Soulakova Julia N, Crockett Lisa J, Schmidt-Owens Mary, Schrimshaw Eric W
Department of Population Health Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.
Department of Psychology, University of Nebraska-Lincoln, 315 Burnett Hall, Lincoln, NE 68588-0308, USA.
Prev Med Rep. 2023 Aug;34:102232. doi: 10.1016/j.pmedr.2023.102232. Epub 2023 May 19.
Hesitance toward COVID-19 vaccination has greatly decreased over the course of the pandemic in the U.S. However, some populations have lower vaccination rates than the general population. This study was conducted to identify correlates of being fully vaccinated (i.e., having received all doses required to be fully vaccinated) among college students using students' responses to the 2022 Spring American College Health Association-National College Health Assessment. The surveys were administered in March of 2022. The sample (n = 617) included 18-to-30-year-old students. Firth logistic regression models were performed that controlled for age, sex assigned at birth, and food security (at a 5% significance level). The model-assisted results indicated that being a member of sexual and gender minority communities, being a graduate student, and being concerned about someone close getting COVID-19 were positively associated with being fully vaccinated, while current use of any tobacco product and current use of e-cigarettes were negatively associated with being fully vaccinated (all p-values < 0.05). In addition, the percentage of fully vaccinated students was higher among transgender/gender non-binary students (95%) than among cisgender men and women (85-87%), and among sexual minority groups (93-97%) than among heterosexual/straight students (82%). Among the racial/ethnic groups considered, the percentage of fully vaccinated students was lowest among non-Hispanic Black/African American students (77%), but the racial/ethnic differences were not statistically significant (at 5% level). The study points to a critical need for development and implementation of tailored vaccination campaigns to help students from diverse communities, including tobacco users, make informed decisions and become fully vaccinated.
在美国，新冠疫情期间人们对新冠疫苗接种的犹豫情绪已大幅下降。然而，一些人群的疫苗接种率低于总体人群。本研究旨在通过学生对2022年春季美国大学健康协会-全国大学健康评估的回答，确定大学生中完全接种疫苗（即已接种完所有规定剂量疫苗）的相关因素。调查于2022年3月进行。样本（n = 617）包括18至30岁的学生。进行了费思逻辑回归模型分析，对年龄、出生时指定的性别和食品安全状况进行了控制（显著性水平为5%）。模型辅助结果表明，作为性少数群体成员、是研究生以及担心身边亲近的人感染新冠与完全接种疫苗呈正相关，而当前使用任何烟草制品和当前使用电子烟与完全接种疫苗呈负相关（所有p值<0.05）。此外，跨性别/性别非二元学生中完全接种疫苗的学生比例（95%）高于顺性别男性和女性（85%-87%），性少数群体中完全接种疫苗的学生比例（93%-97%）高于异性恋/直性别学生（82%）。在考虑的种族/族裔群体中，非西班牙裔黑人/非裔美国学生中完全接种疫苗的学生比例最低（77%），但种族/族裔差异无统计学意义（5%水平）。该研究指出，迫切需要制定和实施有针对性的疫苗接种宣传活动，以帮助来自不同群体的学生，包括烟草使用者，做出明智的决定并实现完全接种。
