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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Living Organ Donor Perspectives and Sources of Hesitancy about COVID-19 Vaccines
Kidney360, v 2(7), pp 1132-1140
Jul 2021
PMID: 34337426
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Living organ donation declined substantially in the United States during the COVID-19 pandemic due to concerns about donor and transplant candidate safety. COVID-19 vaccines might increase confidence in the safety of living organ donation during the pandemic. We assessed informational preferences and perspectives about COVID-19 vaccines among US living organ donors and prospective donors.
We conducted a national survey study of organ donors and prospective donors on social media platforms between 12/28/2020-2/23/2021. Survey items included multiple choice, visual analog scale, and open-ended responses. We examined associations between information preferences, history of COVID-19 infection, influenza vaccination history and COVID-19 vaccine acceptance using multivariable logistic regression and performed a thematic analysis of open-ended responses.
Among 342 respondents from 47 US states and the District of Columbia, 35% were between 51-70 years old, 90% were non-Hispanic white, 87% were women; 82% were living donors (94% kidney) and 18% in evaluation to donate (75% kidney).The majority planned to or had received COVID-19 vaccination (76%), whereas 11% did not plan to be receive a vaccine, and 12% were unsure. Adjusting for demographics and donor characteristics, respondents who receive yearly influenza vaccinations had higher COVID-19 vaccine acceptance than those who do not (adjusted Odds Ratio [aOR] 5.06, 95% Confidence Interval [CI] 2.68-9.53). Compared to respondents who prioritized medical information sources (e.g., personal physicians and transplant providers), those who prioritized news and social media had lower COVID-19 vaccine acceptance (aOR 0.34, 95% CI 0.15-0.73). Low perceived personal benefit from vaccination and uncertainty about long-term safety were common themes among those declining COVID-19 vaccines.
Donor informational source preferences were strongly associated with the likelihood of accepting a COVID-19 vaccine. Vaccine guidance for organ donors who are unsure about COVID-19 vaccines could incorporate messaging about safety and benefits of vaccination for healthy people.
Metrics
Details
- Title
- Living Organ Donor Perspectives and Sources of Hesitancy about COVID-19 Vaccines
- Creators
- Meera N Harhay - Tower Health Transplant Institute, Tower Health System, West Reading, PAAnn C Klassen - Drexel UniversityHasan Zaidi - Department of Medicine, Drexel University College of Medicine, Philadelphia, PAMichael Mittelman - American Living Organ Donor Fund, Philadelphia, PARebecca Bertha - American Living Organ Donor Fund, Philadelphia, PARoslyn B Mannon - Division of Nephrology, Department of Medicine, University of Nebraska Medical Center, Omaha, NEKrista L Lentine - Saint Louis University Center for Abdominal Transplantation, St. Louis, MO
- Publication Details
- Kidney360, v 2(7), pp 1132-1140
- Grant note
- R01 DK120551 / NIDDK NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Community Health and Prevention
- Web of Science ID
- WOS:000861059700010
- Scopus ID
- 2-s2.0-85121275320
- Other Identifier
- 991019196790204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Urology & Nephrology