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Offering $50 gift cards significantly increased COVID-19 vaccine uptake among people experiencing homelessness (PEH). This financial incentive strategy shows promise for improving vaccination rates in vulnerable populations.

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Area of Science:

  • Public Health
  • Health Equity
  • Vaccinology

Background:

  • People experiencing homelessness (PEH) face elevated COVID-19 risks and vaccination barriers.
  • Financial incentives are increasingly explored to boost vaccine uptake in underserved groups.

Purpose of the Study:

  • To evaluate the association between a $50 gift card incentive and COVID-19 vaccine uptake among PEH in Los Angeles County.
  • To assess the impact of financial incentives on first-dose COVID-19 vaccination rates in a high-risk population.

Main Methods:

  • An interrupted time-series analysis with quasi-Poisson regression was employed.
  • The study compared weekly first doses administered before and after the incentive program implementation.
  • Time-varying confounders like clinic numbers and new COVID-19 cases were adjusted for.

Main Results:

  • Offering financial incentives was linked to 2.5 times higher first-dose COVID-19 vaccine administration.
  • Demographic shifts were observed post-incentive, with increased vaccination among unsheltered individuals, those under 55, and Black or African American individuals.

Conclusions:

  • Financial incentives appear effective in enhancing COVID-19 vaccine uptake among PEH.
  • Ethical considerations regarding potential coercion of vulnerable populations must be addressed when implementing such incentives.