Teixeira da Silva Daniel, Biello Katie, Lin Willey Y, Valente Pablo K, Mayer Kenneth H, Hightow-Weidman Lisa, Bauermeister José A
Department of Medicine, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, USA.
Vaccines (Basel). 2021 Mar 1;9(3):204. doi: 10.3390/vaccines9030204.
Sexual and gender minority (SGM) populations are particularly vulnerable to poor COVID-19 outcomes and are more likely to experience stigma and medical mistrust that may impact COVID-19 vaccine acceptance. This study examined the prevalence of COVID testing and diagnosis and assessed COVID-19 vaccine acceptance among a large sample of SGM. Participants were recruited as part of an online cross-sectional study focused on an HIV biomedical prevention technology willingness in the United States at increased risk for HIV sero-conversion. Multivariate linear analysis was conducted to examine COVID-19 vaccine acceptance. The study sample included 1350 predominately gay (61.6%), Black (57.9%), cis-gender (95.7%) males with a mean age of 32.9 years. Medical mistrust and social concern regarding COVID-19 vaccine stigma were significantly associated with decreased COVID-19 vaccine acceptance, and altruism was significantly associated with increased vaccine acceptance. Black participants were significantly less likely to accept a COVID-19 vaccine, and Asian participants were significantly more likely to accept a vaccine, compared to White peers. As the planning of COVID-19 vaccine rollout efforts is conceptualized and designed, these data may inform equitable implementation strategies and prevent worsening health inequities among SGM populations.
性少数群体（SGM）特别容易出现新冠病毒病（COVID-19）不良结局，且更有可能经历耻辱感和医疗不信任，这可能会影响他们对COVID-19疫苗的接受度。本研究调查了COVID检测和诊断的流行情况，并评估了大量SGM样本中对COVID-19疫苗的接受情况。参与者是作为一项在线横断面研究的一部分招募的，该研究聚焦于美国感染艾滋病毒血清转化风险增加人群对艾滋病毒生物医学预防技术的意愿。进行多变量线性分析以研究对COVID-19疫苗的接受情况。研究样本包括1350名主要为男同性恋者（61.6%）、黑人（57.9%）、顺性别者（95.7%）的男性，平均年龄为32.9岁。对COVID-19疫苗耻辱感的医疗不信任和社会担忧与COVID-19疫苗接受度降低显著相关，而利他主义与疫苗接受度增加显著相关。与白人同龄人相比，黑人参与者接受COVID-19疫苗的可能性显著更低，而亚洲参与者接受疫苗的可能性显著更高。在规划COVID-19疫苗推广工作时，这些数据可为公平实施策略提供参考，并防止SGM人群中的健康不平等状况恶化。
