Serious Mental Illness Diagnosis and COVID-19 Vaccine Uptake in the Veterans Health Administration.

IF 3.2

Psychiatric services (Washington, D.C.) Pub Date : 2022-08-01 Epub Date: 2022-01-18 DOI:10.1176/appi.ps.202100499

Taona P Haderlein, W Neil Steers, Aram Dobalian

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引用次数: 4

Abstract

Objective: This study examined the association between serious mental illness diagnoses and COVID-19 vaccination among Veterans Health Administration (VHA) patients.

Methods: The sample (N=4,890,693) comprised veterans ages ≥18 years with VHA outpatient visits from March 1, 2018, through February 29, 2020. Veterans with serious mental illness were identified with ICD-10 diagnostic codes from electronic health records of the U.S. Department of Veterans Affairs. Receipt of a VHA COVID-19 vaccine from December 1, 2020, through June 1, 2021, was documented by using procedure codes. Treatment effects estimation with inverse-probability weighting was used to estimate the effects of serious mental illness on COVID-19 vaccine uptake.

Results: Patients with serious mental illness and patients without serious mental illness were equally likely to receive a vaccination (48% and 46%, respectively; average effect of serious mental illness=-0.4%, 95% confidence interval=-0.8% to 0.1%).

Conclusions: VHA outreach activities have contributed to equitable distribution of the COVID-19 vaccine.

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退伍军人健康管理局的严重精神疾病诊断和COVID-19疫苗接种

目的:探讨退伍军人卫生管理局(VHA)患者严重精神疾病诊断与COVID-19疫苗接种的关系。方法:样本(N=4,890,693)包括2018年3月1日至2020年2月29日期间在VHA门诊就诊的年龄≥18岁的退伍军人。使用美国退伍军人事务部电子健康记录中的ICD-10诊断代码对患有严重精神疾病的退伍军人进行识别。使用程序代码记录了从2020年12月1日至2021年6月1日接种VHA COVID-19疫苗的情况。采用反概率加权法估计治疗效果，估计严重精神疾病对COVID-19疫苗摄取的影响。结果:严重精神疾病患者和非严重精神疾病患者接种疫苗的可能性相同(分别为48%和46%);严重精神疾病的平均影响=-0.4%，95%置信区间=-0.8%至0.1%)。结论:VHA外展活动促进了COVID-19疫苗的公平分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Psychiatric services (Washington, D.C.)

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