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Preparing for the Next Pandemic: Exploring Predictors of Vaccine Uptake in American Cities

delete2026-07-11
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PRE
AI
K
Kasny Damas
T
Tong Chen
C
Charles E. Menifield
A
Ann D. Bagchi
DOI:10.1177/08901171261468529delete
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Abstract

Abstract

En 中文
<jats:sec> <jats:title>Purpose</jats:title> <jats:p>COVID-19 devastated communities globally, with the United States leading in fatalities despite extensive control efforts. In 2021, COVID-19 vaccines emerged as the most promising solution, with an efficacy rate exceeding 95% after full vaccination. However, herd immunity remains an elusive target with only 70% of the U.S. population fully vaccinated. This study investigates whether prior vaccination and medical history significantly predict COVID-19 vaccine acceptance and uptake.</jats:p> </jats:sec> <jats:sec> <jats:title>Design</jats:title> <jats:p> Using data collected from the 66 <jats:sup>th</jats:sup> largest U.S. city after the widespread deployment of COVID-19 vaccines and boosters, we employed logistic regression to test whether an individual’s history of vaccination and prior medical engagement positively influence COVID-19 vaccine-related decisions. </jats:p> </jats:sec> <jats:sec> <jats:title>Setting</jats:title> <jats:p>Cross-sectional U.S. survey from July-October 2022 (N = 397) and November 2023-February 2024 (N = 429).</jats:p> </jats:sec> <jats:sec> <jats:title>Subjects</jats:title> <jats:p>Adult Residents of the City of Newark, New Jersey (Aged 18+).</jats:p> </jats:sec> <jats:sec> <jats:title>Measures</jats:title> <jats:p>Newark Community Health Survey (2022, 2023).</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Individuals with a history of preventive care, such as attending at least one non-emergency medical visit in the past year, receiving either the pneumococcal or influenza vaccine within the past year, strongly predicted COVID-19 vaccine acceptance. These predictors also demonstrated a strong positive association with the completion of the primary vaccine series and a higher overall total vaccine uptake.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Future vaccine campaigns should prioritize “low engagement” populations who lack both recent routine medical visits and a history of previous vaccinations.</jats:p> </jats:sec>

Journal

A
AMERICAN JOURNAL OF HEALTH PROMOTION
IF:
2.4
Papers:
190
Citations:
0

Organization

R
Rutgers Business School
Scholars:
9
Papers: 9
Citations: 0
R
rutgers university newark
Scholars:
66
Papers: 54
Citations: 0
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