Factors Associated With COVID-19 Vaccine Receipt by Health Care Personnel at a Major Academic Hospital During the First Months of Vaccine Availability.
Factors Associated With COVID-19 Vaccine Receipt by Health Care Personnel at a Major Academic Hospital During the First Months of Vaccine Availability.
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DOI：
10.1001/jamanetworkopen.2021.36582
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发表时间：
2021-12-01
影响因子：
13.8
通讯作者：
Brennan PJ
中科院分区：
文献类型：
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作者：
Green-McKenzie J;Shofer FS;Momplaisir F;Kuter BJ;Kruse G;Bialal U;Behta M;O'Donnell J;Al-Ramahi N;Kasbekar N;Sullivan P;Okala P;Brennan PJ
新冠肺炎疫苗上市后不久，卫生保健人员(HCP)的接种率是多少？哪些因素与接种率有关？在这项在美国一家主要学术医院对12名 610HCP进行的横断面研究中，三分之二的患者在前4个月内接受了第一剂疫苗；98%的患者接受了两剂疫苗。根据年龄、性别、工作岗位和地区层面的社会脆弱性进行调整后，与白人HCP相比，黑人或非裔美国人和多种族HCP接种疫苗的可能性较小，护士之间的差异较小，医生之间也没有发现差异。这些发现表明，除医生外，在接种HCP疫苗方面存在种族和民族差异。这项横断面研究检查了卫生保健人员中新冠肺炎疫苗的接种情况，并评估了与接种有关的因素，包括种族、民族和社会经济差异。几种新冠肺炎疫苗已在美国获得批准，但初步证据表明，疫苗接种存在高度犹豫，在接种方面存在巨大的种族、民族和社会经济差异。为了评估大型学术医院提供新冠肺炎疫苗的前4个月医护人员(HCP)对疫苗的接受程度，将接受程度与之前测量的疫苗迟疑程度进行比较，并描述种族、民族和社会经济差异。这项横断面研究包括12名 610 HCP，他们在2020年12月16日至2021年4月16日期间在费城一家主要学术医院接受了新冠肺炎疫苗接种。对于每个HCP，收集了关于职业类别、年龄、性别、种族和族裔(亚洲或太平洋岛民、黑人或非裔美国人[黑人]、西班牙裔、白人和多种族)以及居住邮政编码的社会脆弱性指数(SVI)的数据。HCP在员工疫苗接种诊所接种疫苗的情况。研究人群包括4173名男性(34.8%)和7814名女性(65.2%)(623人没有数据)。共有1480人是亚洲或太平洋岛民(12.4%)；2563人(21.6%)是黑人；452人(3.8%)是西班牙裔；7086人(59.6%)是白人；192人(1.6%)是多种族；717人没有种族和民族数据。平均(SD)年龄为40.9岁(12.4岁)，9573人(76.0%)在疫苗可用的前4个月至少接种了1剂疫苗。调整了年龄、性别、工作岗位和SVI后，黑人(相对风险[RR]，0.69；95%CI，0.66-0.72)和多种族(RR，0.80；95%CI，0.73-0.89)与白人HCP相比，接种疫苗的可能性较小。当按工作岗位分层时，黑人护士(n = 189；62.8%)、有患者接触的黑人护士(n = 466；49.9%)和没有接触患者的黑人护士(n = 636；56.3%)的疫苗接种率都低于白人和亚洲或太平洋岛民。同样，有一些(n = 26；52.0%)或没有(n = 48；58.5%)患者接触的多种族HCP的疫苗接种率较低。相比之下，黑人医生与其他种族和民族的医生一样有可能接种疫苗。在这项横断面研究中，费城一家大型学术医院超过三分之二的HCP患者在疫苗可用后4个月内接种了新冠肺炎疫苗。尽管在接种疫苗方面发现了种族、民族和社会经济差异，但在医生中没有发现这样的差异。更好地了解导致这些差异的因素可能有助于提高认识。
What was the COVID-19 vaccine uptake among health care personnel (HCP) shortly after availability, and what factors were associated with uptake? In this cross-sectional study of 12 610 HCP at a major US academic hospital, two-thirds received a first dose within the first 4 months; 98% of those received 2 doses. Adjusted for age, sex, job position, and area-level social vulnerability, Black or African American and multiracial HCP were less likely to receive the vaccine compared with White HCP, with narrower disparities observed for nurses and no disparities found among physicians. These findings indicate the presence of racial and ethnic disparities in HCP vaccine uptake, except among physicians. This cross-sectional study examines COVID-19 vaccine uptake among health care personnel and assesses factors associated with uptake, including racial, ethnic, and socioeconomic disparities. Several COVID-19 vaccines have been authorized in the US, yet preliminary evidence suggests high levels of vaccine hesitancy and wide racial, ethnic, and socioeconomic disparities in uptake. To assess COVID-19 vaccine acceptance among health care personnel (HCP) during the first 4 months of availability