School of Nursing, Quinnipiac University, Hamden, CT, USA.
West J Nurs Res. 2023 Dec;45(12):1130-1138. doi: 10.1177/01939459231211473. Epub 2023 Nov 1.
Lesbian, gay, bisexual, transgender, and queer populations have historically experienced challenges accessing, trusting, and receiving health care services, which can negatively impact successful uptake of the COVID-19 vaccine series among this population.
This research aimed to examine the perceptions and attitudes regarding the acceptability, accessibility, and efficacy of the COVID-19 vaccine among persons who self-identify within this community.
A multidisciplinary, community-focused mixed-methods study was conducted. The quantitative portion of the study was conducted via an online survey throughout the United States for 2 months. The quantitative portion of the study consisted of multiple online focus group sessions after the completion of the survey.
The online survey had an sample of 3868 participants, with 31 participants in the focus groups. High levels of acceptability toward COVID-19 vaccines were found within this community. Concerns highlighted included the need for culturally competent care, side effects of the vaccine, and unknown effects of the vaccine with hormone replacement therapy. Racial and ethnic minority, transgender, and nonbinary participants reported higher levels of uncertainty about vaccination.
Findings demonstrate that most lesbian, gay, bisexual, transgender, and queer individuals felt comfortable with the COVID-19 vaccine, had a positive experience with the vaccination process, and believe that the vaccine can protect them and others from COVID-19. When developing future COVID-19 vaccination strategies and rollouts, public health officials should consider prioritizing lesbian, gay, bisexual, transgender, and queer individuals and other marginalized populations by partnering with local organizations to identify trusted organizations.
同性恋、双性恋、跨性别和 queer 群体在获得、信任和接受医疗保健服务方面一直面临挑战，这可能会对该群体成功接种 COVID-19 疫苗系列产生负面影响。
本研究旨在探讨该群体对 COVID-19 疫苗的可接受性、可及性和有效性的看法和态度。
进行了一项多学科、以社区为重点的混合方法研究。该研究的定量部分在美国通过在线调查进行了 2 个月。在调查完成后，进行了多次在线焦点小组会议。
在线调查的样本量为 3868 名参与者，焦点小组有 31 名参与者。该社区对 COVID-19 疫苗的接受程度很高。强调的问题包括需要文化上合适的护理、疫苗的副作用以及激素替代疗法对疫苗的未知影响。少数族裔、跨性别和非二元性别参与者报告对疫苗接种的不确定性更高。
研究结果表明，大多数同性恋、双性恋、跨性别和 queer 个体对 COVID-19 疫苗感到舒适，对疫苗接种过程有积极的体验，并相信疫苗可以保护他们和他人免受 COVID-19 的侵害。在制定未来的 COVID-19 疫苗接种策略和推出时，公共卫生官员应考虑通过与当地组织合作来优先考虑同性恋、双性恋、跨性别和 queer 个体以及其他边缘化群体，以确定可信赖的组织。
