Cargando…

Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness

INTRODUCTION: Novel strategies are needed to address barriers to COVID-19 vaccination among people experiencing homelessness (PEH), a population that faces increased COVID-19 risk. Although growing evidence suggests that financial incentives for vaccination are acceptable to PEH, their impact on upt...

Descripción completa

Detalles Bibliográficos
Autores principales: Rosen, Allison D., Howerton, Isabelle, Brosnan, Hannah K., Stefanescu, Andrei, Gomih, Ayodele, Ngo, Cathy, Chang, Alicia H., Nguyen, Anh, Thomas, Emily H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Journal of Preventive Medicine. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847219/
https://www.ncbi.nlm.nih.gov/pubmed/37074258
http://dx.doi.org/10.1016/j.amepre.2023.01.020
_version_ 1784871409275633664
author Rosen, Allison D.
Howerton, Isabelle
Brosnan, Hannah K.
Stefanescu, Andrei
Gomih, Ayodele
Ngo, Cathy
Chang, Alicia H.
Nguyen, Anh
Thomas, Emily H.
author_facet Rosen, Allison D.
Howerton, Isabelle
Brosnan, Hannah K.
Stefanescu, Andrei
Gomih, Ayodele
Ngo, Cathy
Chang, Alicia H.
Nguyen, Anh
Thomas, Emily H.
author_sort Rosen, Allison D.
collection PubMed
description INTRODUCTION: Novel strategies are needed to address barriers to COVID-19 vaccination among people experiencing homelessness (PEH), a population that faces increased COVID-19 risk. Although growing evidence suggests that financial incentives for vaccination are acceptable to PEH, their impact on uptake is unknown. This study aimed to assess whether offering $50 gift cards was associated with the uptake of the first doses of COVID-19 vaccine among PEH in Los Angeles County. METHODS: Vaccination clinics began on March 15, 2021; the financial incentive program was implemented from September 26, 2021 to April 30, 2022. Interrupted time-series analysis with quasi-Poisson regression was used to evaluate the level and slope change in the number of weekly first doses administered. Time-varying confounders included the weekly number of clinics and the weekly number of new cases. Demographic characteristics were compared for PEH vaccinated before and after the implementation of the incentive program using chi-square tests. RESULTS: Offering financial incentives was associated with the administration of 2.5 times (95% CI=1.8, 3.1) more first doses than would have been expected without the program. Level (–0.184, 95% CI= –1.166, –0.467) and slope change (0.042, 95% CI=0.031, 0.053) were observed. Individuals who were unsheltered, aged <55 years, and identified as Black or African American accounted for a higher percentage of those vaccinated during the post-intervention period than during the pre-intervention period. CONCLUSIONS: Financial incentives may be an effective tool for increasing vaccine uptake among PEH, but important ethical considerations must be made to avoid coercion of vulnerable populations.
format Online
Article
Text
id pubmed-9847219
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher American Journal of Preventive Medicine. Published by Elsevier Inc.
record_format MEDLINE/PubMed
spelling pubmed-98472192023-01-18 Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness Rosen, Allison D. Howerton, Isabelle Brosnan, Hannah K. Stefanescu, Andrei Gomih, Ayodele Ngo, Cathy Chang, Alicia H. Nguyen, Anh Thomas, Emily H. Am J Prev Med Research Article INTRODUCTION: Novel strategies are needed to address barriers to COVID-19 vaccination among people experiencing homelessness (PEH), a population that faces increased COVID-19 risk. Although growing evidence suggests that financial incentives for vaccination are acceptable to PEH, their impact on uptake is unknown. This study aimed to assess whether offering $50 gift cards was associated with the uptake of the first doses of COVID-19 vaccine among PEH in Los Angeles County. METHODS: Vaccination clinics began on March 15, 2021; the financial incentive program was implemented from September 26, 2021 to April 30, 2022. Interrupted time-series analysis with quasi-Poisson regression was used to evaluate the level and slope change in the number of weekly first doses administered. Time-varying confounders included the weekly number of clinics and the weekly number of new cases. Demographic characteristics were compared for PEH vaccinated before and after the implementation of the incentive program using chi-square tests. RESULTS: Offering financial incentives was associated with the administration of 2.5 times (95% CI=1.8, 3.1) more first doses than would have been expected without the program. Level (–0.184, 95% CI= –1.166, –0.467) and slope change (0.042, 95% CI=0.031, 0.053) were observed. Individuals who were unsheltered, aged <55 years, and identified as Black or African American accounted for a higher percentage of those vaccinated during the post-intervention period than during the pre-intervention period. CONCLUSIONS: Financial incentives may be an effective tool for increasing vaccine uptake among PEH, but important ethical considerations must be made to avoid coercion of vulnerable populations. American Journal of Preventive Medicine. Published by Elsevier Inc. 2023-07 2023-01-18 /pmc/articles/PMC9847219/ /pubmed/37074258 http://dx.doi.org/10.1016/j.amepre.2023.01.020 Text en © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Research Article
Rosen, Allison D.
Howerton, Isabelle
Brosnan, Hannah K.
Stefanescu, Andrei
Gomih, Ayodele
Ngo, Cathy
Chang, Alicia H.
Nguyen, Anh
Thomas, Emily H.
Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title_full Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title_fullStr Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title_full_unstemmed Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title_short Financial Incentives for COVID-19 Vaccines Among People Experiencing Homelessness
title_sort financial incentives for covid-19 vaccines among people experiencing homelessness
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847219/
https://www.ncbi.nlm.nih.gov/pubmed/37074258
http://dx.doi.org/10.1016/j.amepre.2023.01.020
work_keys_str_mv AT rosenallisond financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT howertonisabelle financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT brosnanhannahk financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT stefanescuandrei financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT gomihayodele financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT ngocathy financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT changaliciah financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT nguyenanh financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness
AT thomasemilyh financialincentivesforcovid19vaccinesamongpeopleexperiencinghomelessness