COVID-19 Vaccine Uptake and Factors Associated With Being Unvaccinated Among Lesbian, Gay, Bisexual, Transgender, Queer, and Other Sexual Identities (LGBTQ+) New Yorkers

Low, Andrea; Wright, Connor; Platt, Joey; Chang, Chih‐Hua; Mantell, Joanne E.; Romero, Emily K.; Hui‐Kang, David; Mannheimer, Sharon; Greenleaf, Abigail; Castor, Delivette; El‐Sadr, Wafaa

doi:10.1093/ofid/ofac260

Cited by 12 publications

(7 citation statements)

References 10 publications

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“…While heterosexual individuals had a higher prevalence of vaccination intention compared to sexual minority participants when aggregated, further analysis of disaggregated sexual orientation showed a higher likelihood of vaccination among gay individuals compared to heterosexual, bisexual, and lesbian participants—with heterosexual participants having a higher prevalence than bisexual and lesbian participants. These findings mirror the variability in vaccination intention across sexual orientations found in previous studies [ 13 , 35 ]. As such, there may be vaccination disparities across sexual orientation groups and, thus, a need to tailor vaccination information, campaigns, and resources to the heterogeneity of sexual minority communities.…”

Section: Discussionsupporting

confidence: 89%

Associations between the Self-Reported Likelihood of Receiving the COVID-19 Vaccine, Likelihood of Contracting COVID-19, Discrimination, and Anxiety/Depression by Sexual Orientation

et al. 2023

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There is limited evolving literature on COVID-19 vaccine uptake and its barriers among sexual minority populations (lesbian, gay, bisexual, transgender, and queer [LGBTQ]), despite their increased COVID-19 risk factors. We assessed the differences in intention to receive the COVID-19 vaccine by self-reported likelihood of contracting COVID-19, anxiety/depression, discrimination frequency, social distancing stress, and sociodemographic factors across sexual orientation. An online national cross-sectional survey was conducted in the United States between 13 May 2021, and 9 January 2022, among adults aged ≥18 (n = 5404). Sexual minority individuals had a lower intention of receiving the COVID-19 vaccine (65.62%) than heterosexual individuals (67.56%). Disaggregation by sexual orientation, however, showed that gay participants had a higher intention of COVID-19 vaccination (80.41%) and lesbian (62.63%), bisexual (64.08%), and non-heterosexual, non-LGB sexual minority (56.34%) respondents had lower intentions of receiving the COVID-19 vaccine than heterosexual respondents. Sexual orientation significantly moderated the association between the perceived likelihood of receiving the COVID-19 vaccine and the self-reported likelihood of contracting COVID-19, anxiety/depression symptoms, and discrimination. Our findings further underline the importance of improving vaccination efforts and access among sexual minority individuals and other vulnerable groups.

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Section: Discussionsupporting

confidence: 89%

Associations between the Self-Reported Likelihood of Receiving the COVID-19 Vaccine, Likelihood of Contracting COVID-19, Discrimination, and Anxiety/Depression by Sexual Orientation

et al. 2023

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“…Two studies, both focusing on LGBT or LGBTQ+ adults in the United States, considered sex and gender as separate variables in their analysis. Low et al (2022) reported no differences based on sex assigned at birth (categorised as female, male and intersex) or gender identity (categorised as cisgender and transgender/nonbinary/other gender minority) [ 41 ]. McNaghten et al (2022) reported higher vaccination among females than males, but no difference based on gender identity (dichotomously categorised as transgender/nonbinary or not) [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

et al. 2023

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Since December 2020, COVID-19 vaccines have become increasingly available to populations around the globe. A growing body of research has characterised inequalities in COVID-19 vaccination coverage. This scoping review aims to locate, select and assess research articles that report on within-country inequalities in COVID-19 vaccination coverage, and to provide a preliminary overview of inequality trends for selected dimensions of inequality. We applied a systematic search strategy across electronic databases with no language or date restrictions. Our inclusion criteria specified research articles or reports that analysed inequality in COVID-19 vaccination coverage according to one or more socioeconomic, demographic or geographic dimension of inequality. We developed a data extraction template to compile findings. The scoping review was carried out using the PRISMA-ScR checklist. A total of 167 articles met our inclusion criteria, of which half (n = 83) were conducted in the United States. Articles focused on vaccine initiation, full vaccination and/or receipt of booster. Diverse dimensions of inequality were explored, most frequently relating to age (n = 127 articles), race/ethnicity (n = 117 articles) and sex/gender (n = 103 articles). Preliminary assessments of inequality trends showed higher coverage among older population groups, with mixed findings for sex/gender. Global research efforts should be expanded across settings to understand patterns of inequality and strengthen equity in vaccine policies, planning and implementation.

