Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center
Objectives: Vaccine hesitancy among essential workers remains a significant public health challenge. We examined psychological constructs of perceived susceptibility, threat, and self-efficacy and their associations with COVID-19 vaccine hesitancy among a racially and ethnically diverse essential wo...
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-03-01
|
| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319231159814 |
| _version_ | 1827986221025984512 |
|---|---|
| author | Deborah Kupferwasser Evelyn A. Flores Prudencio Merino Donna Phan Tran Michael Bolaris Mildred Gonzales Megan H. Nguyen Arlene Balo Angel Abueg Wellington Da Silva Leslie Astorga-Cook Honghu Liu Holli Mason Deborah Freund Judi Nightingale Jay Orr Bin Xie Loren G. Miller |
| author_facet | Deborah Kupferwasser Evelyn A. Flores Prudencio Merino Donna Phan Tran Michael Bolaris Mildred Gonzales Megan H. Nguyen Arlene Balo Angel Abueg Wellington Da Silva Leslie Astorga-Cook Honghu Liu Holli Mason Deborah Freund Judi Nightingale Jay Orr Bin Xie Loren G. Miller |
| author_sort | Deborah Kupferwasser |
| collection | DOAJ |
| description | Objectives: Vaccine hesitancy among essential workers remains a significant public health challenge. We examined psychological constructs of perceived susceptibility, threat, and self-efficacy and their associations with COVID-19 vaccine hesitancy among a racially and ethnically diverse essential workforce population. Methods: We performed a cross-sectional survey of essential workers from September-December 2020 at a large Los Angeles safety-net medical center as part of a program offering free COVID-19 serology testing. Program participants completed a standardized survey at the time of phlebotomy. Hierarchical logistic regression was utilized to determine factors independently associated with vaccine hesitancy. Results: Among 1327 persons who had serology testing, 1235 (93%) completed the survey. Of these, 958 (78%) were healthcare workers. Based on expressed intent, 22% were vaccine-hesitant 78% were vaccine acceptors. In our multivariate model, vaccine hesitancy was associated with female gender [aOR = 2.09; 95% CI (1.44-3.05)], African American race [aOR = 4.32; (2.16-8.62)], LatinX ethnicity [aOR = 2.47; 95% CI (1.51-4.05)] and history of not/sometimes receiving influenza vaccination [aOR = 4.39; 95% CI (2.98-6.48)]. Compared to nurses, vaccine hesitancy was lower among physicians [aOR = 0.09; 95% CI (0.04-0.23)], non-nursing/non-physician healthcare workers [aOR = 0.55; 95% CI (0.33-0.92)], and non-healthcare care workers [aOR = 0.53; 95% CI (0.36-0.78)]. Conclusions: Among a racially/ethnically diverse group of safety net medical center essential workers, COVID-19 vaccine hesitancy was associated with racial/ethnic minority groups, employment type, and prior influenza vaccination hesitancy. Interestingly, we found no association with the Health Belief Model construct measures of perceived susceptibility, threat, and self-efficacy. Psychological constructs not assessed may be drivers of vaccine hesitancy in our population. |
| first_indexed | 2024-04-09T23:28:32Z |
| format | Article |
| id | doaj.art-5eb0c364dc1b4a67bfdca9154c51be32 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-04-09T23:28:32Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-5eb0c364dc1b4a67bfdca9154c51be322023-03-21T08:04:06ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272023-03-011410.1177/21501319231159814Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical CenterDeborah Kupferwasser0Evelyn A. Flores1Prudencio Merino2Donna Phan Tran3Michael Bolaris4Mildred Gonzales5Megan H. Nguyen6Arlene Balo7Angel Abueg8Wellington Da Silva9Leslie Astorga-Cook10Honghu Liu11Holli Mason12Deborah Freund13Judi Nightingale14Jay Orr15Bin Xie16Loren G. Miller17Claremont Graduate University, Claremont, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USALos Angeles County College of Nursing and Allied Health, Los Angeles, CA, USAUniversity of California Irvine, Irvine, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USAHarbor-UCLA Medical Center, Torrance, CA, USALos Angeles County + USC Medical Center, Los Angeles, CA, USALos Angeles County + USC Medical Center, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles CA, USAHarbor-UCLA Medical Center, Torrance, CA, USAClaremont Graduate University, Claremont, CA, USARiverside University Health System, Moreno Valley, CA, USAClaremont Graduate