Public Perspectives on COVID-19 Vaccine Prioritization.
Public Perspectives on COVID-19 Vaccine Prioritization.
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DOI：
10.1001/jamanetworkopen.2021.7943
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发表时间：
2021-04-01
影响因子：
13.8
通讯作者：
Largent EA
中科院分区：
文献类型：
--
作者：
Persad G;Emanuel EJ;Sangenito S;Glickman A;Phillips S;Largent EA
公众认为哪些群体应优先获得 COVID-19 疫苗？在这项针对 4735 名美国成年人的调查研究中，所有人口和政治派别的受访者都同意优先考虑医护人员、患有严重合并症的任何年龄段的成年人、一线工人（例如教师和杂货店工人）以及黑人、西班牙裔、美洲原住民和其他受 COVID-19 影响不成比例的社区。与年轻受访者相比，老年受访者不太可能将 65 岁以上的健康人群列为最重要的 4 个优先群体之一。这些发现表明，美国公众同意美国国家科学、工程和医学院提出的高优先级群体，但似乎不同意其他人提出的优先考虑老年人而不是重要工人或受影响不成比例的社区的方法。这项调查研究评估了美国成年人对于哪些群体应首先接种 COVID-19 疫苗的偏好。随着 COVID-19 疫苗的继续分发，政策制定者正在努力决定哪些群体应优先接种疫苗。评估美国成年人对 COVID-19 疫苗优先顺序的偏好。这项调查研究涉及 2 项针对 18 岁及以上美国成年人的独立在线调查，其中一项由盖洛普于 2020 年 9 月 14 日至 27 日进行，另一项由 COVID Collaborative 于 2020 年 9 月 19 日至 25 日进行。对样本进行加权以反映美国人口的社会人口特征。受访者被要求对 COVID-19 疫苗接种群体进行优先排序，并对他们的优先考虑因素进行排序。该研究评估了优先顺序偏好以及与美国国家科学、工程和医学院公平分配 COVID-19 疫苗初步框架的协议。共有 4735 人参与，其中 2730 人（1474 名男性 [54.1%]；平均 [SD] 年龄，59.2 [14.5] 岁）参与盖洛普调查，2005 年参与新冠合作调查（944 名男性 [47.1%]；203 名参与者 [21.5%]，年龄 55-59 岁）。在盖洛普 COVID-19 小组和新冠合作调查中，受访者列出了医护人员（盖洛普，93.6% [95% CI，91.2%-95.3%]；新冠合作，80.0% [95% CI，78.0%-81.9%]）和患有严重共病的任何年龄段的成年人（盖洛普，78.6% [95% CI， 75.2%-81.7%]; COVID 协作，72.9% [95% CI, 70.7%-74.9%]）属于 4 个最高优先级群体。所有政治派别的受访者都同意优先考虑受 COVID-19 影响较大的黑人、西班牙裔、美洲原住民和其他社区（盖洛普，74.2% [95% CI，70.6%-77.5%]；COVID Collaborative，84.9% [95% CI，83.1%-86.5%]），并且 COVID Collaborative 受访者愿意 排在前面的是教师和儿童保育人员（92.5%；95% CI，91.2%-93.7%）和杂货店工人（85.9%；95% CI，84.2%-87.5%）。两项调查中，老年受访者在 4 个最优先群体中优先考虑 65 岁及以上健康成年人的可能性显着低于年轻受访者（盖洛普，23.7% vs 39.1% [χ2 = 2160.8；P < .001]；COVID Collaborative，23.3% vs 28.8% [χ2 = 5.0198；P < .001]； P = .03]）。 COVID Collaborative 受访者认为，优先考虑的 4 个最重要的考虑因素是预防 COVID-19 传播 (78.4% [95% CI, 76.3%-80.3%])、预防大多数死亡 (72.1% [95% CI, 69.9%-74.2%])、预防长期并发症 (68.9% [66.6%-71.9%]) 和保护前线 工人（63.8% [95% CI, 61.5%-66.1%]）。美国成年人普遍同意美国国家科学、工程和医学院的优先顺序框架。受访者支持优先考虑受 COVID-19 影响较大的种族/族裔社区，而老年受访者支持优先考虑 65 岁以上健康人群的可能性明显低于年轻受访者。这使得我们有理由对 COVID-19 疫苗分发计划持谨慎态度，这些计划优先考虑年龄超过截止年龄的健康成年人，而不包括那些年龄低于该年龄、患有既往疾病的人，这些计划的目的只是为了防止大多数死亡，或者不优先考虑一线工作人员或受影响严重的社区。
Which groups does the public believe should be prioritized for COVID-19 vaccine access? In this survey study of 4735 US adults, respondents of all demographic and political affiliations agreed with prioritizing health care workers, adults of any age with serious comorbid conditions, frontline workers (eg, teachers and grocery workers), and Black, Hispanic, Native American, and other communities that have been disproportionately affected by COVID-19. Older adult respondents were less likely than younger respondents to list healthy people older than 65 years as 1 of their top 4 priority groups. These findings suggest that the US public agrees with the high-priority groups proposed by the National Academies of Science, Engineering, and Medicine but appears to disagree with approaches advanced by others that prioritize older adults but not essential workers or disproportionately affected communities. This survey study assesses US adults’ preferences regarding which groups should receive COVID-19 vaccines first. As COVID-19 vaccine distribution continues, policy makers are struggling to decide which groups should be prioritized for vaccination. To assess US adults’ preferences regarding COVID-19 vaccine prioritization. This survey study involved 2 independent, online surveys of US adults aged 18 years and older, 1 conducted by Gallup from September 14 to 27, 2020, and the other conducted by the COVID Collaborative