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“…The vaccine coverage in our study was higher than that in the USA, which reported 85.4% uptake among gay/lesbian adults and 75.7% uptake among TG adults 10 ) . Low et al reported that 81% of LGBTQ+ participants received one or more doses of COVID-19 vaccine in New York city 11 ) . Studies from Australia reported a lower coverage of 28%–57.2% among gay and bisexual men 17 , 18 ) .…”

Section: Discussionmentioning

confidence: 99%

“…They also reported a 75.7% uptake among transgender adults 10 ) . Low et al reported a similar vaccine uptake of 81% among adults who identified as lesbian, gay, bisexual, transgender, queer, and other sexual identities (LGBTQ+) in New York city 11 ) . Another study conducted in USA in early 2021 reported a moderately high acceptance of COVID-19 vaccine among sexual/gender minority men and TG women 9 ) .…”

Section: Introductionmentioning

confidence: 98%

Uptake and impact of COVID-19 vaccination among HIV key populations: a cohort study from Tamil Nadu, India

Saleem,

Marimuthu,

Gandhi

2023

J Rural Med

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Objective: Human Immunodeficiency Virus (HIV) Key Populations (KPs) include Female Sex Workers (FSWs), men who have sex with men (MSM), transgender (TG), and transsexual (TS) persons. This study assessed coronavirus disease 2019 (COVID-19) vaccine uptake among KPs for HIV in India, adverse events following immunization (AEFI), and breakthrough infections among the vaccinated. Materials and Methods: This retrospective cohort study was conducted among 421 KPs enrolled in 41 Targeted Intervention (TI) clusters in 31 districts of the Tamil Nadu State Acquired Immunodeficiency Syndrome (AIDS) Control Society (TANSACS), India, from June to September 2022. A semi-structured, bilingual (English and Tamil), interviewer-administered questionnaire was used to collect data on socio-demographic characteristics, vaccination status, AEFIs, and breakthrough infections among the KPs under the TIs. Results: Among the KPs, 45.4% were FSWs, 37.1% were MSM, 16.2% were TG, and 1.4% were TS persons. Among them, 4.3% had HIV, and 2.9% had syphilis or other sexually transmitted infections (STIs). The COVID-19 vaccine uptake rate was 96%. Among the KPs, TG/TS persons had the highest vaccine uptake (98.6%), followed by FSWs (96.3%) and MSM (94.2%). AEFIs were reported by 85.4% of the participants. HIV positive status was significantly associated with the incidence of AEFI. The breakthrough infection rate was 5.4% among the vaccinated participants. Conclusion: The COVID-19 vaccine uptake among HIV KPs was high in Tamil Nadu. AEFIs and breakthrough infections among COVID-19 vaccinated HIV KPs may be low, with mild AEFIs.

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COVID-19 Vaccine Uptake and Factors Associated With Being Unvaccinated Among Lesbian, Gay, Bisexual, Transgender, Queer, and Other Sexual Identities (LGBTQ+) New Yorkers

Cited by 12 publications

References 10 publications

Associations between the Self-Reported Likelihood of Receiving the COVID-19 Vaccine, Likelihood of Contracting COVID-19, Discrimination, and Anxiety/Depression by Sexual Orientation

Associations between the Self-Reported Likelihood of Receiving the COVID-19 Vaccine, Likelihood of Contracting COVID-19, Discrimination, and Anxiety/Depression by Sexual Orientation

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

Uptake and impact of COVID-19 vaccination among HIV key populations: a cohort study from Tamil Nadu, India

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