COVID-19 vaccine hesitancy January-May 2021 among 18-64 year old US adults by employment and occupation.

COVID-19 vaccine hesitancy January-May 2021 among 18-64 year old US adults by employment and occupation.
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DOI:
10.1016/j.pmedr.2021.101569
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发表时间:
2021-12
影响因子:
2.8
通讯作者:
Mejia R
Mejia R
中科院分区:
医学3区
文献类型:
--
作者:
King WC;Rubinstein M;Reinhart A;Mejia R

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1 月至 5 月,18 至 64 岁的就业成年人对 COVID-19 疫苗的犹豫从 26% 下降至 19%。 5 月份,按职业群体划分,对 COVID-19 疫苗的犹豫度从 7% 到 45% 不等。建筑/开采、安装/维护/修理、农业方面的犹豫度> 35%。就业成年人犹豫的首要原因是:副作用、缺乏信任、不需要。对 COVID-19 疫苗的犹豫不决威胁到大流行的控制工作。我们在 COVID-19 疫苗推出期间按就业状况和职业类别评估了美国民众对疫苗的犹豫态度。 2021 年 1 月 6 日至 5 月 19 日期间,18 至 64 岁的美国成年人完成了 3,179,174 次在线 COVID-19 调查。数据按月汇总。调查权重将样本与美国人口年龄、性别和州概况相匹配。计算加权百分比和 95% 置信区间 (CI)。 1 月至 5 月对疫苗犹豫的变化因就业状况(例如,在外工作的人中 -7.8% [95%CI,-8.2 - -7.5],下降 26.6%;在无薪工作的人中 -13.3% [95%CI,-13.7 - -13.0],下降 44.9%)和职业类别(例如,-15.9%)而存在很大差异。生产中的[95%CI, -17.7 – -14.2],减少了39.3%;建造/提取中的-1.4% [95%CI, -3.8 - -1.0],减少了3.0%)。 2021年4月20日至5月19日,计算机/数学专业的疫苗犹豫度为7.3%(95%CI,6.7-7.8),建筑/提取专业的疫苗犹豫度为45.2%(95%CI,43.2-46.8)。教育工作者中犹豫不决的比例为 9.0% (95%CI, 8.6–9.3),医疗保健从业者/技术人员中犹豫的比例为 14.5% (95%CI, 14.0–15.0)。虽然犹豫原因的普遍程度因职业而异,但超过一半的犹豫参与者表示担心副作用 (51.7%) 和不信任 COVID-19 疫苗 (51.3%),而只有 15.0% 的人总体上不喜欢疫苗。超过三分之一的人不相信他们需要疫苗,不信任政府,和/或正在等待疫苗是否安全。在这项针对 18-64 岁成年人的大规模全国调查中,不同职业对疫苗的犹豫态度差异很大。犹豫的原因表明有关安全和解决信任的信息至关重要。
COVID-19 vaccine hesitancy declined Jan-May from 26% to 19% in employed adults 18–64. In May, COVID-19 vaccine hesitancy ranged from 7 to 45% by occupation group. Hesitancy > 35% in construction/extraction, installation/maintenance/repair, farming. Top hesitancy reasons among employed adults: side effects, lack of trust, don’t need. COVID-19 vaccine hesitancy threatens pandemic control efforts. We evaluated vaccine hesitancy in the US by employment status and occupation category during the COVID-19 vaccine rollout. US adults 18–64 years completed an online COVID-19 survey 3,179,174 times from January 6-May 19, 2021. Data was aggregated by month. Survey weights matched the sample to the US population age, gender, and state profile. Weighted percentages and 95% confidence intervals (CI) were calculated. Changes in vaccine hesitancy from January-May varied widely by employment status (e.g., −7.8% [95%CI, −8.2 – −7.5] among those working outside the home, a 26.6% decrease; −13.3% [95%CI, −13.7 – −13.0] among those not working for pay, a 44.9% decrease), and occupation category (e.g., −15.9% [95%CI, −17.7 – −14.2] in production, a 39.3% decrease; −1.4% [95%CI, −3.8 – −1.0] in construction/extraction, a 3.0% decrease). April 20-May 19, 2021, vaccine hesitancy ranged from 7.3% (95%CI, 6.7 – 7.8) in computer/mathematical professions to 45.2% (95%CI, 43.2–46.8) in construction/extraction. Hesitancy was 9.0% (95%CI, 8.6–9.3) among educators and 14.5% (95%CI, 14.0–15.0) among healthcare practitioners/technicians. While the prevalence of reasons for hesitancy differed by occupation, over half of employed hesitant participants reported concern about side effects (51.7%) and not trusting COVID-19 vaccines (51.3%), whereas only 15.0% didn’t like vaccines in general. Over a third didn’t believe they needed the vaccine, didn’t trust the government, and/or were waiting to see if it was safe. In this massive national survey of adults 18–64 years, vaccine hesitancy varied widely by occupation. Reasons for hesitancy indicate messaging about safety and addressing trust are paramount.
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发表时间: 2021-06-25
期刊: MMWR. Morbidity and mortality weekly report
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