美国中西部农村地区被监禁成年人及惩教人员对疫苗安全性的认知与犹豫态度
Perceptions of vaccine safety and hesitancy among incarcerated adults and correctional staff in the rural midwest.
作者信息
Canada Kelli E, Givens Ashley, Huebner Beth M, Garcia-Hallett Janet, Taylor Elizabeth, Inzana Victoria, Edwards Daniel, Peters Clark M, Plunkett Cafourek Dana
机构信息
University of Missouri, School of Social Work, Columbia, MO, United States.
Arizona State University, School of Criminology & Criminal Justice, Phoenix, AZ, United States.
出版信息
Vaccine X. 2023 Feb 11;13:100270. doi: 10.1016/j.jvacx.2023.100270. eCollection 2023 Apr.
OBJECTIVES
This project assessed vaccine hesitancy among staff and incarcerated adults in one rural medium-security prison in the Midwestern United States and identified differences in hesitancy across sociodemographic and work-related variables.
METHODS
610 prison staff and people incarcerated completed a cross-sectional survey in May 2021. The vaccine hesitancy scale (VHS) identified perceived risk and confidence in vaccination. A single item assessed whether people typically follow public health protocols in the prison. A combination of analyses was utilized, including ANOVA, Chi-Square, and Pearson's correlation.
RESULTS
Vaccine hesitancy was moderate to high for both populations. Incarcerated people had more confidence in vaccination than staff; differences did not reach statistical significance. Incarcerated people had statistically significantly higher perceptions of risk compared to staff. Both populations reported doing their best to follow public health protocols. For both populations, vaccine hesitancy varied by education and veteran status. Among staff, hesitancy varied by gender and political beliefs. For people incarcerated, it varied by pre-incarceration income and visit frequency.
CONCLUSIONS
Results support the need for public health policy and procedural interventions to reduce hesitancy towards vaccination in correctional settings.
目标
本项目评估了美国中西部一所农村中等安全级别的监狱中工作人员和被监禁成年人的疫苗犹豫情况，并确定了在社会人口统计学和工作相关变量方面犹豫程度的差异。
方法
2021年5月，610名监狱工作人员和被监禁人员完成了一项横断面调查。疫苗犹豫量表（VHS）确定了对疫苗接种的感知风险和信心。一个单项评估了人们在监狱中是否通常遵循公共卫生协议。采用了多种分析方法，包括方差分析、卡方检验和皮尔逊相关性分析。
结果
这两个人群的疫苗犹豫程度都处于中度到高度。被监禁人员对疫苗接种的信心高于工作人员；差异未达到统计学显著性。与工作人员相比，被监禁人员对风险的感知在统计学上显著更高。两个人群都报告称尽力遵循公共卫生协议。对于两个人群，疫苗犹豫程度因教育程度和退伍军人身份而异。在工作人员中，犹豫程度因性别和政治信仰而异。对于被监禁人员，犹豫程度因入狱前收入和探访频率而异。
结论
结果支持需要采取公共卫生政策和程序干预措施，以减少惩教环境中对疫苗接种的犹豫。
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