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Vaccination Rates Among Long-Term Care Staff During the COVID-19 Pandemic.

Linette N Leng1, Cassandra L Hua2, David M Dosa3

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Assisted living staff had lower COVID-19 vaccination rates than nursing homes, but smaller communities improved. Organizational factors like for-profit status and location influenced staff vaccine uptake.

Keywords:
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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Healthcare Management

Background:

  • The COVID-19 pandemic severely impacted long-term care facilities, causing high mortality.
  • Vaccination efforts aimed to mitigate virus spread in nursing homes and assisted living communities (ALCs).
  • Limited data exists on vaccine uptake specifically within ALC staff compared to nursing home staff.

Purpose of the Study:

  • To compare COVID-19 vaccine uptake among assisted living staff versus nursing home staff.
  • To identify organizational factors influencing vaccination rates in assisted living facilities.

Main Methods:

  • A cross-sectional study analyzed data from Florida's emergency reporting system.
  • Data included staff vaccination numbers from 2585 facilities on Feb 8, 2021, and 2731 facilities on Feb 15, 2021.
  • Logistic regression models examined organizational factors (size, rurality, ownership) associated with ALC staff vaccination.

Main Results:

  • Assisted living communities, especially smaller ones, initially showed lower vaccination rates.
  • Vaccination rates in smaller ALCs (<25 beds) significantly increased by February 15, 2021.
  • For-profit status and rural location were linked to lower vaccination rates; smaller, urban ALCs receiving state funding had higher rates.

Conclusions:

  • Future pandemic preparedness in assisted living must address organizational barriers and facilitators.
  • Strategies should consider facility size, location, and profit status to improve vaccine uptake.
  • Understanding these factors is crucial for effective emergency response in long-term care settings.