College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
Patient Educ Couns. 2025 Jan;130:108481. doi: 10.1016/j.pec.2024.108481. Epub 2024 Oct 24.
We assessed healthcare provider recommendations for COVID-19 vaccination, disparities across sociodemographic factors, and associations with health care coverage, social norms, COVID-19 vaccine hesitancy, and Fox News preference.
We utilized random sample survey data of Arkansas residents (N = 2201) collected in October 2022 to identify adults with a personal provider who make up the analytical sample of this study (n = 1804).
Over a third (37.2 %; n = 607) of the weighted sample did not receive a recommendation. Adjusted odds of receiving a recommendation were positively associated with health care coverage (aOR=1.66; 95 % CI [1.05, 2.64]) and negatively associated with perceiving "very few" (aOR=0.48; 95 % CI [0.33, 0.72]) or "some but not many" (aOR=0.57; 95 % CI [0.41, 0.80]) rather than "nearly all" people close to them to be vaccinated. Adjusted odds of receiving a recommendation were negatively associated with being very hesitant (vs. not at all hesitant) (aOR=0.65; 95 % CI [0.47, 0.88]).
Provider recommendations for COVID-19 vaccination were not provided for a large portion of Arkansas adults, were inconsistently provided across sociodemographic groups, and were associated with health care coverage, social norms, and vaccine hesitancy.
Intervening on disparities in COVID-19 vaccination may require addressing disparities in provider recommendations.
我们评估了医疗保健提供者对 COVID-19 疫苗接种的建议，以及在社会人口因素方面的差异，并与医疗保健覆盖范围、社会规范、COVID-19 疫苗犹豫和福克斯新闻偏好相关联。
我们利用 2022 年 10 月收集的阿肯色州居民的随机样本调查数据（N=2201），确定了有私人提供者的成年人，构成了本研究的分析样本（n=1804）。
超过三分之一（37.2%；n=607）的加权样本未收到建议。接受建议的调整后优势比与医疗保健覆盖范围呈正相关（aOR=1.66；95%CI[1.05,2.64]），与感知“很少”（aOR=0.48；95%CI[0.33,0.72]）或“有些但不多”（aOR=0.57；95%CI[0.41,0.80]）的人而非接近他们的人几乎都接种疫苗呈负相关。接受建议的调整后优势比与非常犹豫（而非毫不犹豫）呈负相关（aOR=0.65；95%CI[0.47,0.88]）。
阿肯色州的大部分成年人都没有得到 COVID-19 疫苗接种的提供者建议，在社会人口因素方面的建议不一致，与医疗保健覆盖范围、社会规范和疫苗犹豫有关。
解决 COVID-19 疫苗接种方面的差异可能需要解决提供者建议方面的差异。
