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COVID-19 Surveillance and Vaccination Among Non-Healthcare, Non-Congregate Workers in Chicago- [electronic resource]
COVID-19 Surveillance and Vaccination Among Non-Healthcare, Non-Congregate Workers in Chicago- [electronic resource]
상세정보
- 자료유형
- 학위논문
- Control Number
- 0016934441
- International Standard Book Number
- 9798379746889
- Dewey Decimal Classification Number
- 614
- Main Entry-Personal Name
- Lendacki, Frances Rose.
- Publication, Distribution, etc. (Imprint
- [S.l.] : University of Illinois at Chicago., 2023
- Publication, Distribution, etc. (Imprint
- Ann Arbor : ProQuest Dissertations & Theses, 2023
- Physical Description
- 1 online resource(254 p.)
- General Note
- Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
- General Note
- Advisor: Turyk, Mary;Mehta, Supriya.
- Dissertation Note
- Thesis (Ph.D.)--University of Illinois at Chicago, 2023.
- Restrictions on Access Note
- This item must not be sold to any third party vendors.
- Summary, Etc.
- 요약BACKGROUNDOccupation has been defined as a primary risk factor for SARS-CoV-2 infection, but utility of surveillance practices among non-healthcare, non-congregate workplaces (NHNCW) have not been well-described. Definitions of workers at disproportionate COVID-19 risk and barriers to their vaccination are needed, to inform public health guidance and interventions. METHODSCOVID-19 workplace clusters and outbreaks investigated by the Chicago Department of Public Health (March 2020 - May 2022) were described by workplace type, investigation size, and method of identification over time. Logistic regression assessed associations between occupational COVID-19 risk and vaccination status among NHNCW cases reported June 2021-2022, stratified by Pre-and Post-Omicron periods. A survey of Workplace Encouragement for COVID-19 Vaccination in Chicago (WEVax) was administered to workplaces (July - September 2022). Workplace characteristics, coverage rates and barriers to vaccination among employees were described. Frequencies of vaccination encouragement strategies were compared among high vs. lower-coverage workplaces. RESULTSIn total, 496 COVID-19 investigations identified 442 clusters (89%) and 54 outbreaks (11%). Frontline essential workplaces comprised 36% before, versus 15% after vaccine eligibility. Case interviewing identified 84% Pre-Omicron, versus 10% Post-Omicron. Over time, offices, bars and restaurants, and less vulnerable city regions became overrepresented. Among 3,763 NHNCW cases, 18-29-year-olds, Latinx and Black-non-Latinx workers were over-represented among higher-risk occupations and unvaccinated Chicagoans. Among 18-29-year-old Pre-Omicron cases, those in higher-risk occupations had 1.5 times the odds of being unvaccinated (95% CI 1.10-2.14). Among 49 WEVax survey respondents, 59% reported coverage rates ≥ 75%; 75% of lower coverage workplaces were in manufacturing and had ˂ 100 employees. Coverage was higher among workplaces requiring vaccination (93% vs. 49%, p=0.03) or verifying vaccination (84% vs. 38%, p=0.07). Businesses reported using strategies to make vaccinations convenient. Concerns about safety, side effects, and other skepticism remain barriers to uptake.CONCLUSIONS Vaccine prioritization reduced COVID-19 burden among highest-risk workplaces, but surveillance methods became less representative. Vaccine promotion among workers in high-risk environments may increase coverage among under-vaccinated demographic groups in Chicago. Vaccine requirement, verification and addressing low vaccine confidence may improve coverage among NHNCW. Future studies should include low-coverage businesses and assess vaccination motivators (not only barriers) among employees.
- Subject Added Entry-Topical Term
- Public health.
- Subject Added Entry-Topical Term
- Epidemiology.
- Index Term-Uncontrolled
- COVID-19
- Index Term-Uncontrolled
- Vaccination
- Index Term-Uncontrolled
- Surveillance
- Index Term-Uncontrolled
- Pharmacoepidemiology
- Index Term-Uncontrolled
- Occupational health
- Added Entry-Corporate Name
- University of Illinois at Chicago Public Health Sciences-Epidemiology
- Host Item Entry
- Dissertations Abstracts International. 84-12B.
