Moore Justin Xavier, Gilbert Keon L, Lively Katie L, Laurent Christian, Chawla Rishab, Li Cynthia, Johnson Ryan, Petcu Robert, Mehra Mehul, Spooner Antron, Kolhe Ravindra, Ledford Christy J W
Division of Epidemiology, Department of Population Health Sciences, Augusta University, Augusta, GA 30912, USA.
Cancer Prevention, Control, & Population Health Program, Department of Medicine, Augusta University, Augusta, GA 30912, USA.
Vaccines (Basel). 2021 Aug 8;9(8):879. doi: 10.3390/vaccines9080879.
In the United States, African Americans (AAs) have been disproportionately affected by COVID-19 mortality. However, AAs are more likely to be hesitant in receiving COVID-19 vaccinations when compared to non-Hispanic Whites. We examined factors associated with vaccine hesitancy among a predominant AA community sample. We performed a cross-sectional analysis on data collected from a convenience sample of 257 community-dwelling participants in the Central Savannah River Area from 5 December 2020, through 17 April 2021. Vaccine hesitancy was categorized as resistant, hesitant, and acceptant. We estimated relative odds of vaccine resistance and vaccine hesitancy using polytomous logistic regression models. Nearly one-third of the participants were either hesitant ( = 40, 15.6%) or resistant ( = 42, 16.3%) to receiving a COVID-19 vaccination. Vaccine-resistant participants were more likely to be younger and were more likely to have experienced housing insecurity due to COVID-19 when compared to both acceptant and hesitant participants, respectively. Age accounted for nearly 25% of the variation in vaccine resistance, with 21-fold increased odds (OR: 21.93, 95% CI: 8.97-5.26-91.43) of vaccine resistance in participants aged 18 to 29 compared to 50 and older adults. Housing insecurity accounted for 8% of the variation in vaccine resistance and was associated with 7-fold increased odds of vaccine resistance (AOR: 7.35, 95% CI: 1.99-27.10). In this sample, AAs under the age of 30 and those experiencing housing insecurity because of the COVID-19 pandemic were more likely to be resistant to receiving a free COVID-19 vaccination.
在美国，非裔美国人（AA）受新冠病毒病（COVID-19）死亡影响的比例过高。然而，与非西班牙裔白人相比，非裔美国人在接种COVID-19疫苗时更可能犹豫不决。我们研究了在一个主要为非裔美国人的社区样本中与疫苗犹豫相关的因素。我们对2020年12月5日至2021年4月17日期间从萨凡纳河中部地区257名社区居住参与者的便利样本中收集的数据进行了横断面分析。疫苗犹豫被分为抗拒、犹豫和接受三类。我们使用多分类逻辑回归模型估计了疫苗抗拒和疫苗犹豫的相对比值。近三分之一的参与者对接种COVID-19疫苗持犹豫态度（n = 40，15.6%）或抗拒态度（n = 42，16.3%）。与接受和犹豫的参与者相比，抗拒接种疫苗的参与者更年轻，并且更有可能因COVID-19而经历住房不安全。年龄占疫苗抗拒变异的近25%，18至29岁的参与者与50岁及以上的成年人相比，疫苗抗拒的几率增加了21倍（比值比：21.93，95%置信区间：8.97 - 5.26 - 91.43）。住房不安全占疫苗抗拒变异的8%，并且与疫苗抗拒几率增加7倍相关（调整后比值比：7.35，95%置信区间：1.99 - 27.10）。在这个样本中，30岁以下的非裔美国人以及因COVID-19大流行而经历住房不安全的人更有可能抗拒接种免费的COVID-19疫苗。
