COVID-19 Vaccinations in EMS Professionals: Prevalence and Predictors.
COVID-19 Vaccinations in EMS Professionals: Prevalence and Predictors.
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DOI：
10.1080/10903127.2021.1993391
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发表时间：
2022-09
影响因子：
2.4
通讯作者：
McAlearney, Ann Scheck
中科院分区：
文献类型：
--
作者：
Gregory, Megan E.;Powell, Jonathan R.;MacEwan, Sarah R.;Kurth, Jordan D.;Kenah, Eben;Panchal, Ashish R.;McAlearney, Ann Scheck
流行病期间紧急医疗服务 (EMS) 专业人员的免疫接种是提高工作人员及其患者安全的重要工具。本研究的目的是更好地了解 EMS 专业人员接受或拒绝接种 COVID-19 疫苗的决定。我们于 2021 年 4 月对国家认证的 EMS 专业人员（18-85 岁）进行了横断面分析。参与者收到了一份电子调查，询问他们是否接种了疫苗、为何或为何不接种疫苗，以及他们使用三个经过验证的量表的相关信念：感知的 COVID-19 风险、医疗不信任和对 COVID-19 疫苗的信心。数据与国家登记数据集人口统计数据合并。分析包括描述性分析和多变量逻辑回归（OR，95% CI）。通过链式方程进行多元插补用于缺失。共有 2,584 名受访者满足纳入标准（回复率 = 14%）。总体而言，70% 的 EMS 专业人员接种了疫苗。接种疫苗的受访者接种疫苗的常见原因是保护自己（76%）和他人（73%）。未接种疫苗的受访者不接种疫苗的常见原因包括担心疫苗安全性（53%）和认为没有必要接种疫苗（39%）。大多数未接种疫苗的人并不打算将来接种疫苗（84%）。犹豫最常见的原因是想要了解疫苗对其他人的效果如何（55%）。 COVID-19 疫苗接种的几率与人口统计数据相关，包括年龄（参考 <28 岁；39-50 岁：1.56、1.17-2.08；>51 岁：2.22、1.64-3.01）、男性（1.26、1.01-1.58）、居住在城市/郊区（参考农村；1.36、 1.08–1.70）、高等教育（参考 GED/高中及以下；学士及以上：1.72、1.19–2.47）以及在医院工作（参考消防机构；1.53、1.04–2.24）。此外，随着 COVID-19 感知风险的增加（2.05、1.68-2.50）和疫苗信心的增加（2.84、2.40-3.36），疫苗接种的几率也显着提高。医疗不信任度越高，接种疫苗的几率显着降低（0.54、0.46-0.63）。尽管有疫苗，但并非所有急救人员都接种了疫苗。接受 COVID-19 疫苗的决定与人口统计、对 COVID-19 和疫苗的信念以及医疗不信任有关。提高 COVID-19 疫苗接种率的努力应强调疫苗的安全性和有效性。
Immunizations for emergency medical services (EMS) professionals during pandemics are an important tool to increase the safety of the workforce as well as their patients. The purpose of this study was to better understand EMS professionals’ decisions to receive or decline a COVID-19 vaccine. We conducted a cross-sectional analysis of nationally certified EMS professionals (18–85 years) in April 2021. Participants received an electronic survey asking whether they received a vaccine, why or why not, and their associated beliefs using three validated scales: perceived risk of COVID-19, medical mistrust, and confidence in the COVID-19 vaccine. Data were merged with National Registry dataset demographics. Analyses included descriptive analysis and multivariable logistic regression (OR, 95% CI). Multivariate imputation by chained equations was used for missingness. A total of 2,584 respondents satisfied inclusion criteria (response rate = 14%). Overall, 70% of EMS professionals were vaccinated. Common reasons for vaccination among vaccinated respondents were to protect oneself (76%) and others (73%). Common reasons for non-vaccination among non-vaccinated respondents included concerns about vaccine safety (53%) and beliefs that vaccination was not necessary (39%). Most who had not received the vaccine did not plan to get it in the future (84%). Hesitation was most frequently related to wanting to see how the vaccine was working for others (55%). Odds of COVID-19 vaccination were associated with demographics including age (referent <28 years; 39–50 years: 1.56, 1.17–2.08; >51 years: 2.22, 1.64–3.01), male sex (1.26, 1.01–1.58), residing in an urban/suburban area (referent rural; 1.36, 1.08–1.70), advanced education (referent GED/high school and below; bachelor’s and above: 1.72, 1.19–2.47), and working at a hospital (referent fire-based agency; 1.53, 1.04–2.24). Additionally, vaccination odds were significantly higher with greater perceived risk of COVID-19 (2.05, 1.68–2.50), and higher vaccine confidence (2.84, 2.40–3.36). Odds of vaccination were significantly lower with higher medical mistrust (0.54, 0.46–0.63). Despite vaccine availability, not all EMS professionals had been vaccinated. The decision to receive a COVID-19 vaccine was associated with demographics, beliefs regarding COVID-19 and the vaccine, and medical mistrust. Efforts to increase COVID-19 vaccination rates should emphasize the safety and efficacy of vaccines.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
通讯作者：
Webb FJ
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
DOI：
10.1056/nejmoa2035389
发表时间：
2021-02-04
期刊：
The New England journal of medicine
影响因子：
--
作者：
Baden LR;El Sahly HM;Essink B;Kotloff K;Frey S;Novak R;Diemert D;Spector SA;Rouphael N;Creech CB;McGettigan J;Khetan S;Segall N;Solis J;Brosz A;Fierro C;Schwartz H;Neuzil K;Corey L;Gilbert P;Janes H;Follmann D;Marovich M;Mascola J;Polakowski L;Ledgerwood J;Graham BS;Bennett H;Pajon R;Knightly C;Leav B;Deng W;Zhou H;Han S;Ivarsson M;Miller J;Zaks T;COVE Study Group
通讯作者：
COVE Study Group
DOI：
10.1002/emp2.12014
发表时间：
2020-02-01
影响因子：
2.3
作者：
Crowe, Remle P.;Fernandez, Antonio R.;Ferketich, Amy K.
通讯作者：
Ferketich, Amy K.
影响因子：
7.8
作者：
Nohl A;Afflerbach C;Lurz C;Brune B;Ohmann T;Weichert V;Zeiger S;Dudda M
通讯作者：
Dudda M