Vaccine decision making among people who inject drugs: Improving on the WHO's 3C model of vaccine hesitancy.
Vaccine decision making among people who inject drugs: Improving on the WHO's 3C model of vaccine hesitancy.
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DOI：
10.1016/j.pmedr.2023.102341
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发表时间：
2023-10
影响因子：
2.8
通讯作者：
Cioffi, Camille
中科院分区：
文献类型：
--
作者：
Hardin, Blake;Graboyes, Melissa;Kosty, Derek;Cioffi, Camille
关键词：
注射吸毒者（PWID）的COVID 19疫苗接种率很低。我们确定年龄较大和住房稳定性作为疫苗摄取的预测因素。接种PWID疫苗的社会障碍超出了现有的疫苗犹豫模型。这些障碍包括相互竞争的生存需求、对政府的不信任以及对可获得的准确信息的需求。本研究的目的是1）确定俄勒冈州PWID在疫苗容易获得时的疫苗接种率，2）定量确定疫苗接种意愿和接种率与人口统计学相关性的趋同性，以促进普遍性，以及3）探索PWID在决定是否接种COVID-19疫苗时考虑的因素。我们进行了一项混合方法研究设计，包括260项定量调查和41项PWID深入定性访谈，于2021年7月至9月在俄勒冈州莱恩县的注射器服务项目中进行。在260名受访者中，37. 3%的受访者表示他们在2021年10月1日前接种了COVID-19疫苗。在同一时期，莱恩县总人口中估计有70.1%完成了COVID-19疫苗接种（不包括加强轮）。我们探索了与世界卫生组织疫苗犹豫3C模型的一致性，并确定了五个共同因素作为疫苗决策的关键激励因素：PWID中的信心、便利、关注、沟通和社区影响。与PWID的访谈描述了阻止他们获得医疗保健资源的系统性障碍。我们强调，我们提出的5C模型可以更准确地描述PWID如何通过整合社会不平等，基础设施障碍和社区价值观影响个人疫苗审议的方式来导航疫苗决策。
COVID19 vaccine uptake among people who inject drugs (PWID) is low. We identified older age and housing stability as predictors of vaccine uptake. The social barriers to vaccination for PWID extend beyond existing models of vaccine hesitancy. Barriers include competing demands for survival, government mistrust, and the need for accessible, accurate information. The objectives of this study were to 1) identify vaccination rates among PWID in Oregon at a time when vaccines were easily accessible, 2) quantitatively identify convergence with demographic correlates of vaccination willingness and uptake to promote generalizability, and 3) explore the factors PWID were considering when deciding whether or not to receive the COVID-19 vaccine. We conducted a mixed-methods study design including 260 quantitative surveys and 41 in-depth qualitative interviews with PWID, conducted July - September 2021 at syringe services programs in Lane County, Oregon. Among the 260 survey respondents, 37.3% indicated that they had received a COVID-19 vaccine by October 1, 2021. In the same period, an estimated 70.1% of the total Lane County population had completed their COVID-19 vaccinations (not including booster rounds). We explored alignment with the WHO’s 3C model of vaccine hesitancy and identified, instead, five common factors as key motivators for vaccine decisions: confidence, convenience, concern, communication, and community implications among PWID. Interviews with PWID describe systemic barriers which prevented them from accessing healthcare resources. We highlight that our proposed 5C model may more accurately depict how PWID navigate vaccine decisions by incorporating the ways that social inequities, infrastructural barriers, and community values influence an individual’s vaccine deliberation.
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DOI：
10.5195/jmla.2022.1271
发表时间：
2022-04-01
期刊：
Journal of the Medical Library Association : JMLA
影响因子：
--
作者：
Dhakal, Kerry
通讯作者：
Dhakal, Kerry
影响因子：
4.2
作者：
Campbell, Jennifer V.;Garfein, Richard S.;Weinbaum, Cindy
通讯作者：
Weinbaum, Cindy
2021年，美国在注射器服务计划中提供COVID-19的可用性和障碍。
影响因子：
3.3
作者：
Des Jarlais, Don C.;Behrends, Czarina N.;Corcorran, Maria A.;Glick, Sara N.;Perlman, David C.;Kapadia, Shashi N.;Lu, Xinlin;Feelemyer, Jonathan;LaKosky, Paul;Prohaska, Stephanie M.;Schackman, Bruce R.
通讯作者：
Schackman, Bruce R.
影响因子：
17.3
作者：
Razai MS;Oakeshott P;Esmail A;Wiysonge CS;Viswanath K;Mills MC
通讯作者：
Mills MC
DOI：
10.1016/j.dadr.2022.100046
发表时间：
2022-06
期刊：
Drug and alcohol dependence reports
影响因子：
--
作者：
Cioffi CC;Kosty D;Nachbar S;Capron CG;Mauricio AM;Tavalire HF
通讯作者：
Tavalire HF