Musheng L Alishahi, Komi Modji, Grace Seibert, Ian Pray, Ryan Westergaard
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引用次数: 0
Abstract
Objectives: Understanding COVID-19 vaccination behavior can guide public health efforts to increase vaccination acceptance and uptake. We examined COVID-19 vaccination intention among Wisconsin residents and assessed racial and ethnic disparities in vaccine uptake.
Methods: We assessed vaccination intention during COVID-19 testing registration in February 2021 and used the Wisconsin Immunization Registry to ascertain COVID-19 vaccination uptake by July 2022. We described differences in intention to get vaccinated and assessed the association between racial and ethnic identity and vaccination. We analyzed vaccination likelihood by using Cox proportional hazards models and presented adjusted hazard ratios (AHRs) with 95% CIs.
Results: Of 12 196 people, 9843 (80.7%) intended to be vaccinated against COVID-19. A higher proportion of non-Hispanic Black people (21.1%) than people in all other racial and ethnic groups did not intend to get vaccinated. Adjusting for vaccination intention, age group, sex, and neighborhood Area Deprivation Index, Hispanic people were 41% (AHR = 0.59; 95% CI, 0.54-0.64) less likely than non-Hispanic White people to get vaccinated. Compared with non-Hispanic White people, non-Hispanic Black people were 24% (AHR = 0.76; 95% CI, 0.68-0.84) less likely to get vaccinated and Asian people were 18% (AHR = 0.82; 95% CI, 0.75-0.90) less likely to get vaccinated.
Conclusions: Racial and ethnic disparities in vaccination uptake persisted despite controlling for intention. Efforts to focus public health resources on increasing COVID-19 vaccination among racial and ethnic minority groups are important.
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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