充分接种疫苗的成年人中COVID-19加强接种的社会人口学和健康相关预测因素

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-03-28 DOI:10.1016/j.vaccine.2025.127048

Yordanos M. Tiruneh , Jihye Choi , Paula M. Cuccaro , Journey Martinez , Jing Xie , Mark Owens , Jose-Miguel Yamal

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引用次数: 0

摘要

为控制COVID-19突变并防止进一步传播，定期重新接种疫苗至关重要。尽管有大量证据支持疫苗效力，但对COVID-19加强剂的犹豫仍然存在。方法：采用2022年的加权电话调查，研究了与德克萨斯州完全接种疫苗的成年人（N = 14,543）接种加强疫苗的相关因素和接受加强疫苗的意愿。我们采用lasso选择变量的多重逻辑回归来确定增强剂摄取和意图的社会人口、地理和健康相关预测因素。结果在应答者中，9989名（70%）应答者报告接受了加强剂量。在老年人（65岁及以上）、白人、公共保险和经济稳定的个人中，增强剂的吸收率更高。在没有COVID-19感染史和有合并症和对病毒有担忧的人群中，这一比例也更高。被提高的几率与年龄较大、亚洲种族、西班牙语、三个公共卫生区域（PHR 11、7、9/10）以及糖尿病和艾滋病诊断有关。吸烟者、没有保险的人和经济困难的人患此病的几率较低。与白人、说西班牙语的人和没有保险的人相比，在那些没有接种疫苗的人中，所有种族/民族的人都有更大的意愿接种疫苗。糖尿病患者表达了更强烈的意愿接受增强剂，而先前感染过COVID-19的个体和男性则不太倾向于寻求增强剂。然而，对感染表示担忧的个人有更高的意愿得到提升。结论研究结果强调了不同地理区域、种族/民族和保险状况之间加强疫苗接种的差异。需要有针对性地开展教育活动，宣传加强疫苗接种的重要性，特别是针对获得卫生保健机会有限、服务不足的人群。公共卫生工作还应侧重于打击错误信息，并通过收益框架信息宣传助推器的好处，以激励疫苗接种并减轻COVID-19的传播。

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Sociodemographic and health-related predictors of COVID-19 booster uptake among fully vaccinated adults

Background

To control COVID-19 mutations and prevent further spread, periodic revaccination is essential. Despite the substantial evidence supporting vaccine efficacy, hesitancy towards COVID-19 booster doses persists.

Methods

We examined factors associated with the booster vaccine uptake and the intention to receive a booster among fully vaccinated adults in Texas (N = 14,543), using a weighted telephone survey in 2022. We employed multiple logistic regression with Lasso-selected variables to identify sociodemographic, geographic, and health-related predictors of booster uptake and intentions.

Results

Of the respondents, 9989 (70 %) respondents reported having received a booster dose. Booster uptake was higher among older (65 years and older), White, publicly insured, and financially stable individuals. It was also higher among those without a history of COVID-19 infection and those with comorbidities and concerns about the virus. Higher odds of being boosted were associated with older age, Asian race, Spanish language, three public health regions (PHR 11, 7, 9/10), and diabetes and HIV diagnoses. Lower odds were observed among smokers, the uninsured, and those experiencing financial struggles. Among those who had not received the booster, greater intentions to receive a booster were observed across all racial/ethnic groups compared to White individuals, Spanish speakers, and the uninsured. Those with diabetes expressed stronger intentions to receive a booster, while individuals previously infected with COVID-19 and males were less inclined to seek a booster. However, individuals expressing concerns about the infection had higher intention to be boosted.

Conclusion

The findings highlighted disparities in booster vaccinations across geographic regions, racial/ethnic groups, and insurance status. Targeted educational initiatives about the importance of booster vaccination are needed, especially for underserved populations with limited access to healthcare. Public health efforts should also focus on countering misinformation and promoting the benefits of boosters through gain-framed messages to motivate vaccine uptake and mitigate the spread of COVID-19.

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.