Longitudinal Assessment of Coronavirus Disease 2019 Vaccine Acceptance and Uptake Among Frontline Medical Workers in Los Angeles, California
Longitudinal Assessment of Coronavirus Disease 2019 Vaccine Acceptance and Uptake Among Frontline Medical Workers in Los Angeles, California
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DOI：
10.1093/cid/ciab614
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发表时间：
2021-11-23
影响因子：
11.8
通讯作者：
Rimoin, Anne W.
中科院分区：
文献类型：
--
作者：
Halbrook, Megan;Gadoth, Adva;Rimoin, Anne W.
背景公众对疫苗的犹豫和不信任情绪使美国政府主导的2019冠状病毒病（COVID-19）疫苗控制策略变得复杂。作为第一批接种疫苗的人群，一线工作人员对COVID-19疫苗的态度对COVID-19的控制和公众对疫苗的看法至关重要。方法在这项研究中，我们使用了一项重复的横断面调查，在2020年9月24日至2021年2月6日的3个时间点对加州大学、洛杉矶卫生部和洛杉矶县消防局的一组员工进行了调查。关注的主要结局是COVID-19疫苗接种意向和疫苗接种。结果随着时间的推移，对COVID-19疫苗的信心和疫苗接种率显著上升。在第一次调查中，卫生保健工作者（HCW）和第一反应者（FR）对疫苗保护的信心分别为46.4%和34.6%;到第三次调查时，这一比例分别上升到90.0%和75.7%。在调查1中，约三分之一的参与者打算尽快接种疫苗。截至调查3，96.0%的医护人员和87.5%的FR已接种COVID-19疫苗。结论在研究期间，对疫苗接种的态度有所增加，这可能是由于公众对COVID-19疫苗的信心增加，有针对性的沟通，洛杉矶县的COVID-19冬季激增，以及雇主赞助的疫苗分发容易获得。2020年秋季，新冠肺炎（COVID-19）疫苗接种量显著增加，主要是由于疫苗沟通增加，以及雇主赞助的疫苗分发减少了接种疫苗的障碍。尽管如此，某些群体仍然对COVID-19疫苗犹豫不决。
Background Sentiments of vaccine hesitancy and distrust in public health institutions have complicated the government-led coronavirus disease 2019 (COVID-19) vaccine control strategy in the United States. As the first to receive the vaccine, COVID-19 vaccine attitudes among frontline workers are consequential for COVID-19 control and public opinion of the vaccine. Methods In this study, we used a repeated cross-sectional survey administered at 3 time points between 24 September 2020 and 6 February 2021 to a cohort of employees of the University of California, Los Angeles Health and the Los Angeles County Fire Department. The primary outcome of interest was COVID-19 vaccination intent and vaccine uptake. Results Confidence in COVID-19 vaccines and vaccine uptake rose significantly over time. At survey 1, confidence in vaccine protection was 46.4% among healthcare workers (HCWs) and 34.6% among first responders (FRs); by survey 3, this had risen to 90.0% and 75.7%, respectively. At survey 1, about one-third of participants intended to receive a vaccine as soon as possible. By survey 3, 96.0% of HCWs and 87.5% of FRs had received a COVID-19 vaccine. Conclusions Attitudes toward vaccine uptake increased over the study period, likely a result of increased public confidence in COVID-19 vaccines, targeted communications, a COVID-19 winter surge in Los Angeles County, and ease of access from employer-sponsored vaccine distribution.Trust in coronavirus disease 2019 (COVID-19) vaccines increased markedly over the fall of 2020, primarily owing to increased vaccine communications, and reduced barriers to vaccination through employer-sponsored vaccine distribution. Despite this, certain groups still maintain hesitancies toward COVID-19 vaccines.