| 1 | SARS-CoV 2 infections and attitudes towards COVID-19 vaccines among healthcare workers in the New York Metropolitan area,USA显示文摘Objective Because of their increased interaction with patients,healthcare workers(HCWs)face greater vulnerability to COVID-19 exposure than the general population.We examined prevalence and correlates of ever COVID-19 diagnosis and vaccine uncertainty among HCWs.Design Cross-sectional data from the Household Pulse Survey(HPS)conducted during July to October 2021.Setting HPS is designed to yield representative estimates of the US population aged≥18 years nationally,by state and across selected metropolitan areas.Participants Our primary analytical sample was adult HCWs in the New York Metropolitan area(n=555),with HCWs defined as individuals who reported working in a‘Hospital’;‘Nursing and residential healthcare facility’;‘Pharmacy’or‘Ambulatory healthcare setting’.In the entire national sample,n=25909 HCWs completed the survey.Descriptive analyses were performed with HCW data from the New York Metropolitan area,the original epicentre of the pandemic.Multivariable logistic regression analyses were performed on pooled national HCW data to explore how HCW COVID-19-related experiences,perceptions and behaviours varied as a function of broader geographic,clinical and sociodemographic characteristics.Results Of HCWs surveyed in the New York Metropolitan area,92.3%reported being fully vaccinated,and 20.9%had ever been diagnosed of COVID-19.Of the subset of HCWs in the New York Metropolitan area not yet fully vaccinated,41.8%were vaccine unsure,4.5%planned to get vaccinated for the first time soon,1.6%had got their first dose but were not planning to receive the remaining dose,while 52.1%had got their first dose and planned to receive the remaining dose.Within pooled multivariable analysis of the national HCW sample,personnel in nursing/residential facilities were less likely to be fully vaccinated(adjusted OR,AOR 0.79,95%CI 0.63 to 0.98)and more likely to report ever COVID-19 diagnosis(AOR 1.35,95%CI 1.13 to 1.62),than those working in hospitals.Of HCWs not yet vaccinated nationally,vaccine-unsure individuals were more likely to be White and work in pharmacies,whereas vaccine-accepting individuals were more likely to be employed by non-profit organisations and work in ambulatory care facilities.Virtually no HCW was outrightly vaccine-averse,only unsure.Conclusions Differences in vaccination coverage existed by individual HCW characteristics and healthcare operational settings.Targeted efforts are needed to increase vaccination coverage. | Israel T Agaku Alisa Dimaggio Avigal Fishelov Alianne Brathwaite Saief Ahmed Michelle Malinowski Theodore Long | 2022 | Family Medicine and Community Health2022，10，3： | 0 |
| 2 | Segmentation analysis of the unvaccinated US adult population 2 years into the COVID-19 pandemic,1 December 2021 to 7 February 2022显示文摘Objective We performed a segmentation analysis of the unvaccinated adult US population to identify sociodemographic and psychographic characteristics of those who were vaccine accepting,vaccine unsure and vaccine averse.Design Cross-sectional.Setting Nationally representative,web-based survey.Participants 211303 participants aged≥18 years were asked in the Household Pulse Survey conducted during 1 December 2021 to 7 February 2022,whether they had ever received a COVID-19 vaccine.Those answering‘No’were asked their receptivity to the vaccine and their responses were categorised as vaccine averse,unsure and accepting.Adjusted prevalence ratios(APR)were calculated in separate multivariable Poisson regression models to evaluate the correlation of the three vaccine dispositions.Results Overall,15.2%of US adults were unvaccinated during 1 December 2021 to 7 February 2022,ranging from 5.8%in District of Columbia to 29.0%in Wyoming.Of the entire unvaccinated population nationwide,51.0%were vaccine averse,35.0%vaccine unsure and 14.0%vaccine accepting.The likelihood of vaccine aversion was higher among those self-employed(APR=1.11,95%CI 1.02 to 1.22)or working in a private company(APR=1.09,95%CI 1.01 to 1.17)than those unemployed;living in a detached,single-family house than in a multiunit apartment(APR=1.15,95%CI 1.04 to 1.26);and insured by Veterans Affairs/Tricare than uninsured(APR=1.22,95%CI 1.01 to 1.47).Reasons for having not yet received a vaccine differed among those vaccine accepting,unsure and averse.The percentage reporting logistical or access-related barriers to getting a vaccine(eg,difficulty getting a vaccine,or perceived cost of the vaccine)was relatively higher than those vaccine accepting.Those vaccine unsure reported the highest prevalence of barriers related to perceived safety/effectiveness,including wanting to‘wait and see’if the vaccines were safe(45.2%)and uncertainty whether the vaccines would be effective in protecting them from COVID-19(29.6%).Those vaccine averse reported the highest prevalence for barriers pertaining to lack of trust in the government or in the vaccines(50.1%and 57.5%respectively),the perception that COVID-19 was not that big of a threat(32.2%)and the perception that they did not need a vaccine(42.3%). | Israel Agaku Caleb Adeoye Naa Adjeley Anamor Krow Theodore Long | 2023 | Family Medicine and Community Health2023，11，1： | 0 |
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