Rochester, NY Emerging Infections Program, Center for Community Health & Prevention at the University of Rochester Medical Center, 46 Prince Street, Suite 1001, Rochester, NY 14607, United States; Department of Public Health Sciences, University of Rochester School of Medicine & Dentistry, 265 Crittenden Blvd, Rochester, NY 14642, United States.
Rochester, NY Emerging Infections Program, Center for Community Health & Prevention at the University of Rochester Medical Center, 46 Prince Street, Suite 1001, Rochester, NY 14607, United States.
Vaccine. 2024 Apr 11;42(10):2585-2591. doi: 10.1016/j.vaccine.2024.03.019. Epub 2024 Mar 12.
Identify characteristics of healthcare personnel (HCP) who did not have timely initiation of the COVID-19 primary series, as well as HCP who did not receive a booster vaccine.
Characteristics of HCP enrolled in a COVID-19 vaccine effectiveness study between 12/28/2020-12/01/2022 were compared by timing of receipt of 1st mRNA dose, and by receipt of a booster dose. Data for this retrospective cohort analysis came from HCP working at a large healthcare system in Monroe County, New York, and included standardized questionnaires and verified vaccination status. HCP were categorized by whether they received their 1stmRNA COVID-19 vaccine between 12/14/2020-03/30/2021 (earlier) or 04/01/2021-09/28/2021 (later) based on timing of local vaccine eligibility and mandates, and by whether they received a 3rdmRNA booster dose by 12/01/22. Logistic regression models were run to identify characteristics of HCP who had later 1stdose receipt or did not receive a booster.
3,375 HCP were enrolled. Of these, 86.8 % had early initiation of their 1stCOVID-19 vaccine, and 85.0 % received a booster dose. Low education, low household income, younger age (<50), non-White race and public health insurance were all significant predictors of later receipt of 1stdose and lack of uptake of a booster. However, advanced professional role was only found to be a significant predictor of early 1stdose receipt.
Continual monitoring of COVID-19 vaccine uptake among HCP to identify those less likely to receive new booster doses will be crucial to support targeted vaccine campaigns in this important population.
确定未及时接种 COVID-19 初级系列疫苗的医护人员（HCP）的特征，以及未接种加强疫苗的 HCP 的特征。
比较了 2020 年 12 月 28 日至 2022 年 12 月 1 日期间参加 COVID-19 疫苗效力研究的 HCP 按首次 mRNA 剂量的接种时间以及是否接种加强剂量的特征。这项回顾性队列分析的数据来自纽约门罗县一家大型医疗保健系统工作的 HCP，包括标准化问卷和经核实的疫苗接种状况。根据当地疫苗资格和规定的时间，HCP 分为是否在 2020 年 12 月 14 日至 2021 年 3 月 30 日（较早）或 2021 年 4 月 1 日至 2021 年 9 月 28 日（较晚）接种第一剂 mRNA COVID-19 疫苗，并根据是否在 2022 年 12 月 1 日之前接种了第三剂 mRNA 加强针。使用逻辑回归模型确定较晚接种第一剂疫苗或未接种加强针的 HCP 的特征。
共纳入 3375 名 HCP。其中，86.8%的人较早地接种了第一剂 COVID-19 疫苗，85.0%的人接种了加强针。受教育程度低、家庭收入低、年龄较小（<50 岁）、非白种人和公共医疗保险均是较晚接种第一剂疫苗和未接种加强针的显著预测因素。但是，高级专业角色仅被发现是较早接种第一剂疫苗的显著预测因素。
持续监测 HCP 对 COVID-19 疫苗的接种情况，以确定不太可能接种新加强针的人群，这对于支持在这一重要人群中开展有针对性的疫苗接种活动至关重要。
