MMWR Morb Mortal Wkly Rep. 2021 Apr 2;70(13):473-477. doi: 10.15585/mmwr.mm7013a3.
Incarcerated and detained persons are at increased risk for acquiring COVID-19. However, little is known about their willingness to receive a COVID-19 vaccination. During September-December 2020, residents in three prisons and 13 jails in four states were surveyed regarding their willingness to receive a COVID-19 vaccination and their reasons for COVID-19 vaccination hesitancy or refusal. Among 5,110 participants, 2,294 (44.9%) said they would receive a COVID-19 vaccination, 498 (9.8%) said they would hesitate to receive it, and 2,318 (45.4%) said they would refuse to receive it. Willingness to receive a COVID-19 vaccination was lowest among Black/African American (Black) (36.7%; 510 of 1,390) persons, participants aged 18-29 years (38.5%; 583 of 1,516), and those who lived in jails versus prisons (43.7%; 1,850 of 4,232). Common reasons reported for COVID-19 vaccine hesitancy were waiting for more information (54.8%) and efficacy or safety concerns (31.0%). The most common reason for COVID-19 vaccination refusal was distrust of health care, correctional, or government personnel or institutions (20.1%). Public health interventions to improve vaccine confidence and trust are needed to increase vaccination acceptance by incarcerated or detained persons.
被监禁和被拘留的人感染 COVID-19 的风险增加。然而，对于他们对 COVID-19 疫苗接种的意愿知之甚少。2020 年 9 月至 12 月，对四个州的三个监狱和 13 个监狱的居民进行了调查，了解他们接种 COVID-19 疫苗的意愿以及对 COVID-19 疫苗犹豫不决或拒绝的原因。在 5110 名参与者中，2294 名（44.9%）表示他们将接种 COVID-19 疫苗，498 名（9.8%）表示他们将犹豫接种，2318 名（45.4%）表示他们将拒绝接种。接种 COVID-19 疫苗的意愿在黑种人/非裔美国人（黑人）（36.7%；1390 人中的 510 人）、18-29 岁的参与者（38.5%；1516 人中的 583 人）和居住在监狱中的人（43.7%；4232 人中的 1850 人）中最低。报告的 COVID-19 疫苗犹豫不决的常见原因是等待更多信息（54.8%）和对疗效或安全性的担忧（31.0%）。拒绝 COVID-19 疫苗接种的最常见原因是对医疗保健、惩教或政府人员或机构的不信任（20.1%）。需要采取公共卫生干预措施来提高疫苗信心和信任，以增加被监禁或被拘留者对疫苗的接受程度。
