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High Primary COVID-19 Vaccine Series Completion by People Who Inject Drugs When Colocating Services at a Syringe
Omeid Heidari1, Katie J O'Conor, Diane Meyer
1From the Department of Child, Family, and Population Health Nursing, University of Washington, School of Nursing, Seattle, WA (OH); Center for Infectious Disease and Nursing Innovation, Johns Hopkins University, School of Nursing, Baltimore MD (OH, DM, KL, JEF); Departments of Anesthesiology, Critical Care Medicine and Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore MD (KJO); Center for Health Security, Johns Hopkins University, Bloomberg School of Public Health, Baltimore MD (DM); and Milken Institute, Santa Monica, CA (VC).
Objective:
The aim of the study is to describe the impact of colocating COVID-19 vaccinations with local syringe service programs on vaccine completion among people who inject drugs.
Methods:
Data were derived from 6 community-based clinics. People who inject drugs who received at least one COVID-19 vaccine from a colocated clinic partnering with a local syringe service program were included in the study. Vaccine completion was abstracted from electronic medical records; additional vaccinations were abstracted using health information exchanges embedded within the electronic medical records.
Results:
Overall, 142 individuals with a mean age of 51 years, predominantly male (72%) and Black, non-Hispanic (79%) received COVID-19 vaccines. More than half elected to receive a 2-dose mRNA vaccine (51.4%). Eighty-five percent completed a primary series, and 71% of those who received a mRNA vaccine completed the 2-dose series. Booster uptake was 34% in those completing a primary series.
Conclusions:
Colocated clinics are an effective means of reaching vulnerable populations. As the COVID-19 pandemic continues and need for annual booster vaccines arises, it is important to bolster public support and funding to continue low-barrier preventive clinics colocated with harm reduction services for this population.
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