Lang Michael A, Stahlman Shauna, Wells Natalie Y, Fedgo Alyssa A, Patel Deven M, Chauhan Aparna, Mancuso James D
MSMR. 2021 Apr;28(4):2-9.
The objective of this study was to assess overall vaccine initiation and completion in the active component U.S. military, with a focus on racial/ethnic disparities. From 11 December 2020 through 12 March 2021, a total of 361,538 service members (27.2%) initiated a COVID-19 mRNA vaccine. Non-Hispanic Blacks were 28% less likely to initiate vaccination (95% confidence interval: 25%-29%) in comparison to non-Hispanic Whites, after adjusting for potential confounders. Increasing age, higher education levels, higher rank, and Asian/Pacific Islander race/ethnicity were also associated with increasing incidence of initiation after adjustment. When the analysis was restricted to active component health care personnel, similar patterns were seen. Overall, 93.8% of those who initiated the vaccine series completed it during the study period, and only minor differences in completion rates were noted among the demographic subgroups. This study suggests additional factors, such as vaccine hesitancy, influence COVID-19 vaccination choices in the U.S. military. Military leadership and vaccine planners should be knowledgeable about and aware of the disparities in vaccine series initiation.
本研究的目的是评估美国现役部队中疫苗接种的总体启动率和完成率，重点关注种族/族裔差异。从2020年12月11日至2021年3月12日，共有361,538名军人（27.2%）接种了新冠病毒mRNA疫苗。在调整潜在混杂因素后，与非西班牙裔白人相比，非西班牙裔黑人开始接种疫苗的可能性低28%（95%置信区间：25%-29%）。调整后，年龄增长、教育水平提高、军衔升高以及亚裔/太平洋岛民种族/族裔也与接种启动率增加相关。当分析仅限于现役医疗人员时，也观察到了类似的模式。总体而言，在研究期间，93.8%开始接种疫苗系列的人完成了接种，各人口亚组的完成率仅存在细微差异。这项研究表明，诸如疫苗犹豫等其他因素会影响美国军队中新冠病毒疫苗的接种选择。军队领导层和疫苗规划者应了解并意识到疫苗系列接种启动方面的差异。
