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Living Organ Donor Perspectives and Sources of Hesitancy about COVID-19 Vaccines.
Harhay, Meera N; Klassen, Ann C; Zaidi, Hasan; Mittelman, Michael; Bertha, Rebecca; Mannon, Roslyn B; Lentine, Krista L.
  • Harhay MN; Department of Medicine, Drexel University College of Medicine, Philadelphia, PA.
  • Klassen AC; Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA.
  • Zaidi H; Tower Health Transplant Institute, Tower Health System, West Reading, PA.
  • Mittelman M; Department of Community Health & Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA.
  • Bertha R; Department of Medicine, Drexel University College of Medicine, Philadelphia, PA.
  • Mannon RB; American Living Organ Donor Fund, Philadelphia, PA.
  • Lentine KL; American Living Organ Donor Fund, Philadelphia, PA.
Kidney360 ; 2(7): 1132-1140, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1337915
ABSTRACT

BACKGROUND:

Living organ donation declined substantially in the United States during the COVID-19 pandemic due to concerns about donor and transplant candidate safety. COVID-19 vaccines might increase confidence in the safety of living organ donation during the pandemic. We assessed informational preferences and perspectives about COVID-19 vaccines among US living organ donors and prospective donors.

METHODS:

We conducted a national survey study of organ donors and prospective donors on social media platforms between 12/28/2020-2/23/2021. Survey items included multiple choice, visual analog scale, and open-ended responses. We examined associations between information preferences, history of COVID-19 infection, influenza vaccination history and COVID-19 vaccine acceptance using multivariable logistic regression and performed a thematic analysis of open-ended responses.

RESULTS:

Among 342 respondents from 47 US states and the District of Columbia, 35% were between 51-70 years old, 90% were non-Hispanic white, 87% were women; 82% were living donors (94% kidney) and 18% in evaluation to donate (75% kidney).The majority planned to or had received COVID-19 vaccination (76%), whereas 11% did not plan to be receive a vaccine, and 12% were unsure. Adjusting for demographics and donor characteristics, respondents who receive yearly influenza vaccinations had higher COVID-19 vaccine acceptance than those who do not (adjusted Odds Ratio [aOR] 5.06, 95% Confidence Interval [CI] 2.68-9.53). Compared to respondents who prioritized medical information sources (e.g., personal physicians and transplant providers), those who prioritized news and social media had lower COVID-19 vaccine acceptance (aOR 0.34, 95% CI 0.15-0.73). Low perceived personal benefit from vaccination and uncertainty about long-term safety were common themes among those declining COVID-19 vaccines.

CONCLUSIONS:

Donor informational source preferences were strongly associated with the likelihood of accepting a COVID-19 vaccine. Vaccine guidance for organ donors who are unsure about COVID-19 vaccines could incorporate messaging about safety and benefits of vaccination for healthy people.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: Kidney360 Year: 2021 Document Type: Article Affiliation country: Kid.0002112021

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: Kidney360 Year: 2021 Document Type: Article Affiliation country: Kid.0002112021