJECTIVE South Asians represent the largest non-white ethnic group in Canada and were disproportionately impacted by the COVID-19 pandemic. We sought to determine the factors associated with vaccine hesitancy in South Asian Canadians. METHODS We conducted a cross-sectional analysis of vaccine hesitancy using data collected at the baseline assessment of a prospective cohort study, COVID CommUNITY South Asian. Participants (18 + years) were recruited from the Greater Toronto and Hamilton Area in Ontario (ON) and the Greater Vancouver Area in British Columbia (BC) between April and November 2021. Demographic characteristics and vaccine attitudes measured by the Vaccine Attitudes Examination (VAX) scale were collected. Each item is scored on a 6-point Likert scale, and higher scores reflect greater hesitancy. A multivariable linear mixed effects model was used to identify sociodemographic factors associated with vaccine hesitancy, adjusting for multiple covariates. RESULTS A total of 1496 self-identified South Asians (52% female) were analyzed (mean age = 38.5 years; standard deviation (SD): 15.3). The mean VAX score was 3.2, SD: 0.8 [range: 1.0‒6.0]. Factors associated with vaccine hesitancy included: time since immigration (p = 0.04), previous COVID-19 infection (p < 0.001), marital status (p < 0.001), living in a multigenerational household (p = 0.03), age (p = 0.02), education (p < 0.001), and employment status (p = 0.001). CONCLUSION Among South Asians living in ON and BC, time since immigration, prior COVID-19 infection, marital status, living in a multigenerational household, age, education, and employment status were associated with vaccine hesitancy. This information can be used to address vaccine hesitancy in the South Asian population in future COVID-19 waves or pandemics.
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Affiliation(s)
- Baanu Manoharan
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Rosain Stennett
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Russell J de Souza
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Population Health Research Institute, Hamilton, ON, Canada
| | - Shrikant I Bangdiwala
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Population Health Research Institute, Hamilton, ON, Canada
| | - Dipika Desai
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Population Health Research Institute, Hamilton, ON, Canada
| | - Sujane Kandasamy
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Farah Khan
- Population Health Research Institute, Hamilton, ON, Canada
| | - Zainab Khan
- Population Health Research Institute, Hamilton, ON, Canada
| | - Scott A Lear
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Lawrence Loh
- Centre for Global Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Rochelle Nocos
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Karleen M Schulze
- Population Health Research Institute, Hamilton, ON, Canada
- Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Gita Wahi
- Department of Pediatrics, McMaster University, Hamilton, ON, Canada
| | - Sonia S Anand
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
- Population Health Research Institute, Hamilton, ON, Canada.
- Department of Medicine, McMaster University, Hamilton, ON, Canada.
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Gillibrand S, Kapadia D, Watkinson R, Issa B, Kwaku-Odoi C, Sanders C. Marginalisation and distrust in the context of the COVID-19 vaccination programme: experiences of communities in a northern UK city region. BMC Public Health 2024; 24:853. [PMID: 38504230 PMCID: PMC10953068 DOI: 10.1186/s12889-024-18308-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 03/07/2024] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND There are clear inequalities in COVID - 19 vaccination rates amongst marginalised groups, with lower rates for some minoritised ethnic and religious groups, younger people, those living in more deprived areas, and with lower socio-economic status. Existing research focuses on psychological and socio-economic factors that influence vaccine uptake and does not explore broader social and historical contexts. Understanding inequalities in COVID-19 vaccine uptake requires a critical examination of the drivers of, and barriers to, vaccination. METHODS We present findings from a co-designed qualitative research study undertaken during the COVID-19 pandemic. Focus groups and interviews were used to examine the context underpinning responses to the COVID-19 vaccination in Greater Manchester, particularly focussing on experiences of marginalisation. Thematic framework analysis was used to analyse the data. RESULTS We found that the public's responses to the COVID-19 vaccination programme are intertwined with a longstanding history of institutional distrust and disenfranchisement, resulting from experiences of marginalisation and social inequalities. This was exacerbated further by the disproportionate impacts of the COVID-19 pandemic on minoritised ethnic groups, younger people, and those with existing health conditions. CONCLUSIONS Histories of structural inequalities experienced by minoritised groups invoked feelings of suspicion and scepticism at the motivations of the agencies behind the vaccination rollout. This highlights the need for a contextualised analysis of attitudes to vaccines, considering pre-existing inequalities, which may be especially relevant for conceptualising public responses to the vaccination programme. Finally, our study shows the important ways in which public (dis)trust can impact public health policies. We recommend this should be incorporated into responses to future public health crises.
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Affiliation(s)
- Stephanie Gillibrand
- Centre for Primary Care & Health Services Research, School of Health Sciences, Faculty of Biology Medicine & Health, The University of Manchester, Greater Manchester, UK.
| | - Dharmi Kapadia
- School of Social Sciences, University of Manchester, Greater Manchester, UK
| | - Ruth Watkinson
- Centre for Primary Care & Health Services Research, School of Health Sciences, Faculty of Biology Medicine & Health, The University of Manchester, Greater Manchester, UK
- NIHR Applied Research Collaboration for Greater Manchester, Greater Manchester, UK
| | - Basma Issa
- Independent public contributor, Greater Manchester, UK
| | | | - Caroline Sanders
- Centre for Primary Care & Health Services Research, School of Health Sciences, Faculty of Biology Medicine & Health, The University of Manchester, Greater Manchester, UK
- NIHR Applied Research Collaboration for Greater Manchester, Greater Manchester, UK
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Bodjongo MJM. How to increase acceptance of the COVID-19 vaccine among poor people in Africa? Int J Health Econ Manag 2024:10.1007/s10754-024-09370-7. [PMID: 38451447 DOI: 10.1007/s10754-024-09370-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 02/10/2024] [Indexed: 03/08/2024]
Abstract
This study aims to analyze whether good government management of the COVID-19 pandemic can increase the likelihood of vaccine uptake among poor people in Africa. The analysis is based on a sample of 18,010 people living in 34 African countries, drawn from data collected by Afrobarometer (Merged Round 8 data (34 countries), database, 2022). The econometric results, obtained using a bivariate probit regression, show that poverty significantly reduces the odds of accepting the said COVID-19 vaccine. However, acceptance of the vaccine increases among poor individuals when there is (i) trust in the government's published statistics on COVID-19, (ii) control of corruption by the government in managing the pandemic, (iii) individual confidence in the government's ability to ensure the safety of the COVID-19 vaccine, and (iv) belief that the Covid 19 vaccine will be more effective than religious prayer in the fight against this pandemic.
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Bok S, Shum J, Lee M. Path analysis of perceived disease vulnerability, COVID-19 fear, and lower vaccine hesitancy within the context of protection motivation theory. Heliyon 2024; 10:e25889. [PMID: 38390175 PMCID: PMC10881856 DOI: 10.1016/j.heliyon.2024.e25889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 01/23/2024] [Accepted: 02/05/2024] [Indexed: 02/24/2024] Open
Abstract
COVID-19 vaccinations have demonstrated effectiveness in reducing severe infections. However, vaccine hesitancy posed a major public health hurdle to combat the COVID-19 pandemic. Online spread of vaccine conspiracy beliefs generated unwarranted mistrust and resistance to vaccines. While numerous studies have explored the factors influencing vaccine hesitancy, there remains a lack of comprehensive understanding regarding the interplay between perceived disease vulnerability, COVID-19 fear, and vaccine hesitancy. Protection motivation theory posits citizens will evaluate perceived threats and take actions to mitigate potential harm. With a large U.S. sample, path analysis demonstrated individuals' perceived disease vulnerability was associated with lower vaccine hesitancy. Greater perceived disease vulnerability was associated with higher COVID-19 fear. Greater COVID-19 fear was associated with lower vaccine hesitancy. Greater vaccine conspiracy beliefs associated with higher vaccine hesitancy. However, in the presence of perceived vulnerability to disease, vaccine conspiracy beliefs associated with higher fear of COVID-19 and thereby lower vaccine hesitancy. We found under circumstances of higher perceived vulnerability to disease and fear of COVID-19, vaccine conspiratorial believers were less vaccine hesitant. We discuss how public health messaging can highlight personal risks to contracting COVID-19 to appeal to those who self-identify as disease prone, but may have reservations about vaccines because of misinformation. Successfully combating diseases entails reaching and gaining cooperation from misbelievers because misinformation is expected to continue in the digital age. By understand individual differences to vaccine hesitancy, it can help increase vaccinations and prevent severe illnesses in the post COVID-19 pandemic era.
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Affiliation(s)
- Stephen Bok
- Department of Marketing, College of Business and Economics, California State University, East Bay, United States
| | - James Shum
- School of Accounting, Golden Gate University, San Francisco, United States
| | - Maria Lee
- Department of Urban Planning and Public Policy, University of California, Irvine, United States
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Hernandez-Pineda E, Amaya CA, González-Uribe C, Herrera A, Velasco N. Covid-19 vaccination: a mixed methods analysis of health system resilience in Latin America. Int J Equity Health 2024; 23:27. [PMID: 38347545 PMCID: PMC10863163 DOI: 10.1186/s12939-023-02073-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 12/01/2023] [Indexed: 02/15/2024] Open
Abstract
BACKGROUND This paper discusses the stages of health system resilience (HSR) and the factors underlying differences in HSR during the covid-19 pandemic, especially the vaccination challenge. We studied the relationship between vaccination strategies and macro-context backgrounds in 21 Latin American countries. Our objective was to capture the impact of those aspects in the SR and identify potential improvements for future crises and for vaccination programs in general. METHODS The study uses mixed-methods research to provide insights into how the countries' backgrounds and vaccination strategies impact the HSR. Particularly, we used explanatory sequential mixed methods, which entails a quantitative-qualitative two-phase sequence. The quantitative phase was conducted using cluster and variance analysis, in which the HSR was measured using as a proxy the covid-19 vaccination outcomes in three cut-offs of reaching 25%, 50%, and 75% of population coverage. This approach allows us to discriminate covid-19 vaccination progress by stages and contrast it to the qualitative stage, in which we performed a country-case analysis of the background conditions and the changes in vaccination strategies that occurred during the corresponding dates. RESULTS The paper provides a rich comparative case analysis of countries, classifying them by early, prompt, and delayed performers. The results show that differences in vaccination performance are due to flexibility in adapting strategies, cooperation, and the ability to design multilevel solutions that consider the needs of various actors in the health ecosystem. These differences vary depending on the vaccination stage, which suggests the importance of acknowledging learning, diffusion, and feedback processes at the regional level. CONCLUSIONS We identified the importance of societal well-being as an ideal country antecedent for high and sustained levels of performance in covid-19 vaccination. Whereas in other countries where the set-up and beginning phases were rough, the value of the operational decisions and the learning on the move regarding their own and their peers' trajectories were crucial and were reflected in performance improvement. A contribution of this study is that the above-mentioned analysis was done using vaccination coverage cut-off points that allow a performance view that takes into consideration the stages of the vaccination progress and the learning process that goes with it. As well as framing this into the HSR shock cycles that allow to differentiate the stages of resilience on which countries must act.
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Affiliation(s)
| | - Ciro-Alberto Amaya
- School of Engineering, Universidad de Los Andes, Cra 1 E ste N° 19A - 40, Bogotá, 111711, Colombia
| | - Catalina González-Uribe
- School of Medicine, Universidad de Los Andes, Carrera 1 No 18 A - 10 42 Bloque Q Piso 8, Bogotá, 111711, Colombia
| | - Andrea Herrera
- School of Engineering, Universidad de Los Andes, Cra 1 E ste N° 19A - 40, Bogotá, 111711, Colombia
| | - Nubia Velasco
- School of Management, Universidad de Los Andes, Calle 21 # 1-20, Bogotá, 111711, Colombia
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Sileo KM, Hirani IM, Luttinen RL, Hayward M, Fleming PJ. A Scoping Review on Gender/Sex Differences in COVID-19 Vaccine Intentions and Uptake in the United States. Am J Health Promot 2024; 38:242-274. [PMID: 37847250 PMCID: PMC10802093 DOI: 10.1177/08901171231200778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2023]
Abstract
OBJECTIVE To explore the empirical literature on gender/sex differences in vaccine acceptance among U.S.-based adults and adolescents in approximately the first 2 years of the pandemic. DATA SOURCE Embase, Medline, PsycINFO, EBSCO, CINAHL, Web of Science. STUDY INCLUSION AND EXCLUSION CRITERIA Peer-reviewed studies conducted in the U.S. with those aged 12 and older, published in English before January 12, 2022, examining the relationship between gender/sex on COVID-19 vaccine intentions and/or uptake. DATA EXTRACTION Three authors screened studies and extracted data. DATA SYNTHESIS Univariate and multivariate results are summarized. RESULTS A total of 53 studies met inclusion criteria (48 intentions, 7 uptake), using mostly cross-sectional designs (92.5%) and non-random sampling (83.0%). The majority of studies supported men's greater intentions to vaccinate compared to women, and men's greater vaccine uptake in univariate analyses, but most multivariate analyses supported no gender differences in uptake. Few studies examined gender beyond binary categories (women/men), highlighting a gap in the studies inclusive of transgender or gender-diverse populations in analyses. CONCLUSION Women may have been more hesitant to get the vaccine than men early in the pandemic, but these differences may not translate to actual behavior. Future research should include non-binary/transgender populations, explore the gender-specific reasons for hesitancy and differences by sub-populations, utilize more rigorous designs, and test gender-sensitive public health campaigns to mitigate vaccine concerns.
