COVID-19 vaccine trust among clients in a sample of California residential substance use treatment programs.
COVID-19 vaccine trust among clients in a sample of California residential substance use treatment programs.
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DOI：
10.1016/j.drugalcdep.2021.108812
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发表时间：
2021-08-01
影响因子：
4.2
通讯作者：
Guydish J
中科院分区：
文献类型：
--
作者：
Masson CL;McCuistian C;Straus E;Elahi S;Chen M;Gruber VA;Le T;Guydish J
物质使用障碍（SUD）患者患冠状病毒病（COVID-19）的风险明显高于无SUD患者，且与COVID-19相关的住院率和死亡率也高于无SUD患者。本研究评估了加利福尼亚州住宅SUD治疗项目客户样本中COVID-19疫苗信任、传播意识、风险和保护行为，以及COVID-19对心理健康和吸烟的影响，并确定了与疫苗信任相关的因素。对多地点接受SUD治疗的患者（n = 265）进行横断面调查。采用多变量logistic回归确定与COVID-19疫苗信任相关的因素。参与者主要是男性（82.3%），种族/民族多样化（33.3%是非西班牙裔白人）。大多数参与者都知道COVID-19的传播方式，然而，只有39.5%的人相信COVID-19疫苗是安全有效的。与COVID-19疫苗信任度独立相关的因素包括年龄（AOR = 1.03, 95% CI = 1.02, 1.05, p = 0.0001）和一直戴口罩（AOR = 2.48, 95% CI = 1.86, 3.31, p = 0.0001）。非洲裔美国人比白人参与者更不可能相信COVID-19疫苗是安全有效的（AOR = 0.41, 95% CI = 0.23, 0.70, p = 0.001）。接受SUD治疗的患者了解COVID-19的传播方式；然而，不到一半的人相信COVID-19疫苗是安全有效的。对SUD患者的COVID-19健康沟通应采取多管齐下的方法，解决COVID-19疫苗不信任和传播风险行为。
Individuals with a substance use disorder (SUD) are at a significantly higher risk for coronavirus disease-19 (COVID-19) and have higher rates of COVID-19 related hospitalization and death than those without SUD. This study assessed COVID-19 vaccine trust, transmission awareness, risk and protective behaviors, and effects of COVID-19 on mental health and smoking among a sample of clients in California residential SUD treatment programs and identified factors associated with vaccine trust. A multi-site sample of SUD treatment clients (n = 265) completed a cross-sectional survey. Multivariable logistic regression was used to identify factors associated with COVID-19 vaccine trust. Participants were predominantly male (82.3 %) and racially/ethnically diverse (33.3 % Non-Hispanic White). Most participants were aware of COVID-19 modes of transmission, however, only 39.5 % trusted a COVID-19 vaccine would be safe and effective. Factors independently associated with trust in a COVID-19 vaccine included age (AOR = 1.03, 95 % CI = 1.02, 1.05, p = 0.0001) and wearing a mask all the time (AOR = 2.48, 95 % CI = 1.86, 3.31, p = 0.0001). African Americans were less likely than White participants to trust that a COVID-19 vaccine is safe and effective (AOR = 0.41, 95 % CI = 0.23, 0.70, p = 0.001). SUD treatment clients were aware of COVID-19 modes of transmission; however, fewer than half trusted that a COVID-19 vaccine would be safe and effective. Health communication about COVID-19 for people with SUD should use a multipronged approach to address COVID-19 vaccine mistrust and transmission risk behaviors.
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DOI：
10.1007/s10730-021-09440-0
发表时间：
2021-06
期刊：
HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
影响因子：
--
作者：
Bunch L
通讯作者：
Bunch L
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
11.8
作者：
To, Kelvin Kai-Wang;Tsang, Owen Tak-Yin;Yuen, Kwok-Yung
通讯作者：
Yuen, Kwok-Yung
影响因子：
5.9
作者：
Kaplan-Weisman, Laura;Waltermaurer, Eve;Crump, Casey
通讯作者：
Crump, Casey
影响因子：
3.9
作者：
Pagano A;Hosakote S;Kapiteni K;Straus ER;Wong J;Guydish JR
通讯作者：
Guydish JR