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Trends in COVID-19 vaccination intent and factors associated with deliberation and reluctance among adult homeless shelter residents and staff, 1 November 2020 to 28 February 2021 - King County, Washington.
Rogers, Julia H; Cox, Sarah N; Hughes, James P; Link, Amy C; Chow, Eric J; Fosse, Idabelle; Lukoff, Margaret; Shim, M Mia; Uyeki, Timothy M; Ogokeh, Constance; Jackson, Michael L; Boeckh, Michael; Englund, Janet A; Mosites, Emily; Rolfes, Melissa A; Chu, Helen Y.
  • Rogers JH; Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA; Department of Epidemiology, University of Washington, Seattle, WA, USA. Electronic address: Jr66@uw.edu.
  • Cox SN; Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA; Department of Epidemiology, University of Washington, Seattle, WA, USA.
  • Hughes JP; Department of Biostatistics, University of Washington, Seattle, WA, USA.
  • Link AC; Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA.
  • Chow EJ; Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA.
  • Fosse I; Public Health - Seattle & King County, WA, USA.
  • Lukoff M; Public Health - Seattle & King County, WA, USA.
  • Shim MM; Public Health - Seattle & King County, WA, USA; Department of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA.
  • Uyeki TM; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Ogokeh C; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Jackson ML; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
  • Boeckh M; Fred Hutchinson Cancer Research Center Seattle, WA, USA.
  • Englund JA; Seattle Children's Research Institute, University of Washington, Seattle, WA, USA.
  • Mosites E; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Rolfes MA; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Chu HY; Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA.
Vaccine ; 40(1): 122-132, 2022 01 03.
Article in English | MEDLINE | ID: covidwho-1550126
ABSTRACT

INTRODUCTION:

Little is known about COVID-19 vaccination intent among people experiencing homelessness. This study assesses surveyed COVID-19 vaccination intent among adult homeless shelter residents and staff and identifies factors associated with vaccine deliberation (responded "undecided") and reluctance (responded "no"), including time trends.

METHODS:

From 11/1/2020-2/28/21, we conducted repeated cross-sectional surveys at nine shelters in King County, WA as part of ongoing community-based SARS-CoV-2 surveillance. We used a multinomial model to identify characteristics associated with vaccine deliberation and reluctance.

RESULTS:

A total of 969 unique staff (n = 297) and residents (n = 672) participated and provided 3966 survey responses. Among residents, 53.7% (n = 361) were vaccine accepting, 28.1% reluctant, 17.6% deliberative, and 0.6% already vaccinated, whereas among staff 56.2% were vaccine accepting, 14.1% were reluctant, 16.5% were deliberative, and 13.1% already vaccinated at their last survey. We observed higher odds of vaccine deliberation or reluctance among Black/African American individuals, those who did not receive a seasonal influenza vaccine, and those with lower educational attainment. There was no significant trend towards vaccine acceptance.

CONCLUSIONS:

Strong disparities in vaccine intent based on race, education, and prior vaccine history were observed. Increased vaccine intent over the study period was not detected. An intersectional, person-centered approach to addressing health inequities by public health authorities planning vaccination campaigns in shelters is recommended. Clinical Trial Registry Number NCT04141917.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ill-Housed Persons / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Vaccine Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ill-Housed Persons / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Vaccine Year: 2022 Document Type: Article