Behavioral Predictors Associated With COVID-19 Vaccination and Infection Among Men Who Have Sex With Men in Korea.

IF 2.8 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Preventive Medicine and Public Health Pub Date : 2024-01-01 Epub Date: 2023-11-27 DOI:10.3961/jpmph.23.381
Minsoo Jung
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Abstract

Objectives: This study investigated the impact of socioeconomic factors and sexual orientation-related attributes on the rates of coronavirus disease 2019 (COVID-19) vaccination and infection among men who have sex with men (MSM).

Methods: A web-based survey, supported by the National Research Foundation of Korea, was conducted among paying members of the leading online portal for the lesbian, gay, bisexual, transgender, or queer and questioning (LGBTQ+) community in Korea. The study participants were MSM living in Korea (n=942). COVID-19 vaccination and infection were considered dependent variables, while sexual orientation-related characteristics and adherence to non-pharmacological intervention (NPI) practices served as primary independent variables. To ensure analytical precision, nested logistic regression analyses were employed. These were further refined by dividing respondents into 4 categories based on sexual orientation and disclosure (or "coming-out") status.

Results: Among MSM, no definitive association was found between COVID-19 vaccination status and factors such as socioeconomic or sexual orientation-related attributes (with the latter including human immunodeficiency virus [HIV] status, sexual orientation, and disclosure experience). However, key determinants influencing COVID-19 infection were identified. Notably, people living with HIV (PLWH) exhibited a statistically significant predisposition towards COVID-19 infection. Furthermore, greater adherence to NPI practices among MSM corresponded to a lower likelihood of COVID-19 infection.

Conclusions: This study underscores the high susceptibility to COVID-19 among PLWH within the LGBTQ+ community relative to their healthy MSM counterparts. Consequently, it is crucial to advocate for tailored preventive strategies, including robust NPIs, to protect these at-risk groups. Such measures are essential in reducing the disparities that may emerge in a post-COVID-19 environment.

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大韩民国男男性行为者中与 COVID-19 疫苗接种和感染有关的行为预测因素。
研究目的本研究调查了社会经济因素和性取向相关属性对2019年冠状病毒病(COVID-19)疫苗接种率和男男性行为者(MSM)感染率的影响:方法:在韩国国家研究基金会的支持下,对韩国领先的 LGBTQ+ 社区在线门户网站的付费会员进行了一项网络调查。调查对象为居住在韩国的 MSM(942 人)。COVID-19疫苗接种和感染被视为因变量,而与性取向相关的特征和对非药物干预(NPI)措施的坚持则被视为主要自变量。为确保分析的精确性,我们采用了嵌套逻辑回归分析。根据性取向和披露(或 "出柜")状况将受访者分为四类,进一步完善了这些分析:在男男性行为者中,没有发现 COVID-19 疫苗接种状况与社会经济或性取向相关属性(后者包括 HIV 感染状况、性取向和披露经历)等因素有明确的关联。不过,我们也发现了影响 COVID-19 感染的关键决定因素。值得注意的是,艾滋病毒感染者(PLWH)对 COVID-19 的感染具有显著的统计学倾向。此外,MSM 感染 COVID-19 的可能性较低,这与他们更多地遵守 NPI 的做法是相对应的:本研究强调了 LGBTQ+ 群体中的 PLWH 相对于健康的 MSM 患者更易感染 COVID-19。因此,必须倡导量身定制的预防策略,包括强有力的 NPI,以保护这些高危人群。这些措施对于减少后 COVID-19 环境中可能出现的差异至关重要。
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来源期刊
Journal of Preventive Medicine and Public Health
Journal of Preventive Medicine and Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.40
自引率
0.00%
发文量
60
审稿时长
8 weeks
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