COVID-19 vaccination attitudes and acceptance among people with serious mental illness

ObjectiveThis study examines attitudes towards COVID-19 vaccination among a diverse cohort of adults with serious mental illness (SMI), participant characteristics that are associated with vaccine acceptance, and barriers to COVID-19 vaccination among this population.MethodsA 28-item questionnaire w...

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Main Authors: William Small, Caroline Silva, Rachel Johnson, Vincent Betti, Antoinette Nguyen, Lauren Todd, David Jacobowitz, J. Steven Lamberti
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1535780/full
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author William Small
Caroline Silva
Rachel Johnson
Vincent Betti
Antoinette Nguyen
Lauren Todd
David Jacobowitz
J. Steven Lamberti
author_facet William Small
Caroline Silva
Rachel Johnson
Vincent Betti
Antoinette Nguyen
Lauren Todd
David Jacobowitz
J. Steven Lamberti
author_sort William Small
collection DOAJ
description ObjectiveThis study examines attitudes towards COVID-19 vaccination among a diverse cohort of adults with serious mental illness (SMI), participant characteristics that are associated with vaccine acceptance, and barriers to COVID-19 vaccination among this population.MethodsA 28-item questionnaire was administered to 185 adults with SMI receiving care at a university-based outpatient psychiatric clinic. Variables included demographics, health behaviors, and vaccination status. Chi-square tests were used for categorical demographic comparisons on binary COVID-19 vaccine status.ResultsFemale participants were more likely to have received COVID-19 vaccination (77.6%) than male (55.7%) participants. White (73.3%) and Hispanic/Latino (81.8%) participants were more likely to have received vaccination than Black/African American (54.9%) participants. Participants who reported having seen a primary care provider (PCP) within the past two years were more likely to be vaccinated (72.1%) than those who had not (41.7%). Participants who reported having received an influenza vaccine in the past two years were more likely to be vaccinated (80.2%) than those who had not (41.8%). Participants who had not been vaccinated were more likely to report greater concerns about all potential barriers to vaccination, including concerns about side effects, cost, health effects, and distrust of clinicians and governments.ConclusionsThe overall vaccination rate of study participants with SMI was similar to that of the general population. Efforts to enhance engagement in primary care may help improve preventative health behaviors in people with SMI.
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spelling doaj-art-f32b7ce00ad8462fbee08a61729721fe2025-01-22T07:13:36ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.15357801535780COVID-19 vaccination attitudes and acceptance among people with serious mental illnessWilliam Small0Caroline Silva1Rachel Johnson2Vincent Betti3Antoinette Nguyen4Lauren Todd5David Jacobowitz6J. Steven Lamberti7Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, United StatesUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, United StatesUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesObjectiveThis study examines attitudes towards COVID-19 vaccination among a diverse cohort of adults with serious mental illness (SMI), participant characteristics that are associated with vaccine acceptance, and barriers to COVID-19 vaccination among this population.MethodsA 28-item questionnaire was administered to 185 adults with SMI receiving care at a university-based outpatient psychiatric clinic. Variables included demographics, health behaviors, and vaccination status. Chi-square tests were used for categorical demographic comparisons on binary COVID-19 vaccine status.ResultsFemale participants were more likely to have received COVID-19 vaccination (77.6%) than male (55.7%) participants. White (73.3%) and Hispanic/Latino (81.8%) participants were more likely to have received vaccination than Black/African American (54.9%) participants. Participants who reported having seen a primary care provider (PCP) within the past two years were more likely to be vaccinated (72.1%) than those who had not (41.7%). Participants who reported having received an influenza vaccine in the past two years were more likely to be vaccinated (80.2%) than those who had not (41.8%). Participants who had not been vaccinated were more likely to report greater concerns about all potential barriers to vaccination, including concerns about side effects, cost, health effects, and distrust of clinicians and governments.ConclusionsThe overall vaccination rate of study participants with SMI was similar to that of the general population. Efforts to enhance engagement in primary care may help improve preventative health behaviors in people with SMI.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1535780/fullCovid-19vaccinationcommunity healthpreventative healthpsychiatryserious mental illness
spellingShingle William Small
Caroline Silva
Rachel Johnson
Vincent Betti
Antoinette Nguyen
Lauren Todd
David Jacobowitz
J. Steven Lamberti
COVID-19 vaccination attitudes and acceptance among people with serious mental illness
Frontiers in Psychiatry
Covid-19
vaccination
community health
preventative health
psychiatry
serious mental illness
title COVID-19 vaccination attitudes and acceptance among people with serious mental illness
title_full COVID-19 vaccination attitudes and acceptance among people with serious mental illness
title_fullStr COVID-19 vaccination attitudes and acceptance among people with serious mental illness
title_full_unstemmed COVID-19 vaccination attitudes and acceptance among people with serious mental illness
title_short COVID-19 vaccination attitudes and acceptance among people with serious mental illness
title_sort covid 19 vaccination attitudes and acceptance among people with serious mental illness
topic Covid-19
vaccination
community health
preventative health
psychiatry
serious mental illness
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1535780/full
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