Keshtkar Mohammad, Tyutyunnyk Diana, King Paige, Palmer Katharine, Brigman Mariah, Jett Julianne D, Beck Rachael, Parent Sara C, Ries Richard, McPherson Sterling M, Chaytor Naomi S, Roll John M, Weeks Douglas L, McDonell Michael G
Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.
Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Spokane, WA, USA.
Drug Alcohol Depend Rep. 2024 Sep 24;13:100284. doi: 10.1016/j.dadr.2024.100284. eCollection 2024 Dec.
The study objective was to determine factors associated with obtaining COVID-19 vaccination in people with co-occurring alcohol use disorder (AUD) and serious mental illness (SMI).
Survey responses were obtained from 135 adults with SMI seeking community-based AUD treatment about their primary series vaccination status, COVID-19 preventative practices, vaccination motivators, reasons for vaccine hesitancy, and strategies to increase vaccination uptake. Vaccinated and unvaccinated groups were compared. Responses to survey items with nominal or Likert scales were analyzed with chi-square tests of association. Logistic regression was employed to determine predictors of vaccine status.
Seventy-nine percent (n=107) of participants reported they were vaccinated. A higher proportion of vaccinated participants believed COVID-19 was a serious disease. While both groups adopted preventative hygiene practices at similar rates (e.g., washing hands), vaccinated participants engaged in more interpersonal practices directly involving others (e.g., wearing masks and avoiding crowds). The strongest vaccine motivator was protecting personal health, while the primary reason for hesitancy was potential side effects. Most unvaccinated participants endorsed increased safety information availability (61.1 %) and living with a high-risk-for-severe-infection individual (55.6 %) as reasons to overcome hesitancy.
Vaccination rates, motivators, and hesitancy reasons were similar to the general United States population. Strategies to increase vaccination in this high-risk population should include education on vaccine safety and side effects and the impacts of COVID-19 and other respiratory illnesses on others.
本研究的目的是确定同时患有酒精使用障碍（AUD）和严重精神疾病（SMI）的人群中与接种新冠疫苗相关的因素。
对135名寻求社区AUD治疗的患有SMI的成年人进行了调查，询问他们的主要系列疫苗接种状况、新冠预防措施、接种疫苗的动机、疫苗犹豫的原因以及提高疫苗接种率的策略。对已接种和未接种疫苗的组进行了比较。使用卡方关联检验分析了对名义量表或李克特量表调查项目的回答。采用逻辑回归确定疫苗接种状况的预测因素。
79%（n=107）的参与者报告他们已接种疫苗。更高比例的已接种疫苗参与者认为新冠是一种严重疾病。虽然两组采取预防卫生措施的比例相似（例如洗手），但已接种疫苗的参与者更多地参与了直接涉及他人的人际措施（例如戴口罩和避免人群聚集）。最强的疫苗接种动机是保护个人健康，而犹豫的主要原因是潜在的副作用。大多数未接种疫苗的参与者认可增加安全信息的可获取性（61.1%）和与严重感染高风险个体同住（55.6%）作为克服犹豫的理由。
疫苗接种率、动机和犹豫原因与美国普通人群相似。在这一高风险人群中提高疫苗接种率的策略应包括关于疫苗安全性和副作用以及新冠和其他呼吸道疾病对他人影响的教育。
