Department of Orthopedics and Rehabilitation Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
WMJ. 2023 Dec;122(5):444-449.
There is a paucity of studies evaluating vaccine uptake in adults with neurological and musculoskeletal medical conditions. We sought to evaluate the rates of COVID-19 vaccine uptake in patients seen in an outpatient rehabilitation clinic.
We conducted a retrospective, single center study of adults seen at an outpatient rehabilitation clinic from December 1, 2020, through June 30, 2021, with an active Wisconsin Immunization Registry record. The primary outcome was completion of a COVID-19 primary vaccine series.
Of 1362 patients, 83.3% completed a COVID-19 vaccination series. Younger patients had increased odds of not completing a COVID-19 vaccination series (mean [SD] 46.7 [14.7] vs 54.3 [15.8]; OR 1.03; 95% CI, 1.02-1.04; < 0.001). Those who identified as non-White (1.88; 95% CI, 1.16-3.04; P = 0.010) or current smoker (1.85, 95% CI, 1.85-2.79; P = 0.004) had increased odds of not completing a COVID-19 vaccination series. Those who resided in rural ZIP codes (1.81; 95% CI, 1.35-2.43; < 0.001), had not received a 2019-2020 influenza vaccine (5.13; 95% CI, 3.79-6.96; < 0.001), or had lower comorbidity scores (2.95; 95% CI, 1.98-4.41; < 0.001) had higher odds of not completing a COVID-19 vaccination series.
There was a high rate of COVID-19 vaccine uptake among patients seen in a rehabilitation clinic, though racial, ethnic, and geographic differences did exist. Further studies are needed to determine why these disparities exist and investigate interventions to increase vaccine uptake in these populations.
评估患有神经和肌肉骨骼疾病的成年人对疫苗的接种率的研究很少。我们旨在评估在门诊康复诊所就诊的患者中 COVID-19 疫苗的接种率。
我们对 2020 年 12 月 1 日至 2021 年 6 月 30 日期间在门诊康复诊所就诊且有威斯康星州免疫登记处活跃记录的成年人进行了回顾性单中心研究。主要结局是完成 COVID-19 初级疫苗系列接种。
在 1362 名患者中，83.3%完成了 COVID-19 疫苗接种系列。较年轻的患者未完成 COVID-19 疫苗接种系列的可能性更高（平均[SD] 46.7 [14.7] 岁 vs 54.3 [15.8] 岁；OR 1.03；95%CI，1.02-1.04； < 0.001）。非白人（1.88；95%CI，1.16-3.04；P = 0.010）或当前吸烟者（1.85，95%CI，1.85-2.79；P = 0.004）的可能性更高。那些居住在农村邮政编码（1.81；95%CI，1.35-2.43； < 0.001）、未接种 2019-2020 年流感疫苗（5.13；95%CI，3.79-6.96； < 0.001）或合并症评分较低（2.95；95%CI，1.98-4.41； < 0.001）的患者未完成 COVID-19 疫苗接种系列的可能性更高。
在康复诊所就诊的患者中 COVID-19 疫苗接种率很高，但确实存在种族、民族和地理差异。需要进一步研究以确定为什么存在这些差异，并研究干预措施以提高这些人群的疫苗接种率。
