Yale School of Medicine.
Yale Institute for Global Health.
Pediatrics. 2021 Nov;148(5). doi: 10.1542/peds.2021-053813. Epub 2021 Aug 27.
Ensuring high coronavirus disease-2019 (COVID-19) vaccine uptake among US child care providers is crucial to mitigating the public health implications of child-staff and staff-child transmission of severe acute respiratory syndrome coronavirus 2; however, the vaccination rate among this group was previously unknown.
To characterize vaccine uptake among US child care providers, we conducted a multistate cross-sectional survey of the child care workforce. Providers were identified through various national databases and state registries. A link to the survey was sent via e-mail between May 26 and June 23, 2021. A 37.8% response yielded 21 663 respondents, with 20 013 satisfying inclusion criteria.
Overall COVID-19 vaccine uptake among US child care providers (78.2%, 90% confidence interval: 77.5% to 78.9%) was higher than the US general adult population (65%). Vaccination rates varied between states from 53.5% to 89.4%. Vaccine uptake among respondents differed significantly ( < .01) based on respondent age (70.0% for ages 25-34, 91.6% for ages 75-84), race (70.0% for Black or African Americans, 92.5% for Asian Americans), annual household income (70.8% for <$35 000, 85.1% for >$75 000), and child care setting (73.0% for home-based, 79.7% for center-based).
COVID-19 vaccine uptake among US child care providers was higher than the general US adult population. Those who were younger, lower income, Black or African American, resided in states either in the Mountain West or the South, and/or worked in home-based child care programs reported the lowest rates of vaccination. State public health leaders and lawmakers should prioritize these subgroups to realize the largest gains in vaccine uptake among providers.
确保美国儿童保健提供者对 2019 年冠状病毒病（COVID-19）疫苗的高接种率对于减轻儿童-工作人员和工作人员-儿童传播严重急性呼吸系统综合征冠状病毒 2 的公共卫生影响至关重要；然而，此前尚不清楚该人群的疫苗接种率。
为了描述美国儿童保健提供者的疫苗接种情况，我们对儿童保健劳动力进行了多州横断面调查。通过各种国家数据库和州登记处确定了提供者。2021 年 5 月 26 日至 6 月 23 日期间，通过电子邮件向调查发送了一个链接。37.8%的回应产生了 21663 名受访者，其中 20013 名符合纳入标准。
美国儿童保健提供者的 COVID-19 疫苗总体接种率（78.2%，90%置信区间：77.5%至 78.9%）高于美国普通成年人口（65%）。各州的疫苗接种率从 53.5%到 89.4%不等。根据受访者的年龄（25-34 岁为 70.0%，75-84 岁为 91.6%）、种族（黑人和非洲裔美国人 70.0%，亚裔美国人 92.5%）、家庭年收入（<$35000 为 70.8%，>$75000 为 85.1%）和儿童保健环境（家庭为 73.0%，中心为 79.7%），疫苗接种率存在显著差异（<0.01）。
美国儿童保健提供者的 COVID-19 疫苗接种率高于美国普通成年人口。年龄较小、收入较低、黑人和非洲裔美国人、居住在山区西部或南部各州的人，以及/或在家庭式儿童保健计划中工作的人报告的疫苗接种率最低。州公共卫生领导人和立法者应优先考虑这些亚群，以实现提供者疫苗接种率的最大提高。
