Predictors of COVID-19 vaccine uptake among people who inject drugs

Strathdee, Steffanie A.; Abramovitz, Daniela; Vera, Carlos F.; Artamónova, Irina; Patterson, Thomas L.; Smith, Davey M; Chaillon, Antoine; Bazzi, Angela R.

doi:10.1016/j.vaccine.2023.01.042

Cited by 18 publications

(21 citation statements)

References 27 publications

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“…Moreover, our study reported a higher COVID-19 vaccine coverage compared to studies conducted among PWID in Baltimore [ 14 ], Oregon [ 3 ], San Diego [ 2 ], Tijuana, Mexico [ 16 ], and Australia [ 15 ]. Differences in study methods, data collection dates (most studies collected data in the early phase of vaccination), and settings contribute to the variations observed in our study regarding the receipt of at least one COVID-19 vaccine dose.…”

Section: Discussionmentioning

confidence: 63%

“…This could be explained by the fact that higher levels of education are often associated with a better understanding of the importance of vaccination, as consistent with findings in the general population in the US [ 22 ]. Attitudes towards vaccination can also be influenced by cultural beliefs, previous experiences with healthcare, trust in healthcare providers, and COVID-19 disinformation [ 2 , 23 ]. These factors suggest that anti-vaccine attitudes play a role in influencing COVID-19 vaccine uptake.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are consistent with the existing literature on vaccine uptake among PWID and the US general population. For example, PWID in San Diego, holding the belief that COVID-19 vaccines contained a tracking device, reported lower COVID-19 vaccination rates, highlighting the role of disinformation spread through social media [ 2 ]. Another study conducted among PWID in San Diego and Tijuana, Mexico, also found a significant correlation between COVID-19-related disinformation and vaccine hesitancy in this population [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of research has documented COVID-19 vaccination uptake and its associated factors among PWID in different settings. For example, 38% of PWID in San Diego [ 2 ], 68% in Baltimore [ 14 ], 49% in Australia [ 15 ], and 40% in Tijuana Mexico [ 16 ] reported having at least one COVID-19 vaccine dose. We also previously estimated that 81% of PWID in NYC received at least one COVID-19 vaccine, and 76% were fully vaccinated [ 17 ].However, despite the high rate of comorbidities and the increased risk of severe illness and mortality from COVID-19 among PWID, as well as the importance of receiving booster vaccination, studies exploring the uptake of COVID-19 booster vaccines and its associated factors in this population remain limited after the widespread availability of booster vaccines in the US.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 vaccination uptake and determinants of booster vaccination among persons who inject drugs in New York City

Khezri,

McKnight,

Weng

et al. 2024

PLoS ONE

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Background Persons who inject drugs (PWID) may be unengaged with healthcare services and face an elevated risk of severe morbidity and mortality associated with COVID-19 due to chronic diseases and structural inequities. However, data on COVID-19 vaccine uptake, particularly booster vaccination, among PWID are limited. We examined COVID-19 vaccine uptake and factors associated with booster vaccination among PWID in New York City (NYC). Methods We recruited PWID using respondent-driven sampling from October 2021 to November 2023 in a survey that included HIV and SARS-CoV-2 antibodies testing. The questionnaire included demographics, COVID-19 vaccination and attitudes, and drug use behaviors. Results Of 436 PWID, 80% received at least one COVID-19 vaccine dose. Among individuals who received at least one COVID-19 vaccine dose, 95% were fully vaccinated. After excluding participants recruited before booster authorization for general adults started in NYC, and those who had never received an initial vaccination, 41% reported having received a COVID-19 booster vaccine dose. COVID-19 booster vaccination was significantly associated with having a high school diploma or GED (adjusted odds ratio (aOR) 1.93; 95% confidence interval (CI) 1.09, 3.48), ever received the hepatitis A/B vaccine (aOR 2.23; 95% CI 1.27, 3.96), main drug use other than heroin/speedball, fentanyl and stimulants (aOR 14.4; 95% CI 2.32, 280), number of non-fatal overdoses (aOR 0.35; 95% CI 0.16, 0.70), and mean vaccination attitude score (aOR 0.94; 95% CI 0.89, 0.98). Conclusions We found a suboptimal level of COVID-19 booster vaccination among PWID, which was consistent with the rates observed in the general population in NYC and the U.S. Community-based interventions are needed to improve COVID-19 booster vaccination access and uptake among PWID. Attitudes towards vaccination were significant predictors of both primary and booster vaccination uptake. Outreach efforts focusing on improving attitudes towards vaccination and educational programs are essential for reducing hesitancy and increasing booster vaccination uptake among PWID.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

