TY - JOUR
T1 - Factors associated with COVID-19 vaccine acceptance and hesitancy among residents of Northern California jails
AU - Liu, Yiran E.
AU - Oto, Jillian
AU - Will, John
AU - LeBoa, Christopher
AU - Doyle, Alexis
AU - Rens, Neil
AU - Aggarwal, Shelley
AU - Kalish, Iryna
AU - Rodriguez, Marcela
AU - Sherif, Beruk
AU - Trinidad, Chrisele
AU - del Rosario, Michael
AU - Allen, Sophie
AU - Spencer, Robert
AU - Morales, Carlos
AU - Chyorny, Alexander
AU - Andrews, Jason R.
N1 - Funding Information: This work was supported by the COVID-19 Emergency Response Fund from Stanford University, which was established with a gift from the Horowitz Family Foundation, and by the Clinical and Translational Science Award (#5UL1TR003142) from the National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS). The funders had no involvement in any aspect of the study. We thank the members of our community advisory boards and focus groups for their critical input on how to make the study sensitive to and relevant for stakeholder populations. We thank Lisa Goldman-Rosas, Wei-ting Chen, Hector Romero, and Olivia Tigre for their guidance and support with the community engagement components of the study. We thank Melissa Wagner, Nicole Hayes, and Natalie Saavedra for providing access to data in San Mateo County. Publisher Copyright: © 2022 The Authors
PY - 2022/6/1
Y1 - 2022/6/1
N2 - Carceral facilities are high-risk settings for COVID-19 transmission. Factors associated with COVID-19 vaccine acceptance and hesitancy among incarcerated individuals are poorly understood, especially among jail residents. Here, we conducted a retrospective review of electronic health record (EHR) data on COVID-19 vaccine uptake in custody and additionally administered a survey to assess reasons for vaccine hesitancy, sources of COVID-19 information, and medical mistrust among residents of four Northern California jails. We performed multivariate logistic regression to determine associations with vaccine acceptance. Of 2,564 jail residents offered a COVID-19 vaccine between March 19, 2021 and June 30, 2021, 1,441 (56.2%) accepted at least one dose. Among vaccinated residents, 497 (34.5%) had initially refused. Vaccine uptake was higher among older individuals, women, those with recent flu vaccination, and those living in shared housing. Among 509 survey respondents, leading reasons for vaccine hesitancy were concerns around side effects and suboptimal efficacy, with cost and the need for an annual booster being other hypothetical deterrents to vaccination. Vaccine hesitancy was also associated with mistrust of medical personnel in and out of jail, although this association varied by race/ethnicity. Television and friends/family were the most common and most trusted sources of COVID-19 information, respectively. Overall, vaccine acceptance was much lower among jail residents than the local and national general population. Interventions to increase vaccination rates in this setting should utilize accessible and trusted sources of information to address concerns about side effects and efficacy, while working to mitigate medical and institutional mistrust among residents.
AB - Carceral facilities are high-risk settings for COVID-19 transmission. Factors associated with COVID-19 vaccine acceptance and hesitancy among incarcerated individuals are poorly understood, especially among jail residents. Here, we conducted a retrospective review of electronic health record (EHR) data on COVID-19 vaccine uptake in custody and additionally administered a survey to assess reasons for vaccine hesitancy, sources of COVID-19 information, and medical mistrust among residents of four Northern California jails. We performed multivariate logistic regression to determine associations with vaccine acceptance. Of 2,564 jail residents offered a COVID-19 vaccine between March 19, 2021 and June 30, 2021, 1,441 (56.2%) accepted at least one dose. Among vaccinated residents, 497 (34.5%) had initially refused. Vaccine uptake was higher among older individuals, women, those with recent flu vaccination, and those living in shared housing. Among 509 survey respondents, leading reasons for vaccine hesitancy were concerns around side effects and suboptimal efficacy, with cost and the need for an annual booster being other hypothetical deterrents to vaccination. Vaccine hesitancy was also associated with mistrust of medical personnel in and out of jail, although this association varied by race/ethnicity. Television and friends/family were the most common and most trusted sources of COVID-19 information, respectively. Overall, vaccine acceptance was much lower among jail residents than the local and national general population. Interventions to increase vaccination rates in this setting should utilize accessible and trusted sources of information to address concerns about side effects and efficacy, while working to mitigate medical and institutional mistrust among residents.
KW - COVID-19
KW - Incarcerated populations
KW - Jails
KW - Medical mistrust
KW - Vaccination
KW - Vaccine acceptance
KW - Vaccine hesitancy
UR - http://www.scopus.com/inward/record.url?scp=85126573360&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.pmedr.2022.101771
DO - https://doi.org/10.1016/j.pmedr.2022.101771
M3 - Article
C2 - 35309721
SN - 2211-3355
VL - 27
JO - Preventive medicine reports
JF - Preventive medicine reports
M1 - 101771
ER -