Vaccine X, Journal Year: 2024, Volume and Issue: 21, P. 100576 - 100576
Published: Oct. 30, 2024
Language: Английский
Journal of Behavioral Medicine, Journal Year: 2023, Volume and Issue: 46(1-2), P. 1 - 8
Published: Feb. 21, 2023
Language: Английский
Citations
14
Cureus, Journal Year: 2024, Volume and Issue: unknown
Published: Jan. 18, 2024
Introduction: COVID-19 has become a burden to all nations across the globe, and vaccination currently remains most effective means of fighting SARS-COV-2 pandemic. From time approval subsequent distribution various vaccines, nearly 72.3% (5.5 billion) globe's population have been vaccinated, leaving slightly more than quarter at risk. With availability booster vaccine dosages individuals with chronic conditions, including coronary heart disease (CHD), it is vital comprehend factors underlying uptake in such subgroups. Further, American Heart Association recommends against populations (CHD). This because they are likely experience severe outcomes due infection. study assesses vaccines as well predictors its uptake. Methods: Using 2022 survey data from National Health Interview Survey (NHIS), 1,708 adults ≥ 40 years CHD who responded yes/no whether had received were identified. A Pearson's chi-square test was used ascertain differences among those not. logistic regression (multivariate regression) evaluate vaccination. Results: About 1,491/1,708 (86.8%) reported being vaccinated COVID-19. Among them, 1,065/1,491 (68.4%) two doses. The older age (odds ratio (OR): 2.01 (95% confidence interval (CI): 1.40-2.89), p < 0.001), family income poverty threshold 1 above (OR: 2.40 CI: 1.58-3.64), having college degree 3.09 1.85-5.14), insured 3.26 1.03-10.26), = 0.044). Conclusion: findings indicated that 68.4% doses vaccines. More half followed recommendations vaccine. Old (above years) higher socioeconomic class associated follow guidelines. Despite rate diseases group, strategies for improving awareness alongside accessibility needed enhance additional dosage uptake, protect them novel variants, ensure development sustained immunity.
Language: Английский
Citations
5
Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13
Published: Feb. 18, 2025
American Indians and Alaska Natives (AIANs) are historically disadvantaged, losing 20 million (95%) of their population largely through epidemics since 1,520 continuing lower overall vaccination coverage than other races. Determinants this underexamined. Among peer-reviewed relevant articles 1968, 39 studied AIANs solely; 47 drew general samples, including AIANs. We employed rigorous economic definitions framework Individual Decision-Making Under Uncertainty. The Social-Ecological model identified determinants mechanisms at five levels. Individual-level include: (1) vaccine-preventable disease (VPD) vaccine knowledge; (2) safety, efficacy, moral hazard beliefs; (3) preferences; (4) income post-subsidy costs. Interpersonal-level include others' knowledge preferences. Organizational-level characteristics Indian Health Service, Tribal, Urban (IHS/T/U) facilities supply products, providers, services; provider cultural competency, recommendations, standing orders; patient reminder/recall. Community-level socioeconomics geographics; information infrastructure; values, practices, languages; historical epidemic (5) harms thus distrust in government, health system, science. Societal-level federal recognition entitlements; tribal self-determination; state Medicaid enrollment; structural racism. Tribal interventions may increase AIANs' about VPDs, vaccines, design risk/cost-benefit calculations using scientific objective probabilities safety efficacy; tailor messages to histories, narratives, values; outreach by trusted messengers. I/T/U organizational reduce transportation costs while increasing supplies, orders. Federal policies IHS funding, infrastructure, AIAN data representativeness eliminating racism generational trauma. This article contributes literature practice. It is the first multidisciplinary, comprehensive overview multi-level vaccination. Its findings highlight gaps limitations laws impacting recommends future research, culturally-appropriate interventions, close gap enhance healing.
Language: Английский
Citations
0
Vaccine X, Journal Year: 2025, Volume and Issue: unknown, P. 100626 - 100626
Published: Feb. 1, 2025
Language: Английский
Citations
0
Vaccines, Journal Year: 2025, Volume and Issue: 13(3), P. 325 - 325
Published: March 19, 2025
Background/Objectives: In 2022, the full-scale invasion in Ukraine forced over 6 million Ukrainians, primarily mothers and children, to seek safety outside of country. This massive influx has posed a significant challenge Polish healthcare system, particularly regarding routine vaccination for children. study aims examine intentions displaced Ukrainian mothers, their compliance with National Immunisation Programme (PNIP), factors that influence these intentions. Methods: A web-based survey (June–July 2023) was conducted among Poland. The questionnaire assessed importance placed on vaccination, knowledge PNIP, concerns related displacement vaccination. Hierarchical logistic regression identified key determinants. Results: Among 2572 respondents, 64.5% reported children had received only some or none recommended vaccines. Key barriers included unfamiliarity limited vaccines, about vaccine side effects. Of whose not followed 41.7% intended vaccinate, 33.1% refused, 25.2% were undecided. Regression analysis perception as strongest predictor. Partial adherence PNIP doubled likelihood, while firm plan return reduced it 2.4 times. Mistrust vaccines increased refusal risk tenfold. final model confirmed mothers’ attitudes towards future plans (return Ukraine) dominant factors. Conclusions: underscores complex determinants shaping decisions conflict-displaced communities. It provides insights public health strategies enhance uptake by reducing access barriers, restoring trust, strengthening literacy.
