Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus
Background Human immunodeficiency virus (HIV) cases are rising in Central Asia and Kazakhstan. People living with HIV (PLWH) in Kazakhstan are at heightened risk of severe COVID-19. We conducted a study to evaluate determinants of COVID-19 vaccine uptake among PLWH in Kazakhstan. Methods In this cro...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-04-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/23259582251328861 |
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| author | Gaukhar Mergenova MD, PhD Alissa Davis PhD Susan L Rosenthal PhD Assel Terlikbayeva MD Sholpan Primbetova MSSW, MPharm Meruyert Darisheva PhD Assel Bukharbayeva MSc Alfiya Y Denebayeva MD Jack DeHovitz MD |
| author_facet | Gaukhar Mergenova MD, PhD Alissa Davis PhD Susan L Rosenthal PhD Assel Terlikbayeva MD Sholpan Primbetova MSSW, MPharm Meruyert Darisheva PhD Assel Bukharbayeva MSc Alfiya Y Denebayeva MD Jack DeHovitz MD |
| author_sort | Gaukhar Mergenova MD, PhD |
| collection | DOAJ |
| description | Background Human immunodeficiency virus (HIV) cases are rising in Central Asia and Kazakhstan. People living with HIV (PLWH) in Kazakhstan are at heightened risk of severe COVID-19. We conducted a study to evaluate determinants of COVID-19 vaccine uptake among PLWH in Kazakhstan. Methods In this cross-sectional study, 196 PLWH were recruited from the Almaty City AIDS Center (July 2022-January 2023). We used logistic regression to evaluate how multilevel factors are associated with COVID-19 vaccine uptake among PLWH in Kazakhstan. Results COVID-19 vaccine non-uptake was associated with higher HIV stigma scores (AOR = 1.08, 95%CI:1.02,1.16, P = 0.017), a lower level of education (AOR = 2.53, 95%CI: 1.04,6.17, P = 0.0412), and never receiving the flu vaccine (AOR = 15.64, 95%CI:3.66,66.89, P = 0.0002). Participants with at least mild anxiety symptoms (AOR = 0.15, 95%CI:0.03,0.64, P = 0.0107) and a positive attitude towards vaccination (AOR = 0.79, 95%CI: 0.73,0.86, P < 0.0001) were less likely to remain unvaccinated against COVID-19. Conclusions COVID-19 vaccination campaigns should be tailored for PLWH and incorporate stigma reduction interventions within healthcare settings. |
| format | Article |
| id | doaj-art-a3a7ea56585544d1827e7c4fb841bfbd |
| institution | OA Journals |
| issn | 2325-9582 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj-art-a3a7ea56585544d1827e7c4fb841bfbd2025-08-20T01:55:41ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822025-04-012410.1177/23259582251328861Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency VirusGaukhar Mergenova MD, PhD0Alissa Davis PhD1Susan L Rosenthal PhD2Assel Terlikbayeva MD3Sholpan Primbetova MSSW, MPharm4Meruyert Darisheva PhD5Assel Bukharbayeva MSc6 Alfiya Y Denebayeva MD7Jack DeHovitz MD8 , Almaty, Kazakhstan Columbia University School of Social Work, , New York, NY, USA Department of Pediatrics and Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center–New York (United States), New York, NY, USA Global Health Research Center of Central Asia, Almaty, Kazakhstan Global Health Research Center of Central Asia, Almaty, Kazakhstan Global Health Research Center of Central Asia, Almaty, Kazakhstan , Almaty, Kazakhstan Almaty City AIDS center, Almaty, Kazakhstan , Brooklyn, NY, USABackground Human immunodeficiency virus (HIV) cases are rising in Central Asia and Kazakhstan. People living with HIV (PLWH) in Kazakhstan are at heightened risk of severe COVID-19. We conducted a study to evaluate determinants of COVID-19 vaccine uptake among PLWH in Kazakhstan. Methods In this cross-sectional study, 196 PLWH were recruited from the Almaty City AIDS Center (July 2022-January 2023). We used logistic regression to evaluate how multilevel factors are associated with COVID-19 vaccine uptake among PLWH in Kazakhstan. Results COVID-19 vaccine non-uptake was associated with higher HIV stigma scores (AOR = 1.08, 95%CI:1.02,1.16, P = 0.017), a lower level of education (AOR = 2.53, 95%CI: 1.04,6.17, P = 0.0412), and never receiving the flu vaccine (AOR = 15.64, 95%CI:3.66,66.89, P = 0.0002). Participants with at least mild anxiety symptoms (AOR = 0.15, 95%CI:0.03,0.64, P = 0.0107) and a positive attitude towards vaccination (AOR = 0.79, 95%CI: 0.73,0.86, P < 0.0001) were less likely to remain unvaccinated against COVID-19. Conclusions COVID-19 vaccination campaigns should be tailored for PLWH and incorporate stigma reduction interventions within healthcare settings.https://doi.org/10.1177/23259582251328861 |
| spellingShingle | Gaukhar Mergenova MD, PhD Alissa Davis PhD Susan L Rosenthal PhD Assel Terlikbayeva MD Sholpan Primbetova MSSW, MPharm Meruyert Darisheva PhD Assel Bukharbayeva MSc Alfiya Y Denebayeva MD Jack DeHovitz MD Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus Journal of the International Association of Providers of AIDS Care |
| title | Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus |
| title_full | Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus |
| title_fullStr | Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus |
| title_full_unstemmed | Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus |
| title_short | Determinants of COVID-19 Vaccine Uptake Among People Living with Human Immunodeficiency Virus |
| title_sort | determinants of covid 19 vaccine uptake among people living with human immunodeficiency virus |
| url | https://doi.org/10.1177/23259582251328861 |
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