Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Transpl Int. 2023 Feb 14;36:10888. doi: 10.3389/ti.2023.10888. eCollection 2023.
In dynamic healthcare environments including the COVID-19 pandemic, it is paramount to communicate health recommendations expediently and clearly. Research has shown social determinants of health affect the impact of COVID-19 on abdominal transplant recipients, but there has been less research on the effect of language proficiency. This is a cohort study of time to first COVID-19 vaccination among abdominal organ transplant recipients in an academic medical center in Boston, MA between 18 December 2020, and 15 February 2021. Cox proportional hazards analysis of time to vaccination by preferred language were adjusted for race, age group, insurance, and transplanted organ. Among 3001 patients, 53% were vaccinated during the study period. Language preference other than English was independently associated with delay to vaccination (0.64, = 0.001), on adjusted analysis. In addition, Black, Hispanic and other race patients were less likely to be vaccinated than white patients (0.58, 0.67, 0.68 vs. reference, all < 0.03). Language preference other than English is an independent barrier to solid abdominal organ transplant recipients' access to timely COVID-19 vaccination. Equity in care should be improved by providing targeted services to minority language speakers.
在包括 COVID-19 大流行在内的动态医疗环境中，迅速而清晰地传达健康建议至关重要。研究表明，健康的社会决定因素会影响 COVID-19 对腹部器官移植受者的影响，但关于语言熟练程度的影响的研究较少。这是一项队列研究，研究对象是马萨诸塞州波士顿一家学术医疗中心的腹部器官移植受者在 2020 年 12 月 18 日至 2021 年 2 月 15 日期间首次接种 COVID-19 疫苗的时间。通过首选语言对疫苗接种时间的 Cox 比例风险分析进行了调整，以调整种族、年龄组、保险和移植器官。在 3001 名患者中，53%在研究期间接种了疫苗。在调整分析中，除英语以外的语言偏好与接种疫苗的延迟有关（0.64， = 0.001）。此外，黑人和西班牙裔以及其他种族的患者接种疫苗的可能性低于白人患者（0.58、0.67、0.68 与参考值相比，均 < 0.03）。除英语以外的语言偏好是影响实体腹部器官移植受者及时接种 COVID-19 疫苗的独立障碍。应通过向讲少数民族语言的人提供有针对性的服务来提高护理公平性。
