居住在宾夕法尼亚州阿勒格尼县的黑人成年人接种 COVID-19 疫苗的相关因素。

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Equity Pub Date : 2023-08-23 eCollection Date: 2023-01-01 DOI:10.1089/heq.2022.0215
Ashley V Hill, Harika P Dyer, John Gianakas, Ruth Howze, Ayanna King, Tiffany L Gary-Webb, Dara D Méndez
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引用次数: 0

摘要

导言:在黑人成年人中开展疫苗接种和使用工作将关系到 2019 年冠状病毒病 (COVID-19) 的持续根除工作,并可用于未来流行病的其他预防工作。本研究调查了宾夕法尼亚州阿勒格尼县黑人居民中 COVID-19 疫苗接种率和获得率的相关因素:从 2021 年 10 月到 2022 年 1 月,通过电子方式对阿勒格尼县 18 岁及以上的黑人居民进行了调查。问题包括对 COVID 缓解策略(如掩蔽、社会疏远)的看法、疫苗接种状况、为儿童接种疫苗的意向、对 COVID-19 信息来源和疫苗的信任度、家庭需求、获得支持服务的途径以及使用社交媒体获取信息的途径。报告使用调整后的逻辑回归模型进行了描述性统计以及接种疫苗的重要相关因素:在所有样本中(样本数=397),大多数人都接种了疫苗(样本数=306,77%)。与未接种者相比,完全接种者更可能是女性(62.5%,P=0.010)、60 岁或以上(34.3%,P=0.0002)、受过一定大学教育(23.2%,PP=0.0001)。在未接种者(n=91)中,主要原因是害怕生病(8.9%)、长期影响(6.5%)、对疫苗不信任(6.3%)和需要更多信息(4.5%)。在对年龄、教育、就业、保险、健康状况和收入进行调整后,对疫苗犹豫不决的参与者更有可能未接种疫苗(调整后的几率比=2.3,95% 置信区间为 1.25-4.14):结论:直接消除对疫苗导致疾病的恐惧,提高疫苗开发和审批流程的清晰度,从而提高黑人成年人的疫苗接种率,可以改善疫苗接种犹豫不决的情况。
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Correlates of COVID-19 Vaccine Uptake in Black Adults Residing in Allegheny County, PA.

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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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
期刊最新文献
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