Department of Population Health (Grove) and Department of Psychiatry and Behavioral Sciences (Emerson, Merola, Andries, Cohen), Dell Medical School, The University of Texas at Austin, Austin; Texas Institute for Excellence in Mental Health, Steve Hicks School of Social Work, The University of Texas at Austin, Austin (Cohen).
Psychiatr Serv. 2023 Dec 1;74(12):1281-1284. doi: 10.1176/appi.ps.20230019. Epub 2023 Jul 18.
The authors examined attitudes toward and uptake of COVID-19 vaccination among individuals with serious mental illness or substance use disorder.
Clients of a community mental health center in Texas (N=50) participated in semistructured, in-person interviews regarding their COVID-19 vaccination decision. Thematic analysis was used to analyze interview data.
Most participants (68%) reported receipt of at least one COVID-19 vaccine dose. Participants were motivated to get vaccinated mostly by a desire to protect themselves or others. Convenience of vaccination location and access to free vaccination facilitated vaccine uptake. However, concerns about the COVID-19 vaccine were common among both vaccinated and unvaccinated participants and could be reinforced or overcome by social network influences.
Fear, uncertainty, and conflicting vaccine information were common themes in the COVID-19 vaccination decisions of behavioral health service clients. Improving access to information from trusted sources, including health care providers, could help to overcome vaccine concerns in this population.
作者研究了患有严重精神疾病或物质使用障碍的个体对 COVID-19 疫苗接种的态度和接受情况。
德克萨斯州一家社区心理健康中心的客户（N=50）参加了关于他们 COVID-19 疫苗接种决定的半结构化、面对面访谈。采用主题分析方法对访谈数据进行分析。
大多数参与者（68%）报告至少接种了一剂 COVID-19 疫苗。参与者接种疫苗的动机主要是为了保护自己或他人。接种地点便利且可免费接种疫苗，这促进了疫苗接种的普及。然而，对 COVID-19 疫苗的担忧在已接种和未接种疫苗的参与者中都很常见，社交网络的影响可能会加剧或克服这些担忧。
恐惧、不确定性和相互矛盾的疫苗信息是行为健康服务客户 COVID-19 疫苗接种决策中的常见主题。改善从包括医疗保健提供者在内的可信来源获取信息的机会，可以帮助解决该人群对疫苗的担忧。
