Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, California, USA.
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
LGBT Health. 2023 Aug-Sep;10(6):480-485. doi: 10.1089/lgbt.2022.0255. Epub 2023 Mar 28.
We examined associations between vaccine confidence and COVID-19 vaccine uptake among gay, bisexual, and other men who have sex with men (GBMSM). Computer-assisted self-interviews were conducted among 249 GBMSM participating in mSTUDY from May to October 2021-a cohort of GBMSM with a history of substance use in Los Angeles. Data were collected using a vaccine confidence index. The association between vaccine confidence and COVID-19 vaccine uptake was assessed using multivariable log-binomial regression. Two-thirds (64.7%) of GBMSM reported receiving at least one dose of COVID-19 vaccine. Vaccine confidence was positively associated with COVID-19 vaccine uptake. Participants expressed neutral attitudes on government trust and vaccine safety. Perceived health benefit and vaccine effectiveness were statistically significantly associated with vaccine uptake (adjusted prevalence ratio [APR] = 1.59, 95% confidence interval [CI]: 1.20-2.16; APR = 1.51, 95% CI: 1.07-2.15). Public health programs should prioritize public benefit and vaccine effectiveness messaging to advance vaccination among GBMSM who use substances.
我们研究了疫苗信心与男同性恋者、双性恋者和其他与男性发生性关系的男性（GBMSM）中 COVID-19 疫苗接种率之间的关联。2021 年 5 月至 10 月，在洛杉矶有药物使用史的 mSTUDY 队列中，对 249 名参与研究的 GBMSM 进行了计算机辅助自我访谈。使用疫苗信心指数收集数据。使用多变量对数二项式回归评估疫苗信心与 COVID-19 疫苗接种率之间的关联。三分之二（64.7%）的 GBMSM 报告至少接种了一剂 COVID-19 疫苗。疫苗信心与 COVID-19 疫苗接种率呈正相关。参与者对政府信任和疫苗安全性持中立态度。感知健康益处和疫苗有效性与疫苗接种率呈统计学显著相关（调整后的患病率比 [APR] = 1.59，95%置信区间 [CI]：1.20-2.16；APR = 1.51，95% CI：1.07-2.15）。公共卫生计划应优先考虑公共利益和疫苗有效性信息，以推进使用药物的 GBMSM 接种疫苗。
