Cargando…

HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study

Background: Although there is limited literature on medication adherence (including HIV care engagement) and COVID-19 vaccine hesitancy in general populations (i.e., non-sexual or gender minority populations), even less is known about whether HIV care engagement correlates with COVID-19 vaccine hesi...

Descripción completa

Detalles Bibliográficos
Autores principales: Duncan, Dustin T., Park, Su Hyun, Chen, Yen-Tyng, Dolotina, Brett, Worrall, Wilder R., Hanson, Hillary, Durrell, Mainza, Franco, Gustavo Arruda, Morse, Stephen S., Schneider, John A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10146179/
https://www.ncbi.nlm.nih.gov/pubmed/37112699
http://dx.doi.org/10.3390/vaccines11040787
_version_ 1785034518929866752
author Duncan, Dustin T.
Park, Su Hyun
Chen, Yen-Tyng
Dolotina, Brett
Worrall, Wilder R.
Hanson, Hillary
Durrell, Mainza
Franco, Gustavo Arruda
Morse, Stephen S.
Schneider, John A.
author_facet Duncan, Dustin T.
Park, Su Hyun
Chen, Yen-Tyng
Dolotina, Brett
Worrall, Wilder R.
Hanson, Hillary
Durrell, Mainza
Franco, Gustavo Arruda
Morse, Stephen S.
Schneider, John A.
author_sort Duncan, Dustin T.
collection PubMed
description Background: Although there is limited literature on medication adherence (including HIV care engagement) and COVID-19 vaccine hesitancy in general populations (i.e., non-sexual or gender minority populations), even less is known about whether HIV care engagement correlates with COVID-19 vaccine hesitancy among sexual and gender minorities, especially those from intersectional backgrounds. The objective of the current study was to examine if an association exists between HIV status neutral care (i.e., current pre-exposure prophylaxis [PrEP] or antiretroviral therapy [ART] use) and COVID-19 vaccination hesitancy among Black cisgender sexual minority men and transgender women at the initial peak of the pandemic. Methods: We conducted the N2 COVID Study in Chicago from 20 April 2020 to 31 July 2020 (analytic n = 222), including Black cisgender sexual minority men and transgender women who were vulnerable to HIV as well as those who were living with HIV. The survey included questions regarding HIV care engagement, COVID-19 vaccination hesitancy and COVID-19 related socio-economic hardships. Multivariable associations estimated adjusted risk ratios (ARRs) using modified Poisson regressions for COVID vaccine hesitancy adjusting for baseline socio-demographic characteristics and survey assessment time period. Results: Approximately 45% of participants reported COVID-19 vaccine hesitancy. PrEP and ART use were not associated with COVID-19 vaccine hesitancy when examined separately or combined (p > 0.05). There were no significant multiplicative effects of COVID-19 related socio-economic hardships and HIV care engagement on COVID-19 vaccine hesitancy. Conclusions: Findings suggest no association between HIV care engagement and COVID-19 vaccine hesitancy among Black cisgender sexual minority men and transgender women at the initial peak of the pandemic. It is therefore essential that COVID-19 vaccine promotion interventions focus on all Black sexual and gender minorities regardless of HIV care engagement and COVID-19 vaccine uptake is likely related to factors other than engagement in HIV status neutral care.
format Online
Article
Text
id pubmed-10146179
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-101461792023-04-29 HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study Duncan, Dustin T. Park, Su Hyun Chen, Yen-Tyng Dolotina, Brett Worrall, Wilder R. Hanson, Hillary Durrell, Mainza Franco, Gustavo Arruda Morse, Stephen S. Schneider, John A. Vaccines (Basel) Brief Report Background: Although there is limited literature on medication adherence (including HIV care engagement) and COVID-19 vaccine hesitancy in general populations (i.e., non-sexual or gender minority populations), even less is known about whether HIV care engagement correlates with COVID-19 vaccine hesitancy among sexual and gender minorities, especially those from intersectional backgrounds. The objective of the current study was to examine if an association exists between HIV status neutral care (i.e., current pre-exposure prophylaxis [PrEP] or antiretroviral therapy [ART] use) and COVID-19 vaccination hesitancy among Black cisgender sexual minority men and transgender women at the initial peak of the pandemic. Methods: We conducted the N2 COVID Study in Chicago from 20 April 2020 to 31 July 2020 (analytic n = 222), including Black cisgender sexual minority men and transgender women who were vulnerable to HIV as well as those who were living with HIV. The survey included questions regarding HIV care engagement, COVID-19 vaccination hesitancy and COVID-19 related socio-economic hardships. Multivariable associations estimated adjusted risk ratios (ARRs) using modified Poisson regressions for COVID vaccine hesitancy adjusting for baseline socio-demographic characteristics and survey assessment time period. Results: Approximately 45% of participants reported COVID-19 vaccine hesitancy. PrEP and ART use were not associated with COVID-19 vaccine hesitancy when examined separately or combined (p > 0.05). There were no significant multiplicative effects of COVID-19 related socio-economic hardships and HIV care engagement on COVID-19 vaccine hesitancy. Conclusions: Findings suggest no association between HIV care engagement and COVID-19 vaccine hesitancy among Black cisgender sexual minority men and transgender women at the initial peak of the pandemic. It is therefore essential that COVID-19 vaccine promotion interventions focus on all Black sexual and gender minorities regardless of HIV care engagement and COVID-19 vaccine uptake is likely related to factors other than engagement in HIV status neutral care. MDPI 2023-04-03 /pmc/articles/PMC10146179/ /pubmed/37112699 http://dx.doi.org/10.3390/vaccines11040787 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Duncan, Dustin T.
Park, Su Hyun
Chen, Yen-Tyng
Dolotina, Brett
Worrall, Wilder R.
Hanson, Hillary
Durrell, Mainza
Franco, Gustavo Arruda
Morse, Stephen S.
Schneider, John A.
HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title_full HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title_fullStr HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title_full_unstemmed HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title_short HIV Care Engagement Is Not Associated with COVID-19 Vaccination Hesitancy during the Initial Peak of the COVID-19 Pandemic among Black Cisgender Sexual Minority Men and Transgender Women in the N2 COVID Study
title_sort hiv care engagement is not associated with covid-19 vaccination hesitancy during the initial peak of the covid-19 pandemic among black cisgender sexual minority men and transgender women in the n2 covid study
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10146179/
https://www.ncbi.nlm.nih.gov/pubmed/37112699
http://dx.doi.org/10.3390/vaccines11040787
work_keys_str_mv AT duncandustint hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT parksuhyun hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT chenyentyng hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT dolotinabrett hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT worrallwilderr hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT hansonhillary hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT durrellmainza hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT francogustavoarruda hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT morsestephens hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy
AT schneiderjohna hivcareengagementisnotassociatedwithcovid19vaccinationhesitancyduringtheinitialpeakofthecovid19pandemicamongblackcisgendersexualminoritymenandtransgenderwomeninthen2covidstudy