Outbreak Management Branch for COVID-19 Response, Los Angeles County Department of Public Health, Los Angeles, CA, USA.
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA, USA.
Public Health Rep. 2022 Nov-Dec;137(6):1207-1216. doi: 10.1177/00333549221118086. Epub 2022 Aug 25.
Achieving widespread vaccine acceptance across various employment sectors is key to a successful public health response to COVID-19, but little is known about factors influencing vaccine acceptance among essential non-health care workers. We examined factors influencing vaccine acceptance among a sample of essential non-health care workers in California.
We conducted a survey in early spring 2021 at 2 corporations in Los Angeles County, California, to identify and describe factors influencing vaccine acceptance and the ability of incentives to increase this acceptance. We used modified Poisson regression analysis to estimate adjusted prevalence ratios and a best-subset selection algorithm to identify the strongest factors influencing vaccine acceptance.
Of 678 workers who completed the survey, 450 were unvaccinated. Among unvaccinated participants, having trust in information about the vaccine from public health experts, having ≥1 chronic health condition related to COVID-19 severity, being Asian, and perceiving risk for COVID-19 were factors that most influenced vaccine acceptance. Most (271 of 296, 91.6%) participants who had trust in information from public health experts and 30.6% (30 of 98) of participants who did not have trust in information from public health experts said that they would accept the vaccine. Seventeen of 24 (70.8%) vaccine-hesitant workers who had trust in information from public health experts and 12 of 72 (16.7%) vaccine-hesitant workers who did not have trust in this information said that they would be more likely to accept the vaccine if an incentive were offered.
Efforts to increase vaccine coverage at workplaces should focus on improving trust in the vaccine and increasing public awareness that the vaccine is free.
在 COVID-19 大流行期间,实现各就业领域广泛接受疫苗接种对于公共卫生应对至关重要,但对于影响非医护关键工作者疫苗接种接受度的因素知之甚少。我们调查了加利福尼亚州非医护关键工作者样本中影响疫苗接种接受度的因素。
我们于 2021 年早春在加利福尼亚州洛杉矶县的 2 家公司进行了一项调查,以确定和描述影响疫苗接种接受度的因素以及激励措施增加这种接受度的能力。我们使用修正泊松回归分析来估计调整后流行率比,并使用最佳子集选择算法来确定影响疫苗接种接受度的最强因素。
在完成调查的 678 名工人中,有 450 人未接种疫苗。在未接种疫苗的参与者中,对来自公共卫生专家的疫苗信息的信任、患有≥1 种与 COVID-19 严重程度相关的慢性健康状况、为亚裔以及认为感染 COVID-19的风险是影响疫苗接种接受度的最大因素。大多数(296 名中有 271 名,91.6%)对公共卫生专家信息有信任的参与者以及 30.6%(98 名中有 30 名)对公共卫生专家信息没有信任的参与者表示他们会接受疫苗。在对公共卫生专家信息有信任的 17 名疫苗犹豫者和在对该信息没有信任的 72 名疫苗犹豫者中,有 12 名(12/72,16.7%)表示如果提供激励措施,他们更有可能接受疫苗。
在工作场所增加疫苗接种覆盖率的努力应重点提高对疫苗的信任度,并提高公众对疫苗是免费的认识。