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Affiliation(s)
- Katelyn M. Sileo
- The Department of Public Health, College of Health, Community, and Policy, The University of Texas at San Antonio, San Antonio, TX, USA
| | - Inara M. Hirani
- The Department of Public Health, College of Health, Community, and Policy, The University of Texas at San Antonio, San Antonio, TX, USA
| | - Rebecca L. Luttinen
- The Department of Demography, College of Health, Community, and Policy, The University of Texas at San Antonio, San Antonio, TX, USA
| | - Matt Hayward
- The John Peace Library, The University of Texas at San Antonio, San Antonio, TX, USA
| | - Paul J. Fleming
- The Department of Health Behavior and Health Education, The School of Public Health at the University of Michigan, Ann Arbor, MI, USA
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Nzaji MK, Kamenga JDD, Lungayo CL, Bene ACM, Meyou SF, Kapit AM, Fogarty AS, Sessoms D, MacDonald PDM, Standley CJ, Stolka KB. Factors associated with COVID-19 vaccine uptake and hesitancy among healthcare workers in the Democratic Republic of the Congo. PLOS Glob Public Health 2024; 4:e0002772. [PMID: 38300940 PMCID: PMC10833569 DOI: 10.1371/journal.pgph.0002772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 11/27/2023] [Indexed: 02/03/2024]
Abstract
Vaccination is a critical intervention to reduce morbidity and mortality and limit strain on health systems caused by COVID-19. The slow pace of COVID-19 vaccination uptake observed in some settings raises concerns about COVID-19 vaccine hesitancy. The Democratic Republic of the Congo experienced logistical challenges and low uptake at the start of vaccine distribution, leading to one of the lowest overall COVID-19 vaccine coverage rates in the world in 2021. This study assessed the magnitude and associated factors of COVID-19 vaccine uptake among healthcare workers (HCWs) in seven provinces in DRC. We implemented a cross-sectional Knowledge, Attitudes, and Practices (KAP) questionnaire targeting HCWs, administered by trained data collectors in Haut-Katanga, Kasaï Orientale, Kinshasa, Kongo Centrale, Lualaba, North Kivu, and South Kivu provinces. Data were summarized and statistical tests were performed to assess factors associated with vaccine uptake. HCWs across the seven provinces completed the questionnaire (N = 5,102), of whom 46.3% had received at least one dose of COVID-19 vaccine. Older age, being married, being a medical doctor, being a rural resident, and having access to or having previously worked in a COVID-19 vaccination site were all strongly associated with vaccination uptake. Vaccinated individuals most frequently cited protection of themselves, their families, and their communities as motivations for being vaccinated, whereas unvaccinated individuals were most concerned about safety, effectiveness, and risk of severe side effects. The findings suggest an opinion divide between vaccine-willing and vaccine-hesitant HCWs. A multidimensional approach may be needed to increase the acceptability of the COVID-19 vaccine for HCWs. Future vaccine campaign messaging could center around the positive impact of vaccination on protecting friends, family, and the community, and also emphasize the safety and very low risk of adverse effects. These types of messages may further be useful when planning future immunization campaigns with new vaccines.
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Affiliation(s)
- Michel K. Nzaji
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Jean de Dieu Kamenga
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Christophe Luhata Lungayo
- Expanded Programme on Immunization, Ministry of Public Health, Kinshasa, Democratic Republic of Congo
| | - Aime Cikomola Mwana Bene
- Expanded Programme on Immunization, Ministry of Public Health, Kinshasa, Democratic Republic of Congo
| | - Shanice Fezeu Meyou
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
| | - Anselme Manyong Kapit
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Alanna S. Fogarty
- Center for Global Health Science and Security, Georgetown University, Washington, District of Columbia, United States of America
| | - Dana Sessoms
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
| | - Pia D. M. MacDonald
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | - Claire J. Standley
- Center for Global Health Science and Security, Georgetown University, Washington, District of Columbia, United States of America
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | - Kristen B. Stolka
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
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Yin A, Wang N, Shea PJ, Rosser EN, Kuo H, Shapiro JR, Fenstermacher KZJ, Pekosz A, Rothman RE, Klein SL, Morgan R. Sex and gender differences in adverse events following receipt of influenza and COVID-19 vaccination among healthcare workers. medRxiv 2024:2024.01.17.24301440. [PMID: 38318206 PMCID: PMC10843156 DOI: 10.1101/2024.01.17.24301440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
Introduction Active and passive surveillance studies have found that a greater proportion of females report adverse events (AE) following receipt of either the COVID-19 or seasonal influenza vaccine compared to males. We sought to determine the intersection of biological sex and sociocultural gender differences in prospective active reporting of vaccine outcomes, which remains poorly characterized. Methods This cohort study enrolled Johns Hopkins Health System healthcare workers (HCWs) who were recruited from the annual fall 2019-2022 influenza vaccine and the fall 2022 COVID-19 bivalent vaccine campaigns. Vaccine recipients were enrolled the day of vaccination and AE surveys were administered two days post-vaccination (DPV) for bivalent COVID-19 and Influenza vaccine recipients. Data were collected regarding the presence of a series of solicited local and systemic AEs. Open-ended answers about participants' experiences with AEs also were collected for the COVID-19 vaccine recipients. Results Females were more likely to report local AEs after influenza (OR=2.28, p=0.001) or COVID-19 (OR=2.57, p=0.008) vaccination compared to males, regardless of age or race. Males and females had comparable probabilities of reporting systemic AEs after influenza (OR=1.18, p=0.552) or COVID-19 (OR=0.96, p=0.907) vaccination. Exogenous hormones from birth control use did not impact the rates of reported AEs following COVID-19 vaccination among reproductive-aged female HCWs. Women reported more interruptions in their daily routine following COVID-19 vaccination than men and were more likely to seek out self-treatment. More women than men scheduled their COVID-19 vaccination before their days off in anticipation of AEs. Conclusions Our findings highlight the need for sex- and gender-inclusive policies to inform more effective occupational health vaccination strategies. Further research is needed to evaluate the potential disruption of AEs on occupational responsibilities following mandated vaccination for healthcare workers and to more fully characterize the post-vaccination behavioral differences between men and women. KEY MESSAGE What is already known on this topic: ⇒ Among diversely aged adults 18-64 years, females report more AEs to vaccines, including the influenza and COVID-19 vaccines, than males.⇒ Vaccine AEs play a role in shaping vaccine hesitancy and uptake.⇒ Vaccine uptake related to influenza and COVID-19 are higher among men than women.⇒ Research that addresses both the sex and gender disparities of vaccine outcomes and behaviors is lacking.What this study adds: ⇒ This prospective active reporting study uses both quantitative and qualitative survey data to examine sex and gender differences in AEs following influenza or COVID-19 vaccination among a cohort of reproductive-aged healthcare workers.How this study might affect research, practice, or policy: ⇒ Sex and gender differences in AEs and perceptions relating to vaccination should drive the development of more equitable and effective vaccine strategies and policies in occupational health settings.
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Kiptoo J, Isiiko J, Yadesa TM, Rhodah T, Alele PE, Mulogo EM. COVID-19 vaccine hesitancy: assessing the prevalence, predictors, and effectiveness of a community pharmacy based counseling intervention. BMC Public Health 2024; 24:111. [PMID: 38184570 PMCID: PMC10771691 DOI: 10.1186/s12889-023-17532-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 12/19/2023] [Indexed: 01/08/2024] Open
Abstract
BACKGROUND Coronavirus disease (COVID-19) vaccine hesitancy is a global challenge. In low- and middle-income countries (LMICs), the problem has persisted despite vaccine availability and decreasing infections. In Uganda, there is still limited information on the extent and predictors of vaccine hesitancy. This study sought to assess the prevalence and predictors of COVID-19 vaccine hesitancy, and the effectiveness of an intervention that involved community pharmacy counseling in combating COVID-19 vaccine hesitancy. METHODS A total of 394 participants were enrolled in a 4-week prospective cohort interventional study. The study was conducted across eight community pharmacies in Mbarara City, between 9:00 AM and 5:00 PM daily. The study personnel ascertained the vaccination status of all clients seeking community pharmacy services. All unvaccinated clients were consecutively assessed for eligibility, and eligible clients were systematically enrolled after receiving the community pharmacy services for which they requested. The study intervention involved structured participant counseling (within the pharmacy premise), follow-up short message service (weekly), and telephone calls (bi-weekly). Only participants who did not accept to receive the COVID-19 vaccine despite counseling were followed up for four weeks, or until they accepted to receive a COVID-19 vaccine. The effectiveness of the community pharmacy counseling intervention was determined as an increase in COVID-19 vaccine acceptance, and desirable attitudinal change towards COVID-19 disease, vaccination exercise, and vaccines. Descriptive analysis was used to summarize data, and multivariate analysis was used to determine the predictors of COVID-19 vaccine hesitancy. A p-value < 0.05 was considered statistically significant. RESULTS Out of 394 participants, 221 (56%) were hesitant to receive a COVID-19 vaccine. Participants expressed several reasons (mean 2±1) for COVID-19 vaccine hesitancy, mostly concerning vaccine safety (N=160, 47.3%). The overall COVID-19 vaccine acceptance rate increased by 25.4 percent points (43.9 - 69.3 percent points) after the study intervention. Age, religion, level of education, distance from the nearest public health facility, having a friend/family diagnosed with COVID-19, and personal suspicion of contracting COVID-19 were significant predictors of COVID-19 vaccine hesitancy. CONCLUSION COVID-19 vaccine hesitancy is a big challenge in Uganda. A mix of sociodemographic and COVID-19 vaccine perceptions are the key predictors of COVID-19 vaccine hesitancy. Although COVID-19 vaccines were not available at the time of the study, this study found that structured counseling interventions can improve COVID-19 vaccine acceptance rates. Larger prospective studies should evaluate the effectiveness of similar interventions in community pharmacies and other healthcare settings.
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Affiliation(s)
- Joshua Kiptoo
- Department of Pharmacy, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - John Isiiko
- Department of Pharmacy, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Department of Pharmacy, Uganda Cancer Institute, Mbarara, Uganda
| | - Tadele Mekuriya Yadesa
- Department of Pharmacy, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Department of Clinical Pharmacy and Pharmacy Practice, Kampala International University, Ishaka, Uganda
| | - Tumugumye Rhodah
- Department of Nursing, Mbarara Regional Referral Hospital, Mbarara, Uganda
| | - Paul E Alele
- Department of Pharmacology and Therapeutics, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
| | - Edgar Mugema Mulogo
- Department of Community Health, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
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Sans-Fuentes M, Sierra LA, Cruz NS, Rubio V, Lutrick K, Hamm K, Connick E, Shroff P, Billheimer D, Sorensen R, Dinsmore A, Wolfersteig W, Ayers S, Nikolich-Zugich J, Doubeni C, Tilburt J, Rosales C, Moreno F, Derksen D, Oesterle S, Sabo S, Parthasarathy S. Temporal Changes in Vaccine-Specific Willingness Across Race/Ethnicity Following Serious Adverse Event Reports. Am J Public Health 2024; 114:S37-S40. [PMID: 37944076 PMCID: PMC10785178 DOI: 10.2105/ajph.2023.307484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2023] [Indexed: 11/12/2023]
Affiliation(s)
- Maria Sans-Fuentes
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Lidia Azurdia Sierra
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Nina Santa Cruz
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Victoria Rubio
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Karen Lutrick
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Kathryn Hamm
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Elizabeth Connick
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Puneet Shroff
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Dean Billheimer
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Ronald Sorensen
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Alicia Dinsmore
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Wendy Wolfersteig
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Stephanie Ayers
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Janko Nikolich-Zugich
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Chyke Doubeni
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Jon Tilburt
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Cecilia Rosales
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Francisco Moreno
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Daniel Derksen
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Sabrina Oesterle
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Samantha Sabo
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
| | - Sairam Parthasarathy
- Maria Sans-Fuentes, Elizabeth Connick, and Dean Billheimer are with BIO5 Institute, University of Arizona, Tucson. Lidia Azurdia Sierra, Nina Santa Cruz, Victoria Rubio, Puneet Shroff, and Sairam Parthasarathy are with the Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson. Karen Lutrick and Cecilia Rosales are with the Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson. Kathryn Hamm, Wendy Wolfersteig, Stephanie Ayers, and Sabrina Oesterle are with the Southwest Interdisciplinary Research Center, Arizona State University, Phoenix. Ronald Sorensen and Alicia Dinsmore are with the Department of Family and Community Medicine, University of Arizona, Tucson. Janko Nikolich-Zugich is with the Department of Immunobiology, University of Arizona, Tucson. Chyke Doubeni and Jon Tilburt are with the Department of Family and Community Medicine, Mayo Clinic, Scottsdale, AZ. Francisco Moreno and Daniel Derksen are with the University of Arizona Health Sciences, Tucson. Samantha Sabo is with the Center for Health Equity Research, Northern Arizona University, Flagstaff
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Zhang E, Wang X, Dai Z, Zhang X, Shang S, Fang Q. Is vaccine hesitancy related to mental health after the adjustment of the zero-COVID-19 strategy in the elderly? A mediation analysis in China. Hum Vaccin Immunother 2023; 19:2288726. [PMID: 38055950 PMCID: PMC10732663 DOI: 10.1080/21645515.2023.2288726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 11/24/2023] [Indexed: 12/08/2023] Open
Abstract
With the global Omicron pandemic and the adjustment of the zero-coronavirus disease 2019 (zero-COVID-19) strategy in China, there is a critical need to improve vaccination rates among older adults while addressing the mental health issues associated with vaccination. This study investigated levels of COVID-19-related anxiety, depression, benefit finding, and fear in older adults and explored the relationship between vaccine hesitancy, sociodemographic factors, and mental health. Participants aged 60 and older (n = 658) were recruited from several cities in the eastern, central, and western China regions. Of these, 347 exhibited vaccine hesitancy. The effects of residence, education, health status, and COVID-19 vaccination on anxiety/depression/benefit-finding were found to be mediated/suppressed by vaccine hesitancy. Additionally, in investigating psychological antecedents, older people without vaccine hesitancy showed higher confidence, lower complacency, fewer constraints, and a greater sense of collective responsibility. This study advances our understanding of mental health differences in anxiety, depression, and benefit-finding across sociodemographic characteristics. It is essential to improve population confidence related to vaccines, accessibility to vaccination services, and responsibility to mitigate vaccine hesitancy while paying close attention to the mental health associated with vaccination in older adults.