- Host Item Entry
- Dissertation Abstract International
- Electronic Location and Access
- 로그인을 한후 보실 수 있는 자료입니다.
- Control Number
- joongbu:642139
MARC
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■020 ▼a9798379746889
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■035 ▼a(MiAaPQ)0799vireo3629Lendacki
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aLendacki, Frances Rose.
■24510▼aCOVID-19 Surveillance and Vaccination Among Non-Healthcare, Non-Congregate Workers in Chicago▼h[electronic resource]
■260 ▼a[S.l.]▼bUniversity of Illinois at Chicago. ▼c2023
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2023
■300 ▼a1 online resource(254 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 84-12, Section: B.
■500 ▼aAdvisor: Turyk, Mary;Mehta, Supriya.
■5021 ▼aThesis (Ph.D.)--University of Illinois at Chicago, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aBACKGROUNDOccupation has been defined as a primary risk factor for SARS-CoV-2 infection, but utility of surveillance practices among non-healthcare, non-congregate workplaces (NHNCW) have not been well-described. Definitions of workers at disproportionate COVID-19 risk and barriers to their vaccination are needed, to inform public health guidance and interventions. METHODSCOVID-19 workplace clusters and outbreaks investigated by the Chicago Department of Public Health (March 2020 - May 2022) were described by workplace type, investigation size, and method of identification over time. Logistic regression assessed associations between occupational COVID-19 risk and vaccination status among NHNCW cases reported June 2021-2022, stratified by Pre-and Post-Omicron periods. A survey of Workplace Encouragement for COVID-19 Vaccination in Chicago (WEVax) was administered to workplaces (July - September 2022). Workplace characteristics, coverage rates and barriers to vaccination among employees were described. Frequencies of vaccination encouragement strategies were compared among high vs. lower-coverage workplaces. RESULTSIn total, 496 COVID-19 investigations identified 442 clusters (89%) and 54 outbreaks (11%). Frontline essential workplaces comprised 36% before, versus 15% after vaccine eligibility. Case interviewing identified 84% Pre-Omicron, versus 10% Post-Omicron. Over time, offices, bars and restaurants, and less vulnerable city regions became overrepresented. Among 3,763 NHNCW cases, 18-29-year-olds, Latinx and Black-non-Latinx workers were over-represented among higher-risk occupations and unvaccinated Chicagoans. Among 18-29-year-old Pre-Omicron cases, those in higher-risk occupations had 1.5 times the odds of being unvaccinated (95% CI 1.10-2.14). Among 49 WEVax survey respondents, 59% reported coverage rates ≥ 75%; 75% of lower coverage workplaces were in manufacturing and had ˂ 100 employees. Coverage was higher among workplaces requiring vaccination (93% vs. 49%, p=0.03) or verifying vaccination (84% vs. 38%, p=0.07). Businesses reported using strategies to make vaccinations convenient. Concerns about safety, side effects, and other skepticism remain barriers to uptake.CONCLUSIONS Vaccine prioritization reduced COVID-19 burden among highest-risk workplaces, but surveillance methods became less representative. Vaccine promotion among workers in high-risk environments may increase coverage among under-vaccinated demographic groups in Chicago. Vaccine requirement, verification and addressing low vaccine confidence may improve coverage among NHNCW. Future studies should include low-coverage businesses and assess vaccination motivators (not only barriers) among employees.
■590 ▼aSchool code: 0799.
■650 4▼aPublic health.
■650 4▼aEpidemiology.
■653 ▼aCOVID-19
■653 ▼aVaccination
■653 ▼aSurveillance
■653 ▼aPharmacoepidemiology
■653 ▼aOccupational health
■690 ▼a0766
■690 ▼a0573
■690 ▼a0354
■71020▼aUniversity of Illinois at Chicago▼bPublic Health Sciences-Epidemiology.
■7730 ▼tDissertations Abstracts International▼g84-12B.
■773 ▼tDissertation Abstract International
■790 ▼a0799
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16934441▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
