COVID-19 vaccine uptake in mental healthcare users: Czech nationwide register study |
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| Institution: | 1. Department of Psychiatry, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic;1. Chung-Ang University College of Nursing, Seoul, South Korea;2. Chung-Ang University Graduate School Department of Nursing, Seoul, South Korea;1. College of Medicine, University of Florida, Gainesville, FL, USA;2. Department of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, FL, USA;1. Transport and Road Safety (TARS) Research Centre, School of Aviation, University of New South Wales, Australia;2. Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;3. Institute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh;4. Child Health Research Foundation, Dhaka, Bangladesh;5. Department of Sociology, University of Dhaka, Dhaka, Bangladesh;6. School of Sciences, University of Southern Queensland, Toowoomba, Queensland, Australia;7. Department of Biostatistics, University of Washington, Seattle, WA, United States;8. Global Health Workforce Network (GHWN), World Health Organization, Geneva, Switzerland;9. School of Mathematics, Physics, and Computing, University of Southern Queensland, Toowoomba, Queensland, Australia;1. Harvard Pilgrim Health Care Institute and Department of Population Medicine, Harvard Medical School, Boston, MA, United States;2. Kaiser Permanente Colorado, Aurora, CO, United States;3. Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA, United States;4. Kaiser Permanente Northern California, Oakland, CA, United States;5. Marshfield Clinic Research Institute, Marshfield, WI, United States;6. Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States;7. Kaiser Permanente Southern California Research and Evaluation, Pasadena, CA, United States;8. Kaiser Permanente Northwest, Portland, OR, United States;9. HealthPartners Institute, Bloomington, MN, United States;10. Denver Health, Denver, CO, United States;1. All India Institute of Medical Sciences, New Delhi, India;2. International Institute for Population Sciences, Mumbai, India;1. Tropical Health Department, High Institute of Public Health, Alexandria University, Egypt;2. Biostatistics and Demography Department, Faculty of Graduate Studies for Statistical Research, Cairo University, Egypt;3. Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Cairo University, Egypt;4. Epidemiology and Preventive Medicine Department, National Liver Institute, Menoufia University, Egypt;5. Institute of Graduate Studies & Research, Alexandria University, Egypt;6. Family Health Department, High Institute of Public Health, Alexandria University, Egypt |
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| Abstract: | BackgroundThe excessive covid-related mortality of psychiatric patients was reduced by vaccination. The vaccine uptake in patients diagnosed with different mental health disorders is, however, not fully described.AimsA nationwide, record-based retrospective cross-sectional study examines the effect of substance use, psychotic, affective, anxiety, and personality disorders on COVID-19 vaccination rates in August and December 2021. Further, it quantifies the effect of receiving mental healthcare on vaccine uptake.MethodsThe COVID-19 vaccine rates of mental healthcare users in August and December 2021 were examined using logistic regression models adjusted for sex and age on a sample of 7,235,690 adult inhabitants of the Czech Republic. The probability of vaccine uptake in the week following mental healthcare appointment or hospitalization on any day in the fall 2021 was compared to the general probability of getting vaccinated during that week.ResultsThe vaccination rate in August 2021 was related to history of hospitalization due to substance use (OR = 0.71), personality (OR = 0.87), psychotic (OR = 0.92), and anxiety (OR = 1.15) disorders, while mood disorders had no effect (OR = 1.00). Compared to general population, mental healthcare users were undervaccinated in August but not in December 2021. Vaccine uptake was low in those with history of psychiatric hospitalizations but higher in those utilizing inpatient or outpatient mental healthcare recently, predominantly for affective disorders. Increased vaccine uptake was observed following utilization of mental healthcare as well as in those with repeated psychiatric hospitalizations.ConclusionsThe vaccination rates of mental healthcare users relative to general population largely differ across nosological categories and during the vaccination campaign. Psychiatrists were successful in promoting vaccination against COVID-19. |
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| Keywords: | Mental disorders COVID-19 Vaccine uptake Psychosis Anxiety Substance use disorders |
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