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Affiliation(s)
- Enming Zhang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaolong Wang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Zhengyue Dai
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Xian Zhang
- Nursing Department, Caohejing Community Health Service Center, Shanghai, China
| | - Shuhui Shang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Qiong Fang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
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13
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Guo M, Li J, Wang Y, Chen G, Chen R, Wang L. The association between influenza vaccination and the perception of COVID-19 as well as COVID-19 vaccination behavior among community residents in Anhui province, China. Hum Vaccin Immunother 2023; 19:2275464. [PMID: 37941303 PMCID: PMC10653700 DOI: 10.1080/21645515.2023.2275464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 10/23/2023] [Indexed: 11/10/2023] Open
Abstract
Influenza is a significant public health threat associated with high morbidity and mortality globally. This study investigated the influenza vaccination rate (IVR) among community residents in Anhui province, China, and explored the association between participants' influenza vaccination and their key sociodemographic characteristics, perception of COVID-19 as well as COVID-19 vaccination behavior. We found that the IVR among respondents in Anhui province was 27.85% in 2020. Regression analyses revealed that males (OR = 1.41, 95% CI: 1.01 ~ 1.96), residents with above middle school education (OR = 1.88, 95% CI: 1.04 ~ 3.39), considered themselves likely to be infected with COVID-19 (OR = 1.53, 95% CI: 1.04 ~ 2.24), had received the COVID-19 vaccine (OR = 9.85, 95% CI: 3.49 ~ 27.78), did not plan to receive COVID-19 vaccine in the future (OR = 1.70, 95% CI: 1.17 ~ 2.47), and had no adverse reactions after COVID-19 vaccination (OR = 1.54, 95% CI: 1.04 ~ 2.27) were associated with a higher IVR. The acceptance of influenza vaccination was mainly associated with respondents' gender, education, perception of COVID-19, history of COVID-19 vaccination in city and countryside community residents in Anhui province.
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Affiliation(s)
- Mengjie Guo
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
| | - Jian’an Li
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
| | - Yan Wang
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
| | - Guimei Chen
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
| | - Ren Chen
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
| | - Li Wang
- School of Health Service Management, Anhui Medical University, Hefei, Anhui Province, China
- Key Laboratory of Health Economics and Policy Research, National Health and Wellness Commission, Jinan, Shandong Province, China
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14
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Kotronia E, Rosinska M, Stepien M, Czerwinski M, Sadkowska-Todys M. Willingness to vaccinate among adults, and factors associated with vaccine acceptance of COVID-19 vaccines in a nationwide study in Poland between March 2021 and April 2022. Front Public Health 2023; 11:1235585. [PMID: 38111477 PMCID: PMC10726053 DOI: 10.3389/fpubh.2023.1235585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 11/07/2023] [Indexed: 12/20/2023] Open
Abstract
Introduction Despite the availability, safety and effectiveness of COVID-19 vaccines, Poland remains one of the six countries of the European Union with the lowest cumulative uptake of the vaccine's primary course in the general population. This study examined willingness to vaccinate and the associated factors in samples of unvaccinated and vaccinated adults between March 2021 and April 2022. Methods Data were collected using OBSER-CO, a nationwide, repeated cross-sectional study, conducted at four different time points (rounds). Data on willingness to vaccinate among the unvaccinated (at all rounds) and willingness to receive another dose in the vaccinated (at 2 rounds-after booster introduction), reasons for reluctance, sociodemographic, health, and behavioral factors were collected using a uniform questionnaire via computer-assisted telephone interviewing. In each round, more than 20,000 respondents were interviewed. To assess associations between factors and willingness to vaccinate, separate multivariable logistic regression models were fitted for each factor at each round and adjusted for confounders. Results Between rounds 1 and 4 (March 2021-April 2022), in the unvaccinated, willingness to vaccinate declined from 73 to 12%, whereas in the vaccinated, willingness to receive another dose declined from 90 to 53%. The highest magnitude of decline between subsequent rounds occurred during the Omicron wave. Overall, concerns about side effects, effectiveness, and vaccine adverse effects were common but decreased over time. Age, gender, employment, place of residence, COVID-19 diagnosis or exposure, hospitalization, and participation in social activities were among the factors associated with willingness. However, associations changed over rounds highlighting the influence of different pandemic waves and variants. Conclusion We observed a declining and multifactorial willingness to vaccinate in Poland, with vaccine attitudes dynamically changing across subsequent rounds. To address vaccine concerns, sustained health communication about COVID-19 vaccines is essential, especially after the emergence of new variants.
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Affiliation(s)
- Eftychia Kotronia
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health - National Institute of Hygiene - National Research Institute, Warsaw, Poland
- ECDC Fellowship Programme, Field Epidemiology Path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Magdalena Rosinska
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health - National Institute of Hygiene - National Research Institute, Warsaw, Poland
- Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Malgorzata Stepien
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health - National Institute of Hygiene - National Research Institute, Warsaw, Poland
| | - Michal Czerwinski
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health - National Institute of Hygiene - National Research Institute, Warsaw, Poland
| | - Malgorzata Sadkowska-Todys
- Department of Epidemiology of Infectious Diseases and Surveillance, National Institute of Public Health - National Institute of Hygiene - National Research Institute, Warsaw, Poland
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15
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Garcia G, Meyer J, Edwards A, Cameron D. Factors associated with receiving an initial COVID-19 vaccine among Alaskan residents: results from an online cross-sectional survey. Int J Circumpolar Health 2023; 82:2252604. [PMID: 37652714 PMCID: PMC10478585 DOI: 10.1080/22423982.2023.2252604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 08/08/2023] [Accepted: 08/23/2023] [Indexed: 09/02/2023] Open
Abstract
We conducted an online survey of Alaskan adults between May and June, 2022 to identify factors associated with vaccine hesitancy. Of the 948 respondents, approximately 80% reported having received a COVID-19 vaccine. The factors significantly associated with ever receiving COVID-19 vaccine include perceived risk of harm if not vaccinated (PRH), the vaccination status of the respondent's social network (SNW), gender, and education. For each point increase in PRH score, there was more than three times the odds of having ever been vaccinated (OR = 3.42, p < 0.001); and for every point increase in SNW score, there was more than two times the odds of having ever been vaccinated (OR = 2.15, p < 0.001). Males had more than four times the odds of having ever been vaccinated compared to females (OR = 4.55, p < 0.001). Those with a college degree (OR = 2.80, p < 0.05) had greater odds of ever being vaccinated compared to their counterparts. Findings from this sample suggest that, among Alaskans, ever receiving a COVID-19 vaccine is associated with having a majority of their close social networks who have received COVID-19 vaccine and perceiving that not obtaining a COVID-19 vaccine can pose greater risk of harm to themselves than not getting vaccinated. Practical implications of these findings are provided.
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Affiliation(s)
- Gabriel Garcia
- Division of Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, US
| | - Jennifer Meyer
- Division of Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, US
| | - Alexandra Edwards
- Center for Behavioral Health Research and Services, University of Alaska Anchorage, Anchorage, AK, US
| | - Drew Cameron
- Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, US
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16
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Guarducci G, Mereu G, Golinelli D, Galletti G, Gemmi F, Cartocci A, Holczer N, Bacci L, Sergi A, Messina G, Mari V, Nante N. Factors Influencing the Healthcare Workers' Willingness to Receive the COVID-19 Booster Dose in Tuscany (Italy). Vaccines (Basel) 2023; 11:1751. [PMID: 38140156 PMCID: PMC10748028 DOI: 10.3390/vaccines11121751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND The World Health Organization has defined vaccine hesitancy as behavior influenced by several factors, including trust in the vaccine itself or its provider or the perceived need for vaccination. The aim of this study was to investigate the factors influencing the willingness to receive the COVID-19 vaccine among the employees and healthcare professionals of the Central Tuscany Local Health Authority (CT-LHA) in Italy. METHODS From July to October 2022, a cross-sectional study was conducted. An online questionnaire was administered to 7000 employees of the CT-LHA. The questionnaire analyzed the factors that influenced receiving the booster dose of the COVID-19 vaccine. The sample was stratified by gender, age, type of occupation (healthcare or non-healthcare workers), and seniority. Incomplete questionnaires were excluded. A chi-squared test was performed through STATA. The significance level was set at 95%. RESULTS Of the questionnaires administered, 1885 (26.9%) questionnaires were eligible for the study. In the previous vaccination campaign, the healthcare workers (HCWs) considered the vaccine used by CT-LHA as safe, in contrast to non-healthcare workers (N-HCWs), who considered it less secure (p < 0.05). The HCWs showed a higher propensity for vaccine safety to receive the booster dose than N-HCWs. N-HCWs appeared to be less affected by an updated booster dose than HCWs (p < 0.05). CONCLUSIONS The factors studied appear to influence HCWs differently from N-HCWs. Both HCWs and N-HCWs would choose an upgraded mRNA vaccine for the booster dose.
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Affiliation(s)
- Giovanni Guarducci
- Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy; (D.G.); (G.M.); (N.N.)
| | - Giovanna Mereu
- Department of Technical Health Professions, Central Tuscany Local Health Authority, 50121 Florence, Italy;
| | - Davide Golinelli
- Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy; (D.G.); (G.M.); (N.N.)
- Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy
| | - Giacomo Galletti
- Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy; (G.G.); (F.G.)
| | - Fabrizio Gemmi
- Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, Italy; (G.G.); (F.G.)
| | - Alessandra Cartocci
- Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy;
| | - Nora Holczer
- General Direction, Central Tuscany Local Health Authority, 50121 Florence, Italy (V.M.)
| | - Luca Bacci
- Web Communication and Promotion, Central Tuscany Local Health Authority, 50121 Florence, Italy;
| | - Alessandro Sergi
- Healthcare Management, Central Tuscany Local Health Authority, 50121 Florence, Italy;
| | - Gabriele Messina
- Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy; (D.G.); (G.M.); (N.N.)
- Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy
| | - Valerio Mari
- General Direction, Central Tuscany Local Health Authority, 50121 Florence, Italy (V.M.)
| | - Nicola Nante
- Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy; (D.G.); (G.M.); (N.N.)
- Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy
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Agopian A, Young H, Quinlan S, Rice MM. Factors Associated with the Uptake of Rotavirus and Pneumococcal Conjugate Vaccines among Children in Armenia: Implications for Future New Vaccine Introductions. Vaccines (Basel) 2023; 11:1719. [PMID: 38006051 PMCID: PMC10674841 DOI: 10.3390/vaccines11111719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 10/20/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
Advances in vaccinology have resulted in various new vaccines being introduced into recommended immunization schedules. Armenia introduced the rotavirus vaccine (RV) and the pneumococcal conjugate vaccine (PCV) into its national schedule in 2012 and 2014, respectively. Using data from the Armenia Demographic and Health Survey, the uptake of the RV and the PCV among children aged younger than three years was estimated. Multilevel logistic regression models were used to evaluate individual- and community-level factors associated with uptake. Intra-cluster correlations were estimated to explain variations in uptake between clusters. The uptake proportionof each RV dose were 90.0% and 86.6%, while each PCV dose had values of 83.5%, 79.4%, and 75.5%, respectively. Non-uptake was highest among children less than 6 months old, children with one sibling, children from a wealthy family, or children whose living distance to a health clinic was problematic. Significant variability in non-uptake due to cluster differences was found for both RV doses (30.5% and 22.8%, respectively) and for the second PCV dose (53.9%). When developing strategies for new vaccine implementation, characteristics of the child, such as age, siblingship, and distance to a health clinic or residence, should be considered. Further exploration of cluster differences may provide insights based on the increased uptake of these and other new vaccines.
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Riemma G, De Franciscis P, Tesorone M, Coppa E, Schiattarella A, Billone V, Lopez A, Cucinella G, Gullo G, Carotenuto RM. Obstetric and Gynecological Admissions and Hospitalizations in an Italian Tertiary-Care Hospital during COVID-19 Pandemic: A Retrospective Analysis According to Restrictive Measures. J Clin Med 2023; 12:7097. [PMID: 38002709 PMCID: PMC10672011 DOI: 10.3390/jcm12227097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 11/09/2023] [Accepted: 11/13/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND The national lockdown and the different restrictions applied in 2020 during the COVID-19 pandemic brought several changes to hospitalization procedures. The aim of this study was to evaluate the patterns in access to emergency services and hospitalization in a tertiary-care obstetric and gynecological emergency department (OG-ED) throughout the restrictions applied during 2020. METHODS A single-center retrospective comparative study on data from January to December 2020 was carried out on the following timeframes: January to February 2020 (before COVID-19 pandemic), March to June 2020 (nationwide lockdown period), July to September 2020 (removal of restrictive measures), October to December 2020 (regional lockdown) and compared to the same periods of 2019. All obstetric and gynecological patients with complete medical data admitted to the OG-ED were included. RESULTS Overall, 4233 accesses for 2019 and 3652 for 2020 were reported, with a decreasing trend of -13.7%. Between March and June 2020 (nationwide lockdown) and 2019, the overall number of patients attending the OG-ED decreased compared to July-September and October-December differences (Δ -23.5% vs. -3.1% and -5.9%; p = 0.001 respectively) for 2020-2019, but this reduction was not statistically significant when compared to January-February (Δ -23.5% vs. -18.5%; p = 0.356). No significant differences for obstetric patients (Δ -1.8% vs. -1.0% vs. -2.3% and +1.9% respectively; p = 0.883) were noted. Hospitalizations showed a stable trend with an increase between October-December 2019 and 2020 (Δ +4.6%; p = 0.001 vs. January-February (+2.4%) and March-June (+2.6%) 2019-2020), mainly related to regional lockdowns. CONCLUSIONS In contrast to available national studies, in our institution, the overall rate of OG-ED admissions was slightly reduced with a similar trend of decrease even before COVID-19, with an increase in admissions for serious issues, despite expectations that the suspension of elective admissions and outpatient services would have led to an increase in non-urgent hospitalizations during the COVID-19 lockdown period.
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Affiliation(s)
- Gaetano Riemma
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (P.D.F.); (E.C.); (A.S.); (R.M.C.)
| | - Pasquale De Franciscis
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (P.D.F.); (E.C.); (A.S.); (R.M.C.)
| | - Marina Tesorone
- Local Health Services “Napoli 1 Centro”, 80138 Naples, Italy;
| | - Egle Coppa
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (P.D.F.); (E.C.); (A.S.); (R.M.C.)
| | - Antonio Schiattarella
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (P.D.F.); (E.C.); (A.S.); (R.M.C.)
| | - Valentina Billone
- Department of Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, 90146 Palermo, Italy; (V.B.); (A.L.); (G.C.); (G.G.)
| | - Alessandra Lopez
- Department of Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, 90146 Palermo, Italy; (V.B.); (A.L.); (G.C.); (G.G.)
| | - Gaspare Cucinella
- Department of Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, 90146 Palermo, Italy; (V.B.); (A.L.); (G.C.); (G.G.)
| | - Giuseppe Gullo
- Department of Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, 90146 Palermo, Italy; (V.B.); (A.L.); (G.C.); (G.G.)
| | - Raffaela Maria Carotenuto
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (P.D.F.); (E.C.); (A.S.); (R.M.C.)
