Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States.

Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States.
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DOI:
10.3390/vaccines9080879
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发表时间:
2021-08-08
期刊:
影响因子:
7.8
通讯作者:
Ledford CJW
Ledford CJW
中科院分区:
医学3区
文献类型:
--
作者:
Moore JX;Gilbert KL;Lively KL;Laurent C;Chawla R;Li C;Johnson R;Petcu R;Mehra M;Spooner A;Kolhe R;Ledford CJW

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在美国,非裔美国人受到COVID-19死亡率的不成比例的影响。然而,与非西班牙裔白人相比,美国裔美国人在接受COVID-19疫苗接种方面更有可能犹豫不决。我们在主要的AA社区样本中检查了与疫苗犹豫相关的因素。我们对2020年12月5日至2021年4月17日期间从中部萨凡纳河地区257名社区居民的便利样本中收集的数据进行了横断面分析。疫苗犹豫分为耐药、犹豫和接受。我们使用多元逻辑回归模型估计了疫苗耐药和疫苗犹豫的相对几率。近三分之一的参与者对接种COVID-19疫苗犹豫不决(n = 40, 15.6%)或有抵抗力(n = 42, 16.3%)。与接受和犹豫的参与者相比,疫苗抵抗的参与者更有可能更年轻,更有可能因COVID-19而经历住房不安全。年龄占疫苗耐药变化的近25%,18至29岁参与者的疫苗耐药几率(OR: 21.93, 95% CI: 8.97-5.26-91.43)比50岁及以上的成年人增加21倍。住房不安全占疫苗抗性变异的8%,并与疫苗抗性几率增加7倍相关(AOR: 7.35, 95% CI: 1.99-27.10)。在本样本中,30岁以下的AAs和因COVID-19大流行而经历住房不安全的人更有可能拒绝接受免费的COVID-19疫苗接种。
In the United States, African Americans (AAs) have been disproportionately affected by COVID-19 mortality. However, AAs are more likely to be hesitant in receiving COVID-19 vaccinations when compared to non-Hispanic Whites. We examined factors associated with vaccine hesitancy among a predominant AA community sample. We performed a cross-sectional analysis on data collected from a convenience sample of 257 community-dwelling participants in the Central Savannah River Area from 5 December 2020, through 17 April 2021. Vaccine hesitancy was categorized as resistant, hesitant, and acceptant. We estimated relative odds of vaccine resistance and vaccine hesitancy using polytomous logistic regression models. Nearly one-third of the participants were either hesitant (n = 40, 15.6%) or resistant (n = 42, 16.3%) to receiving a COVID-19 vaccination. Vaccine-resistant participants were more likely to be younger and were more likely to have experienced housing insecurity due to COVID-19 when compared to both acceptant and hesitant participants, respectively. Age accounted for nearly 25% of the variation in vaccine resistance, with 21-fold increased odds (OR: 21.93, 95% CI: 8.97–5.26–91.43) of vaccine resistance in participants aged 18 to 29 compared to 50 and older adults. Housing insecurity accounted for 8% of the variation in vaccine resistance and was associated with 7-fold increased odds of vaccine resistance (AOR: 7.35, 95% CI: 1.99–27.10). In this sample, AAs under the age of 30 and those experiencing housing insecurity because of the COVID-19 pandemic were more likely to be resistant to receiving a free COVID-19 vaccination.
DOI: 10.3390/vaccines9020172
发表时间: 2021-02-18
期刊: Vaccines
影响因子: 7.8
作者:
Gerussi V;Peghin M;Palese A;Bressan V;Visintini E;Bontempo G;Graziano E;De Martino M;Isola M;Tascini C
通讯作者: Tascini C
DOI: 10.14423/smj.0000000000001212
发表时间: 2021-03
影响因子: 1.1
作者:
Baltrus PT;Douglas M;Li C;Caplan LS;Blount M;Mack D;Gaglioti AH
通讯作者: Gaglioti AH
DOI: 10.7326/m20-3569
发表时间: 2020-12-15
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: 10.1371/journal.pone.0208601
发表时间: 2018-12-07
期刊: PLOS ONE
影响因子: 3.7
作者:
Betsch, Cornelia;Schmid, Philipp;Boehm, Robert
通讯作者: Boehm, Robert