A.J. Drexel Autism Institute, Drexel University, 3020 Market Street, Suite 560, Philadelphia, PA 19104, United States.
Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States.
Vaccine. 2022 May 26;40(24):3288-3293. doi: 10.1016/j.vaccine.2022.04.060. Epub 2022 Apr 22.
Identifying factors associated with COVID-19 vaccination acceptance among vulnerable groups, including autistic individuals, can increase vaccination rates and support public health. The purpose of this study was to determine differences among autistic adults who reported COVID-19 vaccination acceptance from those who did not. In this study we describe COVID-19 vaccination status and self-reported preferences among autistic adults and identify related factors. Vaccine accepters were more likely to report increased loneliness during COVID-19, lived in more populous counties (p = 0.02), and lived in counties won by President Biden in the 2020 US presidential election (p < 0.001). Positive correlations were found between desire to protect others, concern about contracting COVID-19, and trusting vaccine safety (p < 0.001). Concern about vaccine safety was common among the vaccine hesitant, while lack of concern about COVID-19 overall was not. Identifying health promotion strategies based on self-reported, lived experiences about COVID-19 among vulnerable groups is key for public health impact.
确定与弱势群体（包括自闭症个体）的 COVID-19 疫苗接种接受度相关的因素，可以提高疫苗接种率，支持公共卫生。本研究旨在确定报告 COVID-19 疫苗接种接受度的自闭症成年人与未报告接种的成年人之间的差异。在本研究中，我们描述了自闭症成年人的 COVID-19 疫苗接种状况和自我报告的偏好，并确定了相关因素。疫苗接种接受者更有可能报告在 COVID-19 期间感到孤独增加，居住在人口较多的县（p=0.02），并且居住在拜登总统在 2020 年美国总统选举中获胜的县（p<0.001）。发现保护他人的愿望、对感染 COVID-19 的担忧以及对疫苗安全性的信任之间存在正相关关系（p<0.001）。对疫苗安全性的担忧在疫苗犹豫者中很常见，而对 COVID-19 总体上的担忧并不常见。根据弱势群体自我报告的、与 COVID-19 相关的生活经历，确定健康促进策略对于公共卫生影响至关重要。
