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COVID-19 Vaccine Acceptability Among US Firefighters and Emergency Medical Services Workers: A Cross-Sectional Study
Alberto J Caban-Martinez1, Carlos A Silvera, Katerina M Santiago
1Department of Public Health Sciences (Dr Caban-Martinez, Mr Silvera, Ms Santiago, Ms Feliciano); Sylvester Comprehensive Cancer Center (Dr Caban-Martinez), University of Miami, Miller School of Medicine, Miami, Florida; Department of Chronic Disease Epidemiology, School of Public Health, Yale University, New Haven, Connecticut (Ms Santiago); Community, Environment & Policy Department, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona (Dr Burgess); Department of Health and Human Physiological Sciences, Skidmore College, Saratoga Springs (Dr Smith); Center for Fire, Rescue and EMS Health Research, National Development & Research Institutes, Inc., New York (Dr Jahnke), New York; Underwriters Laboratories Inc., Firefighter Safety Research Institute, Columbia, Maryland (Dr Horn); Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, the State University of New Jersey, Piscataway, New Jersey (Dr Graber).
Objectives:
Estimate the point prevalence of COVID-19 vaccine acceptability among US firefighters and Emergency Medical Services (EMS) workers.
Methods:
A cross-sectional study design was used to administer an anonymous online survey to a national non-probabilistic sample of firefighter and EMS workers.
Results:
Among the 3169 respondents, 48.2% expressed high acceptability of the COVID-19 vaccine when it becomes available, while 24.2% were unsure and 27.6% reported low acceptability. Using the "high COVID-19 vaccine acceptability" group as the reference category, the groups with greater odds of reporting low acceptability included those: 30 to 39 years of age (odds ratio = 3.62 [95% confidence interval = 2.00 to 6.55]), Black race (3.60 [1.12 to 11.53]), Hispanic/Latinx ethnicity (2.39 [1.45 to 3.92]), with some college education (2.06 [1.29 to 3.27]), married (1.65 [1.03 to 2.65]), of current rank firefighter/EMS (2.21 [1.60 to 3.08]).
Conclusions:
Over half of US firefighters and EMS workers were uncertain or reported low acceptability of the COVID-19 vaccine when it becomes available.
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