COVID-19 vaccine access and attitudes among people experiencing homelessness from pilot mobile phone survey in Los Angeles, CA.
COVID-19 vaccine access and attitudes among people experiencing homelessness from pilot mobile phone survey in Los Angeles, CA.
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DOI：
10.1371/journal.pone.0255246
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Gelberg L
中科院分区：
文献类型：
--
作者：
Kuhn R;Henwood B;Lawton A;Kleva M;Murali K;King C;Gelberg L
无家可归者患COVID-19并发症和死亡的风险很高，在许多地区，无家可归者已成为接种疫苗的优先对象。然而，这一人群对疫苗的接受程度知之甚少。本研究的目的是确定加利福尼亚州洛杉矶PEH的疫苗犹豫水平，并了解与COVID-19风险、威胁感知、自我保护和信息来源相关的犹豫协变量。部署了一个新颖的移动调查平台，从洛杉矶一家联邦合格医疗中心（FQHC）招募PEH，参与每月对COVID-19态度、行为和风险的快速反应研究。在接受调查的90名PEH中，43名（48%）基于实际疫苗提供（17/90 = 19%）或假设提供（73/90 = 81%）表达了一定程度的疫苗犹豫。在双变量分析中，那些对COVID-19威胁感知高的人不太可能对疫苗犹豫不决（OR = 0.34, P = 0.03），而那些经常采取COVID-19保护行为的人更可能对疫苗犹豫不决（OR = 2.21, P = 0.08）。在多变量模型中，高威胁感知者（AOR = 0.25, P = 0.02）的犹豫率较低，而从事COVID-19保护行为者的犹豫率较高（AOR = 3.63, P = 0.02）。相信官方消息来源的人的犹豫程度较低（AOR = 0.37, P = 0.08），而相信朋友和家人的人的犹豫程度较高（AOR = 2.70, P = 0.07）。研究结果表明，需要有针对性的教育和社会影响干预措施来解决PEH中高度的疫苗犹豫问题。
People experiencing homelessness (PEH) are at high risk for COVID-19 complications and fatality, and have been prioritized for vaccination in many areas. Yet little is known about vaccine acceptance in this population. The objective of this study was to determine the level of vaccine hesitancy among PEH in Los Angeles, CA and to understand the covariates of hesitancy in relation to COVID-19 risk, threat perception, self-protection and information sources. A novel mobile survey platform was deployed to recruit PEH from a federally qualified health center (FQHC) in Los Angeles to participate in a monthly rapid response study of COVID-19 attitudes, behaviors, and risks. Of 90 PEH surveyed, 43 (48%) expressed some level of vaccine hesitancy based either on actual vaccine offers (17/90 = 19%) or a hypothetical offer (73/90 = 81%). In bivariate analysis, those with high COVID-19 threat perception were less likely to be vaccine hesitant (OR = 0.34, P = 0.03), while those who frequently practiced COVID-19 protective behaviors were more likely to be vaccine hesitant (OR = 2.21, P = 0.08). In a multivariate model, those with high threat perception (AOR = 0.25, P = 0.02) were less likely to be hesitant, while those engaging in COVID-19 protective behaviors were more hesitant (AOR = 3.63, P = 0.02). Those who trusted official sources were less hesitant (AOR = 0.37, P = 0.08) while those who trusted friends and family for COVID-19 information (AOR = 2.70, P = 0.07) were more likely to be hesitant. Findings suggest that targeted educational and social influence interventions are needed to address high levels of vaccine hesitancy among PEH.
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DOI：
10.1093/cid/ciab102
发表时间：
2021-11-16
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Momplaisir F;Haynes N;Nkwihoreze H;Nelson M;Werner RM;Jemmott J
通讯作者：
Jemmott J
DOI：
10.1016/j.socscimed.2020.113638
发表时间：
2021-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Callaghan T;Moghtaderi A;Lueck JA;Hotez P;Strych U;Dor A;Fowler EF;Motta M
通讯作者：
Motta M
影响因子：
1.8
作者：
Rice, Eric;Yoshioka-Maxwell, Amanda;Wilson, Nicole
通讯作者：
Wilson, Nicole
影响因子：
33.9
作者：
Mosites, Emily;Parker, Erin M.;Peacock, Georgina
通讯作者：
Peacock, Georgina
影响因子：
4.2
作者：
Leifheit KM;Chaisson LH;Medina JA;Wahbi RN;Shover CL
通讯作者：
Shover CL