J Am Pharm Assoc (2003). 2019 Jul-Aug;59(4):560-564.e2. doi: 10.1016/j.japh.2019.02.007. Epub 2019 Apr 9.
Most national-level data regarding lesbian, gay, bisexual, transgender, queer/questioning, intersex, and allies (LGBTQIA) immunizations are limited. The primary objective of this study was to identify factors that influence behaviors, attitudes, and perceptions toward the uptake of the influenza vaccine within the Hispanic LGBTQIA community.
This was a prospective survey that assessed vaccine acceptability and practices regarding the influenza vaccine within the LGBTQIA community. Collection of data occurred through the use of social media platforms from July 2016 to May 2018. A total of 126 participants (mean age 32.03 ± 11.68 years) completed a 15-minute, 26-item, English/Spanish survey. A number of outcome measures assessed perceptions of vaccine effectiveness and safety. In addition, perceived severity of influenza symptoms and perceived susceptibility to contract influenza was assessed.
A logistic regression model assessed the impact of several factors on influenza vaccine uptake. Perceived susceptibility of contracting influenza from the vaccine (P = 0.015) and perceived ease of receiving the influenza vaccine (P = 0.005) were the strongest predictors of vaccine uptake. Results showed no association between disclosure of sexual orientation and influenza immunization uptake (χ= 3.55; P = 0.17). Exploratory analyses revealed that non-Hispanic patients were more likely to perceive that their health care providers were aware of their sexual orientation compared with Hispanic patients (χ= 8.66; P = 0.013).
Several factors emerged as predictors of influenza vaccine uptake in the LGBTQIA population. Further studies are needed to explore additional factors such as disclosure of sexual orientation and variation of uptake based on vaccine type (STD vs. non-STD vaccines).
大多数国家级别的关于女同性恋、男同性恋、双性恋、跨性别、酷儿/疑问、间性人和盟友（LGBTQIA）免疫的相关数据都很有限。本研究的主要目的是确定影响西班牙裔 LGBTQIA 群体中流感疫苗接种行为、态度和认知的因素。
这是一项前瞻性调查，评估了 LGBTQIA 群体中流感疫苗的可接受性和接种实践。数据收集是通过 2016 年 7 月至 2018 年 5 月期间使用社交媒体平台完成的。共有 126 名参与者（平均年龄 32.03±11.68 岁）完成了一项 15 分钟、26 个问题的英语/西班牙语调查。多项结果衡量指标评估了疫苗的有效性和安全性。此外，还评估了对流感症状严重程度的感知和感染流感的易感性。
逻辑回归模型评估了多个因素对流感疫苗接种率的影响。接种疫苗后感染流感的易感性（P=0.015）和接种流感疫苗的便利性（P=0.005）是疫苗接种率的最强预测因素。结果表明，性取向的披露与流感免疫接种率之间没有关联（χ=3.55；P=0.17）。探索性分析显示，非西班牙裔患者比西班牙裔患者更有可能认为他们的医疗保健提供者了解他们的性取向（χ=8.66；P=0.013）。
有几个因素被确定为 LGBTQIA 人群中流感疫苗接种率的预测因素。需要进一步研究来探索其他因素，如性取向的披露以及基于疫苗类型（STD 与非 STD 疫苗）的接种率变化。
