SARS-CoV-2 Viral Incidence, Antibody Point Prevalence, Associated Population Characteristics, and Vaccine Attitudes, South Carolina, February 2021

Nolan, Melissa S.; Daguisé, Virginie; Davis, Megan; Duwve, Joan; Sherrill, Windsor Westbrook; Heo, Moonseong; Litwin, Alain H.; Kanyangarara, Mufaro; Self, Stella; Huang, Rongjie; Eberth, Jan M.; Gual-Gonzalez, Lídia; Lynn, Mary K.; Korte, Jeffrey E.; Deans, Kenneth R.; Fryar, Katrina; Siebenschuh, Jessica; Adams, Graham; Cockrell, Sarah; Patel, Nitin R.; Thomas, D. K.; Ancheta, Roxanne; Hagins, Scott; Johnson, Danielle; Ross, Connor; Best, O’Neal; Wills, Madlyn; Collins, Madison; Khalil, Sammy; King, Darin; Henry, Sophie; Morrisey, Josephine A.; Yan, Michael; Hornaday, Amelia; Parkhomenko, Kateryna; Shirley, Callie; Hildebrandt, Sadie; Cowan, Hanson; Drake, Abbie; Blair-Kennedy, Ann

doi:10.1177/00333549221081128

Cited by 3 publications

(9 citation statements)

References 9 publications

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“…Alternatively, the culture of South Carolina residents may be more favorable than other states, as two different statewide surveys found high compliance and vaccine desire in January through February 2021. 14 In addition, approximately one-third of the medical workers in each group did not agree that vaccines were safe or effective and were not confident about the research and regulatory processes that led to the creation of the vaccines. This is low in comparison to estimates reported in previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Randomly selected HCWs responded to a surveillance survey of South Carolina residents occurring from February 1 to March 4, 2021. Methods for selecting the initial cohort can be found elsewhere 14 . Briefly, 117,563 randomly selected residents were invited to provide clinical samples for SARS-CoV-2 testing and complete a health survey at any of the 70 participating clinics.…”

Section: Methodsmentioning

confidence: 99%

“…Methods for selecting the initial cohort can be found elsewhere. 14 Briefly, 117,563 randomly selected residents were invited to provide clinical samples for SARS-CoV-2 testing and complete a health survey at any of the 70 participating clinics. The surveillance initiative was deemed human subjects exempt public health surveillance by the institutional review board of the South Carolina Department of Health and Environmental Control.…”

Section: Methodsmentioning

confidence: 99%

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Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

Gormley¹,

Nolan²,

Heo³

et al. 2022

Southern Medical Journal

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No studies have investigated coronavirus disease 2019 (COVID-19)-related attitudes and vaccinations for emergency medical services (EMS) personnel. Understanding COVID-19-related attitudes and personal protection behaviors of EMS personnel are necessary for the development of targeted interventions to increase vaccine motivation. This article compares COVID-19-related attitudes and personal protection behaviors of EMS personnel with those of healthcare workers.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

Gormley¹,

Nolan²,

Heo³

et al. 2022

Southern Medical Journal

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“…The state has 46 counties distributed across 4 public health regions, all of which were included in the SC STRONG project. A description of the SC STRONG project has been published elsewhere [ 18 ]. Briefly, a direct mailer marketing list with 2,172,687 unique physical addresses was purchased from Mailers Haven and used to establish a sampling frame ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

COVID-19 Testing Practices, Preventive Behaviors, and Factors Associated With Test Positivity: Population-Based Statewide Survey Study

Kanyangarara¹,

Daguisé²,

Gual-Gonzalez³

et al. 2023

JMIR Public Health Surveill

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Background The COVID-19 pandemic has challenged public health efforts globally. Timely population-based surveillance is crucial to support public health programs and policies to limit the spread of COVID-19. The South Carolina (SC) Sampling and Testing Representative Outreach for Novel Coronavirus Guidance (SC STRONG) statewide initiative was established to estimate population-level prevalence and immunity and characterize the transmission dynamics of SARS-CoV-2 using community testing and online surveys. Objective This paper aimed to leverage the survey data collected as part of the initiative to understand risk perceptions, testing practices, and preventive behaviors and identify risk factors for COVID-19 test positivity in SC over time. Methods Probability proportionate to size cluster random sampling was used to select SC residents to participate in testing for COVID-19 infection and antibodies and to complete an online survey. This paper focuses on data from the online surveys completed between November 2020 and June 2021. Descriptive statistics were used to describe risk perceptions, attitudes and behaviors, and associated changes over time. Univariate and multivariate logistic regression models were used to identify factors associated with self-reported COVID-19 test positivity. Results Among the 7170 online survey respondents, 58.7% (4213/7170) self-reported ever testing for COVID-19. The most commonly cited barriers to testing were inconvenient dates, time, and location, as well as discomfort. Overall, 18.7% (790/7170) of respondents reported a history of COVID-19 test positivity. Multivariate logistic regression results indicated that individuals who were aged 50 years or older, self-identified as Black/African American, were obese, and were employed as frontline health care workers or nursing home staff were more likely to self-report COVID-19 test positivity. By contrast, there was a decreased likelihood of test positivity among respondents who were concerned about the burden of COVID-19 in their community and about being infected. Conclusions Strategies to remove testing barriers should be implemented to improve access. Our findings provide insights on statewide testing patterns, adoption of prevention behaviors, and risk factors for infection and may inform public health strategies to curb transmission.

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“…Of the 750,063 residents randomly selected and invited to participate in the SC STRONG project, the overall survey response rate was 2.0%. Further details discussing the objectives and methods of the SC STRONG project can be found elsewhere [20].…”

Section: Study Proceduresmentioning

confidence: 99%

Factors Associated with COVID-19 Vaccine Intentions among South Carolina Residents

et al. 2022

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Despite evidence of vaccine safety and efficacy, vaccine hesitancy remains a major global health threat. The COVID-19 vaccine has presented unique vaccine hesitancy concerns compared to parental vaccine hesitancy towards childhood vaccines. South Carolina (SC) is home to a largely conservative population and historically has some of the lowest vaccination coverage rates in the United States of America. The goal of the current study was to identify factors associated with COVID-19 vaccine intentions among SC residents. From November 2020 to September 2021, 300,000 invitations to participate in community testing and complete an online survey were mailed to randomly selected SC residents. The survey collected data about behaviors and attitudes towards COVID-19 vaccines, as well as demographic and health characteristics. Of the 10,626 survey participants, 69.9% reported being vaccinated against COVID-19. Among those not vaccinated, 65.5% reported vaccine intentions. Logistic regression analyses were performed to examine factors associated with COVID-19 vaccine intentions. Multivariate logistic regression results indicated that confidence in the safety of the COVID-19 vaccines increased the likelihood of vaccine intentions, while younger age (<60 years) decreased the likelihood of vaccine intentions. To increase vaccine intentions and uptake, public health and government officials in South Carolina and other conservative states should target younger populations and address concerns about COVID-19 vaccine safety.

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SARS-CoV-2 Viral Incidence, Antibody Point Prevalence, Associated Population Characteristics, and Vaccine Attitudes, South Carolina, February 2021

Cited by 3 publications

References 9 publications

Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

COVID-19 Testing Practices, Preventive Behaviors, and Factors Associated With Test Positivity: Population-Based Statewide Survey Study

Factors Associated with COVID-19 Vaccine Intentions among South Carolina Residents

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