in a large academic hospital, compare acceptance with previously measured vaccine hesitancy, and describe racial, ethnic, and socioeconomic disparities in vaccine uptake. This cross-sectional study included 12 610 HCP who were offered COVID-19 vaccination at a major academic hospital in Philadelphia between December 16, 2020, and April 16, 2021. For each HCP, data were collected on occupational category, age, sex, race and ethnicity (Asian or Pacific Islander, Black or African American [Black], Hispanic, White, and multiracial), and social vulnerability index (SVI) at the zip code of residence. Vaccine uptake by HCP at the employee vaccination clinic. The study population included 4173 men (34.8%) and 7814 women (65.2%) (623 without data). A total of 1480 were Asian or Pacific Islander (12.4%); 2563 (21.6%), Black; 452 (3.8%), Hispanic; 7086 (59.6%), White; and 192 (1.6%), multiracial; 717 had no data for race and ethnicity. The mean (SD) age was 40.9 (12.4) years, and 9573 (76.0%) received at least 1 vaccine dose during the first 4 months of vaccine availability. Adjusted for age, sex, job position, and SVI, Black (relative risk [RR], 0.69; 95% CI, 0.66-0.72) and multiracial (RR, 0.80; 95% CI, 0.73-0.89) HCP were less likely to receive vaccine compared with White HCP. When stratified by job position, Black nurses (n = 189; 62.8%), Black HCP with some patient contact (n = 466; 49.9%), and Black HCP with no patient contact (n = 636; 56.3%) all had lower vaccine uptake compared with their White and Asian or Pacific Islander counterparts. Similarly, multiracial HCP with some (n = 26; 52.0%) or no (n = 48; 58.5%) patient contact had lower vaccine uptake. In contrast, Black physicians were just as likely to receive the vaccine as physicians of other racial and ethnic groups. In this cross-sectional study, more than two-thirds of HCP at a large academic hospital in Philadelphia received a COVID-19 vaccine within 4 months of vaccine availability. Although racial, ethnic, and socioeconomic disparities were seen in vaccine uptake, no such disparities were found among physicians. Better understanding of factors driving these disparities may help improve uptake.
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DOI：
10.15585/mmwr.mm7022e1
发表时间：
2021-06-04
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Barry V;Dasgupta S;Weller DL;Kriss JL;Cadwell BL;Rose C;Pingali C;Musial T;Sharpe JD;Flores SA;Greenlund KJ;Patel A;Stewart A;Qualters JR;Harris L;Barbour KE;Black CL
通讯作者：
Black CL
影响因子：
5.5
作者：
Kuter BJ;Browne S;Momplaisir FM;Feemster KA;Shen AK;Green-McKenzie J;Faig W;Offit PA
通讯作者：
Offit PA
影响因子：
39.2
作者：
Bilal, Usama;Tabb, Loni P.;Roux, Ana V. Diez
通讯作者：
Roux, Ana V. Diez
DOI：
10.15585/mmwr.mm7002e1
发表时间：
2021-01-15
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
CDC COVID-19 Response Team;Food and Drug Administration
通讯作者：
Food and Drug Administration
DOI：
10.1001/jamahealthforum.2020.0369
发表时间：
2020-03-02
期刊：
JAMA health forum
影响因子：
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作者：
Barnett, Michael L;Grabowski, David C
通讯作者：
Grabowski, David C