University, Claremont, CA, USAClaremont Graduate University, Claremont, CA, USAUniversity of California, Los Angeles, Los Angeles CA, USAObjectives: Vaccine hesitancy among essential workers remains a significant public health challenge. We examined psychological constructs of perceived susceptibility, threat, and self-efficacy and their associations with COVID-19 vaccine hesitancy among a racially and ethnically diverse essential workforce population. Methods: We performed a cross-sectional survey of essential workers from September-December 2020 at a large Los Angeles safety-net medical center as part of a program offering free COVID-19 serology testing. Program participants completed a standardized survey at the time of phlebotomy. Hierarchical logistic regression was utilized to determine factors independently associated with vaccine hesitancy. Results: Among 1327 persons who had serology testing, 1235 (93%) completed the survey. Of these, 958 (78%) were healthcare workers. Based on expressed intent, 22% were vaccine-hesitant 78% were vaccine acceptors. In our multivariate model, vaccine hesitancy was associated with female gender [aOR = 2.09; 95% CI (1.44-3.05)], African American race [aOR = 4.32; (2.16-8.62)], LatinX ethnicity [aOR = 2.47; 95% CI (1.51-4.05)] and history of not/sometimes receiving influenza vaccination [aOR = 4.39; 95% CI (2.98-6.48)]. Compared to nurses, vaccine hesitancy was lower among physicians [aOR = 0.09; 95% CI (0.04-0.23)], non-nursing/non-physician healthcare workers [aOR = 0.55; 95% CI (0.33-0.92)], and non-healthcare care workers [aOR = 0.53; 95% CI (0.36-0.78)]. Conclusions: Among a racially/ethnically diverse group of safety net medical center essential workers, COVID-19 vaccine hesitancy was associated with racial/ethnic minority groups, employment type, and prior influenza vaccination hesitancy. Interestingly, we found no association with the Health Belief Model construct measures of perceived susceptibility, threat, and self-efficacy. Psychological constructs not assessed may be drivers of vaccine hesitancy in our population.https://doi.org/10.1177/21501319231159814 |
| spellingShingle | Deborah Kupferwasser Evelyn A. Flores Prudencio Merino Donna Phan Tran Michael Bolaris Mildred Gonzales Megan H. Nguyen Arlene Balo Angel Abueg Wellington Da Silva Leslie Astorga-Cook Honghu Liu Holli Mason Deborah Freund Judi Nightingale Jay Orr Bin Xie Loren G. Miller Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center Journal of Primary Care & Community Health |
| title | Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center |
| title_full | Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center |
| title_fullStr | Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center |
| title_full_unstemmed | Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center |
| title_short | Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center |
| title_sort | characterization of covid 19 vaccine hesitancy among essential workforce members of a large safety net urban medical center |
| url | https://doi.org/10.1177/21501319231159814 |
| work_keys_str_mv | AT deborahkupferwasser characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT evelynaflores characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT prudenciomerino characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT donnaphantran characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT michaelbolaris characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT mildredgonzales characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT meganhnguyen characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT arlenebalo characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT angelabueg characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT wellingtondasilva characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT leslieastorgacook characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT honghuliu characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT hollimason characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT deborahfreund characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT judinightingale characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT jayorr characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT binxie characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter AT lorengmiller characterizationofcovid19vaccinehesitancyamongessentialworkforcemembersofalargesafetyneturbanmedicalcenter |