from September 19 to 25, 2020. Samples were weighted to reflect sociodemographic characteristics of the US population. Respondents were asked to prioritize groups for COVID-19 vaccine and to rank their prioritization considerations. The study assessed prioritization preferences and agreement with the National Academies of Science, Engineering, and Medicine’s Preliminary Framework for Equitable Allocation of COVID-19 Vaccine. A total of 4735 individuals participated, 2730 (1474 men [54.1%]; mean [SD] age, 59.2 [14.5] years) in the Gallup survey and 2005 (944 men [47.1%]; 203 participants [21.5%] aged 55-59 years) in the COVID Collaborative survey. In both the Gallup COVID-19 Panel and COVID Collaborative surveys, respondents listed health care workers (Gallup, 93.6% [95% CI, 91.2%-95.3%]; COVID Collaborative, 80.0% [95% CI, 78.0%-81.9%]) and adults of any age with serious comorbid conditions (Gallup, 78.6% [95% CI, 75.2%-81.7%]; COVID Collaborative, 72.9% [95% CI, 70.7%-74.9%]) among their 4 highest priority groups. Respondents of all political affiliations agreed with prioritizing Black, Hispanic, Native American, and other communities that have been disproportionately affected by COVID-19 (Gallup, 74.2% [95% CI, 70.6%-77.5%]; COVID Collaborative, 84.9% [95% CI, 83.1%-86.5%]), and COVID Collaborative respondents were willing to be preceded in line by teachers and childcare workers (92.5%; 95% CI, 91.2%-93.7%) and grocery workers (85.9%; 95% CI, 84.2%-87.5%). Older respondents in both surveys were significantly less likely than younger respondents to prioritize healthy adults aged 65 years and older among their 4 highest priority groups (Gallup, 23.7% vs 39.1% [χ2 = 2160.8; P < .001]; COVID Collaborative, 23.3% vs 28.8% [χ2 = 5.0198; P = .03]). COVID Collaborative respondents believed the 4 most important considerations for prioritization were preventing COVID-19 spread (78.4% [95% CI, 76.3%-80.3%]), preventing the most deaths (72.1% [95% CI, 69.9%-74.2%]), preventing long-term complications (68.9% [66.6%-71.9%]), and protecting frontline workers (63.8% [95% CI, 61.5%-66.1%]). US adults broadly agreed with the National Academies of Science, Engineering, and Medicine’s prioritization framework. Respondents endorsed prioritizing racial/ethnic communities that are disproportionately affected by COVID-19, and older respondents were significantly less likely than younger respondents to endorse prioritizing healthy people older than 65 years. This provides reason for caution about COVID-19 vaccine distribution plans that prioritize healthy adults older than a cutoff age without including those younger than that age with preexisting conditions, that aim solely to prevent the most deaths, or that give no priority to frontline workers or disproportionately affected communities.
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影响因子：
13.6
作者：
Levin AT;Hanage WP;Owusu-Boaitey N;Cochran KB;Walsh SP;Meyerowitz-Katz G
通讯作者：
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影响因子：
105.7
作者：
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DOI：
10.15585/mmwr.mm695152e2
发表时间：
2021-01-01
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
通讯作者：
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影响因子：
13.8
作者：
Gollust SE;Saloner B;Hest R;Blewett LA
通讯作者：
Blewett LA
DOI：
10.15585/mmwr.mm6947e3
发表时间：
2020-11-27
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
McClung N;Chamberland M;Kinlaw K;Bowen Matthew D;Wallace M;Bell BP;Lee GM;Talbot HK;Romero JR;Oliver SE;Dooling K
通讯作者：
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