儿童医疗复杂性患者按家庭语言划分的 COVID-19 疫苗接种意愿、检测和信任来源的差异。
Disparities in COVID-19 vaccine intentions, testing and trusted sources by household language for children with medical complexity.
机构信息
Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
Department of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
出版信息
PLoS One. 2024 Jun 14;19(6):e0305553. doi: 10.1371/journal.pone.0305553. eCollection 2024.
OBJECTIVES
Children with medical complexity experienced health disparities during the coronavirus disease 2019 (COVID-19) pandemic. Language may compound these disparities since people speaking languages other than English (LOE) also experienced worse COVID-19 outcomes. Our objective was to investigate associations between household language for children with medical complexity and caregiver COVID-19 vaccine intentions, testing knowledge, and trusted sources of information.
METHODS
This cross-sectional survey of caregivers of children with medical complexity ages 5 to 17 years was conducted from April-June 2022. Children with medical complexity had at least 1 Complex Chronic Condition. Households were considered LOE if they reported speaking any language other than English. Multivariable logistic regression examined associations between LOE and COVID-19 vaccine intentions, interpretation of COVID-19 test results, and trusted sources of information.
RESULTS
We included 1,338 caregivers of children with medical complexity (49% response rate), of which 133 (10%) had household LOE (31 total languages, 58% being Spanish). There was no association between household LOE and caregiver COVID-19 vaccine intentions. Caregivers in households with LOE had similar interpretations of positive COVID-19 test results, but significantly different interpretations of negative results. Odds of interpreting a negative test as expected (meaning the child does not have COVID-19 now or can still get the virus from others) were lower in LOE households (aOR [95% CI]: 0.56 [0.34-0.95]). Households with LOE were more likely to report trusting the US government to provide COVID-19 information (aOR [95% CI]: 1.86 [1.24-2.81]).
CONCLUSION
Differences in COVID-19 test interpretations based on household language for children with medical complexity were observed and could contribute to disparities in outcomes. Opportunities for more inclusive public health messaging likely exist.
目的
在 2019 年冠状病毒病（COVID-19）大流行期间，患有复杂疾病的儿童经历了健康方面的差异。语言可能会加剧这些差异，因为讲英语以外语言（LOE）的人也经历了更糟糕的 COVID-19 结果。我们的目的是调查患有复杂疾病的儿童的家庭语言与照顾者 COVID-19 疫苗接种意向、检测知识和可信赖的信息来源之间的关联。
方法
这是一项针对 5 至 17 岁患有复杂疾病的儿童的照顾者的横断面调查，于 2022 年 4 月至 6 月进行。患有复杂疾病的儿童至少有一种复杂慢性疾病。如果家庭报告说讲任何除英语以外的语言，则认为该家庭使用 LOE。多变量逻辑回归检查了 LOE 与 COVID-19 疫苗接种意向、COVID-19 检测结果的解释以及可信赖的信息来源之间的关联。
结果
我们纳入了 1338 名患有复杂疾病的儿童的照顾者（49%的回复率），其中 133 名（10%）家庭使用 LOE（31 种语言，58%为西班牙语）。家庭使用 LOE 与照顾者的 COVID-19 疫苗接种意向之间没有关联。家中使用 LOE 的照顾者对阳性 COVID-19 检测结果的解释相似，但对阴性结果的解释却有很大差异。在 LOE 家庭中，将阴性测试解释为预期的可能性较低（意味着孩子现在没有 COVID-19，或者仍然可能从他人那里感染病毒）（优势比[95%置信区间]：0.56[0.34-0.95]）。LOE 家庭更有可能报告信任美国政府提供 COVID-19 信息（优势比[95%置信区间]：1.86[1.24-2.81]）。
结论
对患有复杂疾病的儿童的家庭语言进行观察后发现，COVID-19 检测解释的差异可能导致结果存在差异。可能存在更具包容性的公共卫生信息传递的机会。
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