Shaffer Charles W, Wyka Katarzyna, Ewing Julie, Russ Mark J, Kanellopoulos Dora, Brody Benjamin D
Department of Psychiatry, Weill Cornell Medicine, New York City (Shaffer, Wyka, Russ, Kanellopoulos, Brody); Graduate School of Public Health and Health Policy, City University of New York, New York City (Wyka); New York-Presbyterian Hospital, New York City (Ewing).
Psychiatr Serv. 2023 Mar 1;74(3):320-323. doi: 10.1176/appi.ps.20220222. Epub 2022 Sep 6.
This study sought to determine COVID-19 vaccination rates for individuals with serious mental illness admitted to a large health system in New York State.
Vaccination rates among 12,714 patients admitted to psychiatric units and to medical and surgical units were compared between April 6, 2021, and September 30, 2021.
Only 40% (N=416 of 1,029) of patients admitted to psychiatric services had at least one COVID-19 vaccination, whereas 64.4% (7,523 of 11,685) of patients admitted to medical and surgical services had at least one vaccination. After adjustment for differences in key demographic and clinical characteristics, patients admitted to psychiatric services had a significantly lower likelihood of vaccination during the study period (risk ratio=0.78, 95% confidence interval=0.73-0.85, p<0.001). Black psychiatric patients had the lowest vaccination rate (28%).
Psychiatric patients with acute illness had low COVID-19 vaccination rates. Targeted outreach for COVID-19 vaccination is necessary to reach this population.
本研究旨在确定纽约州一家大型医疗系统收治的重症精神疾病患者的新冠疫苗接种率。
比较了2021年4月6日至2021年9月30日期间入住精神科病房以及内科和外科病房的12714名患者的疫苗接种率。
入住精神科服务的患者中只有40%（1029名中的416名）至少接种了一剂新冠疫苗，而入住内科和外科服务的患者中有64.4%（11685名中的7523名）至少接种了一剂疫苗。在对关键人口统计学和临床特征差异进行调整后，在研究期间入住精神科服务的患者接种疫苗的可能性显著较低（风险比=0.78，95%置信区间=0.73-0.85，p<0.001）。黑人精神科患者的疫苗接种率最低（28%）。
患有急性疾病的精神科患者新冠疫苗接种率较低。有必要针对这一人群开展有针对性的新冠疫苗接种宣传工作。
