Immunization Services Division, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention, Atlanta, Georgia; CDC COVID-19 Response Team, Global Health Protection and Security, Centers for Disease Control and Prevention, Atlanta, Georgia.
Immunization Services Division, National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention, Atlanta, Georgia; CDC COVID-19 Response Team, Global Health Protection and Security, Centers for Disease Control and Prevention, Atlanta, Georgia; Leidos Inc., Atlanta, Georgia.
Am J Prev Med. 2022 Nov;63(5):760-771. doi: 10.1016/j.amepre.2022.05.013. Epub 2022 Jun 27.
Individuals with certain medical conditions are at substantially increased risk for severe illness from COVID-19. The purpose of this study is to assess COVID-19 vaccination among U.S. adults with reported medical conditions.
Data from the National Immunization Survey-Adult COVID Module collected during August 1-September 25, 2021 were analyzed in 2022 to assess COVID-19 vaccination status, intent, vaccine confidence, behavior, and experience among adults with reported medical conditions. Unadjusted and age-adjusted prevalence ratios (PRs and APRs) were generated using logistic regression and predictive marginals.
Overall, COVID-19 vaccination coverage with ≥1 dose was 81.8% among adults with reported medical conditions, and coverage was significantly higher compared with those without such conditions (70.3%) Among adults aged ≥18 years with medical conditions, COVID-19 vaccination coverage was significantly higher among those with a provider recommendation (86.5%) than those without (76.5%). Among all respondents, 9.2% of unvaccinated adults with medical conditions reported they were willing or open to vaccination. Adults who reported high risk medical conditions were more likely to report receiving a provider recommendation, often or always wearing masks during the last 7 days, concerning about getting COVID-19, thinking the vaccine is safe, and believing a COVID-19 vaccine is important for protection from COVID-19 infection than those without such conditions.
Approximately 18.0% of those with reported medical conditions were unvaccinated. Receiving a provider recommendation was significantly associated with vaccination, reinforcing that provider recommendation is an important approach to increase vaccination coverage. Ensuring access to vaccine, addressing vaccination barriers, and increasing vaccine confidence can improve vaccination coverage among unvaccinated adults.
某些医疗条件的个体患 COVID-19 重症的风险显著增加。本研究的目的是评估美国有报告医疗条件的成年人的 COVID-19 疫苗接种情况。
使用 2022 年 8 月 1 日至 9 月 25 日期间收集的国家免疫调查-成人 COVID 模块的数据，评估有报告医疗条件的成年人的 COVID-19 疫苗接种状况、意愿、疫苗信心、行为和体验。使用逻辑回归和预测边际生成未调整和年龄调整后的患病率比（PR 和 APR）。
总体而言，有报告医疗条件的成年人中至少接种一剂 COVID-19 疫苗的覆盖率为 81.8%，明显高于无此类条件的成年人（70.3%）。在年龄≥18 岁有医疗条件的成年人中，有提供者建议的 COVID-19 疫苗接种覆盖率（86.5%）明显高于没有建议的（76.5%）。在所有受访者中，9.2%有报告医疗条件的未接种成年人表示愿意或愿意接种疫苗。报告有高风险医疗条件的成年人更有可能报告收到提供者的建议，在过去 7 天内经常或总是戴口罩，担心感染 COVID-19，认为疫苗是安全的，并且相信 COVID-19 疫苗对于预防 COVID-19 感染很重要，而没有这些条件的成年人。
大约 18.0%有报告医疗条件的成年人未接种疫苗。收到提供者的建议与接种疫苗显著相关，这强化了提供者的建议是提高疫苗接种率的重要方法。确保疫苗的可及性、解决疫苗接种障碍和提高疫苗信心可以提高未接种疫苗的成年人的疫苗接种率。
