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Factors associated with COVID-19 vaccine acceptance and hesitancy among residents of Northern California jails.
Liu, Yiran E; Oto, Jillian; Will, John; LeBoa, Christopher; Doyle, Alexis; Rens, Neil; Aggarwal, Shelley; Kalish, Iryna; Rodriguez, Marcela; Sherif, Beruk; Trinidad, Chrisele; Del Rosario, Michael; Allen, Sophie; Spencer, Robert; Morales, Carlos; Chyorny, Alexander; Andrews, Jason R.
  • Liu YE; Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA.
  • Oto J; Custody Health Services, Santa Clara Valley Health and Hospital System, San Jose, CA, USA.
  • Will J; Custody Health Services, Santa Clara Valley Health and Hospital System, San Jose, CA, USA.
  • LeBoa C; Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA.
  • Doyle A; Stanford University School of Medicine, Stanford, CA, USA.
  • Rens N; Stanford University School of Medicine, Stanford, CA, USA.
  • Aggarwal S; Department of Pediatrics, Santa Clara Valley Health and Hospital System, San Jose, CA, USA.
  • Kalish I; Department of Medicine, Division of Custody Health, Santa Clara Valley Health and Hospital System, San Jose, CA, USA.
  • Rodriguez M; Custody Health Services, Santa Clara Valley Health and Hospital System, San Jose, CA, USA.
  • Sherif B; Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, CA, USA.
  • Trinidad C; Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, CA, USA.
  • Del Rosario M; Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, CA, USA.
  • Allen S; Division of Correctional Health Services, San Mateo County Health, Redwood City, CA, USA.
  • Spencer R; Stanford Law School, Stanford, CA, USA.
  • Morales C; Department of Sociology, Stanford School of Humanities and Sciences, Stanford, CA, USA.
  • Chyorny A; Division of Correctional Health Services, San Mateo County Health, Redwood City, CA, USA.
  • Andrews JR; Division of Correctional Health Services, San Mateo County Health, Redwood City, CA, USA.
Prev Med Rep ; 27: 101771, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1740104
ABSTRACT
Carceral facilities are high-risk settings for COVID-19 transmission. Factors associated with COVID-19 vaccine acceptance and hesitancy among incarcerated individuals are poorly understood, especially among jail residents. Here, we conducted a retrospective review of electronic health record (EHR) data on COVID-19 vaccine uptake in custody and additionally administered a survey to assess reasons for vaccine hesitancy, sources of COVID-19 information, and medical mistrust among residents of four Northern California jails. We performed multivariate logistic regression to determine associations with vaccine acceptance. Of 2,564 jail residents offered a COVID-19 vaccine between March 19, 2021 and June 30, 2021, 1,441 (56.2%) accepted at least one dose. Among vaccinated residents, 497 (34.5%) had initially refused. Vaccine uptake was higher among older individuals, women, those with recent flu vaccination, and those living in shared housing. Among 509 survey respondents, leading reasons for vaccine hesitancy were concerns around side effects and suboptimal efficacy, with cost and the need for an annual booster being other hypothetical deterrents to vaccination. Vaccine hesitancy was also associated with mistrust of medical personnel in and out of jail, although this association varied by race/ethnicity. Television and friends/family were the most common and most trusted sources of COVID-19 information, respectively. Overall, vaccine acceptance was much lower among jail residents than the local and national general population. Interventions to increase vaccination rates in this setting should utilize accessible and trusted sources of information to address concerns about side effects and efficacy, while working to mitigate medical and institutional mistrust among residents.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Topics: Vaccines Language: English Journal: Prev Med Rep Year: 2022 Document Type: Article Affiliation country: J.pmedr.2022.101771

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Topics: Vaccines Language: English Journal: Prev Med Rep Year: 2022 Document Type: Article Affiliation country: J.pmedr.2022.101771