在有物质使用障碍的患者中遵守SARS-CoV-2疫苗接种建议:意大利罗马的一项跨部门研究

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Francesco Mondera¹, Vincenzo Cammalleri¹, Francesca Maria Forestiero¹

¹Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Vaccines

|September 28, 2023

概括

在有物质使用障碍 (SUD) 的个人中评估了COVID-19疫苗的坚持. 非意大利族裔,并发症和先前的海洛因使用与较低的疫苗接种率有关,突出了针对性干预的需要.

科学领域:

公共卫生公共卫生
传染性疾病传染性疾病
成药物药物药物药物

背景情况:

遵守疫苗接种建议对国家免疫计划构成挑战.
有物质使用障碍 (SUD) 的个人是脆弱的人群,经常面临医疗保健获取障碍.

研究的目的:

在SUD患者中量化遵守COVID-19疫苗接种建议.
在这个人群中确定疫苗坚持的决定因素.
分析风险感知和遵守预防措施.

主要方法:

采用多变量后勤回归模型来确定坚持的预测因素.
通过调查问卷从意大利罗马的一家门诊成中心的200名SUD患者收集数据.
使用调整的几率比率 (aOR) 和95%置信区间 (CI) 评估了统计学有效性.

主要成果:

80%的SUD患者报告至少接收了一剂COVID-19疫苗.
接种疫苗的负面预测因素包括非意大利族裔 (aOR:0.36),共存的并发病 (aOR:0.35) 和以前的海洛因使用 (aOR:0.24).
不遵守的原因包括对副作用的恐惧,低估疫苗的重要性,官僚障碍和对当局的不信任.

结论:

有针对性的策略是必要的,以改善SUD患者的COVID-19疫苗可访问性.
解决错误信息和建立信任对于提高这一弱势群体的疫苗坚持至关重要.
需要进一步努力,以克服障碍,并确保在SUD患者中公平地接种疫苗.

关键词:

在 COVID-19 疫情中,在健康方面存在差异.药物使用障碍药物使用障碍疫苗接种覆盖率疫苗接种覆盖率疫苗的犹疫苗的犹疫苗,疫苗的使用情况.

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