Patients provided their current COVID-19 vaccination status, likelihood to receive a COVID-19 vaccine, and self-reported clinical, occupational, and social risk factors for severe COVID-19 illness. While digitally checking in for their visit, participants were invited to complete a 10-question survey in English or Spanish using their personal device or a tablet available from the physician’s office. Clinics were located in urban, suburban, and rural areas within Alabama (58), Florida (29), Indiana (142), Maryland (6), Michigan (117), New York (10), Tennessee (29), Texas (46), and the District of Columbia (5) which serve a population of essential and non-essential workforce comparable to the national distribution. We recruited a convenience sample of adults (≥18 years old) presenting to 442 primary care clinics in 8 states and the District of Columbia between Januand Februto participate in a survey of vaccine intent and hesitancy developed by Phreesia and the CONVINCE USA initiative at the CUNY Graduate School of Public Health & Health Policy. An understanding of vaccine intent during the early phases of rollout may inform future public health communication strategies. It is becoming increasingly more apparent that additional data is needed to understand what factors are contributing to vaccine non-intent, particularly in populations at highest risk of infection and transmission by nature of their occupation and inability to work from home. After adjusting for baseline demographic, socioeconomic, health, and lifestyle-related risk factors, Mutambudzi et al noted that essential workers have a higher risk for severe COVID-19, and that this risk is higher in non-white essential workers. Selden et al recently estimated that 123 million adults meet the main CDC increased risk guidelines for severe COVID-19 infection and that up to 74 million increased-risk US adults either live with or are themselves essential workers, which the authors report is likely an underestimate. Įssential workers are a critically important population to vaccinate. Additionally, 1 in 5 frontline workers surveyed said they will “definitely not” get vaccinated. This statistic, however, is more than 20 percent lower than workers employed in other professions or those without jobs (67 and 69 percent, respectively), despite the fact that many states prioritized availability of vaccines to essential workers early on. As of mid-March, roughly half (48%) of essential workers reported they had already received at least one dose of the COVID-19 vaccine or would get a vaccine as soon as they could. Additionally, a recent Kaiser Family Foundation survey found slower vaccine uptake among essential workers. This data is promising, however there are still populations that, despite availability, do not intend to be vaccinated.Įarlier studies indicated that perceptions toward accepting COVID-19 vaccination appear to differ based on age, sex, race/ethnicity, socioeconomic status, and political affiliation. As of May 2021, over 286 million doses have been administered across the country, with over 39 percent of the US population fully vaccinated. Since December 2020, the United States (U.S.) Food and Drug Administration has issued three emergency use authorizations for coronavirus 2019 (COVID-19) vaccines. To our knowledge, this is the first study to look at vaccine intent and receptiveness to recommendations from a doctor or nurse across specific essential worker occupations, and may help inform future early phase, vaccine rollouts and public health measure implementations. Of those who indicated they were not already “very likely” to receive the vaccine, a recommendation from a nurse or doctor resulted in 16% of respondents becoming more likely to receive the vaccine, although certain occupations were less likely than others to be receptive to recommendations. We found that essential workers were 18% less likely to receive the COVID-19 vaccination. Occupation was self-reported and demographic information extracted from the medical record, with 58.3% (n = 58,873) responding they were likely to receive the vaccine, 23.6% (n = 23,845) unlikely, and 18.1% (n = 18,330) uncertain. We reviewed vaccine likelihood and receptiveness to recommendation from a doctor or nurse survey responses from 101,048 adults (≥18 years old) presenting to 442 primary care clinics in 8 states and the District of Columbia. This data is promising, however there are still populations that, despite availability, are declining vaccination. As of May 2021, over 286 million coronavirus 2019 (COVID-19) vaccine doses have been administered across the country.
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