tetano
Editor, Senior Moderator
J Natl Med Assoc
. 2022 Jan 25;S0027-9684(21)00233-9.
doi: 10.1016/j.jnma.2021.12.010. Online ahead of print.
Socioeconomic impact of COVID-19 and willingness to be vaccinated in African American/Black and Hispanic/Latinx adults
Jennifer K Carroll[SUP] 1 [/SUP], Paulina Arias Hernandez[SUP] 2 [/SUP], Alicia Brooks-Greisena[SUP] 3 [/SUP], Juan Carlos Cardet[SUP] 4 [/SUP], Jing Cui[SUP] 5 [/SUP], Brianna Ericson[SUP] 2 [/SUP], Maureen Fagan[SUP] 6 [/SUP], Merritt L Fajt[SUP] 7 [/SUP], Victoria E Forth[SUP] 2 [/SUP], Anne L Fuhlbrigge[SUP] 8 [/SUP], Margie Lorenzi[SUP] 2 [/SUP], Jacqueline Rodriguez-Louis[SUP] 2 [/SUP], Nancy E Maher[SUP] 2 [/SUP], Brian K Manning[SUP] 3 [/SUP], Wilson D Pace[SUP] 9 [/SUP], Joel B Shields[SUP] 3 [/SUP], Elliot Israel[SUP] 2 [/SUP]
Affiliations
Abstract
Purpose: To describe the socioeconomic and healthcare-related effects of the COVID-19 pandemic, and willingness to receive a free COVID-19 vaccine, among African American/Black (AA/B) and Hispanic/Latinx (H/L) adults with asthma currently enrolled in a large trial.
Methods: The present analysis is a sub-study of the PeRson EmPowered Asthma RElief (PREPARE) study, a pragmatic study of 1201 AA/B and H/L adults with asthma. A monthly questionnaire was completed by a subset of PREPARE participants (n = 325) during May-August, 2020. The 5-item questionnaire assessed self-reported impact of COVID-19 on respondents' ability to obtain asthma medications, medical care quality, employment, income and ability to pay bills; and willingness to get a free COVID-19 vaccine. Bivariate analysis and multivariate logistic regression were performed to investigate factors associated with vaccine hesitancy.
Results: Of 325 survey respondents (25% AA/B, 75% H/L), the majority reported no impact of COVID-19 on medical care or ability to get asthma medications. Approximately half of employed respondents experienced a lower level of employment or job loss, and approximately half reported having difficulty paying bills during the pandemic. Thirty-five percent of respondents reported unwillingness and 31% reported being somewhat likely to receive a free COVID-19 vaccine. AA/B race/ethnicity and poorer reported physical health were associated with a higher likelihood of COVID-19 vaccine hesitancy.
Conclusion: AA/B and H/L adults with asthma may experience changes in the quality of their asthma care and increased socioeconomic stressors as a result of the COVID-19 pandemic and may be hesitant or unwilling to receive a COVID-19 vaccine.
Keywords: African American; Asthma; COVID-19; Coronavirus; Hispanic; Socioeconomic impact of COVID-19; Vaccine; Vaccine hesitancy.
. 2022 Jan 25;S0027-9684(21)00233-9.
doi: 10.1016/j.jnma.2021.12.010. Online ahead of print.
Socioeconomic impact of COVID-19 and willingness to be vaccinated in African American/Black and Hispanic/Latinx adults
Jennifer K Carroll[SUP] 1 [/SUP], Paulina Arias Hernandez[SUP] 2 [/SUP], Alicia Brooks-Greisena[SUP] 3 [/SUP], Juan Carlos Cardet[SUP] 4 [/SUP], Jing Cui[SUP] 5 [/SUP], Brianna Ericson[SUP] 2 [/SUP], Maureen Fagan[SUP] 6 [/SUP], Merritt L Fajt[SUP] 7 [/SUP], Victoria E Forth[SUP] 2 [/SUP], Anne L Fuhlbrigge[SUP] 8 [/SUP], Margie Lorenzi[SUP] 2 [/SUP], Jacqueline Rodriguez-Louis[SUP] 2 [/SUP], Nancy E Maher[SUP] 2 [/SUP], Brian K Manning[SUP] 3 [/SUP], Wilson D Pace[SUP] 9 [/SUP], Joel B Shields[SUP] 3 [/SUP], Elliot Israel[SUP] 2 [/SUP]
Affiliations
- PMID: 35090746
- DOI: 10.1016/j.jnma.2021.12.010
Abstract
Purpose: To describe the socioeconomic and healthcare-related effects of the COVID-19 pandemic, and willingness to receive a free COVID-19 vaccine, among African American/Black (AA/B) and Hispanic/Latinx (H/L) adults with asthma currently enrolled in a large trial.
Methods: The present analysis is a sub-study of the PeRson EmPowered Asthma RElief (PREPARE) study, a pragmatic study of 1201 AA/B and H/L adults with asthma. A monthly questionnaire was completed by a subset of PREPARE participants (n = 325) during May-August, 2020. The 5-item questionnaire assessed self-reported impact of COVID-19 on respondents' ability to obtain asthma medications, medical care quality, employment, income and ability to pay bills; and willingness to get a free COVID-19 vaccine. Bivariate analysis and multivariate logistic regression were performed to investigate factors associated with vaccine hesitancy.
Results: Of 325 survey respondents (25% AA/B, 75% H/L), the majority reported no impact of COVID-19 on medical care or ability to get asthma medications. Approximately half of employed respondents experienced a lower level of employment or job loss, and approximately half reported having difficulty paying bills during the pandemic. Thirty-five percent of respondents reported unwillingness and 31% reported being somewhat likely to receive a free COVID-19 vaccine. AA/B race/ethnicity and poorer reported physical health were associated with a higher likelihood of COVID-19 vaccine hesitancy.
Conclusion: AA/B and H/L adults with asthma may experience changes in the quality of their asthma care and increased socioeconomic stressors as a result of the COVID-19 pandemic and may be hesitant or unwilling to receive a COVID-19 vaccine.
Keywords: African American; Asthma; COVID-19; Coronavirus; Hispanic; Socioeconomic impact of COVID-19; Vaccine; Vaccine hesitancy.