Adherence to COVID-19 vaccination recommendations and vaccine hesitancy in US blood donors.

Autor: Avelino-Silva VI; Vitalant Research Institute, San Francisco, California, USA.; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA., Bruhn R; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA., Zurita KG; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA., Grebe E; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.; South African Centre for Epidemiological Modeling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa., Stone M; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA., Busch MP; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA., Custer B; Vitalant Research Institute, San Francisco, California, USA.; Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.
Jazyk: angličtina
Zdroj: Transfusion [Transfusion] 2024 Oct 21. Date of Electronic Publication: 2024 Oct 21.
DOI: 10.1111/trf.18051
Abstrakt: Background: General vaccination rates have been falling globally despite unequivocal health benefits. Noncompliance can result from access barriers and/or hesitant attitudes. Few studies have investigated the prevalence and determinants of noncompliance with COVID-19 vaccination in blood donors.
Methods: We surveyed blood donors on COVID-19 infection and vaccination history, barriers and motivations for COVID-19 vaccination, and comorbidities. We estimate the prevalence of noncompliance, the prevalence of hesitancy toward COVID-19 vaccines, and investigate associated factors using multivariable models.
Results: From December 2021 to December 2022, 33,610 survey respondents were included. Of these, 24% had not been vaccinated for COVID-19 or had missing vaccination information, and 99% of those who reported reasons for being unvaccinated declared at least one of three hesitant attitudes presented in the survey (safety concerns; personal/cultural/religious beliefs; being young and not worrying about being vaccinated). Among noncompliant donors, <2% reported access barriers. In the multivariable model addressing factors associated with vaccine noncompliance, younger age, male gender, White/Caucasian race, absence of comorbidities, residency in a State with less restrictive COVID-19 policies, and living in micropolitan or rural areas were identified as significant predictors. Younger age and White/Caucasian race were independently associated with vaccine hesitancy among noncompliant donors.
Conclusions: We found high rates of noncompliance with COVID-19 vaccination in blood donors, mostly driven by vaccine hesitancy. Understanding vaccine adherence among blood donors-a relatively highly educated and healthy population, with good healthcare access and usually motivated by altruism-could provide key information on determinants of vaccine noncompliance that may be harder to overcome.
(© 2024 AABB.)
Databáze: MEDLINE
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