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Nowakowska I, Markiewicz M, Pankowski D, Wytrychiewicz-Pankowska K, Banasiak A, Pisula E. Sense of safety and opinions about COVID-19 vaccinations in Polish school teachers: the role of conspiracy theories belief and fear of COVID-19. J Soc Psychol 2023; 163:895-916. [PMID: 36476155 DOI: 10.1080/00224545.2022.2151404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 11/09/2022] [Indexed: 12/12/2022]
Abstract
The co-occurrence of COVID-19 conspiracy theories (CCT) and fear of the coronavirus (FCV) can be linked to how safe people feel and how much they endorse vaccinations. School teachers were one of the vaccination priority groups in Poland. We conducted three cross-sectional studies (N1 = 1006; N2 = 1689; N3 = 627) to find out the potential interaction effects of CCT belief and FCV in predicting sense of safety (SoS; Studies 1-3), opinions about vaccinations efficacy (Studies 2-3) and endorsement of vaccinations of children (Study 3) among school teachers. In all three studies, the belief in CCT was related to lower SoS only when FCV was low. For low CCT belief, although the belief in vaccination efficacy was higher than for CCT endorsers, it was unrelated to FCV. However, for high and average CCT belief, FCV was linked to belief in vaccination efficacy. FCV was positively related to acceptance of vaccinating children on all levels of CCT endorsement. The results are discussed in light of the available literature and their potential use in public health.
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Affiliation(s)
| | | | - Daniel Pankowski
- University of Warsaw
- University of Economics and Human Sciences in Warsaw
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20
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Obasanya M, Igenoza O, Gupta S, McElroy K, Brannon GE, Brown K. Racial and Ethnic Differences in Maternal and Child COVID-19 Vaccination Intent Among Pregnant and Postpartum Women in the USA (April-June 2020): an Application of Health Belief Model. J Racial Ethn Health Disparities 2023; 10:2540-2551. [PMID: 36352345 PMCID: PMC9645740 DOI: 10.1007/s40615-022-01434-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 09/17/2022] [Accepted: 10/21/2022] [Indexed: 11/10/2022]
Abstract
This study investigated racial/ethnic differences in pregnant and postpartum women's intentions to receive the COVID-19 vaccination (maternal COVID-19 vaccination intent) and intentions to vaccinate their children against COVID-19 (child COVID-19 vaccination intent) during the early months of the COVID-19 pandemic (April-June 2020). This study also assessed Health Belief Model constructs to examine their influence on maternal and child COVID-19 vaccination intent by race/ethnicity. This study includes 489 US pregnant and postpartum women (18-49 years) recruited via Prolific Academic to complete a 55-item cross-sectional online survey. Crude and adjusted logistic regression analyses were conducted to determine the associations between race/ethnicity, maternal COVID-19 vaccination intent, and child COVID-19 vaccination intent. Among pregnant women, the odds of maternal COVID-19 vaccination intent (aOR = 2.20, 95% CI: .862, 5.61) and child COVID-19 vaccination intent (aOR = .194, 95% CI: .066, .565) among NH Black women were statistically significantly lower than that of NH White women after adjustment for demographic, health, and health belief model variables. Among postpartum women, although some racial differences in maternal or child COVID-19 vaccination intent were observed, these differences were not statistically significant in unadjusted and adjusted models. The findings have implications for future research and interventions which should adopt a racial health equity lens and identify strategies grounded in institutional trustworthiness and systems perspectives to address racial/ethnic disparities in COVID-19 vaccination intent among pregnant and postpartum women during novel pandemics.
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Affiliation(s)
- Mercy Obasanya
- Department of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, 500 W. Nedderman Drive, Arlington, TX, 76019, USA
| | | | | | - Kristin McElroy
- Maternal and Child Health Epidemiologist, Division of Epidemiology and Health Information, Tarrant County Public Health, 1101 S. Main Street, Fort Worth, TX, 76104, USA
| | - Grace E Brannon
- Department of Communication, College of Liberal Arts, University of Texas at Arlington, 700 W. Greek Row Drive, Arlington, TX, 76019, USA
| | - Kyrah Brown
- Department of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, 500 W. Nedderman Drive, Arlington, TX, 76019, USA.
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21
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Freitas-Lemos R, Tomlinson DC, Yeh YH, Dwyer CL, Dai HD, Leventhal A, Tegge AN, Bickel WK. Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults. Prev Med Rep 2023; 35:102280. [PMID: 37576839 PMCID: PMC10413160 DOI: 10.1016/j.pmedr.2023.102280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 05/15/2023] [Accepted: 06/07/2023] [Indexed: 08/15/2023] Open
Abstract
Despite being a major threat to health, vaccine hesitancy (i.e., refusal or reluctance to vaccinate despite vaccine availability) is on the rise. Using a longitudinal cohort of young adults (N = 1260) from Los Angeles County, California we investigated the neurobehavioral mechanisms underlying COVID-19 vaccine hesitancy. Data were collected at two time points: during adolescence (12th grade; fall 2016; average age = 16.96 (±0.42)) and during young adulthood (spring 2021; average age = 21.33 (±0.49)). Main outcomes and measures were delay discounting (DD; fall 2016) and tendency to act rashly when experiencing positive and negative emotions (UPPS-P; fall 2016); self-reported vaccine hesitancy and vaccine beliefs/knowledge (spring 2021). A principal components analysis determined four COVID-19 vaccine beliefs/knowledge themes: Collective Responsibility, Confidence and Risk Calculation, Complacency, and Convenience. Significant relationships were found between themes, COVID-19 vaccine hesitancy, and DD. Collective Responsibility (β = -1.158[-1.213,-1.102]) and Convenience (β = -0.132[-0.185,-0.078]) scores were negatively associated, while Confidence and Risk Calculation (β = 0.283[0.230,0.337]) and Complacency (β = 0.412[0.358,0.466]) scores were positively associated with COVID-19 vaccine hesitancy. Additionally, Collective Responsibility (β = -0.060[-0.101,-0.018]) was negatively associated, and Complacency (β = -0.063[0.021,0.105]) was positively associated with DD from fall 2016. Mediation analysis revealed immediacy bias during adolescence, measured by DD, predicted vaccine hesitancy 4 years later while being mediated by two types of vaccine beliefs/knowledge: Collective Responsibility (β = 0.069[0.022,0.116]) and Complacency (β = 0.026[0.008,0.044]). These findings provide a further understanding of individual vaccine-related decision-making among young adults and inform public health messaging to increase vaccination acceptance.
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Affiliation(s)
| | - Devin C. Tomlinson
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
- Graduate Program in Translational Biology, Medicine, and Health, Virginia Tech, Blacksburg, VA, USA
| | - Yu-Hua Yeh
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
| | - Candice L. Dwyer
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
| | - Hongying Daisy Dai
- College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
| | - Adam Leventhal
- Department of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, USA
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | - Allison N. Tegge
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
- Department of Statistics, Virginia Tech, Blacksburg, VA, USA
| | - Warren K. Bickel
- Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA
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22
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Campbell J, Kaur A, Gamino D, Benoit E, Amos B, Windsor L. Individual and structural determinants of COVID-19 vaccine uptake in a marginalized community in the United States. Vaccine 2023; 41:5706-5714. [PMID: 37550145 PMCID: PMC10560547 DOI: 10.1016/j.vaccine.2023.07.077] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 07/29/2023] [Accepted: 07/30/2023] [Indexed: 08/09/2023]
Abstract
Socially and medically vulnerable groups (e.g., people 65 years or older, minoritized racial groups, non-telework essential workers, and people with comorbid conditions) experience barriers to COVID-19 prevention and treatment, increased burden of disease, and increased risk of death from COVID-19. Researchers are paying increased attention to social determinants of health (SDH) in explaining inequities in COVID-19-related health outcomes and rates of vaccine uptake. The purpose of the present manuscript is to identify clinically significant predictors of COVID-19 vaccine uptake among people who were socially and medically vulnerable to SARs-CoV-2 infection. Analysis was informed by the SDH framework and included a sample of 641 baseline surveys from participants in a clinical trial designed to increase COVID-19 testing. All participants were at high risk of developing COVID-19-related complications or dying from COVID-19. Following community-based participatory research principles, a well-established community collaborative board conducted every aspect of the study. Multiple logistic regressions were conducted to examine the relationships between individual and structural factors and COVID-19 vaccine uptake. In the final time adjusted model, we found that vaccine uptake was only predicted by specific individual-level factors: being 65 years and older, living with HIV/AIDS, and having previously received a flu vaccine or a COVID-19 test. Those reporting to believe in COVID-19-conspiracy theories were less likely to get the COVID-19 vaccine. More research is needed to identify predictors of vaccine uptake among people with comorbidities that make them more vulnerable to COVID-19 complications or death.
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Affiliation(s)
- Jeanna Campbell
- School of Social Work, University of Illinois Urbana-Champaign, 1010 W Nevada St, Urbana, IL 61801, United States.
| | - Amandeep Kaur
- Interdisciplinary Health Sciences Institute, University of Illinois Urbana-Champaign, 901 W University Ave Ste 201 C-261, Urbana, IL 61801, United States
| | - Danilo Gamino
- North Jersey Community Research Initiative, 393 Central Ave, Newark, NJ 07103, United States
| | - Ellen Benoit
- North Jersey Community Research Initiative, 393 Central Ave, Newark, NJ 07103, United States
| | - Brianna Amos
- Silver School of Social Work, New York University, 1 Washington Square N, New York, NY 10003, United States
| | - Liliane Windsor
- School of Social Work, University of Illinois Urbana-Champaign, 1010 W Nevada St, Urbana, IL 61801, United States; North Jersey Community Research Initiative, 393 Central Ave, Newark, NJ 07103, United States
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Hill AV, Dyer HP, Gianakas J, Howze R, King A, Gary-Webb TL, Méndez DD. Correlates of COVID-19 Vaccine Uptake in Black Adults Residing in Allegheny County, PA. Health Equity 2023; 7:419-429. [PMID: 37638118 PMCID: PMC10457607 DOI: 10.1089/heq.2022.0215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2023] [Indexed: 08/29/2023] Open
Abstract
Introduction Efforts to address vaccine uptake and access among black adults will be relevant for continued coronavirus disease 2019 (COVID-19) eradication efforts and can be transferable to other prevention efforts in future pandemics. This study investigated factors related to COVID-19 vaccine uptake and access among black residents in Allegheny County, PA. Methods Surveys were administered electronically from October 2021 to January 2022 to black Allegheny County residents aged 18 and older. Questions included thoughts on COVID mitigation strategies (e.g., masking, social distancing), vaccination status, intention to vaccinate children, trust of COVID-19 information sources and vaccines, family needs, access to support services, and social media use to access information. Descriptive statistics and significant correlates of being vaccinated using adjusted logistic regression models are reported. Results Of the overall sample (N=397), the majority were fully vaccinated (n=306, 77%). Fully vaccinated participants were more likely to be female (62.5%, p=0.010), age 60 years or older (34.3%, p=0.0002), have some college education (23.2%, p<0.0001), and be employed full time (50.0%, p=0.0001) compared with nonvaccinated individuals. Among the unvaccinated participants (n=91), the primary reason was fear of illness (8.9%), long-term effects (6.5%), mistrust in the vaccine (6.3%), and needing more information (4.5%). Vaccine-hesitant participants were more likely to be unvaccinated (adjusted odds ratio=2.3, 95% confidence interval 1.25-4.14) after adjusting for age, education, employment, insurance, health status, and income. Conclusion Vaccine hesitancy may be improved by directly addressing fear of illness resulting from vaccines and improving clarity in the vaccine development and approval process to improve uptake among black adults.
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Affiliation(s)
- Ashley V. Hill
- Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
| | - Harika P. Dyer
- Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
| | - John Gianakas
- Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA
- Epidemiology Data Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Ruth Howze
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
| | - Ayanna King
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
| | - Tiffany L. Gary-Webb
- Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
| | - Dara D. Méndez
- Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA
- Black Equity Coalition, Pittsburgh, Pennsylvania, USA
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Holm RH, Pocock G, Severson MA, Huber VC, Smith T, McFadden LM. Using wastewater to overcome health disparities among rural residents. Geoforum 2023; 144:103816. [PMID: 37396346 PMCID: PMC10292026 DOI: 10.1016/j.geoforum.2023.103816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 06/07/2023] [Accepted: 06/16/2023] [Indexed: 07/04/2023]
Abstract
The SARS-CoV-2 pandemic highlighted the need for novel tools to promote health equity. There has been a historical legacy around the location and allocation of public facilities (such as health care) focused on efficiency, which is not attainable in rural, low-density, United States areas. Differences in the spread of the disease and outcomes of infections have been observed between urban and rural populations throughout the COVID-19 pandemic. The purpose of this article was to review rural health disparities related to the SARS-CoV-2 pandemic while using evidence to support wastewater surveillance as a potentially innovative tool to address these disparities more widely. The successful implementation of wastewater surveillance in resource-limited settings in South Africa demonstrates the ability to monitor disease in underserved areas. A better surveillance model of disease detection among rural residents will overcome issues around the interactions of a disease and social determinants of health. Wastewater surveillance can be used to promote health equity, particularly in rural and resource-limited areas, and has the potential to identify future global outbreaks of endemic and pandemic viruses.
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Affiliation(s)
- Rochelle H Holm
- Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, 302 E. Muhammad Ali Blvd., Louisville, KY 40202, United States
| | - Gina Pocock
- Waterlab, 23B De Havilland Crescent, 0020 Persequor Technopark, South Africa
| | - Marie A Severson
- Division of Basic Biomedical Sciences, University of South Dakota, 414 E. Clark St., Vermillion, SD 57069, United States
| | - Victor C Huber
- Division of Basic Biomedical Sciences, University of South Dakota, 414 E. Clark St., Vermillion, SD 57069, United States
| | - Ted Smith
- Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, 302 E. Muhammad Ali Blvd., Louisville, KY 40202, United States
| | - Lisa M McFadden
- Division of Basic Biomedical Sciences, University of South Dakota, 414 E. Clark St., Vermillion, SD 57069, United States
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Kohler RE, Wagner RB, Careaga K, Vega J, Btoush R, Greene K, Kantor L. Parents' Intentions, Concerns and Information Needs about COVID-19 Vaccination in New Jersey: A Qualitative Analysis. Vaccines (Basel) 2023; 11:1096. [PMID: 37376485 DOI: 10.3390/vaccines11061096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 06/06/2023] [Accepted: 06/11/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND In 2019, the World Health Organization identified vaccine hesitancy as a top ten global health threat, which has been exacerbated by the COVID-19 pandemic. Despite local and nationwide public health efforts, adolescent COVID-19 vaccination uptake in the US remains low. This study explored parents' perceptions of the COVID-19 vaccine and factors influencing hesitancy to inform future outreach and education campaigns. METHODS We conducted two rounds of individual interviews via Zoom in May-September 2021 and January-February 2022, with parents of adolescents from the Greater Newark Area of New Jersey, a densely populated area with historically marginalized groups that had low COVID-19 vaccination uptake. Data collection and analysis was guided by the Increasing Vaccination Model and WHO Vaccine Hesitancy Matrix. Interview transcripts were double-coded and thematically analyzed in NVivo. RESULTS We interviewed 22 parents (17 in English, 5 in Spanish). Nearly half (45%) were Black and 41% were Hispanic. Over half (54%) were born outside of the US. Most of the parents described that their adolescents had received at least one dose of a COVID-19 vaccine. All but one parent had received the COVID-19 vaccine. Despite strong vaccination acceptance for themselves, parents remained hesitant about vaccinating their adolescents. They were mostly concerned about the safety and potential side effects due to the novelty of the vaccine. Parents sought information about the vaccines online, through healthcare providers and authorities, and at community spaces. Interpersonal communication exposed parents to misinformation, though some personal connections to severe COVID-19 illness motivated vaccination. Historical mistreatment by the healthcare system and politicization of the vaccine contributed to parents' mixed feelings about the trustworthiness of those involved with developing, promoting, and distributing COVID-19 vaccines. CONCLUSIONS We identified multilevel influences on COVID-19 vaccine-specific hesitancy among a racially/ethnically diverse sample of parents with adolescents that can inform future vaccination interventions. To increase vaccine confidence, future COVID booster campaigns and other vaccination efforts should disseminate information through trusted healthcare providers in clinical and also utilize community settings by addressing specific safety concerns and promoting vaccine effectiveness.
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Affiliation(s)
- Racquel E Kohler
- Center for Cancer Heath Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
- School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
| | - Rachel B Wagner
- Center for Cancer Heath Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
- School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
| | - Katherine Careaga
- Center for Cancer Heath Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
| | - Jacqueline Vega
- Center for Cancer Heath Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
- School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
| | - Rula Btoush
- School of Nursing, Rutgers University, New Brunswick, NJ 08901, USA
| | - Kathryn Greene
- Center for Cancer Heath Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA
- School of Communication & Information, Rutgers University, New Brunswick, NJ 08901, USA
| | - Leslie Kantor
- School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
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Ojo TO, Ojo AO, Ojo OE, Akinwalere BO, Akinwumi AF. Determinants of COVID-19 vaccine uptake among Nigerians: evidence from a cross-sectional national survey. Arch Public Health 2023; 81:95. [PMID: 37237389 DOI: 10.1186/s13690-023-01107-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 05/14/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND COVID-19 ranks as one of the largest public health threats in recent times. It is associated with huge health, economic and social consequences. Although vaccination is an effective control measure, COVID-19 vaccine uptake has been suboptimal in many low/middle income countries. Hence this study assessed the factors influencing COVID-19 vaccine uptake among Nigerian households. DATA AND METHODS This study analyzed secondary data from the COVID-19 High-Frequency Phone Survey of Households that was collected by the National Bureau of Statistics between November 2021 and January 2022. Relevant data were analyzed using descriptive statistical tools and the Multivariate Regression model. RESULTS Out of 2370 respondents, only 32.8% of the respondents were vaccinated against COVID-19. Respondents living in urban areas (34.4%) had a higher level of COVID-19 vaccine uptake relative to those living in rural Nigeria (30.9%). Results from the Multivariate Regression model revealed that adults aged ≥ 60 years (OR 2.20; p = 0.012), respondents with primary (OR 1.72; p = 0.032), secondary (OR 1.77; p = 0.025) and tertiary education (OR 3.03; p < 0.001), respondents with access to health insurance (OR 1.68; p = 0.004), those who obtained vaccine information from health workers (OR 3.92; p < 0.001), the government (OR 3.22; p < 0.001), and the mass media (OR 1.75; p = 0.003) were more likely to be vaccinated. Also, respondents living in North Central (OR 2.02; p < 0.001), North East (OR 1.48; p = 0.039), South West (OR 2.63; p < 0.001), and South South (OR 1.49; p = 0.031) regions had higher odds of being vaccinated. CONCLUSIONS The study recommends increased media campaigns and advocacy for COVID-19 vaccination in the South East and North West regions. Persons with no formal education and younger persons aged 18-29 years should be targeted with COVID-19 vaccine-related information given that they were less likely to be vaccinated. Dissemination of relevant information through government sources, mass media and health workers is encouraged so as to positively influence decisions to receive COVID-19 vaccines among citizens.
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Affiliation(s)
- Temitope Olumuyiwa Ojo
- Department of Community Health, Obafemi Awolowo University, Ile-Ife, Osun State, +234 8035798224, Nigeria.
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Özer Ö, Budak F, Alp S. Is Vaccine Hesitancy Affected by Distrust in the Healthcare System? A Study in Turkish Population. Soc Work Public Health 2023; 38:323-333. [PMID: 36573614 DOI: 10.1080/19371918.2022.2160855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The aim of this study is to examine the effect of the perception of distrust in the healthcare system on vaccine hesitancy and to determine the association between the sociodemographic characters of the participants and their perception of distrust and their vaccine hesitancy. The population consisted of individuals who were 20 years old and above and were residing in Turkey. A total of 986 people participated in the study. The data were collected through a questionnaire that was prepared on Google Forms. As a result of the regression analysis, distrust in the healthcare system explained 20.7% of total variance in vaccine hesitancy and an increase in the perception of distrust in the healthcare system statistically increased the vaccine hesitancy. In the study, it was also determined that the participants' perceptions of distrust in the healthcare system caused statistically significant differences based on the variables of marital status, employment status, alcohol consumption, age, education level and income level. It was revealed that the participants' perceptions of vaccine hesitancy caused a statistically significant difference only based on age and the frequency of applying to the health institution.
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Affiliation(s)
- Özlem Özer
- Faculty of Gulhane Health Sciences, Department of Healthcare Management, University of Health Sciences Turkey, Ankara, Turkey
| | - Fatih Budak
- Yusuf Serefoglu Faculty of Health Sciences, Department of Healthcare Management, Kilis 7 Aralık University, Kilis, Turkey
| | - Servet Alp
- Faculty of Economics and Administrative Sciences, Department of Healthcare Management, Burdur Mehmet Akif Ersoy University, Burdur, Turkey
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28
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Roy A. Determinants of Covid-19 vaccination: Evidence from the US pulse survey. PLOS Glob Public Health 2023; 3:e0001927. [PMID: 37200233 PMCID: PMC10194978 DOI: 10.1371/journal.pgph.0001927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 04/24/2023] [Indexed: 05/20/2023]
Abstract
The Covid-19 disease is resurging across the United States and vaccine hesitancy remains a major obstacle to reaching the expected threshold for herd immunity. Using the nationally representative cross sectional Household Pulse Survey (HPS) Data published by the U.S. Census Bureau, this study identified demographic, socio-economic, and medical-psychological determinants of Covid-19 vaccination. Results revealed significant differences in Covid-19 vaccine uptake due to age, sex, sexual orientation, race or ethnicity, marital status, education, income, employment form, housing and living condition, physical illness, mental illness, Covid-19 illness, distrust of vaccines and beliefs about the efficacy of vaccines. Government policymakers need to be cognizant of these determinants of vaccine hesitancy when formulating policies to increase vaccine uptake and control the COVID-19 pandemic. The findings of this study suggest that segmented solutions to reach vulnerable groups like racial minorities and homeless people are needed to win the trust and optimize vaccine uptake.
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Affiliation(s)
- Amit Roy
- Department of Economics, Shahjalal University of Science and Technology, Sylhet, Bangladesh
- Department of Economics, The New School for Social Research, New York, New York, United States of America
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29
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McElfish PA, Liston R, Smith V, Norris AK, Weaver J, Dickson SM, Macechko MD, Brimberry RK, Lemdja MR, Middleton TL, Nix MW, Irish-Clardy KA, Meredith-Neve SM, Kennedy JL, James LP. Rural Research Network to engage rural and minority community members in translational research. J Clin Transl Res 2023; 9:115-122. [PMID: 37179792 PMCID: PMC10171320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 01/30/2023] [Accepted: 03/02/2023] [Indexed: 05/15/2023] Open
Abstract
Background To address the high prevalence of health disparities and lack of research opportunities among rural and minority communities, the University of Arkansas for Medical Sciences (UAMS) developed the Rural Research Network in January 2020. Aim The aim of this report is to describe our process and progress in developing a rural research network. The Rural Research Network provides a platform to expand research participation opportunities to rural Arkansans, many of whom are older adults, low-income individuals, and underrepresented minority populations. Methods The Rural Research Network leverages existing UAMS Regional Programs family medicine residency clinics within an academic medical center. Results Since the inception of the Rural Research Network, research infrastructure and processes have been built within the regional sites. Twelve diverse studies have been implemented with recruitment and data collection from 9248 participants, and 32 manuscripts have been published with residents and faculty from the regional sites. Most studies were able to recruit Black/African American participants at or above a representative sample. Conclusions As the Rural Research Network matures, the types of research will expand in parallel with the health priorities of Arkansas. Relevance to Patients The Rural Research Network demonstrates how Cancer Institutes and sites funded by a Clinical and Translational Science Award can collaborate to expand research capacity and increase opportunities for research among rural and minority communities.
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Affiliation(s)
- Pearl A. McElfish
- University of Arkansas for Medical Sciences Northwest, Springdale, AR, United States of America
- Corresponding author: Pearl A. McElfish University of Arkansas for Medical Sciences Northwest, 2708 S. 48 St, Springdale, AR 72762, United States of America. Phone: +1 479 713 8680
| | - Robin Liston
- University of Arkansas for Medical Sciences, Little Rock, AR, United States of America
| | - Veronica Smith
- University of Arkansas for Medical Sciences, Little Rock, AR, United States of America
| | - Amber K. Norris
- University of Arkansas for Medical Sciences East, Helena-West Helena, AR, United States of America
| | - Jordan Weaver
- University of Arkansas for Medical Sciences North Central, Batesville, AR, United States of America
| | - Scott M. Dickson
- University of Arkansas for Medical Sciences Northeast, Jonesboro, AR, United States of America
| | - Michael D. Macechko
- University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, United States of America
| | - Ronald K. Brimberry
- University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, United States of America
| | - Mimo R. Lemdja
- University of Arkansas for Medical Sciences South, Magnolia, AR, United States of America
| | - Toni L. Middleton
- University of Arkansas for Medical Sciences South Central, Pine Bluff, AR, United States of America
| | - Matthew W. Nix
- University of Arkansas for Medical Sciences Southwest, Texarkana, AR, United States of America
| | | | | | - Joshua L. Kennedy
- University of Arkansas for Medical Sciences, Little Rock, AR, United States of America
| | - Laura P. James
- University of Arkansas for Medical Sciences, Little Rock, AR, United States of America
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Nikic P, Stankovic B, Santric V, Vukovic I, Babic U, Radovanovic M, Bojanic N, Acimovic M, Kovacevic L, Prijovic N. Role of Healthcare Professionals and Sociodemographic Characteristics in COVID-19 Vaccination Acceptance among Uro-Oncology Patients: A Cross-Sectional Observational Study. Vaccines (Basel) 2023; 11:vaccines11050911. [PMID: 37243015 DOI: 10.3390/vaccines11050911] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 04/26/2023] [Accepted: 04/26/2023] [Indexed: 05/28/2023] Open
Abstract
At the time when mass COVID-19 vaccination began, providing appropriate vaccination advice to uro-oncology patients became a challenge. This was a single-center cross-sectional observational study aimed to investigate the rate of COVID-19 vaccination among uro-oncology patients receiving systemic therapy for metastatic renal cell carcinoma and metastatic castration-resistant prostate cancer. Furthermore, we aimed to assess patients' attitudes and identify factors influencing their decision to vaccinate against COVID-19. Data on patients' sociodemographic characteristics, vaccination status, and awareness and attitudes about COVID-19 vaccination were collected from questionnaires completed by the patients. A total of 173 patients were enrolled in this study, and 124 (71.7%) of them completed the COVID-19 vaccination. Significantly higher vaccination rates were found in male patients, and also in older patients, highly educated patients, and those who lived with one household member. Furthermore, we found significantly higher vaccination rates in patients who had consulted with doctors involved in their treatment, particularly with urologists. A significant association was observed between COVID-19 vaccination and doctor's advice, family member influence, and personal beliefs toward the vaccination. Our study showed multiple associations of patients' sociodemographic characteristics with vaccination rates. Furthermore, consultation with doctors who are particularly involved in oncology treatment and advice received from them were associated with significantly higher vaccination rates among uro-oncology patients.
