COVID-19 Vaccine Uptake and Correlates Among Men Who Have Sex with Men in the United States Pubblico

Goldberg, Benjamin (Spring 2023)

Permanent URL: https://etd.library.emory.edu/concern/etds/37720f033?locale=it
Published

Abstract

Many studies have analyzed COVID-19 vaccine uptake and correlates in the general population. However, to date, there has not been a study looking at these correlates among men who have sex with men (MSM) who are both living with HIV and not living with HIV. To examine this relationship, the 2021 cycle of the American Men’s Internet Survey (AMIS) added questions about receipt of the COVID-19 vaccine, such as which vaccine an individual received and how many doses they received if they had been vaccinated. Men were recruited for AMIS through email and banner ads on websites. Men could participate if they were aged at least 15 years, resided in the United States, provided a valid United States ZIP code, and reported ever having sex with a man or identified as gay or bisexual. Polytomous logistic regression models were used to evaluate the relationship between COVID-19 vaccination status and various demographic and health characteristics. An individual could have one of four different vaccination statuses: unvaccinated, incomplete initial series, fully vaccinated, and boosted, where each status was compared against the unvaccinated group. We found that identifying as Black was associated with being less likely to have received a booster dose (aOR 0.51, 95% CI 0.36-0.72), while identifying as Hispanic was associated with being more likely to have received a booster dose (aOR 1.60, 95% CI 1.05-2.42) when compared to MSM who identified as White. We also found that having any health insurance was associated with being more likely to have received a booster dose compared to those who were uninsured. Additionally, compared to individuals with a high school diploma or less, MSM with a complete college degree or more were more likely to both be fully vaccinated and have received a booster dose (aOR 2.47 95% CI 1.72-3.55 and aOR 4.10 95% CI 2.78-6.06 respectively). Given that these findings were not always consistent with findings on other preventative health behaviors among MSM, further research is needed to understand how the COVID-19 pandemic impacted these factors.

Table of Contents

Contents:

Introduction: 1

Methods: 2

Results: 4

Discussion: 5

Acknowledgments: 9

References: 10

Tables and Figures: 13

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