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- Title
Intention to Receive a COVID-19 Vaccine by HIV Status Among a Population-Based Sample of Women and Gender Diverse Individuals in British Columbia, Canada.
- Authors
Kaida, Angela; Brotto, Lori A.; Murray, Melanie C. M.; Côté, Hélène C. F.; Albert, Arianne Y.; Nicholson, Valerie; Gormley, Rebecca; Gordon, Shanlea; Booth, Amy; Smith, Laurie W.; Baaske, Ally; Galea, Liisa A. M.; Sadarangani, Manish; Ogilvie, Gina S.
- Abstract
COVID-19 vaccination is recommended for people living with HIV (PLWH), among whom social inequities and co-morbidities may drive risks of COVID-19 infection and outcome severity. Among a provincial (British Columbia) sample, we determined the prevalence of COVID-19 vaccine intention by HIV status and assessed socio-demographic, vaccine hesitancy, and psychological predictors of vaccine intention. Individuals (25–69 years) recruited from province-wide research cohorts and the general public completed an online survey examining COVID-19 impacts (August/2020-March/2021). In an analysis restricted to women and gender diverse participants (n = 5588), we compared intention to receive a recommended COVID-19 vaccine (Very likely/Likely vs Neutral/Unlikely/Very Unlikely) by self-reported HIV status. Logistic regression models assessed the independent effect of HIV status and other factors on COVID-19 vaccine intention. Of 5588 participants, 69 (1.2%) were living with HIV, of whom 79.7% were on antiretroviral therapy. In bivariate analyses, intention to vaccinate was significantly lower among PLWH compared to participants not living with HIV (65.2% vs 79.6%; OR 0.44; 95%CI 0.32–0.60). However, this association was not statistically significant after adjustment for ethnicity, income, education, and essential worker status (aOR 0.85; 95%CI 0.48–1.55). Among PLWH, those with greater vaccine confidence, positive attitudes towards the COVID-19 vaccine, and more strongly influenced by direct and indirect social norms to vaccinate had significantly higher odds of vaccine intention. Tailored messaging is needed to build vaccine confidence, address questions about vaccine benefits, and support informed vaccination decision-making to promote COVID-19 vaccine uptake among women and gender diverse people living with HIV.
- Subjects
BRITISH Columbia; VACCINATION; HIV infections; HIV-positive persons; STATISTICS; CONFIDENCE intervals; SOCIAL determinants of health; COVID-19 vaccines; ATTITUDE (Psychology); HIV seroconversion; SURVEYS; SOCIOECONOMIC factors; INCOME; DISEASE prevalence; VACCINE hesitancy; EMPLOYMENT; INTENTION; SOCIODEMOGRAPHIC factors; LOGISTIC regression analysis; ETHNIC groups; ODDS ratio; WOMEN'S health; EDUCATIONAL attainment
- Publication
AIDS & Behavior, 2022, Vol 26, Issue 7, p2242
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03577-w