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J Am Coll Emerg Physicians Open . COVID-19 vaccine controversy: A cross-sectional analysis of factors associated with COVID-19 vaccine acceptance a

tetano

Editor, Senior Moderator
J Am Coll Emerg Physicians Open


. 2022 Nov 17;3(6):e12830.
doi: 10.1002/emp2.12830. eCollection 2022 Dec.
COVID-19 vaccine controversy: A cross-sectional analysis of factors associated with COVID-19 vaccine acceptance amongst emergency department patients in New York City


Christina P Guzman[SUP] 1 [/SUP], Jamie Aron[SUP] 2 [/SUP], Jennifer Egbebike[SUP] 2 [/SUP], M Claire Greene[SUP] 3 [/SUP], Christopher Reisig[SUP] 1 [/SUP], Michael DeFilippo[SUP] 1 [/SUP], E Brennan Bollman[SUP] 1 [/SUP], Bianca R Stefan[SUP] 4 [/SUP], Bernard P Chang[SUP] 1 [/SUP], Anju Wagh[SUP] 4 [/SUP], Tsion Firew[SUP] 1 [/SUP]



Affiliations

Abstract

Objective: Understanding variables associated with coronavirus disease 2019 (COVID-19) vaccine confidence and hesitancy may inform strategies to improve vaccine uptake in clinical settings such as the emergency department (ED). We aim to identify factors contributing to COVID-19 vaccine acceptance and to assess patient attitudes surrounding offering COVID-19 vaccines in the ED.
Methods: We conducted a survey of a convenience sample of patients and patient visitors over the age 18 years, who were native English or Spanish speakers. The survey was conducted from March through August 2021 at 3 EDs in New York City. The survey was administered via an electronic format, and participants provided verbal consent.
Results: Our sample size was 377. Individuals with post-graduate degrees viewed vaccines positively (Prevalence Ratio [PR], 1.63; 95% Confidence Interval [CI], 1.07-2.47). Of the various high-risk medical conditions associated with adverse COVID-19 infection outcomes, diabetes was the only condition associated with more positive views of vaccines (PR, 1.37; CI, 1.17-1.59). Of all participants, 71.21% stated that they believed offering a COVID-19 vaccine in the ED was a good idea. Of unvaccinated participants, 21.80% stated they would get vaccinated if it were offered to them in the ED.
Conclusion: EDs can serve as a safety net for vulnerable populations and can act as an access point for vaccination.

Keywords: COVID‐19; COVID‐19 vaccine; vaccine; vaccine acceptance; vaccine attitudes; vaccine hesitancy.
 
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