From the Department of Child, Family, and Population Health Nursing, University of Washington, School of Nursing, Seattle, WA (OH); Center for Infectious Disease and Nursing Innovation, Johns Hopkins University, School of Nursing, Baltimore MD (OH, DM, KL, JEF); Departments of Anesthesiology, Critical Care Medicine and Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore MD (KJO); Center for Health Security, Johns Hopkins University, Bloomberg School of Public Health, Baltimore MD (DM); and Milken Institute, Santa Monica, CA (VC).
J Addict Med. 2023;17(5):e287-e289. doi: 10.1097/ADM.0000000000001164. Epub 2023 Mar 10.
The aim of the study is to describe the impact of colocating COVID-19 vaccinations with local syringe service programs on vaccine completion among people who inject drugs.
Data were derived from 6 community-based clinics. People who inject drugs who received at least one COVID-19 vaccine from a colocated clinic partnering with a local syringe service program were included in the study. Vaccine completion was abstracted from electronic medical records; additional vaccinations were abstracted using health information exchanges embedded within the electronic medical records.
Overall, 142 individuals with a mean age of 51 years, predominantly male (72%) and Black, non-Hispanic (79%) received COVID-19 vaccines. More than half elected to receive a 2-dose mRNA vaccine (51.4%). Eighty-five percent completed a primary series, and 71% of those who received a mRNA vaccine completed the 2-dose series. Booster uptake was 34% in those completing a primary series.
Colocated clinics are an effective means of reaching vulnerable populations. As the COVID-19 pandemic continues and need for annual booster vaccines arises, it is important to bolster public support and funding to continue low-barrier preventive clinics colocated with harm reduction services for this population.
本研究旨在描述将 COVID-19 疫苗接种与当地注射器服务项目同时进行对注射毒品者疫苗接种完成情况的影响。
数据来自 6 家社区诊所。本研究纳入了至少在与当地注射器服务项目合作的同时设立诊所接种过一剂 COVID-19 疫苗的注射毒品者。从电子病历中提取疫苗接种完成情况;通过嵌入电子病历中的健康信息交换系统提取额外的疫苗接种信息。
总体而言,142 名参与者的平均年龄为 51 岁,主要为男性(72%)和非西班牙裔黑人(79%)。超过一半的人选择接种 2 剂 mRNA 疫苗(51.4%)。85%的人完成了初级系列接种,其中 71%接种 mRNA 疫苗的人完成了 2 剂系列接种。在完成初级系列接种的人中,加强针接种率为 34%。
同时设立的诊所是接触弱势群体的有效手段。随着 COVID-19 大流行的持续以及对年度加强疫苗的需求增加,重要的是要加强公众支持和资金投入,以便继续为这一人群提供与减少伤害服务同时设立的低门槛预防诊所。