Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey

BackgroundApproximately 215 million Americans have been fully vaccinated for COVID-19, representing over 65% of the total population. People with HIV (PWH) may be more susceptible to COVID-19 infection or severe disease, elevating the importance of COVID-19 vaccination uptake in the population. We r...

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Main Authors: Jeffrey A. Wickersham, Jaimie P. Meyer, Sheela Shenoi, Frederick L. Altice, Lydia Aoun Barakat, Michael Virata, Miriam Olivares, Francesca Maviglia, Antoine Khati, Roman Shrestha
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.886936/full
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author Jeffrey A. Wickersham
Jaimie P. Meyer
Jaimie P. Meyer
Sheela Shenoi
Frederick L. Altice
Frederick L. Altice
Lydia Aoun Barakat
Michael Virata
Miriam Olivares
Francesca Maviglia
Antoine Khati
Roman Shrestha
Roman Shrestha
author_facet Jeffrey A. Wickersham
Jaimie P. Meyer
Jaimie P. Meyer
Sheela Shenoi
Frederick L. Altice
Frederick L. Altice
Lydia Aoun Barakat
Michael Virata
Miriam Olivares
Francesca Maviglia
Antoine Khati
Roman Shrestha
Roman Shrestha
author_sort Jeffrey A. Wickersham
collection DOAJ
description BackgroundApproximately 215 million Americans have been fully vaccinated for COVID-19, representing over 65% of the total population. People with HIV (PWH) may be more susceptible to COVID-19 infection or severe disease, elevating the importance of COVID-19 vaccination uptake in the population. We report results from a national survey of PWH to evaluate the likelihood of receiving a COVID-19 vaccine.MethodsWe conducted an online survey of 1,030 PWH living in the United States between December 6, 2020 and January 8, 2021 to evaluate likelihood of receiving a COVID-19 vaccine.ResultsOverall, participants were highly willing to be vaccinated, with 83.8% stating they “strongly agree” (65.7%) or “somewhat agree” (18.1%). Participants' top vaccine-related concerns were side-effects (39.3%), safety (14.7%), and fair/equitable distribution of the vaccine to affected communities (13.6%). Participants were more willing to be vaccinated if they reported receiving an annual influenza vaccination (p < 0.001), had previously tested positive for (p = 0.043) COVID-19, had been hospitalized for (p = 0.027) COVID-19 infection, or had an undetectable HIV viral load (p = 0.002). Black (p < 0.001), politically conservative (p < 0.001), and participants with an annual income of ≤ $19,999 (p = 0.005) were significantly less willing to be vaccinated for COVID-19.ConclusionsThe vast majority of PWH were willing to be vaccinated, though predominantly those who were already engaged in HIV care or directly affected by COVID-19. Findings from this large survey of PWH suggest intensive outreach efforts are needed to support engagement in vaccination programs, particularly among Black and politically conservative PWH.
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spelling doaj.art-e1ff864622e8431ea914bc57e725d2132022-12-22T00:22:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-06-01910.3389/fmed.2022.886936886936Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National SurveyJeffrey A. Wickersham0Jaimie P. Meyer1Jaimie P. Meyer2Sheela Shenoi3Frederick L. Altice4Frederick L. Altice5Lydia Aoun Barakat6Michael Virata7Miriam Olivares8Francesca Maviglia9Antoine Khati10Roman Shrestha11Roman Shrestha12Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesMarx Science and Social Science Library, Yale University Library, Yale University, New Haven, CT, United StatesDepartment of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, United StatesDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, United StatesDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, United StatesInstitute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, United StatesBackgroundApproximately 215 million Americans have been fully vaccinated for COVID-19, representing over 65% of the total population. People with HIV (PWH) may be more susceptible to COVID-19 infection or severe disease, elevating the importance of COVID-19 vaccination uptake in the population. We report results from a national survey of PWH to evaluate the likelihood of receiving a COVID-19 vaccine.MethodsWe conducted an online survey of 1,030 PWH living in the United States between December 6, 2020 and January 8, 2021 to evaluate likelihood of receiving a COVID-19 vaccine.ResultsOverall, participants were highly willing to be vaccinated, with 83.8% stating they “strongly agree” (65.7%) or “somewhat agree” (18.1%). Participants' top vaccine-related concerns were side-effects (39.3%), safety (14.7%), and fair/equitable distribution of the vaccine to affected communities (13.6%). Participants were more willing to be vaccinated if they reported receiving an annual influenza vaccination (p < 0.001), had previously tested positive for (p = 0.043) COVID-19, had been hospitalized for (p = 0.027) COVID-19 infection, or had an undetectable HIV viral load (p = 0.002). Black (p < 0.001), politically conservative (p < 0.001), and participants with an annual income of ≤ $19,999 (p = 0.005) were significantly less willing to be vaccinated for COVID-19.ConclusionsThe vast majority of PWH were willing to be vaccinated, though predominantly those who were already engaged in HIV care or directly affected by COVID-19. Findings from this large survey of PWH suggest intensive outreach efforts are needed to support engagement in vaccination programs, particularly among Black and politically conservative PWH.https://www.frontiersin.org/articles/10.3389/fmed.2022.886936/fullCOVID-19HIVpeople with HIVvaccine hesitancyvaccine uptake
spellingShingle Jeffrey A. Wickersham
Jaimie P. Meyer
Jaimie P. Meyer
Sheela Shenoi
Frederick L. Altice
Frederick L. Altice
Lydia Aoun Barakat
Michael Virata
Miriam Olivares
Francesca Maviglia
Antoine Khati
Roman Shrestha
Roman Shrestha
Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
Frontiers in Medicine
COVID-19
HIV
people with HIV
vaccine hesitancy
vaccine uptake
title Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
title_full Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
title_fullStr Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
title_full_unstemmed Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
title_short Willingness to Be Vaccinated Against COVID-19 Among People With HIV in the United States: Results From a National Survey
title_sort willingness to be vaccinated against covid 19 among people with hiv in the united states results from a national survey
topic COVID-19
HIV
people with HIV
vaccine hesitancy
vaccine uptake
url https://www.frontiersin.org/articles/10.3389/fmed.2022.886936/full
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