Survey of Vaccine Hesitancy in Patients Visiting Three Tertiary-care Emergency Departments in Southeast Louisiana.

Autor: Cooper D; Ochsner Health, Department of Emergency Medicine, New Orleans, Louisiana., Harmon D; Ochsner Health, Department of Emergency Medicine, New Orleans, Louisiana.; Ochsner Health, Department of Clinical Research, New Orleans, Louisiana., Alemayehu C; Ochsner Health, Department of Clinical Research, New Orleans, Louisiana.; Georgetown University, School of Medicine, Washington D.C., Levy J; Oregon Health & Sciences University, Department of Internal Medicine, Portland, Oregon., Gastañaduy M; Ochsner Health, Department of Clinical Research, New Orleans, Louisiana.; Ochsner Health, Office of Epidemiology and Biostatistics, New Orleans, Louisiana., Birdsall Fort L; Ochsner Health, Department of Emergency Medicine, New Orleans, Louisiana., McCoin N; Ochsner Health, Department of Emergency Medicine, New Orleans, Louisiana.
Jazyk: angličtina
Zdroj: The western journal of emergency medicine [West J Emerg Med] 2023 Nov; Vol. 24 (6), pp. 1073-1084.
DOI: 10.5811/westjem.57449
Abstrakt: Objectives: Vaccine hesitancy has been a barrier to achieving herd immunity during the coronavirus 2019 (COVID-19) pandemic. Having low socioeconomic status and education levels, and being a person of color, are associated with higher COVID-19 infection risk and worse outcomes. These same groups are associated with higher vaccine hesitancy. The state of Louisiana has one of the lowest vaccination rates in the country. In this study we aimed to identify demographic, perspective, and health behavior factors associated with vaccine hesitancy in emergency departments (ED) in Southeast Louisiana.
Methods: A cross-sectional survey was distributed at three tertiary-care hospital EDs. Patients >18 years old and not in acute distress were recruited between April-July 2021. The 37-item questionnaire addressed socioeconomic demographics, social determinants of health, COVID-19 safety practices, thoughts and perceptions on COVID-19 and vaccines, sources of COVID-19 and vaccine information, and trust in the healthcare system.
Results: Overall, 247 patients completed our survey. Of those, 29.6% reported they were vaccine hesitant. These respondents were significantly more likely, when compared to vaccine-acceptant respondents, to never have married, to have some college education, make less than <$25,000 in household earnings yearly, be unsure whether vaccines prevent disease, not have discussed the COVID-19 vaccine with their primary care doctor, and to prefer to do their own research for COVID-19 vaccine information. We observed no statistically significant differences based on gender, race/ethnicity, parental status, area of living, or their perceived risk of needing hospitalization for treatment or dying from the virus.
Conclusion: Vaccine hesitancy was associated with multiple socioeconomic factors, perspectives, and beliefs. Vaccine-hesitant individuals were more uncertain about the safety of the COVID-19 vaccine, the feasibility of obtaining the vaccine, and its efficacy. Public health interventions aimed at these findings and improving public trust in healthcare systems are needed to increase vaccine acceptance.
Competing Interests: Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.
Databáze: MEDLINE
Externí odkaz: