Maya Angelou Center for Health Equity, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
J Racial Ethn Health Disparities. 2024 Oct;11(5):2827-2838. doi: 10.1007/s40615-023-01744-w. Epub 2023 Aug 14.
The COVID-19 pandemic has revealed significant differences in COVID-19 vaccination rates, with African Americans reporting lower rates compared to other racial and ethnic groups. The purpose of these analyses was to assess whether COVID-19 vaccination status differed according to age in a sample of 1,240 African American adult congregants of faith-based organizations ages 18 years or older, and to examine whether this association was moderated by gender.
We developed and administered a 75-item cross-sectional survey, the Triad Pastor's Network COVID-19 and COVID-19 Vaccination survey, to assess experiences and perceptions regarding the COVID-19 virus and vaccines. We assessed the association between age and having received > 1 dose of a COVID-19 vaccine using unadjusted and multivariable binary logistic regression models, and the interaction of age and gender with COVID-19 vaccination status in a multivariable model.
Approximately 86% of participants reported having received ≥ 1 dose of a COVID-19 vaccine. The mean age (standard deviation) of the sample was 51.33 (16.62) years, and 70.9% of the sample was comprised of women. The age by gender interaction term in the multivariable model was significant (p = 0.005), prompting additional analyses stratified by gender. In women, increased age was significantly associated with higher odds of COVID-19 vaccination (odds ratio = 1.09; 95% Confidence Interval 1.06, 1.11; p < 0.001). In men, the association was not significant (p = 0.44).
Older age was positively associated with COVID-19 vaccination in African American women, but not African American men, which may inform strategies to increase vaccination rates.
COVID-19 大流行揭示了 COVID-19 疫苗接种率的显著差异，非裔美国人的接种率低于其他种族和族裔群体。本分析的目的是评估在一个由 1240 名年龄在 18 岁或以上的信仰组织的非裔美国成年会众样本中，COVID-19 疫苗接种状况是否因年龄而异，并检查这种关联是否受到性别调节。
我们开发并管理了一项 75 项的横断面调查，即三一派牧师网络 COVID-19 和 COVID-19 疫苗接种调查，以评估参与者对 COVID-19 病毒和疫苗的经验和看法。我们使用未调整和多变量二项逻辑回归模型评估了年龄与接受≥1 剂 COVID-19 疫苗之间的关联，并在多变量模型中评估了年龄和性别与 COVID-19 疫苗接种状况的相互作用。
约 86%的参与者报告说已接受≥1 剂 COVID-19 疫苗。样本的平均年龄（标准差）为 51.33（16.62）岁，其中 70.9%的样本由女性组成。多变量模型中的年龄与性别交互项具有统计学意义（p=0.005），促使我们按性别进行进一步分析。在女性中，年龄的增加与 COVID-19 疫苗接种的几率显著相关（比值比=1.09；95%置信区间 1.06，1.11；p<0.001）。在男性中，这种关联不显著（p=0.44）。
在非裔美国女性中，年龄与 COVID-19 疫苗接种呈正相关，但在非裔美国男性中则不然，这可能为提高疫苗接种率的策略提供信息。
