{"pk":15880,"title":"Emergency Department Patients’ COVID-19 Vaccination Status and Self-Reported Barriers","subtitle":null,"abstract":"Introduction:\n This study surveyed adult emergency department (ED) patients and the adult  companions of pediatric patients to determine whether rates of coronavirus disease 2019  (COVID-19) vaccination were comparable to that of the general population in the region. This study  also sought to identify self-reported barriers to vaccination and possible areas for intervention.\nMethods: \nA survey was administered to 607 adult ED patients or the adult companions of pediatric  patients from three different regional hospitals to assess their COVID-19 vaccination status,  COVID-19 vaccine barriers, and demographic information.\nResults:\n Of the 2,267 adult patients/companions considered for enrollment, we approached 730  individuals about participating in the study. Of the individuals approached, 607 (41% male; mean age  47.0+17.4 years) consented to participate. A total of 403 (66.4%) participants had received at least one  vaccine dose as compared to 70% of the adult population in the county where the three hospitals were  located. Of those, 382 (94.8%) were fully vaccinated and among the individuals who were partially  vaccinated the majority (17 of 21) had an appointment for their second dose. Of those approached,  204 (33.6%) were not vaccinated, with 66 (10.9% of the total population) expressing an interest in  becoming vaccinated while the remaining 138 did not want to be vaccinated. Of those who wanted to  be vaccinated 32% were waiting for more safety data, and of those who did not want to be vaccinated  26% were concerned about side effects and risks and 28% were waiting for more safety data.\nConclusion:\n Adult ED patients and adult companions of pediatric ED patients were vaccinated at  a slightly lower rate than the general population in our county. A small but significant proportion  of those who were unvaccinated expressed the desire to be vaccinated, indicating that the ED  may be a suitable location to introduce a COVID-19 vaccination program.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Coronavirus, SARS-CoV-2, Vaccine, Severe Acute Respiratory Syndrome, Emergency Department"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/94c5n9tn","frozenauthors":[{"first_name":"Bethany","middle_name":"W.","last_name":"Harvey","name_suffix":"","institution":"Jacobs School of Medicine and Biomedical Sciences, Department of Surgery, Buffalo, New York","department":"None"},{"first_name":"Kyle","middle_name":"J.","last_name":"Kelleran","name_suffix":"","institution":"Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York","department":"None"},{"first_name":"Heidi","middle_name":"","last_name":"Suffoletto","name_suffix":"","institution":"Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; Jacobs School of Medicine and Biomedical Sciences, Department of Orthopedics, Buffalo, New York","department":"None"},{"first_name":"Changxing","middle_name":"","last_name":"Ma","name_suffix":"","institution":"State University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New York","department":"None"},{"first_name":"Nan","middle_name":"","last_name":"Nan","name_suffix":"","institution":"State University of New York at Buffalo, School of Public Health and Health Professions, Department of Biostatistics, Buffalo, New York","department":"None"},{"first_name":"Michelle","middle_name":"D.","last_name":"Penque","name_suffix":"","institution":"Jacobs School of Medicine and Biomedical Sciences, Department of Pediatrics, Buffalo, New York","department":"None"},{"first_name":"E. Brooke","middle_name":"","last_name":"Lerner","name_suffix":"","institution":"Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; Jacobs School of Medicine and Biomedical Sciences, Department of Pediatrics, Buffalo, New York","department":"None"}],"date_submitted":"2021-09-03T16:47:38Z","date_accepted":"2021-09-03T16:47:38Z","date_published":"2022-03-18T21:46:45Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15880/galley/7958/download/"}]}