Factors associated with COVID-19 vaccine acceptance and hesitancy among residents of Northern California jails

Liu, Yiran E.; Oto, Jillian; Will, John; LeBoa, Christopher; Doyle, Alexis; Rens, Neil; Aggarwal, Shelley; Kalish, Iryna; Rodriguez, Marcela; Sherif, Beruk; Trinidad, Chrisele; Rosario, Michael Del; Allen, Stuart M.; Spencer, Robert; Morales, Carlos; Chyorny, Alexander; Andrews, Jason R.

doi:10.1101/2021.11.22.21266559

Cited by 2 publications

(9 citation statements)

References 20 publications

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“…Vaccine programs were implemented within correctional facilities to help mitigate the risk of COVID-19 among residents. 2,6,7 In our evaluation of the Connecticut DOC’s vaccine program within jails, we observed a slightly lower vaccine acceptance proportion than has been reported for residents of jails from other US regions (ours: 38.7%, previously reported: 40.9-56.7%). 7–10…”

Section: Discussioncontrasting

confidence: 57%

“…While not examined here, existing data suggests that effective programs should employ accessible and trusted sources of information, such as friends and family, to address vaccine-related concerns and foster trust in medical personnel. 7,8,12…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] To mitigate transmission, US state and federal Department of Corrections (DOCs) implemented vaccine programs in the winter of 2020-2021. 2,6,7 However, vaccine hesitancy is common among incarcerated populations due to distrust of the medical community and uncertainty around vaccine effectiveness. 7 Consequently, data from state and federal correctional facilities suggest vaccine acceptance within residents ranges between 40-67%.…”

Section: Introductionmentioning

confidence: 99%

“…2,6,7 However, vaccine hesitancy is common among incarcerated populations due to distrust of the medical community and uncertainty around vaccine effectiveness. 7 Consequently, data from state and federal correctional facilities suggest vaccine acceptance within residents ranges between 40-67%. [6][7][8][9][10] Despite the continued need for vaccine programs within correctional facilities, the impact vaccine programs have on overall vaccine acceptance within people who experience incarceration is not well characterized, especially among jailed populations.…”

Section: Introductionmentioning

confidence: 99%

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Covid-19 Vaccine Acceptance Among People Incarcerated in Connecticut State Jails

Lind

Kennedy²,

Nieto

et al. 2022

Preprint

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ObjectiveTo assess the Connecticut Department of Correction’s (DOC) COVID-19 vaccine program within jails.MethodsWe conducted a retrospective cohort analysis among people who were incarcerated in a DOC-operated jail between February 2 and November 8, 2021, and were eligible for vaccination at the time of incarceration (intake). We compared the vaccination rates before and after incarceration using an age-adjusted survival analysis with a time-varying exposure of incarceration and an outcome of vaccination.ResultsDuring the study period, 3,716 people spent ≥1 night in jail and were eligible for vaccination at intake. Of these residents, 136 were vaccinated prior to incarceration, 2,265 had a recorded vaccine offer, and 476 were vaccinated while incarcerated. The age-adjusted hazard of vaccination following incarceration was significantly higher than prior to incarceration (12.5; 95% CI: 10.2-15.3).ConclusionsWe found that residents were more likely to become vaccinated in jail than the community. Though these findings highlight the utility of vaccination programs within jails, the low level of vaccination in this population speaks to the need for additional program development within jails and the community.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Covid-19 Vaccine Acceptance Among People Incarcerated in Connecticut State Jails

Lind

Kennedy²,

Nieto

et al. 2022

Preprint

View full text Add to dashboard Cite

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COVID-19 policies in practice and their direct and indirect impacts in Northern California jails

Liu

LeBoa

Rodriguez

et al. 2022

Preprint

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Context: Although the increased risk of COVID-19 in carceral facilities is well documented, little is known about the practical barriers to infection control and indirect impacts of pandemic policies in these settings. Evidence in jails is especially scarce. Methods: Between July 8, 2020 and April 30, 2021 we performed SARS-CoV-2 serology testing and administered a questionnaire among residents and staff in four Northern California jails. We analyzed seroprevalence in conjunction with demographic factors and survey responses of self-perceived COVID-19 risk, recent illness, COVID-19 test results, and symptom reporting behaviors. We additionally assessed COVID-19 policies in practice and evaluated their impacts on court dates, mental health, and routine health care. We engaged stakeholder representatives, including incarcerated individuals and their advocates, to guide study design, conduct, and interpretation. Findings: We enrolled 788 incarcerated individuals and 380 staff across four county jails. Most seropositive individuals had not previously tested positive for COVID-19, despite many suspecting prior infection. Among incarcerated participants, we identified deficient access to face masks and prevalent symptom underreporting associated with fears of isolation and perceptions of medical neglect in jail. Incarcerated participants also reported substantial hindrances to court cases and reductions in routine health care due to COVID-19. Incarcerated individuals and staff both cited worsened mental health due to COVID-19, which for incarcerated individuals was largely attributable to further isolation from loved ones and other pandemic restrictions on recreation and programming. Conclusions: Perceptions of inadequate protection from COVID-19 were pervasive among incarcerated individuals. Simultaneously, restrictive measures compounded poor mental health and fostered fears of isolation that undermined effective infection control. Custody officials should work to systematically improve provision of masks, understand and mitigate fears and mistrust, and take proactive steps to minimize the detrimental impacts of restrictive policies on residents' mental health and well-being.

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Factors associated with COVID-19 vaccine acceptance and hesitancy among residents of Northern California jails

Cited by 2 publications

References 20 publications

Covid-19 Vaccine Acceptance Among People Incarcerated in Connecticut State Jails

Covid-19 Vaccine Acceptance Among People Incarcerated in Connecticut State Jails

COVID-19 policies in practice and their direct and indirect impacts in Northern California jails

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