Evidence map›Paper›PMID 34449885›Full record

ArticleJournal of the American Geriatrics Society2022

Perceptions of COVID-19 vaccines among healthcare assistants: A national survey.

Joshua D Niznik, Jill Harrison, Elizabeth M White, Maggie Syme, Laura C Hanson, Casey J Kelley, Lori Porter, Sarah D Berry

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Elevating Home Health Aide Input in Co-Creation of COVID-19 Vaccine Messaging.The American journal of hospice & palliative care · 2024
    Article
  5. A Qualitative Study of Home Health Aides' Perspectives towards COVID-19 Vaccination.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Joshua D NiznikDivision of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1466-5751
Jill HarrisonDepartment of Health Services, Policy, and Practice, Brown University, School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0001-6194-5452
Elizabeth M WhiteCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0003-4175-8662
Maggie SymeHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Laura C HansonDivision of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina, USA.
Casey J KelleyDivision of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina, USA.
Lori PorterNational Association of Health Care Assistants (NAHCA), Carl Junction, Missouri, USA.
Sarah D BerryHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
University of North Carolina at Chapel Hill · USBeth Israel Deaconess Medical Center · USBrown University · USHebrew SeniorLife · USNational Association of Chronic Disease Directors · USRhode Island Department of Health · US

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Vincent Mor · 2019 to 2026
$125.9M
Mentoring Patient-Oriented Research to Prevent Injury in Older AdultsK24AG070106 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI Sarah Dyer Berry · 2021 to 2026
$735k
NIA NIH HHS K24 AG070106NIA NIH HHS U54 AG063546This work was supported through a supplemental award by the National Institute on Aging (NIA) of the National Institutes of Health under Award Number 3U54AG063546-02S2 to the NIA Imbedded Pragmatic Alzheimer's Disease and AD-Related Dementias Clinical Trials Collaboratory (NIA IMPACT Collaboratory, U54AG063546) as part of the RADx Underserved Populations (RADx-UP) program, which supports 32 institutions across the United States to focus on populations disproportionately affected by the pandemic. Dr. Berry receives funds to mentor through a grant from the NIA (K24 AG070106). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
6 · The paper itself

Abstract

backgroundLimited COVID-19 vaccination acceptance among healthcare assistants (HCAs) may adversely impact older adults, who are at increased risk for severe COVID-19 infections. Our study objective was to evaluate the perceptions of COVID-19 vaccine safety and efficacy in a sample of frontline HCAs, overall and by race and ethnicity.

methodsAn online survey was conducted from December 2020 to January 2021 through national e-mail listserv and private Facebook page for the National Association of Health Care Assistants. Responses from 155 HCAs, including certified nursing assistants, home health aides, certified medical assistants, and certified medication technicians, were included. A 27-item survey asked questions about experiences and perceptions of COVID-19 vaccines, including how confident they were that COVID-19 vaccines are safe, effective, and adequately tested in people of color. Multivariable regression was used to identify associations with confidence in COVID-19 vaccines.

resultsWe analyzed data from 155 completed responses. Among respondents, 23.9% were black and 8.4% Latino/a. Most respondents worked in the nursing home setting (53.5%), followed by hospitals (12.9%), assisted living (11.6%), and home care (10.3%). Respondents expressed low levels of confidence in COVID-19 vaccines, with fewer than 40% expressing at least moderate confidence in safety (38.1%), effectiveness (31.0%), or adequate testing in people of color (27.1%). Non-white respondents reported lower levels of confidence in adequate testing of vaccines compared to white respondents. In bivariate and adjusted models, respondents who gave more favorable scores of organizational leadership at their workplace expressed greater confidence in COVID-19 vaccines.

conclusionFrontline HCAs reported low confidence in COVID-19 vaccines. Stronger organizational leadership in the workplace appears to be an important factor in influencing HCA's willingness to be vaccinated. Action is needed to enhance COVID-19 vaccine uptake in this important population with employers playing an important role to build vaccine confidence and trust among employees.

Indexed as

PerceptionAdultAgedAllied Health PersonnelAssisted Living FacilitiesCOVID-19COVID-19 VaccinesEthnicityFemaleHospitalsHumansInternetMaleMiddle AgedNursing HomesRacial GroupsCOVID-19 VaccinesCOVID-19frontline healthcare workershealthcare assistantsstaffvaccines

Identifiers

PMID34449885
PMCPMC8657352
OpenAlexW3194027433

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.