COVID-19疫苗激励措施的有效性和对高风险群体的差异影响:一项前性队列研究
Noel T Brewer1, Emmanuel M Rockwell2, Aditi Tomar3
1Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, United States; Lineberger Comprehensive Cancer Center, University of North Carolina, United States.
为COVID-19疫苗接种提供保证的现金激励措施减缓了疫苗启动率的下降. 这些疫苗激励计划在服务于年轻人,西班牙裔和美洲原住民人口的地区更有效.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 评估即时现金奖励对COVID-19疫苗接种的影响.
- 假设在为高风险人群服务的疫苗接种地点有更大的激励影响.
研究的目的:
- 评估在COVID-19疫苗启动时保证立即现金激励的有效性.
- 为了确定激励影响是否因疫苗接种地点的患者人口统计学而有所不同.
主要方法:
- 利用差异差异方法分析了北卡罗来纳州4,303,542名成年人的数据 (2020年12月至2021年8月).
- 研究了在32个疫苗接种场所提供的25-100美元现金奖励或运输支付的影响,与2352个控制场所相比.
主要成果:
- 与控制站点相比,提供激励的疫苗接种站点在COVID-19疫苗启动方面出现了较小的下降 (相互作用p < .001).
- 激励网站的启动率下降了51% (经调整),而非激励网站的启动率下降了83%.
- 激励计划对服务于年轻,男性,西班牙裔和美洲印第安人/阿拉斯加土著人口的网站表现出更大的有效性.
结论:
- 提供现金激励的疫苗接种地点显示,COVID-19疫苗接种率有所下降.
- 疫苗激励计划在多样化,高风险社区可能特别有效,这需要进一步的机制研究.
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