Language: Английский
Citations
0
Journal of Clinical and Translational Science, Journal Year: 2024, Volume and Issue: 8(1)
Published: Jan. 1, 2024
Leveraging the National COVID-19 Cohort Collaborative (N3C), a nationally sampled electronic health records repository, we explored associations between individual-level social determinants of (SDoH) and COVID-19-related hospitalizations among racialized minority people with human immunodeficiency virus (HIV) (PWH), who have been historically adversely affected by SDoH.
Language: Английский
Citations
3
PLoS ONE, Journal Year: 2024, Volume and Issue: 19(7), P. e0302332 - e0302332
Published: July 5, 2024
Vaccination against COVID-19 can prevent severe illness and reduce hospitalizations deaths. Understanding addressing determinants contributing to vaccine uptake among high-risk groups, such as Latinos, are pivotal in ensuring equitable distribution, promoting health equity, fostering community engagement bridge the gap acceptance ultimately enhance public health. This study aimed examine factors influencing Latinos. We conducted a cross-sectional using an online platform (n = 242). The survey was administered multimodal approach. Strategies for recruitment included outreach, social media, targeting networks serving Descriptive statistics, chi-square, multivariable analysis were performed. Overall, 81.4% of respondents had received at least one dose vaccine, with 77.0% recommending it 70.6% believing be safe, 66.7% its efficacy, 62.3% able find trustful information Spanish or Portuguese, almost 40% who relied on organizations their primary resource information. Factors significantly associated higher education level ( p <0.001), English 0.023), living urban area 0.048), having insurance healthcare provider 0.007). Furthermore, belief safety trust authorities, concerns about COVID-19, ability determine true/false during pandemic, availability trustworthy Spanish/Portuguese statistically significant associations <0.05) uptake. differed based sociodemographic other modifiable factors. Our findings emphasize importance implementing targeted interventions culturally sensitive communication strategies improve vaccination Latino United States.
Language: Английский
Citations
2
Journal of Racial and Ethnic Health Disparities, Journal Year: 2024, Volume and Issue: unknown
Published: Sept. 12, 2024
Abstract Background Vaccine hesitancy has been a significant concern throughout the COVID-19 pandemic. can be attributed to lack of confidence in vaccines, complacency about health threat, or convenience vaccination. To date, few studies have used methods designed include populations underrepresented research when identifying factors associated with vaccine hesitancy. Methods Between January and July 2021, potential participants were recruited from community venues selected through time-location sampling 15 defined communities United States. Study staff administered questionnaire on demographics, behaviors attitudes, vaccination status intention consenting individuals. was analyzed among those age 18 years older nine sites as self-reported neutral, unlikely, very unlikely intention. Logistic regression modeling, adjusted for site, identified Results Among 11,559 individuals, by site ranged 8.7 31.1%. being Black compared White, White Asian, younger age, unstable housing, unemployed, lower income, having disability, providing care home, not reporting inability visit sick elderly relatives during pandemic, increased anxiety spending more time loved ones Conclusions In these US communities, early rollout, there racial disparities Additionally, individuals who marginalized due their socioeconomic likely report campaigns should make efforts remove barriers vaccination, improving convenience.
Language: Английский
Citations
2
Applied Clinical Informatics, Journal Year: 2024, Volume and Issue: 15(01), P. 192 - 198
Published: Jan. 1, 2024
Abstract Background Despite mortality benefits, only 19.9% of U.S. adults are fully vaccinated against the coronavirus disease 2019 (COVID-19). The inpatient setting is an opportune environment to update vaccinations, and electronic health record (EHR) alerts have been shown increase vaccination rates. Objective Our objective was evaluate whether EHR alert could COVID-19 vaccinations in eligible hospitalized by prompting providers order vaccine. Methods This a quasiexperimental pre–post-interventional design study at academic community hospital western United States between 1 January, 2021 31 October, 2021. Inclusion criteria were unvaccinated adults. A soft-stop, interruptive prompted vaccines for those with expected discharge date within 48 hours interest vaccination. outcome measured proportion all patients whom ordered administered before after implementation. Results Vaccine ordering rates increased from 4.0 13.0% (odds ratio [OR]: 4.01, 95% confidence interval [CI]: 3.39–4.74, p < 0.001) 7.4 11.6% (OR: 1.62, CI: 1.23–2.13, Administration postalert 3.6 12.7% 3.21, 2.70–3.82, but unchanged hospital, 6.7 6.7% 0.99, 0.73–1.37, = 0.994). Further analysis revealed infrequent vaccine availability hospital. Conclusion improved both sites administration rates, however, likely due part dispensation inefficiency demonstrates potential impact complex workflow patterns on new success provides rationale subsequent qualitative
Language: Английский
Citations
1
Social Sciences & Humanities Open, Journal Year: 2024, Volume and Issue: 9, P. 100844 - 100844
Published: Jan. 1, 2024
COVID-19 vaccination campaigns across the US were implemented to mitigate disproportionate hospitalizations and unnecessary deaths many communities that experienced unequal gaps in initial vaccine distribution rollout uptake. In parallel, pandemic created declines routine coverage for adults, adolescents, children; particularly, experiencing overlapping social disadvantage. Community-based efforts offer a solution narrow immunization but have not been replicated consistently nor demonstrated widespread success during as evidenced by prevailing disparities We an equity centered implementation science approach involves co-designing, co-implementing, co-evaluating solutions with community all partners investing shared goal of sustainable improvement health outcomes.
Language: Английский
Citations
1