Sokale Itunu, Alvarez Juan, Rosales Omar, Bakota Eric, Amos Christopher I, Badr Hoda, Oluyomi Abiodun O
Department of Medicine, Epidemiology and Population Sciences Section, Baylor College of Medicine, Houston, TX 77030, USA.
Office of Science, Surveillance, and Technology, Harris County Public Health, Houston, TX 77030, USA.
Vaccines (Basel). 2022 Jun 23;10(7):1000. doi: 10.3390/vaccines10071000.
This cross-sectional ecological study examined the relationship between neighborhood-level standard occupational groups in the USA and COVID-19 vaccine uptake using 774 census tract data, each consisting of approximately 1600 housing units. The neighborhood-level COVID-19 vaccination uptake data were retrieved from Harris County Public Health, Harris County, Texas. The standard occupational group data were from the US Census Bureau. We calculated the incidence rate ratios (IRRs) for vaccine uptake using bivariate and multivariable Poisson regression models. In the adjusted models, we found that the healthcare practitioner/technician (IRR: 1.008; 95% CI: 1.003−1.014; p = 0.001), business/management/legal (IRR: 1.011; 95% CI: 1.008−1.013; p < 0.001), computer/engineering/life/physical/social science (IRR: 1.018; 95% CI: 1.013−1.023; p < 0.001), and arts/design/entertainment/sports/media (IRR: 1.031; 95% CI: 1.018−1.044; p < 0.001) occupational groups were more likely to have received the full regimen of a COVID-19 vaccine. On the contrary, the building/installation/maintenance/repair (IRR: 0.991; 95% CI: 0.987−0.995; p < 0.001), construction/extraction/production (IRR: 0.991; 95% CI: 0.988−0.995; p < 0.001), transportation/material moving (IRR: 0.992; 95% CI: 0.987−0.997; p = 0.002), food preparation/serving related (IRR: 0.995; 95% CI: 0.990−0.999; p = 0.023), and personal care/services (IRR: 0.991; 95% CI: 0.985−0.998; p = 0.017) groups were less likely to have received the complete dose of a COVID-19 vaccine. White-collar workers were more likely to be vaccinated than blue-collar workers. We adjusted for age, sex, and race/ethnicity in the multivariable analysis. The low vaccine uptake among certain occupational groups remains a barrier to pandemic control. Engaging labor-centered stakeholders in the development of vaccination interventions may increase uptake.
这项横断面生态研究利用774个普查区数据（每个普查区约由1600个住房单元组成），考察了美国邻里层面的标准职业群体与新冠疫苗接种情况之间的关系。邻里层面的新冠疫苗接种数据取自得克萨斯州哈里斯县公共卫生部门。标准职业群体数据来自美国人口普查局。我们使用双变量和多变量泊松回归模型计算了疫苗接种的发病率比（IRR）。在调整后的模型中，我们发现医疗从业者/技术人员（IRR：1.008；95%置信区间：1.003−1.014；p = 0.001）、商业/管理/法律（IRR：1.011；95%置信区间：1.008−1.013；p < 0.001）、计算机/工程/生命/物理/社会科学（IRR：1.018；95%置信区间：1.013−1.023；p < 0.001）以及艺术/设计/娱乐/体育/媒体（IRR：1.031；95%置信区间：1.018−1.044；p < 0.001）职业群体更有可能接种了完整疗程的新冠疫苗。相反，建筑/安装/维护/修理（IRR：0.991；95%置信区间：0.987−0.995；p < 0.001）、建筑/采掘/生产（IRR：0.991；95%置信区间：0.988−0.995；p < 0.001）、运输/物资搬运（IRR：0.992；95%置信区间：
