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Assessing COVID-19 Vaccine Hesitancy and Trust in Home Health Workers in New York City: A Pilot Study
Chelsea Aleo McCabe1, Chinmayi Venkatram, Sahiti Yarakala
1From the Icahn School of Medicine at Mount Sinai, New York, New York.
Objective:
This study aimed to identify characteristics surrounding COVID-19 vaccine hesitancy and trust in home health workers (HHWs) in New York City.
Methods:
Data were collected from HHWs through focus group sessions conducted via Zoom. We developed a facilitator guide using the 5C Scale, a validated psychometric tool for assessing vaccine hesitancy. We performed qualitative thematic analysis using a combined inductive and deductive approach.
Results:
Major themes that emerged included the following: conflicting information decreased vaccine confidence; individualized outreach is valued when information gathering; mandates and financial incentives may increase skepticism; low health literacy and conflict in personal relationships are barriers to acceptance; and experiencing a severe infection and fear of exposure at work increase acceptance.
Conclusions:
Based on our study, personalized yet consistent messaging may be key to reaching hesitant HHWs.
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