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Affiliation(s)
- Predrag Nikic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Branko Stankovic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
| | - Veljko Santric
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Ivan Vukovic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Uros Babic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Milan Radovanovic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Nebojsa Bojanic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Miodrag Acimovic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Luka Kovacevic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
| | - Nebojsa Prijovic
- Clinic of Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia
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Chessen EG, Ganser ME, Paulish CA, Malik A, Wishner AG, Turabelidze G, Glenn JJ. Population Segmentation for COVID-19 Vaccine Outreach: A Clustering Analysis and Implementation in Missouri. J Public Health Manag Pract 2023; 29:563-571. [PMID: 37071050 DOI: 10.1097/phh.0000000000001740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
OBJECTIVES The purpose of this work was to segment the Missouri population into unique groups related to COVID-19 vaccine acceptance using data science and behavioral science methods to develop tailored vaccine outreach strategies. METHODS Cluster analysis techniques were applied to a large data set that aggregated vaccination data with behavioral and demographic data from the American Community Survey and Deloitte's HealthPrism™ data set. Outreach recommendations were developed for each cluster, specific to each group's practical and motivational barriers to vaccination. RESULTS Following selection procedures, 10 clusters-or segments-of census tracts across Missouri were identified on the basis of k-means clustering analysis of 18 different variables. Each cluster exhibited unique geographic, demographic, socioeconomic, and behavioral patterns, and outreach strategies were developed on the basis of each cluster's practical and motivational barriers. DISCUSSION The segmentation analysis served as the foundation for "working groups" comprising the 115 local public health agencies (LPHAs) across the state. LPHAs with similar community segments in their service area were grouped together to discuss their communities' specific challenges, share lessons learned, and brainstorm new approaches. The working groups provided a novel way for public health to organize and collaborate across the state. Widening the aperture beyond Missouri, population segmentation via cluster analysis is a promising approach for public health practitioners interested in developing a richer understanding of the types of populations they serve. By pairing segmentation with behavioral science, practitioners can develop outreach programs and communications campaigns that are personalized to the specific behavioral barriers and needs of the population in focus. While our work focused on COVID-19, this approach has broad applicability to enhance the way public health practitioners understand the populations they serve to deliver more tailored services.
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Affiliation(s)
- Eleanor G Chessen
- Deloitte Consulting LLP, Arlington, Virginia (Mss Chessen, Ganser, Malik, and Wishner, Mr Paulish, and Dr Glenn); and Missouri Department of Health and Senior Services, Jefferson City, Missouri (Dr Turabelidze)
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32
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Deng JS, Chen JY, Lin XQ, Huang CL, Tung TH, Zhu JS. Parental hesitancy against COVID-19 vaccination for children and associated factors in Taiwan. BMC Public Health 2023; 23:571. [PMID: 36973714 PMCID: PMC10041488 DOI: 10.1186/s12889-023-15158-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 01/30/2023] [Indexed: 03/29/2023] Open
Abstract
Background Since July 2021, some countries and regions have initiated the vaccination of minors against coronavirus disease (COVID-19), and parental COVID-19 vaccine hesitancy will affect the vaccination of minors. We aimed to identify the level of parental hesitancy to vaccinate their children against COVID-19 in Taiwan and the factors associated with vaccine hesitancy. Methods We conducted a population-based, self-administered online questionnaire in Taiwan to assess parental hesitancy and the factors influencing their children’s vaccination against COVID-19. Results Among 384 respondents, 64.1% were hesitant to have their children vaccinated against COVID-19. Mothers were more likely to hesitate to vaccinate their teens than their fathers (67.5% vs. 50%, P < 0.005). Multiple regression results showed that parents who were hesitant to vaccinate themselves (OR = 3.81, 95% CI:2.07–7.02) and those who scored lower on their perception of their children’s vaccination (OR = 9.73, 95% CI:5.62–16.84) were more hesitant to vaccinate their children with COVID-19 vaccine. Conclusions According to the study findings, 64.1% of Taiwanese parents were hesitant to vaccinate their children against COVID-19. Parents who were hesitant to receive the COVID-19 vaccine for themselves and had negative views of the vaccine for their children were more likely to be hesitant to vaccinate their children. An in-depth discussion of the factors affecting vaccine hesitancy and targeted health education is conducive to promoting vaccination in children with COVID-19.
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Affiliation(s)
- Jing-Shan Deng
- grid.469636.8Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 150 Ximen Street, Linhai, 317000 Zhejiang Province China
| | - Jau-Yuan Chen
- grid.454211.70000 0004 1756 999XDepartment of Family Medicine, Chang Gung Memorial Hospital Linkou Branch, Taoyuan City, Taiwan
| | - Xiao-Qing Lin
- grid.469636.8Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 150 Ximen Street, Linhai, 317000 Zhejiang Province China
| | - Chun-Lian Huang
- grid.469636.8Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 150 Ximen Street, Linhai, 317000 Zhejiang Province China
| | - Tao-Hsin Tung
- grid.469636.8Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 150 Ximen Street, Linhai, 317000 Zhejiang Province China
| | - Jian-Sheng Zhu
- grid.469636.8Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 150 Ximen Street, Linhai, 317000 Zhejiang Province China
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Chen Y, Ma Q, Xie X, Cao K, Hou Z, Zhang P. The psychological impact of the COVID-19 outbreak among the fever patients in the lockdown zone. BMC Psychol 2023; 11:69. [PMID: 36918945 PMCID: PMC10012311 DOI: 10.1186/s40359-023-01113-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 03/06/2023] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND COVID-19 pandemic is still ongoing, which not only impact physical health but psychological health. This research aims to analyze the psychological impact of residents with a fever (> 37 °C) during the COVID-19 outbreak in one community. METHODS There were 105 participants surveyed online from 7th March to 21st March 2022. Collected the data included the socio-demographics, health status, COVID-19 knowledge and concerns and the Impact of Events Scale-Revised (IES-R) ratings. RESULTS Among those participants, the IES-R mean score was 24.11 (SD = 6.12), and 30.48% of respondents reported a moderate to the severe psychological impact. Female gender; youth age; single status; other specific symptoms; concerns about family members, and discrimination were significantly associated with the greater psychological impact of the COVID-19 event (p < 0.05). CONCLUSIONS In the lockdown zone, about one-third of the residents have an obvious psychological impact after fever. The factors identified can be used to make effective psychological support strategies in the early stages of the COVID-19 outbreak.
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Affiliation(s)
- Yuewei Chen
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Qian Ma
- First Department of Cardiology, First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi, 832008, Xinjiang, China
| | - Xiaoshuai Xie
- Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250000, China
| | - Kekui Cao
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Zhencai Hou
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Peiyi Zhang
- Department of Rheumatology and Immunology, Jinan Central Hospital Affiliated to Shandong University, Jinan, 250000, China.
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McElfish PA, Selig JP, Scott AJ, Rowland B, Willis DE, Reece S, CarlLee S, Macechko MD, Shah SK. Associations Between General Vaccine Hesitancy and Healthcare Access Among Arkansans. J Gen Intern Med 2023; 38:841-847. [PMID: 36323819 PMCID: PMC9629763 DOI: 10.1007/s11606-022-07859-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 10/21/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Vaccines provide protection against numerous diseases that can cause serious illness and death. However, vaccine hesitancy threatens to undermine progress in reducing preventable diseases and illness. Vaccine hesitancy has been shown to vary by sociodemographic characteristics. However, studies examining associations between healthcare access and vaccine hesitancy are lacking. OBJECTIVE Using a statewide random sample of Arkansas adults, we examined the relationship between general vaccine hesitancy and healthcare access. DESIGN From July 12 to 30, 2021, participants were contacted by landlines and cellular phones using random digit dialing. PARTICIPANTS A total of 1500 Arkansas adults were surveyed. Black/African American and Hispanic/Latinx adults were oversampled to ensure adequate representation. The survey had a cooperation rate of 20%. MAIN MEASURES The dependent variable was an ordinal measure of general vaccine hesitancy. Age, gender, race, education, relationship status, and rural/urban residence were included in the model. Healthcare access was measured across four domains: (1) health insurance coverage; (2) having a primary care provider (PCP); (3) forgoing care due to cost; and (4) time since last routine checkup. The relationship between general vaccine hesitancy and healthcare access was modeled using ordinal logistic regression, controlling for sociodemographic characteristics. KEY RESULTS Mean age was 48.5 years, 51.1% were women, 28% reported a race other than White, and 36.3% held a bachelor's degree or higher. Those with a PCP and those with health insurance had approximately two-thirds the odds of being more hesitant ([OR=0.63, CI=0.47, 0.84] and [OR=0.68; CI=0.49, 0.94]) than those without a PCP and those without health insurance. Participants reporting a routine checkup in the last 2 years were almost half as likely to be more hesitant than those reporting a checkup more than 2 years prior (OR=0.58; CI=0.43, 0.79). CONCLUSIONS Results suggest improving access to health insurance, PCPs, and routine preventative care services may be critical to reducing vaccine hesitancy.
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Affiliation(s)
- Pearl A McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.
| | - James P Selig
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Aaron J Scott
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Brett Rowland
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Don E Willis
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Sharon Reece
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Sheena CarlLee
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Michael D Macechko
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Sumit K Shah
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
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Mavragani A, Xie F, An X, Lan X, Liu C, Yan L, Zhang H. Evolution of Public Attitudes and Opinions Regarding COVID-19 Vaccination During the Vaccine Campaign in China: Year-Long Infodemiology Study of Weibo Posts. J Med Internet Res 2023; 25:e42671. [PMID: 36795467 PMCID: PMC9937109 DOI: 10.2196/42671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 01/20/2023] [Accepted: 01/27/2023] [Indexed: 02/17/2023] Open
Abstract
BACKGROUND Monitoring people's perspectives on the COVID-19 vaccine is crucial for understanding public vaccination hesitancy and developing effective, targeted vaccine promotion strategies. Although this is widely recognized, studies on the evolution of public opinion over the course of an actual vaccination campaign are rare. OBJECTIVE We aimed to track the evolution of public opinion and sentiment toward COVID-19 vaccines in online discussions over an entire vaccination campaign. Moreover, we aimed to reveal the pattern of gender differences in attitudes and perceptions toward vaccination. METHODS We collected COVID-19 vaccine-related posts by the general public that appeared on Sina Weibo from January 1, 2021, to December 31, 2021; this period covered the entire vaccination process in China. We identified popular discussion topics using latent Dirichlet allocation. We further examined changes in public sentiment and topics during the 3 stages of the vaccination timeline. Gender differences in perceptions toward vaccination were also investigated. RESULTS Of 495,229 crawled posts, 96,145 original posts from individual accounts were included. Most posts presented positive sentiments (positive: 65,981/96,145, 68.63%; negative: 23,184/96,145, 24.11%; neutral: 6980/96,145, 7.26%). The average sentiment scores were 0.75 (SD 0.35) for men and 0.67 (SD 0.37) for women. The overall trends in sentiment scores showed a mixed response to the number of new cases and significant events related to vaccine development and important holidays. The sentiment scores showed a weak correlation with new case numbers (R=0.296; P=.03). Significant sentiment score differences were observed between men and women (P<.001). Common and distinguishing characteristics were found among frequently discussed topics during the different stages, with significant differences in topic distribution between men and women (January 1, 2021, to March 31, 2021: χ23=3030.9; April 1, 2021, to September 30, 2021: χ24=8893.8; October 1, 2021, to December 31, 2021: χ25=3019.5; P<.001). Women were more concerned with side effects and vaccine effectiveness. In contrast, men reported broader concerns around the global pandemic, the progress of vaccine development, and economics affected by the pandemic. CONCLUSIONS Understanding public concerns regarding vaccination is essential for reaching vaccine-induced herd immunity. This study tracked the year-long evolution of attitudes and opinions on COVID-19 vaccines according to the different stages of vaccination in China. These findings provide timely information that will enable the government to understand the reasons for low vaccine uptake and promote COVID-19 vaccination nationwide.
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Affiliation(s)
| | - Fang Xie
- Medical Basic Experimental Teaching Center, China Medical University, Shenyang, China
| | - Xinyu An
- School of Health Management, China Medical University, Shenyang, China
| | - Xue Lan
- School of Health Management, China Medical University, Shenyang, China
| | - Chunhe Liu
- School of Health Management, China Medical University, Shenyang, China
| | - Lei Yan
- School of Health Management, China Medical University, Shenyang, China
| | - Han Zhang
- School of Health Management, China Medical University, Shenyang, China
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Felzer JR, Finney Rutten LJ, Wi CI, LeMahieu AM, Beam E, Juhn YJ, Jacobson RM, Kennedy CC. Disparities in vaccination rates in solid organ transplant patients. Transpl Infect Dis 2023; 25:e14010. [PMID: 36715676 PMCID: PMC10085850 DOI: 10.1111/tid.14010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 10/23/2022] [Accepted: 11/06/2022] [Indexed: 01/31/2023]
Abstract
INTRODUCTION Vaccinations against preventable respiratory infections such as Streptococcus pneumoniae and influenza are important in immunosuppressed solid organ transplant (SOT) recipients. Little is known about the role of age, race, ethnicity, sex, and sociodemographic factors including rurality, or socioeconomic status (SES) associated with vaccine uptake in this population. METHODS We conducted a population-based study using the Rochester Epidemiology Project, a medical records linkage system, to assess socioeconomic and demographic factors associated with influenza and pneumococcal vaccination rates among adult recipients of solid organ transplantation (aged 19-64 years) living in four counties in southeastern Minnesota. Vaccination data were obtained from the Minnesota Immunization Information Connection from June 1, 2010 to June 30, 2020. Vaccination rate was assessed with Poisson and logistic regression models. RESULTS A total of 468 SOT recipients were identified with an overall vaccination rate of 57%-63% for influenza and 56% for pneumococcal vaccines. As expected, vaccination for pneumococcal vaccine positively correlated with influenza vaccination. Rural patients had decreased vaccination in both compared to urban patients, even after adjusting for age, sex, race, ethnicity, and SES. Although the population was mostly White and non-Hispanic, neither vaccination differed by race or ethnicity, but influenza vaccination did by SES. Among organ transplant groups, liver and lung recipients were least vaccinated for influenza, and heart recipients were least up-to-date on pneumococcal vaccines. CONCLUSIONS Rates of vaccination were below national goals. Rurality was associated with undervaccination. Further investigation is needed to understand and address barriers to vaccination among transplant recipients.
