Employer requirements and COVID-19 vaccination and attitudes among healthcare personnel in the U.S.: findings from National Immunization Survey Adult COVID Module, August - September 2021.

Details

• Personal Author:
  Bonner KE ; Brewer NT ; Carter RJ ; De Perio, Marie A. ; Holmes C ; Hu SS ; Kriss JL ; Lee JT ; Lu P-J ; Nguyen KH ; Singleton JA ; Wilhelm E ; Zhou T
• Description:
  Introduction: Employer vaccination requirements have been used to increase vaccination uptake among healthcare personnel (HCP). In summer 2021, HCP were the group most likely to have employer requirements for COVID-19 vaccinations as healthcare facilities led the implementation of such requirements. This study examined the association between employer requirements and HCP's COVID-19 vaccination status and attitudes about the vaccine. Methods: Participants were a national representative sample of United States (US) adults who completed the National Immunization Survey Adult COVID Module (NIS-ACM) during August-September 2021. Respondents were asked about COVID-19 vaccination and intent, requirements for vaccination, place of work, attitudes surrounding vaccinations, and sociodemographic variables. This analysis focused on HCP respondents. We first calculated the weighted proportion reporting COVID-19 vaccination for HCP by sociodemographic variables. Then we computed unadjusted and adjusted prevalence ratios for vaccination coverage and key indicators on vaccine attitudes, comparing HCP based on individual self-report of vaccination requirements. Results: Of 12,875 HCP respondents, 41.5% reported COVID-19 vaccination employer requirements. Among HCP with vaccination requirements, 90.5% had been vaccinated against COVID-19, as compared to 73.3% of HCP without vaccination requirements-a pattern consistent across sociodemographic groups. Notably, the greatest differences in uptake between HCP with and without employee requirements were seen in sociodemographic subgroups with the lowest vaccination uptake, e.g., HCP aged 18-29 years, HCP with high school or less education, HCP living below poverty, and uninsured HCP. In every sociodemographic subgroup examined, vaccine uptake was more equitable among HCP with vaccination requirements than in HCP without. Finally, HCP with vaccination requirements were also more likely to express confidence in the vaccine's safety (68.3% vs. 60.1%) and importance (89.6% vs 79.6%). Conclusion: In a large national US sample, employer requirements were associated with higher and more equitable HCP vaccination uptake across all sociodemographic groups examined. Our findings suggest that employer requirements can contribute to improving COVID-19 vaccination coverage, similar to patterns seen for other vaccines. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Construction Industry Demography Dust Engineering Health Personnel Occupational Health Safety Silicon Dioxide Surveys And Questionnaires
• Keywords:
  Author Keywords: COVID-19 Vaccine; Vaccine Mandates; Vaccine Employer Requirements; Healthcare Personnel; Health Care WorkersRegion 5; Control Technology; Engineering Controls; Tools; Grinding Equipment; Masons; Bricklayers; Crystalline Silica; Respirable Dust; Exposure Assessment; Author Keywords: Respirable Crystalline Silica; Tuckpointing; Engineering Control; Power Chisel; Manual Chisel; Grinder Health Care Personnel; Demographic Characteristics; Vaccines; Immunizations; COVID-19; Health Surveys;
• ISSN:
  0264-410X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; North Carolina ; Ohio ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  40
• Issue:
  51
• NIOSHTIC Number:
  nn:20065904
• Citation:
  Vaccine 2022 Dec; 40(51):7476-7482
• Contact Point Address:
  James T. Lee, CDC COVID-19 Response, 1600 Clifton Road NE, Atlanta, GA 30333, USA
• Email:
  yvr0@cdc.gov
• Federal Fiscal Year:
  2023
• Peer Reviewed:
  True
• Source Full Name:
  Vaccine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fb9ec0bd348091bf0506303b94f47973b370bb6a94145e662deb168a1081aa13cc279f50d2ff6ad6d6a59475f7b966632498b4c708836ca2d525bc0c4cb4c5b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/249596/cdc_249596_DS1.pdf
• File Type:
  [PDF - 910.42 KB ]