Janet W. Rich-Edwards is with the Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, and the Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA. Carissa M. Rocheleau, Andrea L. Steege, James M. Boiano, and Christina C. Lawson are with the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH. Ming Ding and Laura M. Katuska are with the Department of Nutrition, Harvard T. H. Chan School of Public Health. Jennifer A. Hankins and Xenia Kumph are with the Channing Division of Network Medicine, Harvard Medical School and Brigham and Women's Hospital.
Am J Public Health. 2022 Nov;112(11):1620-1629. doi: 10.2105/AJPH.2022.307050.
To characterize COVID-19 vaccine uptake and hesitancy among US nurses. We surveyed nurses in 3 national cohorts during spring 2021. Participants who indicated that they did not plan to receive or were unsure whether they planned to receive the vaccine were considered vaccine hesitant. Among 32 426 female current and former nurses, 93% had been or planned to be vaccinated. After adjustment for age, race/ethnicity, and occupational variables, vaccine hesitancy was associated with lower education, living in the South, and working in a group care or home health setting. Those who experienced COVID-19 deaths and those reporting personal or household vulnerability to COVID-19 were less likely to be hesitant. Having contracted COVID-19 doubled the risk of vaccine hesitancy (95% confidence interval [CI] = 1.85, 2.53). Reasons for hesitancy that were common among nurses who did not plan to receive the vaccine were religion/ethics, belief that the vaccine was ineffective, and lack of concern about COVID-19; those who were unsure often cited concerns regarding side effects or medical reasons or reported that they had had COVID-19. Vaccine hesitancy was unusual and stemmed from specific concerns. Targeted messaging and outreach might reduce vaccine hesitancy. (. 2022;112(11):1620-1629. https://doi.org/10.2105/AJPH.2022.307050).
描述美国护士对 COVID-19 疫苗的接种和犹豫情况。
我们在 2021 年春季调查了三个全国性队列中的护士。表示不打算接种或不确定是否计划接种疫苗的参与者被认为是疫苗犹豫者。在 32426 名女性现任和前任护士中,93%的人已经接种或计划接种疫苗。在调整了年龄、种族/民族和职业变量后,疫苗犹豫与教育程度较低、居住在南部以及在团体护理或家庭保健机构工作有关。那些经历过 COVID-19 死亡的人和那些报告个人或家庭易感染 COVID-19 的人不太可能犹豫不决。感染过 COVID-19 的人接种疫苗的犹豫风险增加一倍(95%置信区间[CI]:1.85,2.53)。那些不打算接种疫苗的护士常见的犹豫原因包括宗教/伦理、认为疫苗无效以及对 COVID-19 不关注;那些不确定的人通常提到对副作用或医疗原因的担忧,或报告他们已经感染过 COVID-19。疫苗犹豫是不常见的,源于特定的担忧。有针对性的信息传递和外展工作可能会减少疫苗犹豫。(美国公共卫生杂志。2022;112(11):1620-1629。https://doi.org/10.2105/AJPH.2022.307050)。