COVID-19 vaccination uptake and determinants of booster vaccination among persons who inject drugs in New York City

Khezri,

McKnight,

Weng

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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“…This finding is supported by previous research showing that having family and friends serving as role models, advocating for vaccination, and sharing their personal experiences can decrease vaccine mistrust and motivate people to get the COVID-19 vaccine. 27,30,[37][38][39] Accordingly, social networks could also be engaged to promote vaccination among PWH. Interventions, such as vaccine ambassadors, 31 lay health advisors, 40 popular opinion leaders, 41 role modeling, and testimonials, 42 can be leveraged in social networks to disseminate accurate messages about the vaccine and showcase positive experiences with COVID-19 vaccination.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With COVID-19 Vaccination Among Racial/Ethnic Minority Groups With HIV in South Florida

Ramírez-Ortiz,

Jean-Gilles,

Sheehan

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: Racial/ethnic minority groups with HIV in the United States are particularly vulnerable to COVID-19 consequences and can significantly benefit from increased uptake of COVID-19 vaccines. This study identified factors associated with full COVID-19 vaccination among people with HIV. Setting: Ryan White HIV/AIDS Program (RWP) in Miami-Dade County, Florida. Methods: Data were collected from 299 RWP adult clients during January–March 2022 using a cross-sectional phone survey. Multivariable logistic regression was used to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). All analyses were weighted to be representative of the race/ethnicity and sex distribution of clients in the RWP. Results: Eighty-four percent of participants were fully vaccinated with a primary vaccine series; stratified by race/ethnicity, the percentages were 88.9% of Hispanic, 72.0% of Black/African American, and 67.5% of Haitian participants. Fully vaccinated participants were less likely to be Black/African American than Hispanic (aOR=0.18; 95% CI=0.05-0.67) and more likely to not endorse any misconceptions about COVID-19 vaccines (aOR=8.26; 95% CI=1.38-49.64), to report encouragement to get vaccinated from sources of information (aOR=20.82; 95% CI=5.84-74.14), and to perceive that more than 50% of their social network was vaccinated (aOR=3.35; 95% CI=1.04-10.71). Experiences of healthcare discrimination, structural barriers to access vaccines, and recommendations from HIV providers were not associated with full vaccination. Conclusions: These findings highlight the importance of delivering accurate and positive messages about vaccines and engaging social networks to promote COVID-19 vaccination among PWH. This information can be leveraged to promote uptake of subsequent boosters and other recommended vaccines.

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Factors associated with SARS-CoV-2 testing, diagnosis and COVID-19 disease among individuals prescribed opioid-agonist treatment: a nationwide retrospective cohort study

Glancy,

Yeung,

McAuley

et al. 2024

Clinical Microbiology and Infection

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Predictors of COVID-19 vaccine uptake among people who inject drugs

Cited by 18 publications

References 27 publications

COVID-19 vaccination uptake and determinants of booster vaccination among persons who inject drugs in New York City

COVID-19 vaccination uptake and determinants of booster vaccination among persons who inject drugs in New York City

Factors Associated With COVID-19 Vaccination Among Racial/Ethnic Minority Groups With HIV in South Florida

Factors associated with SARS-CoV-2 testing, diagnosis and COVID-19 disease among individuals prescribed opioid-agonist treatment: a nationwide retrospective cohort study

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