Effect of a Vaccine Mandate in Nonessential Public Spaces in New Orleans, Louisiana, on COVID-19 Vaccine Uptake, 2021-2022.

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Aneeka Ratnayake, Charles Stoecker, Patricia J Kissinger
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引用次数: 0

Abstract

Objectives: During the height of the COVID-19 pandemic, vaccine hesitancy in the United States was a key driver of continued COVID-19 transmission and the emergence of new variants. We examined the effect of a mandate that required patrons at nonessential venues (eg, restaurants, bars) in New Orleans, Louisiana, to be vaccinated to enter these establishments from August 2021 through March 2022.

Methods: We implemented a parish-level synthetic control model that compared vaccination trends in Orleans Parish (county) (the boundaries of Orleans Parish are equivalent to the city of New Orleans) with a synthetic composite of other parishes in Louisiana that had similar vaccination trends before the mandate. We used permutation testing (ie, shuffle testing) to determine the significance of differences in vaccination rates between Orleans Parish and other parishes.

Results: Individuals in Orleans Parish initiated an average of 760 more vaccines weekly during the 31 weeks in which the mandate was in place, which was significantly higher than expected based on the synthetic control (P = .03).

Conclusions: The rate of vaccine initiation increased during the vaccine mandate for nonessential venues. Implementing such mandates may be an effective intervention in overcoming COVID-19 vaccine hesitancy during a future pandemic.

路易斯安那州新奥尔良非必要公共场所强制接种疫苗对2021-2022年COVID-19疫苗摄取的影响
目的:在COVID-19大流行高峰期,美国对疫苗的犹豫是COVID-19持续传播和新变种出现的关键驱动因素。我们研究了一项命令的影响,该命令要求路易斯安那州新奥尔良的非必要场所(如餐馆、酒吧)的顾客在2021年8月至2022年3月期间进入这些场所时接种疫苗。方法:我们实施了一个教区级综合控制模型,将奥尔良教区(县)(奥尔良教区的边界相当于新奥尔良市)的疫苗接种趋势与路易斯安那州其他教区的疫苗接种趋势进行比较,这些教区在授权之前有类似的疫苗接种趋势。我们使用排列测试(即洗牌测试)来确定奥尔良教区和其他教区之间疫苗接种率差异的显著性。结果:在执行任务的31周内,奥尔良教区的个人每周平均多接种760支疫苗,这大大高于基于综合对照的预期(P = .03)。结论:在非必要场所的疫苗授权期间,疫苗接种率有所增加。执行这些任务可能是在未来大流行期间克服COVID-19疫苗犹豫的有效干预措施。
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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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