Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center.
Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center.
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DOI：
10.1177/21501319231159814
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发表时间：
2023-01
影响因子：
3.6
通讯作者：
Miller, Loren G.
中科院分区：
文献类型：
--
作者：
Kupferwasser, Deborah;Flores, Evelyn A.;Merino, Prudencio;Phan Tran, Donna;Bolaris, Michael;Gonzales, Mildred;Nguyen, Megan H.;Balo, Arlene;Abueg, Angel;Da Silva, Wellington;Astorga-Cook, Leslie;Liu, Honghu;Mason, Holli;Freund, Deborah;Nightingale, Judi;Orr, Jay;Xie, Bin;Miller, Loren G.
基本工作人员对疫苗的犹豫仍然是一个重大的公共卫生挑战。我们研究了在种族和民族多样化的基本劳动力人群中，感知易感性、威胁和自我效能感的心理结构及其与COVID-19疫苗犹豫的关系。我们在2020年9月至12月期间在洛杉矶一家大型安全网医疗中心对基本工作人员进行了横断面调查，这是提供免费COVID-19血清学检测计划的一部分。项目参与者在进行静脉切开术时完成了一项标准化调查。分层逻辑回归用于确定与疫苗犹豫相关的独立因素。在接受血清学检测的1327人中，1235人（93%）完成了调查。其中958人（78%）是卫生保健工作者。根据表达的意愿，22%的人对疫苗犹豫不决，78%的人接受疫苗。在我们的多变量模型中，疫苗犹豫与女性性别相关[aOR = 2.09；95% CI(1.44-3.05)]，非裔美国人[aOR = 4.32；（2.16-8.62）]，拉丁族裔[aOR = 2.47；95% CI(1.51-4.05)]和未/有时接种流感疫苗史[aOR = 4.39；95% ci(2.98-6.48)]。与护士相比，医生的疫苗犹豫率较低[aOR = 0.09；95% CI(0.04-0.23)]，非护理/非医师医护人员[aOR = 0.55；95% CI(0.33-0.92)]和非卫生保健工作者[aOR = 0.53；95% ci(0.36-0.78)]。在种族/民族多样化的安全网医疗中心基本工作者群体中，COVID-19疫苗犹豫与种族/民族群体、就业类型和先前的流感疫苗犹豫有关。有趣的是，我们没有发现与健康信念模型构建测量感知易感性，威胁和自我效能的关联。未评估的心理构造可能是我们人群中疫苗犹豫的驱动因素。
Vaccine hesitancy among essential workers remains a significant public health challenge. We examined psychological constructs of perceived susceptibility, threat, and self-efficacy and their associations with COVID-19 vaccine hesitancy among a racially and ethnically diverse essential workforce population. We performed a cross-sectional survey of essential workers from September-December 2020 at a large Los Angeles safety-net medical center as part of a program offering free COVID-19 serology testing. Program participants completed a standardized survey at the time of phlebotomy. Hierarchical logistic regression was utilized to determine factors independently associated with vaccine hesitancy. Among 1327 persons who had serology testing, 1235 (93%) completed the survey. Of these, 958 (78%) were healthcare workers. Based on expressed intent, 22% were vaccine-hesitant 78% were vaccine acceptors. In our multivariate model, vaccine hesitancy was associated with female gender [aOR = 2.09; 95% CI (1.44-3.05)], African American race [aOR = 4.32; (2.16-8.62)], LatinX ethnicity [aOR = 2.47; 95% CI (1.51-4.05)] and history of not/sometimes receiving influenza vaccination [aOR = 4.39; 95% CI (2.98-6.48)]. Compared to nurses, vaccine hesitancy was lower among physicians [aOR = 0.09; 95% CI (0.04-0.23)], non-nursing/non-physician healthcare workers [aOR = 0.55; 95% CI (0.33-0.92)], and non-healthcare care workers [aOR = 0.53; 95% CI (0.36-0.78)]. Among a racially/ethnically diverse group of safety net medical center essential workers, COVID-19 vaccine hesitancy was associated with racial/ethnic minority groups, employment type, and prior influenza vaccination hesitancy. Interestingly, we found no association with the Health Belief Model construct measures of perceived susceptibility, threat, and self-efficacy. Psychological constructs not assessed may be drivers of vaccine hesitancy in our population.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
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