2023-09-28 14:46:10 +00:00
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abstract: 'IMPORTANCE COVID-19 booster vaccine can strengthen waning immunity and
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widen the range of immunity against new variants.
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OBJECTIVE To describe geographic, occupational, and sociodemographic
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variations in uptake of COVID-19 booster doses among fully vaccinated US
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adults.
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DESIGN, SETTING, AND PARTICIPANTS This cross-sectional survey study used
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data from the Household Pulse Survey conducted from December 1, 2021, to
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January 10, 2022. Household Pulse Survey is an online, probability-based
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survey conducted by the US Census Bureau and is designed to yield
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estimates nationally, by state, and across selected metropolitan areas.
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MAIN OUTCOMES AND MEASURES Receipt of a booster dose was defined as
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taking 2 or more doses of COVID-19 vaccines with the first one being the
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Johnson and Johnson (Janssen) vaccine, or taking 3 or more doses of any
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of the other COVID-19 vaccines. Weighted prevalence estimates
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(percentages) were computed overall and among subgroups. Adjusted
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prevalence ratios (APRs) were calculated in a multivariable Poisson
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regression model to explore correlates of receiving a booster dose among
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those fully vaccinated.
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RESULTS A total of 135 821 adults completed the survey. Overall, 51.0\%
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were female and 41.5\% were aged 18 to 44 years (mean {[}SD] age, 48.07
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{[}17.18] years). Of fully vaccinated adults, the percentage who
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reported being boosted was 48.5\% (state-specific range, from 39.1\% in
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Mississippi to 66.5\% in Vermont). Nationally, the proportion of boosted
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adults was highest among non-Hispanic Asian individuals (54.1\%); those
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aged 65 years or older (71.4\%); those with a doctoral, professional, or
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master''s degree (68.1\%); those who were married with no children in the
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household (61.2\%); those with annual household income of \$200 000 or
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higher (69.3\%); those enrolled in Medicare (70.9\%); and those working
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in hospitals (60.5\%) or in deathcare facilities (eg, funeral homes;
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60.5\%). Conversely, only one-third of those who ever received a
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diagnosis of COVID-19, were enrolled in Medicaid, working in pharmacies,
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with less than a high school education, and aged 18 to 24 years old were
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boosted. Multivariable analysis of pooled national data revealed that
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compared with those who did not work outside their home, the likelihood
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of being boosted was higher among adults working in hospitals (APR,
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1.23; 95\% CI. 1.17-1.30). ambulatory health care centers (APR, 1.16;
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95\% CI, 1.09-1.24), and social service settings (APR, 1.08; 95\% CI,
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1.01-1.15), whereas lower likelihood was seen among those working in
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food or beverage stores (APR, 0.85; 95\% CI, 0.74-0.96) and the
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agriculture, forestry, fishing, or hunting industries (APR, 0.83; 95\%
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CI, 0.72-0.97).
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CONCLUSIONS AND RELEVANCE These findings suggest continuing disparities
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in receipt of booster vaccine doses among US adults. Targeted efforts at
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populations with low uptake may be needed to improve booster vaccine
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coverage in the US.'
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affiliation: 'Agaku, IT (Corresponding Author), NYC Hlth Hosp, NYC Test \& Trace Corps,
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125 Worth St, New York, NY 10013 USA.
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Agaku, Israel T.; Adeoye, Caleb; Long, Theodore G., NYC Hlth Hosp, NYC Test \& Trace
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Corps, 125 Worth St, New York, NY 10013 USA.'
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article-number: e2227680
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author: Agaku, Israel T. and Adeoye, Caleb and Long, Theodore G.
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author-email: agakui@nychhc.org
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author_list:
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- family: Agaku
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given: Israel T.
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- family: Adeoye
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given: Caleb
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- family: Long
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given: Theodore G.
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da: '2023-09-28'
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doi: 10.1001/jamanetworkopen.2022.27680
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files: []
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issn: 2574-3805
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journal: JAMA NETWORK OPEN
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keywords-plus: 'PRACTICES INTERIM RECOMMENDATION; ADVISORY-COMMITTEE; UNITED-STATES;
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HOSPITALIZATIONS; PREVALENCE; 2-DOSE'
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language: English
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month: AUG 19
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number: '8'
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number-of-cited-references: '34'
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papis_id: f44bbae2b0b387e5bc558c3e9836dd3b
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ref: Agaku2022geographicoccupation
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times-cited: '7'
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title: Geographic, Occupational, and Sociodemographic Variations in Uptake of COVID-19
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Booster Doses Among Fully Vaccinated US Adults, December 1, 2021, to January 10,
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2022
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000841917800005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '5'
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web-of-science-categories: Medicine, General \& Internal
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year: '2022'
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