Disparities in national and state estimates of COVID-19 vaccination receipt and intent to vaccinate by race/ethnicity, income, and age group among adults ≥ 18 years, United States.
Disparities in national and state estimates of COVID-19 vaccination receipt and intent to vaccinate by race/ethnicity, income, and age group among adults ≥ 18 years, United States.
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DOI：
10.1016/j.vaccine.2021.11.040
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发表时间：
2022-01-03
期刊：
影响因子：
5.5
通讯作者：
Corlin L
中科院分区：
文献类型：
--
作者：
Nguyen KH;Anneser E;Toppo A;Allen JD;Scott Parott J;Corlin L
COVID-19 的发病率和死亡率对少数族裔/族裔群体等弱势群体造成了不成比例的影响。了解疫苗意图的差异和疫苗犹豫的原因对于制定改善种族/民族 COVID-19 不平等的有效策略非常重要。我们利用 2021 年 1 月 6 日至 3 月 29 日期间具有全国代表性的六波大型家庭脉搏调查数据（n = 459,235），检查了国家和州对疫苗接种意愿的估计，其定义为接受 ≥ 1 剂 COVID-19 疫苗或明确接种疫苗的意愿，按种族/民族按家庭收入和年龄组进行分层。在单独的逻辑回归模型中，我们还研究了种族/民族与家庭收入、种族/民族与年龄组之间的相互作用，及其与疫苗接种意图的关联。最后，我们按种族/民族研究了不接种疫苗的原因。全国范围内以及卫生与公共服务 (HHS) 地区和州的疫苗接种意图因种族/族裔群体、家庭收入和年龄组而异。种族/民族与家庭收入 (F(8,72) = 4.50，p < 0.001) 以及种族/民族和年龄组 (F(8,72) = 15.66，p < 0.001) 之间存在显着的交互作用。收入较低（<35,000 美元）和年龄较小（18-49 岁）的非西班牙裔黑人成年人最不可能打算接种疫苗。在大多数 HHS 地区和州，种族/族裔群体之间也存在类似的差异。与非西班牙裔白人成年人相比，所有少数群体对可能的副作用和有效性的担忧明显更高。种族/族裔群体的疫苗接种意愿差异凸显了采取干预措施和建议的必要性，旨在提高疫苗接种覆盖率和对服务不足的社区（例如年轻和低收入种族/族裔群体）的信心。需要努力减少疫苗接种方面的差异和障碍，以实现疫苗接种覆盖率的公平，并最终遏制 COVID-19 的传播。
COVID-19 morbidity and mortality has disproportionately affected vulnerable populations such as minority racial/ethnic groups. Understanding disparities in vaccine intentions and reasons for vaccine hesitancy are important for developing effective strategies for ameliorating racial/ethnic COVID-19 inequities. Using six waves of the large, nationally representative Census Bureau’s Household Pulse Survey data from January 6-March 29, 2021 (n = 459,235), we examined national and state estimates for vaccination intent, defined as receipt of ≥ 1 dose of the COVID-19 vaccine or definite intent to be vaccinated, by race/ethnicity with stratification by household income and age group. In separate logistic regression models, we also examined the interaction between race/ethnicity and household income, and race/ethnicity and age group, and its association with vaccination intent. Lastly, we examined reasons for not vaccinating by race/ethnicity. Vaccination intent differed by racial/ethnic group, household income, and age group nationally and by Health and Human Services (HHS) region and state. A significant interaction was observed between race/ethnicity and household income (F(8,72) = 4.50, p < 0.001), and race/ethnicity and age group (F(8,72) = 15.66, p < 0.001). Non-Hispanic Black adults with lower income (<$35,000) and younger age (18–49 years) were least likely to intend to vaccinate. Similar disparities across racial/ethnic groups were seen across most HHS regions and states. Concerns about possible side effects and effectiveness were significantly higher among all minority groups compared to non-Hispanic White adults. Disparities in vaccination intent by racial/ethnic groups underscore the need for interventions and recommendations designed to improve vaccination coverage and confidence in underserved communities, such as younger and lower income racial/ethnic minority groups. Efforts to reduce disparities and barriers to vaccination are needed to achieve equity in vaccination coverage, and ultimately, to curb COVID-19 transmission.
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影响因子：
4.4
作者：
Nguyen KH;Nguyen K;Corlin L;Allen JD;Chung M
通讯作者：
Chung M
影响因子：
3.7
作者：
Kazemian S;Fuller S;Algara C
通讯作者：
Algara C
DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
DOI：
10.15585/mmwr.mm7025e2
发表时间：
2021-06-25
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Baack BN;Abad N;Yankey D;Kahn KE;Razzaghi H;Brookmeyer K;Kolis J;Wilhelm E;Nguyen KH;Singleton JA
通讯作者：
Singleton JA
DOI：
10.15585/mmwr.mm7006e3
发表时间：
2021-02-12
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Nguyen KH;Srivastav A;Razzaghi H;Williams W;Lindley MC;Jorgensen C;Abad N;Singleton JA
通讯作者：
Singleton JA