Perceived medical care quality during COVID-19 illness links socioeconomic disadvantage to vaccine hesitancy

被引:1
作者
Kjos, Nils [1 ,4 ]
Hendrix, Cassandra L. [1 ]
Thomason, Moriah E. [1 ,2 ,3 ]
机构
[1] NYU, Grossman Sch Med, Dept Child & Adolescent Psychiat, New York, NY USA
[2] NYU, Grossman Sch Med, Dept Populat Hlth, New York, NY USA
[3] NYU, Neurosci Inst, Grossman Sch Med, New York, NY USA
[4] Dept Child & Adolescent Psychiat, One Pk Ave,7th Floor, New York, NY 10016 USA
基金
美国国家卫生研究院;
关键词
Coronavirus; Vaccination hesitancy; Socioeconomic status; Poverty; Perceived care quality; UNITED-STATES; HEALTH-CARE; TRUST;
D O I
10.1016/j.pmedr.2022.102020
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Maximizing vaccine uptake is critical for the optimal implementation of COVID-19 immunization programs. Indicators of socioeconomic status (SES) have been associated with variations in COVID-19 vaccine uptake in the United States. The present study investigates COVID-19 vaccination behavior in individuals with history of COVID-19 infection, with the specific goal of understanding whether experiences during illness explain socio-economic disproportionalities in vaccine uptake. We leveraged a large sample of adults (n = 1584) infected with COVID-19 in NYC to examine this question, investigating whether specific experiences during illness explained the association between socioeconomic status and COVID-19 vaccine hesitancy. Data from this study were collected during February and March 2021. Principal component analysis was used to create three composite variables that measure distinct COVID-19 related experiences: infection-related health impacts, pandemic-related psychosocial disruption, and perceived quality of medical care during COVID-19 illness. Neither infection-related impacts nor psychosocial disruption were related to vaccine hesitancy after adjusting for related sociodemo-graphic covariates. However, perceptions of higher quality care received during COVID-19 illness predicted decreased COVID-19 vaccine hesitancy. Furthermore, mediation analysis revealed that perceived care quality during COVID-19 illness mediate the relationship between objective socioeconomic risk and COVID-19 vaccine hesitancy. These findings highlight patient-reported care quality during illness as a novel target that may in-crease vaccine uptake among socioeconomically vulnerable populations.
引用
收藏
页数:7
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