Willingness of Long-Term Care Staff to Receive a COVID-19 Vaccine: A Single State Survey
Willingness of Long-Term Care Staff to Receive a COVID-19 Vaccine: A Single State Survey
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DOI：
10.1111/jgs.17022
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发表时间：
2021-01-13
影响因子：
6.3
通讯作者：
Blackburn, Justin
中科院分区：
文献类型：
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作者：
Unroe, Kathleen T.;Evans, Russell;Blackburn, Justin
目的：规划2019年冠状病毒传染病（COVID-19）疫苗分发，印第安纳州卫生部调查疗养院和辅助生活设施的工作人员。设计：通过短信链接到个人手机和电子邮件发送的匿名调查的横断面分析。设置和参与者：印第安纳州的疗养院和辅助生活设施的工作人员。测量：工作人员的特征包括年龄、性别、人种、种族、在机构中的角色、长期护理经验和机构的地理位置，这些特征是自我报告的，沿着既往感染和一旦获得批准的疫苗就愿意接受。回答被加权以代表全州的工作人员。加权频率和logit回归估计与疫苗接种意愿相关的特征。对于养老院工作人员（通过23，232个工作电话号码进行调查），回复率为33%）。有2，372人（29%）担任护士助理或类似角色，1，602名护士提供直接临床护理（19%）。总体而言，45%的受访者表示他们将尽快获得批准的COVID-19疫苗。在最初不愿意接种疫苗的人中，44%的人会考虑在未来接种疫苗。对副作用的担忧是疫苗犹豫的主要原因（70%）。与意愿增加相关的特征是年龄超过60岁、男性和白色人种（P < .0001）。没有统计学上的显着差异，观察工作人员自我报告之前的SARS-CoV-2 infection.Conclusions和影响：立即或在未来接受COVID-19疫苗的意愿可能高达69%，但不同亚组的养老院工作人员分布的影响。对工作人员进行疫苗教育可能对增加接种至关重要。广泛的疫苗接种有望防止严重疾病和死亡，并使游客和活动返回，以支持改善生活质量。如果不大力采用疫苗，这一承诺就无法实现。
OBJECTIVES: To plan for coronavirus infectious disease 2019 (COVID-19) vaccine distribution, the Indiana Department of Health surveyed nursing home and assisted living facility staff.DESIGN: Cross-sectional analysis of an anonymous survey sent via text message link to personal cell phones and emails.SETTING AND PARTICIPANTS: Nursing home and assisted living facility staff in Indiana.MEASURES: Staff characteristics including age, gender, race, ethnicity, role in the facility, experience in long-term care, and geographic location of facility were self-reported along with prior infection and willingness to receive an approved vaccine as soon as it is available. Responses were weighted to represent staff statewide. Weighted frequencies and logit regression estimated characteristics associated with vaccine willingness.RESULTS: There were 8,243 responses to the survey. For nursing home staff (survey delivered via 23,232 working phone numbers), there was a 33% response rate). There were 2,372 (29%) in nurse aide or similar roles and 1,602 nurses providing direct clinical care (19%). Overall, 45% of respondents indicated they would receive an approved COVID-19 vaccine as soon as available. Of those unwilling to take the vaccine when first available, 44% would consider in the future. Concerns about side effects was the primary reason for vaccine hesitancy (70%). Characteristics associated with increased willingness were age over 60, male, and white race (P < .0001). No statistically significant differences were observed among staff self-reporting prior SARS-CoV-2 infection.CONCLUSIONS AND IMPLICATIONS: The willingness to receive the COVID-19 vaccine immediately or in the future may be as high as 69%, but varies among subgroups of nursing home staff which has implications for distribution. Educating staff on the vaccine may be critical for increasing uptake. Widespread vaccination holds the promise of protection against serious illness and death and a return of visitors and activities that support improved quality of life. This promise will not be realized without strong uptake of the vaccines.