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Affiliation(s)
- Jamie R Felzer
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Lila J Finney Rutten
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Chung-Il Wi
- Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Allison M LeMahieu
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Elena Beam
- Division of Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Young J Juhn
- Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Robert M Jacobson
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.,Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Cassie C Kennedy
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.,William J von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, Minnesota, USA.,Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota, USA
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AlShurman BA, Butt ZA. Proposing a New Conceptual Syndemic Framework for COVID-19 Vaccine Hesitancy: A Narrative Review. Int J Environ Res Public Health 2023; 20:1561. [PMID: 36674314 PMCID: PMC9864682 DOI: 10.3390/ijerph20021561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/09/2023] [Accepted: 01/12/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Discussions regarding syndemics have dominated research in recent years. Vaccine hesitancy has also been propelled to the forefront. In this narrative review, we aim to frame a novel syndemic framework to understand the interaction between vaccine hesitancy, COVID-19, and negative health outcomes. METHODS A non-systematic electronic search was conducted in PubMed and Google Scholar. Search criteria were limited to articles published between November 2019 and June 2022. Articles related to the COVID-19 syndemic and vaccine hesitancy were included. RESULTS Our review revealed that the adherence to COVID-19 regulations-although they were effective in preventing COVID-19 transmission, cases, and deaths-created a dynamically unstable 'vicious cycle' between undesirable health, economic, and social outcomes. The "accumulation" of complex stressors decreased individuals' cognitive flexibility and hindered them from making decisions and getting vaccinated. Furthermore, it increased individuals' risk of acquiring COVID-19, losing their employment, increasing poverty, and decreasing healthcare utilization. We illustrated how the amalgamation of sociodemographic and contextual factors associated with COVID-19 might impact people's vaccine decisions, making them more hesitant toward COVID-19 vaccination. Failing to receive vaccinations increases the chances of COVID-19 transmission, hospitalization, and other negative health outcomes. CONCLUSIONS Understanding the interaction between these factors is essential to provide policymakers with inspiration to set appropriate interventions for promoting COVID-19 vaccination acceptance to decrease the overall burden of pandemics.
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Affiliation(s)
| | - Zahid Ahmad Butt
- School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
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Meltzer GY, Harris J, Hefner M, Lanternier P, Gershon RR, Vlahov D, Merdjanoff AA. Associations Between COVID-19 Vaccine Hesitancy and Socio-Spatial Factors in NYC Transit Workers 50 Years and Older. Int J Aging Hum Dev 2023; 96:76-90. [PMID: 35702009 PMCID: PMC9204133 DOI: 10.1177/00914150221106709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
This analysis investigates how age, race/ethnicity, and geographic location contributed to vaccine hesitancy in a sample of 645 New York City (NYC) Transport Workers Union (TWU), Local 100 members surveyed in August 2020. Union members ages 50+ were 46% less likely to be vaccine hesitant than their younger counterparts (OR 0.64; 95% CI 0.42, 0.97). Non-Whites (OR 3.95; 95% 2.44, 6.39) and those who did not report their race (OR 3.10; 95% CI 1.87, 5.12) were significantly more likely to be vaccine hesitant than Whites. Those who were not concerned about contracting COVID-19 in the community had 1.83 greater odds (95% CI 1.12, 2.98) of being vaccine hesitant than those who were concerned. Older respondents tended to reside in Queens while vaccine hesitant and non-White respondents were clustered in Brooklyn. General trends observed in COVID-19 vaccine hesitancy persist in a population of high risk, non-healthcare essential workers.
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Affiliation(s)
- Gabriella Y. Meltzer
- Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York, NY, USA
- Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA
| | - Jordan Harris
- College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA
| | - Michelle Hefner
- School of Biomedical Engineering, Colorado State University, Fort Collins, CO, USA
| | - Paula Lanternier
- College of Natural Sciences, The University of Texas at Austin, Austin, TX, USA
| | - Robyn R.M. Gershon
- Department of Epidemiology, New York University School of Global Public Health, New York, NY, USA
| | - David Vlahov
- Yale University School of Nursing, Orange, CT, USA
| | - Alexis A. Merdjanoff
- Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York, NY, USA
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Józefacka NM, Karpiński EA, Superson B, Kołek MF, Skrzypczak AR, Kania G. Potential Factors Conditioning the Compliance to Mandatory Face Covering in the Public Space Due to SARS-CoV-2 Pandemic. Int J Environ Res Public Health 2022; 20:726. [PMID: 36613046 PMCID: PMC9819904 DOI: 10.3390/ijerph20010726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 12/12/2022] [Accepted: 12/29/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND During the SARS-CoV-2 pandemic, we could observe different attitudes towards restrictive bans and orders. AIM The research aimed to examine the potential psychological factors, such as generalized anxiety, fear of COVID-19 or social approval, related to the approach to mandatory face covering in public spaces. METHODS The web-assisted interviews survey was used among 202 participants, which included socio-demographical data, approach to face covering, the Generalized Anxiety Disorder Scale, the COVID-19 Anxiety Scale, and The Questionnaire of Social Approval. RESULT The data showed a statistically significant correlation between compliance to the rule of face and nose covering vs. anxiety and compliance to the rule of face and nose covering vs. generalized anxiety. The results indicate differences between vaccinated and non-vaccinated people in the anxiety of COVID-19, generalized anxiety, and compliance with the rule of face and nose covering. CONCLUSIONS People vaccinated has a higher level of anxiety and more often compliance with the rule of face covering. It is worth noting that an overly pronounced fear of COVID-19 could be a risk factor for mental health. More research about coping with anxiety in the group of vaccinated people is recommended.
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Affiliation(s)
- Natalia Maja Józefacka
- Institute of Psychology, Pedagogical University of Krakow, Podchorążych 2, 30-084 Krakow, Poland
| | - Emil Andrzej Karpiński
- Department of Tourism, Recreation & Ecology, Institute of Engineering and Environmental Protection, University of Warmia and Mazury, Oczapowskiego St. 5, 10-719 Olsztyn, Poland
| | - Barbara Superson
- Institute of Psychology, Pedagogical University of Krakow, Podchorążych 2, 30-084 Krakow, Poland
| | | | - Andrzej Robert Skrzypczak
- Department of Tourism, Recreation & Ecology, Institute of Engineering and Environmental Protection, University of Warmia and Mazury, Oczapowskiego St. 5, 10-719 Olsztyn, Poland
| | - Gabriela Kania
- Students Scientific Club ControlUP, Institute of Psychology, Pedagogical University of Krakow, Podchorążych 2, 30-084 Krakow, Poland
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Bussink-Voorend D, Hautvast JLA, Vandeberg L, Visser O, Hulscher MEJL. A systematic literature review to clarify the concept of vaccine hesitancy. Nat Hum Behav 2022; 6:1634-1648. [PMID: 35995837 DOI: 10.1038/s41562-022-01431-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 07/13/2022] [Indexed: 11/25/2022]
Abstract
Vaccine hesitancy (VH) is considered a top-10 global health threat. The concept of VH has been described and applied inconsistently. This systematic review aims to clarify VH by analysing how it is operationalized. We searched PubMed, Embase and PsycINFO databases on 14 January 2022. We selected 422 studies containing operationalizations of VH for inclusion. One limitation is that studies of lower quality were not excluded. Our qualitative analysis reveals that VH is conceptualized as involving (1) cognitions or affect, (2) behaviour and (3) decision making. A wide variety of methods have been used to measure VH. Our findings indicate the varied and confusing use of the term VH, leading to an impracticable concept. We propose that VH should be defined as a state of indecisiveness regarding a vaccination decision.
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Affiliation(s)
- Daphne Bussink-Voorend
- Radboud University Medical Center, Radboud Institute for Health Sciences, Primary and Community Care, Nijmegen, the Netherlands.
| | - Jeannine L A Hautvast
- Radboud University Medical Center, Radboud Institute for Health Sciences, Primary and Community Care, Nijmegen, the Netherlands
| | - Lisa Vandeberg
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
| | - Olga Visser
- Radboud University Medical Center, Radboud Institute for Health Sciences, Primary and Community Care, Nijmegen, the Netherlands
| | - Marlies E J L Hulscher
- Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, the Netherlands
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Willis DE, Montgomery BE, Selig JP, Andersen JA, Shah SK, Li J, Reece S, Alik D, McElfish PA. COVID-19 vaccine hesitancy and racial discrimination among US adults. Prev Med Rep 2022; 31:102074. [PMID: 36466305 PMCID: PMC9703864 DOI: 10.1016/j.pmedr.2022.102074] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 11/22/2022] [Accepted: 11/24/2022] [Indexed: 11/29/2022] Open
Abstract
Vaccination is a critical preventive measure to reduce COVID-19 health risks. We utilize full information maximum likelihood (FIML) logistic regression to analyze COVID-19 vaccine hesitancy in a national sample of United States (US) adults (N = 2,022). Online survey data was collected between September 7th and October 3rd, 2021. Before weighting, the racial composition of the sample was as follows: Asian American (15.0 %), Black/African American (20.0 %), Hispanic/Latino (20.0 %), American Indian or Alaska Native (12.6 %), Native Hawaiian or Pacific Islander (12.5 %), and White (20.0 %). Informed by the Increasing Vaccination Model (IVM), we assessed the relationship between COVID-19 vaccine hesitancy and experiences of racial discrimination (Krieger's 9-item measure). Odds of COVID-19 vaccine hesitancy were greater for most younger age groups, women (OR = 1.96; 95 % CI[1.54, 2.49]), Black/African American respondents (OR = 1.68; 95 % CI[1.18, 2.39]), those with a high school education or less (OR = 1.46; 95 % CI[1.08, 1.98]), Independent (OR = 1.77; 95 % CI[1.34, 2.35]) or Republican political affiliation (OR = 2.69; 95 % CI[1.92, 3.79]), and prior COVID-19 infection (OR = 1.78; 95 % CI[1.29, 2.45]). Odds of COVID-19 vaccine hesitancy were 1.04 greater for every-one unit increase in lifetime experiences of racial discrimination (95 % CI[1.02, 1.05]). Odds of COVID-19 vaccine hesitancy were lower for Asian American respondents (OR = 0.682; 95 % CI[0.480, 0.969]), and those who had a primary care doctor had reduced odds of COVID-19 vaccine hesitancy (OR = 0.735; 95 % CI[0.542, 0.998). Our primary finding provides support for a link between experiences of racial discrimination and hesitancy towards a COVID-19 vaccine among US adults. We discuss implications for public health officials and future research.
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Affiliation(s)
- Don E. Willis
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Brooke E.E. Montgomery
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA
| | - James P. Selig
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Jennifer A. Andersen
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Sumit K. Shah
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Ji Li
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Sharon Reece
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Derek Alik
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA
| | - Pearl A. McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave., Fayetteville, AR 72703, USA,Corresponding author.
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Abstract
Racial disparities in intention to obtain the COVID-19 vaccination have been noted in academic and popular press reports. The present study sought to identify cognitive and affective factors that contribute to the observed lack of acceptance of COVID-19 vaccination, even before a vaccine was made publicly available, among Black and White Americans through a national survey (N = 487; 50.6% female, 24.8% Black). Our findings are consistent with previous studies that Black respondents had lower intention to obtain the eventual COVID-19 vaccine than White respondents. Protection motivation theory's construct of coping efficacy and an additional COVID-19-relevant variable, trust in vaccination, mediated the effect of race on behavioral intention. Lastly, beliefs were elicited from Black and White Americans to identify communication strategies regarding the issue.
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Affiliation(s)
- Nikki McClaran
- Department of Advertising and Public Relations, Michigan State University
| | - Nancy Rhodes
- Department of Advertising and Public Relations, Michigan State University
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Schoeffler A, Bashian EJ, Callender N, Geyer ED, More A, Webb T, Butsch JL, Kman NE, Bischof JJ. Implementation of a COVID-19 Vaccine Emergency Department Education Program for Underserved Communities. Cureus 2022; 14:e30972. [PMID: 36465205 PMCID: PMC9711925 DOI: 10.7759/cureus.30972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/31/2022] [Indexed: 06/17/2023] Open
Abstract
Background The COVID-19 pandemic has provided an opportunity for significant reflection on our public health response as providers. Throughout the past two years, we learned that administration of COVID-19 vaccines, rapidly and widely across all communities, has been key to halting the spread of the virus. One significant challenge in promoting a large-scale immunization program is the threat of vaccine hesitancy. A general mistrust in healthcare providers exists across the country, especially in underrepresented minority (URM) communities. Objective This study aims to determine reasons for vaccine hesitancy in an urban emergency department and to provide targeted education on the safety and efficacy of the COVID-19 vaccines to patients. Methods An interprofessional quality improvement team was assembled to develop an educational intervention addressing COVID-19 vaccine safety for vaccine-eligible patients receiving treatment in the emergency department at an urban community hospital where over 70% of patients identify as URM. A survey was conducted to elucidate patients' concerns surrounding the COVID-19 vaccine. Upon completion of the survey, up-to-date safety information and education targeting their surveyed concerns were provided by trained medical students. A follow-up survey was conducted to assess the impact of education on patients' attitudes toward the vaccine. Surveys were developed using standardized scoring systems from the Oxford coronavirus explanations, attitudes, and narratives survey (OCEANS) II study and the Kaiser Foundation. Hesitancy scores before and after education were tabulated to assess the effectiveness of targeted education in improving vaccine hesitancy. Results Patients cited a variety of concerns surrounding the COVID-19 vaccine. The three most common reasons for declining vaccines were potential side effects (67.3% were concerned or extremely concerned), the belief that COVID-19 vaccines are neither effective nor safe (64.5% were concerned to extremely concerned), and the risk of developing COVID-19 infection from the vaccine itself (38.8% were concerned to extremely concerned). This information was used to address these concerns directly with patients, answer questions, clarify information, and encourage patients to get vaccinated. Through this education program, vaccine hesitancy scores improved by an average of 29% indicating an increased likelihood of patients who would get vaccinated in the future. Of patients receiving education, 38% agreed to sign up for a vaccine appointment during the intervention. Conclusion The emergency department often serves vulnerable patient populations. As such, its role in public health in these communities cannot be underestimated. This quality improvement project is a novel method that can be used to develop and implement public health education programs to address specific community needs in the emergency department. These results show that a multidisciplinary healthcare team can provide a measurable change in attitudes about vaccine safety with directed education in the emergency department that can help address vaccine hesitancy in the future.
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Affiliation(s)
- Austin Schoeffler
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Elizabeth J Bashian
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Nathan Callender
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Emily D Geyer
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Aditya More
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Tyler Webb
- Emergency Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Jackiethia L Butsch
- Community and Civic Engagement, The Ohio State University Wexner Medical Center, Columbus, USA
| | - Nicholas E Kman
- Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, USA
| | - Jason J Bischof
- Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, USA
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Öztürk MH, Vardar O, Özkan S, Serçekuş P. Investigation of Fear of COVID-19, Work Stress and Affecting Factors in Prehospital Emergency Healthcare Workers. JBACHS 2022. [DOI: 10.30621/jbachs.1080699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Background: Since healthcare workers work in the same environment with infected patients, they have a higher risk in terms of COVID-19 transmission compared to other parts of society, and accordingly, they experience more stress.
