دورية أكاديمية
أعرض في EDS

Evaluation of Preferred Language and Timing of COVID-19 Vaccine Uptake and Disease Outcomes.

التفاصيل البيبلوغرافية
العنوان: Evaluation of Preferred Language and Timing of COVID-19 Vaccine Uptake and Disease Outcomes.
المؤلفون: Quadri NS; Department of Medicine, University of Minnesota, Minneapolis.; Departments of Medicine and Pediatrics, Infectious Diseases and International Medicine, University of Minnesota, Minneapolis.; Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis., Knowlton G; HealthPartners Institute, Bloomington, Minnesota., Vazquez Benitez G; HealthPartners Institute, Bloomington, Minnesota., Ehresmann KR; HealthPartners Institute, Bloomington, Minnesota., LaFrance AB; HealthPartners Institute, Bloomington, Minnesota., DeFor TA; HealthPartners Institute, Bloomington, Minnesota., Smith MK; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis., Mann EM; Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis.; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis., Alpern JD; Department of Medicine, University of Minnesota, Minneapolis.; HealthPartners Institute, Bloomington, Minnesota., Stauffer WM; Department of Medicine, University of Minnesota, Minneapolis.; Departments of Medicine and Pediatrics, Infectious Diseases and International Medicine, University of Minnesota, Minneapolis.; Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis.
المصدر: JAMA network open [JAMA Netw Open] 2023 Apr 03; Vol. 6 (4), pp. e237877. Date of Electronic Publication: 2023 Apr 03.
نوع المنشور: Journal Article; Research Support, U.S. Gov't, P.H.S.
اللغة: English
بيانات الدورية: Publisher: American Medical Association Country of Publication: United States NLM ID: 101729235 Publication Model: Electronic Cited Medium: Internet ISSN: 2574-3805 (Electronic) Linking ISSN: 25743805 NLM ISO Abbreviation: JAMA Netw Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Chicago, IL : American Medical Association, [2018]-
مواضيع طبية MeSH: COVID-19 Vaccines* , COVID-19*/epidemiology , COVID-19*/prevention & control, Humans ; Female ; Adult ; Cohort Studies ; Communication Barriers ; SARS-CoV-2 ; Language
مستخلص: Importance: Beyond traditional race and ethnicity demographic characteristics, additional discrete data variables are needed for informed health interventions in the US.
Objective: To examine whether COVID-19 vaccine uptake patterns and associated disease outcomes differ among language preference groups.
Design, Setting, and Participants: A cohort study of 851 410 individuals aged 18 years or older in a large multispecialty health system in Minnesota and western Wisconsin was conducted between December 15, 2020, and March 31, 2022.
Exposure: Self-identified language preference and limited English proficiency (LEP) as measured by interpreter need were used to create subgroups using US census categories and attention to capture languages known to represent refugee groups.
Main Outcomes and Measures: The primary outcome was COVID-19 vaccination uptake rates and time to first vaccine. Secondary outcomes were rates of COVID-19-associated hospitalization and death.
Results: Most of the 851 410 participants (women, 493 910 [58.0%]; median age, 29 [IQR, 35-64] years) were US-born English speakers; 7.5% were born in other countries, 4.0% had a language preference other than English (LPOE), and 3.0% indicated LEP as measured by interpreter need. Marked temporal clusters were observed for COVID-19 vaccination uptake, hospitalizations, and deaths associated with primary series vaccine eligibility, booster availability, and COVID-19 variants. Delayed first-dose vaccine was observed with LPOE (hazard ratio [HR], 0.83; 95% CI, 0.82-0.84) and interpreter need (HR, 0.81; 95% CI, 0.80-0.82) compared with those with English language preference and proficiency. Patients with LPOE were approximately twice as likely to be hospitalized (rate ratio [RR], 1.85; 95% CI, 1.63-2.08) or die (RR, 2.13; 95% CI, 1.65-2.69). Patients with LEP experienced even higher rates of hospitalization (RR, 1.98; 95% CI, 1.73-2.25) and COVID-19-associated death (RR, 2.32; 95% CI, 1.79-2.95). Outcomes varied for individual language preference groups.
Conclusions and Relevance: In this study, delayed time to first-dose vaccine was associated with increased COVID-19 hospitalization and death rates for specific LPOE and LEP groups. The findings suggest that data collection of language preference and interpreter need provides actionable health intervention information. Standardized system-level data collection, including at a national level, may improve efficient identification of social groups with disproportionate health disparities and provide key information on improving health equity in the US.
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المشرفين على المادة: 0 (COVID-19 Vaccines)
SCR Organism: SARS-CoV-2 variants
تواريخ الأحداث: Date Created: 20230412 Date Completed: 20230414 Latest Revision: 20230425
رمز التحديث: 20230426
مُعرف محوري في PubMed: PMC10099068
DOI: 10.1001/jamanetworkopen.2023.7877
PMID: 37043199
قاعدة البيانات: MEDLINE
الوصف
تدمد:2574-3805
DOI:10.1001/jamanetworkopen.2023.7877