Disparities in COVID-19 vaccine uptake among health care workers. Issue 19 (26th April 2022)

• Record Type: Journal Article
• Authors: Farah, Wigdan; Breeher, Laura; Shah, Vishal; Hainy, Caitlin; Tommaso, Christopher P.; Swift, Melanie D.
• Is Part Of: Vaccine. Volume 40:Issue 19(2022)
• Page Start: 2749
• Page End: 2754
• Publication Date: 2022-04-26
• Subjects: COVID-19 -- Vaccination -- Healthcare workers -- Vaccine uptake; AZ Arizona -- COVID-19 Coronavirus Disease 2019 -- Fl Florida -- HCW Health care workers -- IRB Institutional Review Board -- LPN Licensed Practical Nurse -- MN Minnesota -- OHS Occupational Health Service -- OR Odd Ratio -- US United States -- RN Registered Nurse -- SARS-CoV-2 Severe Acute Respiratory Syndrome Coronavirus 2 -- WI Wisconsin; Vaccines -- Periodicals; 615.372
• DOI: 10.1016/j.vaccine.2022.03.045
• Languages: English
• ISSNs: 0264-410X

Abstract

Highlights: Significant disparities in actual vaccination rates among different HCWs groups. Physicians and advanced practice staff were more likely to be vaccinated than nurses and support staff. Black HCWs had lower vaccination rates even after controlling for other factors. Targeted interventions to address lower vaccination rate should be built with these disparities in mind. Abstract: Background: COVID-19 vaccine uptake by healthcare workers (HCWs) is critical to protect HCWs, the patients they care for, and the healthcare infrastructure. Our study aims to examine the actual COVID-19 vaccination rate among HCWs and identify risk factors associated with vaccine nonacceptance. Study Design and Methods: A retrospective analysis of COVID-19 vaccinations for HCWs at a large multi-site US academic medical center from 12/18/2020 through 05/04/2021. Comparisons between groups were performed using unpaired student t -test for continuous variables and the chi-square test for categorical variables. A logistic regression analysis was used to assess the associations between vaccine uptake and risk factor(s). Results: Of the 65, 270 HCWs included in our analysis, the overall vaccination rate was 78.6%. Male gender, older age, White and Asian race, and direct patient care were associated with higher vaccination rates (P <.0001). Significant differences were observed between different job categories. Physicians and advanced practice staff, and healthcare professionals were more likely to be vaccinated than nurses and support staff. Conclusions: Our data demonstrated higher initial vaccination rates among HCWs than the general population national average during the study period. We observed significant disparities among different high-risk HCWs groups, especially among different job categories, black HCWs and younger HCWs despite their high risk of contracting the infection. Interventions to address lower vaccination rate and vaccine hesitancy should be built with these disparities and differences in mind to create more targeted interventions.