Purpose: The aim of this study to investigate the fear of COVID-19, work stress, and affecting factors in prehospital healthcare workers.
Methods: The research has a descriptive and cross-sectional design. The research was completed with a total of 399 individuals. Data were collected online using an introductory information form, the Fear of COVID-19 Scale, and the General Work Stress Scale.
Results: The level of fear of COVID-19 was higher in women compared to men (B=-1.451, p=0.012), in married individuals compared to singles (B=-1.667, p=0.011), in those with low income compared to those with moderate or high income (B=-2.259, p
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BAŞKAYA E, KAYA Ç. Bireylerin Aşılara Yönelik Tutumları Üzerine COVID-19 Korkusunun Etkisi. DEUHFED 2022. [DOI: 10.46483/deuhfed.1013479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Giriş: Covid-19 hastalığının psikolojik etkileri devam etmektedir. Hastalığa ilişkin yaşanılan korku bireylerin Covid-19 aşılarına yönelik tutumlarını etkilemektedir.
Amaç: Bireylerin Covid-19 aşısına yönelik tutumları üzerine Covid-19 korkusunun etkisini belirlemektir.
Yöntem: Niceliksel araştırma yöntemlerinden tanımlayıcı tipte bir araştırmadır. Çalışmanın verileri 1 Temmuz- 31 Ağustos 2021 tarihleri arasında kartopu örnekleme tekniği kullanılarak online olarak toplanmıştır. Belirtilen süre içerisinde araştırmaya gönüllü olarak katılmayı kabul eden ve formu eksiksiz dolduran 221 kişi araştırmanın örneklemini oluşturmuştur. Veri toplama araçları “Katılımcı Bilgi Formu”, “Covid-19 Korku Ölçeği” ve “Covid-19 Aşısına Yönelik Tutumlar Ölçeği” dir.
Bulgular: Araştırmaya katılan bireylerin Covid-19 korku ölçeği puan ortalaması 17.84 ± 6.65; Covid-19 aşısına yönelik olumlu tutum alt boyut puan ortalaması 3.79 ± 1.12; Covid-19 aşısına yönelik olumsuz tutum alt boyut puan ortalaması 3.57 ± 1.23 olarak tespit edilmiştir. Covid-19 korku ve Covid-19 aşısına yönelik olumlu tutum değişkenleri arasında pozitif yönde, anlamlı (r = .28; p = .000) bir ilişki saptanmıştır. Ayrıca, Covid-19 korkusunun bireylerin Covid-19 aşına yönelik olumlu tutum düzeyi üzerinde anlamlı bir etkiye sahip olduğu görülmüştür (t = 4.396; p = .000).
Sonuç: Covid-19 korkusu bireylerin Covid-19 aşısına yönelik tutumunu olumlu şekilde etkilemiştir
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Gray CA, Lesser G, Guo Y, Shah S, Allen S, Wilkinson LL, Sims OT. COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama. Trop Med Infect Dis 2022; 7:tropicalmed7110331. [PMID: 36355874 PMCID: PMC9695581 DOI: 10.3390/tropicalmed7110331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 10/19/2022] [Accepted: 10/20/2022] [Indexed: 11/30/2022] Open
Abstract
Using COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (n = 1000), a consolidation approach (machine learning modeling and multinomial logistic regression modeling) was used to identify predictors of COVID-19 vaccine hesitancy and resistance. The prevalence of vaccine acceptance, hesitancy, and resistance was 62%, 23%, and 15%, respectively. Female gender and a higher level of trust that friends and family will provide accurate information about the COVID-19 vaccine were positively associated with vaccine hesitancy. Female gender and higher trust that social media will provide accurate information about COVID-19 were positively associated with vaccine resistance. Factors positively associated with COVID-19 vaccine hesitance and resistance in the study's geographical area are worrisome, especially given the high burden of chronic diseases and health disparities that exist in both Montgomery and the Deep South. More research is needed to elucidate COVID-19 vaccination attitudes and reasons for non-acceptance of the COVID-19 vaccine. Efforts to improve acceptance should remain a priority in this respective geographical area and across the general population.
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Affiliation(s)
- Cicily A. Gray
- Department of Human Studies, Community Health and Human Services Program, School of Education, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Grace Lesser
- School of Nursing, Yale University, New Haven, CT 06477, USA
| | - Yuqi Guo
- School of Social Work, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
- School of Data Science, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
| | - Swapn Shah
- Department of Computer Science, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
| | - Shauntice Allen
- Department of Environmental Health Sciences, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Larrell L. Wilkinson
- Department of Human Studies, Community Health and Human Services Program, School of Education, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Omar T. Sims
- Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- Center for AIDS Research, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- Integrative Center for Aging Research, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- Center for Clinical and Translational Science, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- African American Studies, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USA
- Correspondence:
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McElfish PA, Rowland B, Hall S, CarlLee S, Reece S, Macechko MD, Shah SK, Rojo MO, Riklon S, Richard-Davis G, Marin LP, Laelan M, Maddison BK, Alik E, Selig JP. Comparing community-driven COVID-19 vaccine distribution methods: Faith-based organizations vs. outpatient clinics. J Family Med Prim Care 2022; 11:6081-6086. [PMID: 36618221 PMCID: PMC9810872 DOI: 10.4103/jfmpc.jfmpc_327_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 04/29/2022] [Accepted: 04/30/2022] [Indexed: 11/11/2022] Open
Abstract
Background Minority and low socioeconomic communities may face practical barriers to vaccination, including decreased access to health care and less trust in healthcare organizations; however, few studies have focused on these barriers as the cause of differential vaccine uptake. We worked with community partners to implement and evaluate two community-driven approaches to COVID-19 vaccination distribution-through faith-based organizations (FBOs) and outpatient clinics-with a focus on understanding the differences between the populations who accessed each distribution method. Methodology Participants who came to the vaccination locations were approached and asked to complete a survey during their 15 min post-vaccination observation period. Differences between distribution locations were examined using Chi-square tests. Results The survey rendered 1,476 valid responses, with a total of 927 participants recruited at clinical locations and 519 at FBOs during vaccination events. There were significant differences by race/ethnicity, with distribution methods at FBOs reaching a higher proportion of Hispanic/Latino and Marshallese participants. The proportion of uninsured participants who had lower health literacy and had lower educational attainment was higher with the FBO distribution method. FBO participants were more likely to report "completely" trusting the COVID-19 vaccine. There was no significant difference between FBO and clinic participants with regard to the level of vaccine hesitancy. There were no statistically significant differences with regard to access. Conclusion A higher proportion of Hispanic/Latino and Marshallese participants utilized FBOs for vaccination, suggesting collaborations with FBOs can potentially increase vaccination uptake among minority communities and help mitigate vaccination disparities.
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Affiliation(s)
- Pearl A. McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA,Address for correspondence: Dr. Pearl A. McElfish, 1125 N. College Ave., Fayetteville, AR 72703, USA. E-mail:
| | - Brett Rowland
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Spencer Hall
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Sheena CarlLee
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Sharon Reece
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Michael D. Macechko
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Sumit K. Shah
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Martha O. Rojo
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Sheldon Riklon
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Gloria Richard-Davis
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Luis Paganelli Marin
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA
| | - Melisa Laelan
- Arkansas Coalition of Marshallese, Springdale, Arkansas, USA
| | | | - Eldon Alik
- Republic of the Marshall Islands Consulate, Springdale, Arkansas, USA
| | - James P. Selig
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
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McElfish PA, Rowland B, Scott AJ, Andersen JA, CarlLee S, McKinnon JC, Reece S, Meredith‐Neve SM, Macechko MD, Gurel‐Headley M, Willis DE. Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID-19 vaccine. Clin Transl Sci 2022; 15:2316-2322. [PMID: 36004689 PMCID: PMC9538052 DOI: 10.1111/cts.13367] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 06/28/2022] [Accepted: 06/29/2022] [Indexed: 01/25/2023] Open
Abstract
Recent research suggests people who report vaccine hesitancy may still get vaccinated; however, little is known about hesitancy among those who chose to vaccinate. The current study focused on individuals who received the coronavirus disease 2019 (COVID-19) vaccine despite their hesitancy, whom we refer to as "hesitant adopters." With the understanding that vaccine attitudes and vaccine behaviors may or may not be correlated, we examined the prevalence of COVID-19 vaccine hesitancy among those who have been vaccinated, how COVID-19 vaccine hesitancy varies across sociodemographic groups, and how COVID-19 vaccine hesitancy relates to other factors (prior health care access and influenza vaccination behavior over the past 5 years). Random digit dialing of telephone landlines and cell phones was used to contact potential survey respondents, rendering a sample of 1500 Arkansan adults. Approximately one-third of those who received a COVID-19 vaccine also reported some level of hesitancy. Among hesitant adopters, 5.3% said they were "very hesitant," 8.8% said they were "somewhat hesitant," and 17.1% said they were "a little hesitant." Black/African American and Hispanic/Latinx respondents reported more hesitancy than White respondents, and female respondents reported greater hesitancy compared to male respondents. Greater hesitancy was associated with non-metro/rural residence, forgoing health care due to cost, and lower influenza vaccination rates over the past 5 years. Findings suggest those who are hesitant may get vaccinated despite their hesitancy, illustrating the complexity of vaccination behaviors. Prevalence of hesitancy among the vaccinated has implications for communication strategies in vaccine outreach programs and may help to reduce stigmatization of hesitant adopters.
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Affiliation(s)
- Pearl A. McElfish
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Brett Rowland
- Office of Community Health and ResearchUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Aaron J. Scott
- Office of Community Health and ResearchUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Jennifer A. Andersen
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Sheena CarlLee
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Joshua C. McKinnon
- College of NursingUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Sharon Reece
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Sandra M. Meredith‐Neve
- Integrated Medicine Service LineUniversity of Arkansas for Medical SciencesLittle RockArkansasUSA
| | - Michael D. Macechko
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
| | - Morgan Gurel‐Headley
- College of MedicineUniversity of Arkansas for Medical SciencesLittle RockArkansasUSA
- Fay W. Boozman College of Public HealthUniversity of Arkansas for Medical SciencesLittle RockArkansasUSA
| | - Don E. Willis
- College of MedicineUniversity of Arkansas for Medical Sciences NorthwestFayettevilleArkansasUSA
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Schirwani N, Pateisky P, Koren T, Farr A, Kiss H, Bancher-Todesca D. Written Briefing and Oral Counseling Increase the Willingness to Receive the SARS-CoV-2 Vaccination among Women in Puerperium: A Qualitative Prospective Cohort Study. Vaccines (Basel) 2022; 10:vaccines10091505. [PMID: 36146582 PMCID: PMC9501465 DOI: 10.3390/vaccines10091505] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 08/28/2022] [Accepted: 09/07/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Vaccination rates for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) are low in Austria. International obstetric societies recommend the SARS-CoV-2 mRNA vaccination for women in puerperium. (2) Methods: A prospective two-stage cohort study was conducted at the Medical University of Vienna between October 2022 and December 2022. Firstly, women in puerperium were assigned to the evaluation group (step 1), and secondly, another cohort of unvaccinated women were randomly assigned to study group A (written briefing) or B (written and oral briefing) (step 2). We evaluated the vaccination status among women in the evaluation group and the willingness to receive the vaccination in all three cohorts. (3) Results: We included 217 women in puerperium (evaluation: n = 69, A: n = 68; B: n = 80). In the evaluation group, 66.7% (n = 46/69) of the women were unvaccinated. A total of 45.7% (21/46) of the unvaccinated women categorically declined the SARS-CoV-2 vaccination. A total of 26.5% (n = 18/68) of women in study group A, and 43.8% (n = 35/80) of women in study group B expressed their willingness to receive the vaccination (p = 0.029). There were no differences in willingness to receive the vaccination between different age strata of women in study groups A and B. (D) Conclusion: Our qualitative data demonstrate a benefit from oral counseling in addition to written briefing in order to increase the willingness to receive the vaccination among women in puerperium.
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Roshchina Y, Roshchin S, Rozhkova K. Determinants of COVID-19 vaccine hesitancy and resistance in Russia. Vaccine 2022; 40:5739-5747. [PMID: 36050249 PMCID: PMC9411140 DOI: 10.1016/j.vaccine.2022.08.042] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 07/27/2022] [Accepted: 08/18/2022] [Indexed: 11/29/2022]
Abstract
Vaccination is the main tool available to handle the COVID-19 pandemic globally. Though no vaccine is proven to be 100% effective, vaccination secures against getting seriously ill and dying from the disease. Russia announced the development of its first domestic vaccine back in August 2020 and launched the nationwide immunization campaign at the beginning of 2021. Despite these achievements, as of mid-October 2021, only 36% of the population got at least one shot of the vaccine. Massive vaccination hesitancy and refusal pose a great threat to public health and postpone social and economic recovery. Using nationally representative data from the general adult population of Russia, this study explores the scope of vaccination hesitancy and refusal as well as the determinants of vaccination attitudes. The results suggest that only 45% of the Russian population demonstrated positive attitudes towards the COVID-19 vaccination prior to the launch of a nationwide vaccination program. We analyze a wide array of demographic, socio-economic, and health-related factors in relation to vaccination intentions and explore the deep-rooted causes of vaccination reluctance by looking at personality traits, religiosity, and trust. The obtained results are vital for designing policy measures to promote vaccination.
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Affiliation(s)
- Yana Roshchina
- Center for Longitudinal Studies and Laboratory for Studies in Economic Sociology, Department of Sociology, National Research University Higher School of Economics, 11 Myasnitskaya, Moscow 101000, Russian Federation.
| | - Sergey Roshchin
- Laboratory for Labor Market Studies, Faculty of Economic Sciences, National Research University Higher School of Economics, 11 Pokrovsky Boulevard, Moscow 109028, Russian Federation.
| | - Ksenia Rozhkova
- Laboratory for Labor Market Studies, Faculty of Economic Sciences, National Research University Higher School of Economics, 11 Pokrovsky Boulevard, Moscow 109028, Russian Federation.
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