Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients
Objective:. Our objective was to identify factors associated with COVID-19 vaccination in trauma patients and to provide an opportunity for patients to engage in conversations about vaccination. Background:. The trauma surgery service offers a unique opportunity to promote preventative health interv...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2023-12-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000356 |
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| _version_ | 1832589726650990592 |
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| author | Grace E. Keegan, BS Rachel Alexander, BS Simi Ogunnowo, BS Isaiah Brown, BS Tanya L. Zakrison, MD, MPH Lea E. Hoefer, MD |
| author_facet | Grace E. Keegan, BS Rachel Alexander, BS Simi Ogunnowo, BS Isaiah Brown, BS Tanya L. Zakrison, MD, MPH Lea E. Hoefer, MD |
| author_sort | Grace E. Keegan, BS |
| collection | DOAJ |
| description | Objective:. Our objective was to identify factors associated with COVID-19 vaccination in trauma patients and to provide an opportunity for patients to engage in conversations about vaccination.
Background:. The trauma surgery service offers a unique opportunity to promote preventative health interventions in hard-to-reach populations.
Methods:. Trauma inpatients in Chicago, IL were recruited for this mixed-methods study from February 2022 to April 2022. Participants completed a survey on demographics, COVID-19 vaccination status, and Experiences of Discrimination Scale adapted for medical settings. Differences between vaccinated and unvaccinated patients were analyzed using the Wilcoxon-rank sum test. A semistructured, qualitative interview was completed. Qualitative data was transcribed and analyzed using Grounded Theory Methodology.
Results:. Fifty-eight trauma patients were surveyed, representing 88% of patients approached. Only 23 (40%) patients reported full vaccination to COVID-19. Previous vaccination (at least 1 dose) was associated with greater concern for COVID-19 (OR 3.47, 95% CI 1.987–6.964, P < 0.001) and higher income (OR 1.21, 95% CI 1.02–1.44, P = 0.03). Higher Experiences of Discrimination Scale scores were associated with decreased likelihood of prior vaccination (OR 0.97, 95% CI 0.95–0.99, P = 0.04). On qualitative analysis, recurrent themes included vaccination motivated by either community-based or personal health-related values, and disinterest in vaccination based on perceived low need or skepticism of experimentation. Fifteen patients (26%) eligible for a vaccine dose consented to onsite vaccination after the survey.
Conclusions:. Trauma patients who have experienced more discrimination in medical settings have lower rates of COVID-19 vaccination. Vaccination rates in our population were over 2 times lower than citywide rates, but admission to the trauma service can increase comprehensive care. |
| format | Article |
| id | doaj-art-cc6635aae2764fcf892c09ae21a00e58 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-cc6635aae2764fcf892c09ae21a00e582025-01-24T09:18:12ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932023-12-0144e35610.1097/AS9.0000000000000356202312000-00012Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma PatientsGrace E. Keegan, BS0Rachel Alexander, BS1Simi Ogunnowo, BS2Isaiah Brown, BS3Tanya L. Zakrison, MD, MPH4Lea E. Hoefer, MD5From the * Pritzker School of Medicine, University of Chicago, Chicago, ILFrom the * Pritzker School of Medicine, University of Chicago, Chicago, ILFrom the * Pritzker School of Medicine, University of Chicago, Chicago, ILFrom the * Pritzker School of Medicine, University of Chicago, Chicago, IL† Department of Surgery, University of Chicago, Chicago, IL.† Department of Surgery, University of Chicago, Chicago, IL.Objective:. Our objective was to identify factors associated with COVID-19 vaccination in trauma patients and to provide an opportunity for patients to engage in conversations about vaccination. Background:. The trauma surgery service offers a unique opportunity to promote preventative health interventions in hard-to-reach populations. Methods:. Trauma inpatients in Chicago, IL were recruited for this mixed-methods study from February 2022 to April 2022. Participants completed a survey on demographics, COVID-19 vaccination status, and Experiences of Discrimination Scale adapted for medical settings. Differences between vaccinated and unvaccinated patients were analyzed using the Wilcoxon-rank sum test. A semistructured, qualitative interview was completed. Qualitative data was transcribed and analyzed using Grounded Theory Methodology. Results:. Fifty-eight trauma patients were surveyed, representing 88% of patients approached. Only 23 (40%) patients reported full vaccination to COVID-19. Previous vaccination (at least 1 dose) was associated with greater concern for COVID-19 (OR 3.47, 95% CI 1.987–6.964, P < 0.001) and higher income (OR 1.21, 95% CI 1.02–1.44, P = 0.03). Higher Experiences of Discrimination Scale scores were associated with decreased likelihood of prior vaccination (OR 0.97, 95% CI 0.95–0.99, P = 0.04). On qualitative analysis, recurrent themes included vaccination motivated by either community-based or personal health-related values, and disinterest in vaccination based on perceived low need or skepticism of experimentation. Fifteen patients (26%) eligible for a vaccine dose consented to onsite vaccination after the survey. Conclusions:. Trauma patients who have experienced more discrimination in medical settings have lower rates of COVID-19 vaccination. Vaccination rates in our population were over 2 times lower than citywide rates, but admission to the trauma service can increase comprehensive care.http://journals.lww.com/10.1097/AS9.0000000000000356 |
| spellingShingle | Grace E. Keegan, BS Rachel Alexander, BS Simi Ogunnowo, BS Isaiah Brown, BS Tanya L. Zakrison, MD, MPH Lea E. Hoefer, MD Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients Annals of Surgery Open |
| title | Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients |
| title_full | Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients |
| title_fullStr | Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients |
| title_full_unstemmed | Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients |
| title_short | Trauma as a Public Health Moment: Addressing Vaccine Uptake in Trauma Patients |
| title_sort | trauma as a public health moment addressing vaccine uptake in trauma patients |
| url | http://journals.lww.com/10.1097/AS9.0000000000000356 |
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