Adherence to COVID-19 vaccination recommendations and vaccine hesitancy in US blood donors
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12 2024
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Source: Transfusion. 64(12):2314-2324
Details:
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Alternative Title:Transfusion
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Personal Author:
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Description:Background
General vaccination rates have been falling globally despite unequivocal health benefits. Noncompliance can result from access barriers and/or hesitant attitudes. Few studies have investigated the prevalence and determinants of noncompliance with COVID-19 vaccination in blood donors.
Methods
We surveyed blood donors on COVID-19 infection and vaccination history, barriers and motivations for COVID-19 vaccination, and comorbidities. We estimate the prevalence of noncompliance, the prevalence of hesitancy towards COVID-19 vaccines, and investigate associated factors using multivariable models.
Results
From December/2021-December/2022, 33,610 survey respondents were included. Of those, 24% had not been vaccinated for COVID-19 or had missing vaccination information, and 99% of those who reported reasons for being unvaccinated declared at least one of three hesitant attitudes presented in the survey (safety concerns; personal/cultural/religious beliefs; being young and not worrying about being vaccinated). Among noncompliant donors, <2% reported access barriers. In the multivariable model addressing factors associated with vaccine noncompliance, younger age, male gender, White/Caucasian race, absence of comorbidities, residency in a State with less restrictive COVID-19 policies, and living in micropolitan or rural areas were identified as significant predictors. Younger age and White/Caucasian race were independently associated with vaccine hesitancy among noncompliant donors.
Conclusions
We found high rates of noncompliance with COVID-19 vaccination in blood donors, mostly driven by vaccine hesitancy. Understanding vaccine adherence among blood donors – a relatively highly educated and healthy population, with good healthcare access and usually motivated by altruism - could provide key information on determinants of vaccine noncompliance that may be harder to overcome.
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Pubmed ID:39429020
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Pubmed Central ID:PMC11637913
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Funding:
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Volume:64
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Issue:12
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Supporting Files:No Additional Files