Section of Public and Population Health, Division of Oral and Systemic Health Sciences, School of Dentistry, University of California, Los Angeles (UCLA), 10833 La Conte, Los Angeles, CA, 90095, USA.
Luskin School of Public Affairs, UCLA, 10833 La Conte, Los Angeles, CA, 90095, USA.
J Racial Ethn Health Disparities. 2024 Oct;11(5):2925-2934. doi: 10.1007/s40615-023-01750-y. Epub 2023 Aug 11.
This study examines the factors associated with COVID-19 testing, vaccination intent (both individually and jointly), and willingness to use contact tracing digital apps among a cohort of Black and Latinx men who have sex with men (BLMSM) living in Los Angeles during the initial peak (July 2020) of the COVID-19 pandemic. A questionnaire detailing participants COVID-19 experiences was sent to 300 primarily BLMSM after the first state-wide COVID-19 lockdown. Logistic regression models with random cluster effects were used for analyses. Forty-two percent (42%) tested for COVID-19, 27% were willing to get vaccinated, and about 45% reported willingness to use contact tracing digital apps. Controlling for intervention participation, age, education, marital status, employment, health, tobacco, binge drinking, and self-reported anxiety, those who were depressed had 33% (95% CI: 0.13 to 0.82) odds of using a prevention strategy (either test for COVID-19 or vaccination intent) as the group who were not depressed. Those who had high school diploma or less had 23% (95% CI: 0.11 to 0.48) odds to use digital contact tracing apps as the group with education level of at least Associate's or Bachelor's degree. Without considering the format of the test kits, vaccine side effects, and ease of use for digital contact tracing apps, participants appeared to still be hesitant in using COVID-19 prevention strategies at the initial height of the pandemic. Our findings suggest the need for further investigation into this hesitancy to better inform and prepare for future epidemics.
本研究调查了与 COVID-19 检测、疫苗接种意愿（单独和联合）以及在洛杉矶居住的黑人和拉丁裔男男性行为者（BLMSM）队列中使用接触者追踪数字应用程序的意愿相关的因素，这些人在 COVID-19 大流行的最初高峰期（2020 年 7 月）。在第一次全州 COVID-19 封锁后，向 300 名主要为 BLMSM 的参与者发送了一份详细说明他们 COVID-19 经历的问卷。使用具有随机聚类效应的逻辑回归模型进行分析。42%（42%）接受了 COVID-19 检测，27%愿意接种疫苗，约 45%表示愿意使用接触者追踪数字应用程序。在控制干预参与、年龄、教育程度、婚姻状况、就业、健康、烟草、 binge 饮酒和自我报告的焦虑后，与未抑郁的组相比，抑郁的组使用预防策略（检测 COVID-19 或疫苗接种意愿）的几率低 33%（95%CI：0.13 至 0.82）。与至少具有副学士或学士学位的教育程度的组相比，具有高中文凭或以下的组使用数字接触者追踪应用程序的几率低 23%（95%CI：0.11 至 0.48）。不考虑测试包的格式、疫苗副作用和数字接触者追踪应用程序的易用性，在大流行的最初高峰期，参与者似乎仍然对使用 COVID-19 预防策略犹豫不决。我们的研究结果表明，需要进一步调查这种犹豫，以更好地为未来的流行病做好信息和准备。
