TY - JOUR
T1 - COVID-19 Vaccine Uptake among US Adults According to Standard Occupational Groups
AU - Sokale, Itunu
AU - Alvarez, Juan
AU - Rosales, Omar
AU - Bakota, Eric
AU - Amos, Christopher I.
AU - Badr, Hoda
AU - Oluyomi, Abiodun O.
N1 - Funding Information:
Funding: In this study, the efforts of A.O.O., H.B., and O.R. were supported by NHLBI RF 50087-2021-0309-S9 (PI: Badr). The efforts of C.I.A. and H.B. were supported by NHLBI 20-312-0217571-66102L. I.S. was supported by the research training award from the Cancer Prevention & Research Institute of Texas (CPRIT) for the Systems Epidemiology of Cancer Training (SECT) Program (RP210037; PI: A. Thrift). This study was also supported by the facilities and resources of the Dan L Duncan Comprehensive Cancer Center P30 CA125123 (PI: Heslop) and the facilities and resources of the Gulf Coast Center for Precision and Environmental Health P30ES030285 (PI: Walker). The funders had no role in the design of the study, the collection, analyses or interpretation of the data, the writing of the manuscript or the decision to publish the results.
Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/7
Y1 - 2022/7
N2 - This cross-sectional ecological study examined the relationship between neighborhood-level standard occupational groups in the USA and COVID-19 vaccine uptake using 774 census tract data, each consisting of approximately 1600 housing units. The neighborhood-level COVID-19 vaccination uptake data were retrieved from Harris County Public Health, Harris County, Texas. The standard occupational group data were from the US Census Bureau. We calculated the incidence rate ratios (IRRs) for vaccine uptake using bivariate and multivariable Poisson regression models. In the adjusted models, we found that the healthcare practitioner/technician (IRR: 1.008; 95% CI: 1.003–1.014; p = 0.001), business/management/legal (IRR: 1.011; 95% CI: 1.008–1.013; p < 0.001), computer/engineering/life/physical/social science (IRR: 1.018; 95% CI: 1.013–1.023; p < 0.001), and arts/design/entertainment/sports/media (IRR: 1.031; 95% CI: 1.018–1.044; p < 0.001) occupational groups were more likely to have received the full regimen of a COVID-19 vaccine. On the contrary, the building/installation/maintenance/repair (IRR: 0.991; 95% CI: 0.987–0.995; p < 0.001), construc-tion/extraction/production (IRR: 0.991; 95% CI: 0.988–0.995; p < 0.001), transportation/material moving (IRR: 0.992; 95% CI: 0.987–0.997; p = 0.002), food preparation/serving related (IRR: 0.995; 95% CI: 0.990–0.999; p = 0.023), and personal care/services (IRR: 0.991; 95% CI: 0.985–0.998; p = 0.017) groups were less likely to have received the complete dose of a COVID-19 vaccine. White-collar workers were more likely to be vaccinated than blue-collar workers. We adjusted for age, sex, and race/ethnicity in the multivariable analysis. The low vaccine uptake among certain occupational groups remains a barrier to pandemic control. Engaging labor-centered stakeholders in the development of vaccination interventions may increase uptake.
AB - This cross-sectional ecological study examined the relationship between neighborhood-level standard occupational groups in the USA and COVID-19 vaccine uptake using 774 census tract data, each consisting of approximately 1600 housing units. The neighborhood-level COVID-19 vaccination uptake data were retrieved from Harris County Public Health, Harris County, Texas. The standard occupational group data were from the US Census Bureau. We calculated the incidence rate ratios (IRRs) for vaccine uptake using bivariate and multivariable Poisson regression models. In the adjusted models, we found that the healthcare practitioner/technician (IRR: 1.008; 95% CI: 1.003–1.014; p = 0.001), business/management/legal (IRR: 1.011; 95% CI: 1.008–1.013; p < 0.001), computer/engineering/life/physical/social science (IRR: 1.018; 95% CI: 1.013–1.023; p < 0.001), and arts/design/entertainment/sports/media (IRR: 1.031; 95% CI: 1.018–1.044; p < 0.001) occupational groups were more likely to have received the full regimen of a COVID-19 vaccine. On the contrary, the building/installation/maintenance/repair (IRR: 0.991; 95% CI: 0.987–0.995; p < 0.001), construc-tion/extraction/production (IRR: 0.991; 95% CI: 0.988–0.995; p < 0.001), transportation/material moving (IRR: 0.992; 95% CI: 0.987–0.997; p = 0.002), food preparation/serving related (IRR: 0.995; 95% CI: 0.990–0.999; p = 0.023), and personal care/services (IRR: 0.991; 95% CI: 0.985–0.998; p = 0.017) groups were less likely to have received the complete dose of a COVID-19 vaccine. White-collar workers were more likely to be vaccinated than blue-collar workers. We adjusted for age, sex, and race/ethnicity in the multivariable analysis. The low vaccine uptake among certain occupational groups remains a barrier to pandemic control. Engaging labor-centered stakeholders in the development of vaccination interventions may increase uptake.
KW - COVID-19 vaccine
KW - census tract
KW - neighborhood
KW - occupation
KW - workplace
UR - http://www.scopus.com/inward/record.url?scp=85133242174&partnerID=8YFLogxK
U2 - 10.3390/vaccines10071000
DO - 10.3390/vaccines10071000
M3 - Article
AN - SCOPUS:85133242174
SN - 2076-393X
VL - 10
JO - Vaccines
JF - Vaccines
IS - 7
M1 - 1000
ER -