COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City

Abstract Objective Understanding variables associated with coronavirus disease 2019 (COVID‐19) vaccine confidence and hesitancy may inform strategies to improve vaccine uptake in clinical settings such as the emergency department (ED). We aim to identify factors contributing to COVID‐19 vaccine acce...

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Main Authors: Christina P. Guzman, Jamie Aron, Jennifer Egbebike, M. Claire Greene, Christopher Reisig, Michael DeFilippo, E. Brennan Bollman, Bianca R. Stefan, Bernard P. Chang, Anju Wagh, Tsion Firew
Format: Article
Language:English
Published: Wiley 2022-12-01
Series:Journal of the American College of Emergency Physicians Open
Subjects:
Online Access:https://doi.org/10.1002/emp2.12830
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author Christina P. Guzman
Jamie Aron
Jennifer Egbebike
M. Claire Greene
Christopher Reisig
Michael DeFilippo
E. Brennan Bollman
Bianca R. Stefan
Bernard P. Chang
Anju Wagh
Tsion Firew
author_facet Christina P. Guzman
Jamie Aron
Jennifer Egbebike
M. Claire Greene
Christopher Reisig
Michael DeFilippo
E. Brennan Bollman
Bianca R. Stefan
Bernard P. Chang
Anju Wagh
Tsion Firew
author_sort Christina P. Guzman
collection DOAJ
description Abstract Objective Understanding variables associated with coronavirus disease 2019 (COVID‐19) vaccine confidence and hesitancy may inform strategies to improve vaccine uptake in clinical settings such as the emergency department (ED). We aim to identify factors contributing to COVID‐19 vaccine acceptance and to assess patient attitudes surrounding offering COVID‐19 vaccines in the ED. Methods We conducted a survey of a convenience sample of patients and patient visitors over the age 18 years, who were native English or Spanish speakers. The survey was conducted from March through August 2021 at 3 EDs in New York City. The survey was administered via an electronic format, and participants provided verbal consent. Results Our sample size was 377. Individuals with post‐graduate degrees viewed vaccines positively (Prevalence Ratio [PR], 1.63; 95% Confidence Interval [CI], 1.07–2.47).  Of the various high‐risk medical conditions associated with adverse COVID‐19 infection outcomes, diabetes was the only condition associated with more positive views of vaccines (PR, 1.37; CI, 1.17–1.59). Of all participants, 71.21% stated that they believed offering a COVID‐19 vaccine in the ED was a good idea. Of unvaccinated participants, 21.80% stated they would get vaccinated if it were offered to them in the ED. Conclusion EDs can serve as a safety net for vulnerable populations and can act as an access point for vaccination.
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spelling doaj.art-1d6d5cd50d464559a7b83b44dbe019a72023-05-01T17:36:02ZengWileyJournal of the American College of Emergency Physicians Open2688-11522022-12-0136n/an/a10.1002/emp2.12830COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York CityChristina P. Guzman0Jamie Aron1Jennifer Egbebike2M. Claire Greene3Christopher Reisig4Michael DeFilippo5E. Brennan Bollman6Bianca R. Stefan7Bernard P. Chang8Anju Wagh9Tsion Firew10Department of Emergency Medicine Columbia University Irving Medical Center New York New York USAColumbia University Vagelos College of Physicians and Surgeons New York New York USAColumbia University Vagelos College of Physicians and Surgeons New York New York USAHeilbrunn Department of Population and Family Health Mailman School of Public Health Columbia University New York New York USADepartment of Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Division of Pediatric Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Division of Pediatric Emergency Medicine Columbia University Irving Medical Center New York New York USADepartment of Emergency Medicine Columbia University Irving Medical Center New York New York USAAbstract Objective Understanding variables associated with coronavirus disease 2019 (COVID‐19) vaccine confidence and hesitancy may inform strategies to improve vaccine uptake in clinical settings such as the emergency department (ED). We aim to identify factors contributing to COVID‐19 vaccine acceptance and to assess patient attitudes surrounding offering COVID‐19 vaccines in the ED. Methods We conducted a survey of a convenience sample of patients and patient visitors over the age 18 years, who were native English or Spanish speakers. The survey was conducted from March through August 2021 at 3 EDs in New York City. The survey was administered via an electronic format, and participants provided verbal consent. Results Our sample size was 377. Individuals with post‐graduate degrees viewed vaccines positively (Prevalence Ratio [PR], 1.63; 95% Confidence Interval [CI], 1.07–2.47).  Of the various high‐risk medical conditions associated with adverse COVID‐19 infection outcomes, diabetes was the only condition associated with more positive views of vaccines (PR, 1.37; CI, 1.17–1.59). Of all participants, 71.21% stated that they believed offering a COVID‐19 vaccine in the ED was a good idea. Of unvaccinated participants, 21.80% stated they would get vaccinated if it were offered to them in the ED. Conclusion EDs can serve as a safety net for vulnerable populations and can act as an access point for vaccination.https://doi.org/10.1002/emp2.12830COVID‐19COVID‐19 vaccinevaccinevaccine acceptancevaccine attitudesvaccine hesitancy
spellingShingle Christina P. Guzman
Jamie Aron
Jennifer Egbebike
M. Claire Greene
Christopher Reisig
Michael DeFilippo
E. Brennan Bollman
Bianca R. Stefan
Bernard P. Chang
Anju Wagh
Tsion Firew
COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
Journal of the American College of Emergency Physicians Open
COVID‐19
COVID‐19 vaccine
vaccine
vaccine acceptance
vaccine attitudes
vaccine hesitancy
title COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
title_full COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
title_fullStr COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
title_full_unstemmed COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
title_short COVID‐19 vaccine controversy: A cross‐sectional analysis of factors associated with COVID‐19 vaccine acceptance amongst emergency department patients in New York City
title_sort covid 19 vaccine controversy a cross sectional analysis of factors associated with covid 19 vaccine acceptance amongst emergency department patients in new york city
topic COVID‐19
COVID‐19 vaccine
vaccine
vaccine acceptance
vaccine attitudes
vaccine hesitancy
url https://doi.org/10.1002/emp2.12830
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