COVID-19 vaccine deliberation among people who inject drugs.
COVID-19 vaccine deliberation among people who inject drugs.
复制标题
DOI：
10.1016/j.dadr.2022.100046
复制
发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Tavalire HF
中科院分区：
文献类型：
--
作者：
Cioffi CC;Kosty D;Nachbar S;Capron CG;Mauricio AM;Tavalire HF
在注射毒品的人群中，COVID-19疫苗的接种率较低。超过40%的未接种疫苗的人希望接种疫苗。这突出了PWID疫苗获得方面的差距。与一般人群相比，PWID的疫苗接种原因相似。由于与住房不稳定和监禁相关的共病、慢性、医疗条件和结构性不平等，注射毒品者（PWID）面临与COVID-19相关的严重发病率和死亡率的风险更大。因此，他们是将从COVID-19疫苗接种中大大受益的人群。我们在2021年3月至2021年6月期间调查了350名注射器交换客户，以收集有关PWID的疫苗接种，接种疫苗的促进者和障碍以及疫苗犹豫的人口统计学相关性的信息。研究结果强调，在PWID中，接种疫苗的机会非常低，只有10%的样本接种了COVID-19疫苗。未接种疫苗者的疫苗接受率为42%，这突出表明了获得疫苗的障碍。接种疫苗的动机包括希望保持家庭成员和其他社区成员的安全，以及希望在其他人周围感到安全。接种疫苗的障碍包括对疫苗副作用的担忧、对COVID-19的影响缺乏关注、对疫苗如何工作的信息不足，沿着对疫苗开发和部署过程的普遍不信任。需要采取结构性干预措施和个人行为干预措施，以改善PWID中COVID-19疫苗的获得和吸收。限制和影响，下一步和未来的方向进行了讨论。
Uptake was low during COVID-19 vaccine roll out among people who inject drugs. More than 40% of those who were unvaccinated desired to be vaccinated. This highlights disparities in vaccine access for PWID. Compared to the general population, reasons for vaccination were similar for PWID. People who inject drugs (PWID) are at greater risk for severe morbidity and mortality associated with COVID-19 due to comorbid, chronic, medical conditions and structural inequities associated with housing instability and incarceration. As such, they are a population that would greatly benefit from COVID-19 vaccination. We surveyed 350 syringe exchange clients between March 2021 and June 2021 to collect information on vaccine uptake among PWID, facilitators and barriers to vaccination, and demographic correlates of vaccine hesitancy. Findings highlight that among PWID, vaccination access was remarkably low with only 10% of the sample receiving a COVID-19 vaccine. Vaccine acceptability among people who were unvaccinated was 42% highlighting barriers to access. Motivation for vaccination included a desire to keep family members and other community members safe and a desire to feel safe around other people. Barriers to vaccination included concerns about vaccine side effects, lack of concern surrounding the effects of COVID-19, and insufficient information about how the vaccine works, along with general distrust of the vaccine development and deployment process. There is a need for structural interventions and individual behavioral interventions to improve COVID-19 vaccine access and uptake among PWID. Limitations and implications for next steps and future directions are discussed.
登录
查看更多内容
影响因子：
4.2
作者：
Masson CL;McCuistian C;Straus E;Elahi S;Chen M;Gruber VA;Le T;Guydish J
通讯作者：
Guydish J
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：
6.2
作者：
Rodriguez RM;Torres JR;Chang AM;Haggins AN;Eucker SA;O'Laughlin KN;Anderson E;Miller DG;Wilkerson RG;Caldwell M;Lim SC;Raja AS;Baumann BM;Graterol J;Eswaran V;Chinnock B;REVVED UP Investigators
通讯作者：
REVVED UP Investigators
影响因子：
4.2
作者：
Campbell, Jennifer V.;Garfein, Richard S.;Weinbaum, Cindy
通讯作者：
Weinbaum, Cindy
影响因子：
3.5
作者：
Wake AD
通讯作者：
Wake AD