SARS-CoV-2 Vaccination Rate and Associated Factors Among Patients with Mental Illness
Article Sidebar
Main Article Content
Abstract
Objective: To study the SARS-CoV-2 vaccination rate and associated factors among patients with mental illness
Methods: The cross-sectional study included subjects who were 12 years of age or more, diagnosed psychiatric disorders (ICD-10 : F1X-F7X), visited Trakan Phuet Phon hospital between July 2021, 30th and June 2022, 30th. The data were analyzed using percentage, mean, standard deviation, chi-square test and survival analysis.
Results: The 219 subjects were 178 subjects who were vaccinated within February 2022. The first-dose SARS-CoV-2 vaccination rate within November, December, January and February were 57.99%, 72.15%, 79.91% and 81.28%, respectively. The second dose rate were 46.58% , 54.79%, 64.38% and 71.23%, respectively. The third dose rate were 0.45% , 0.91%, 5.48% and 11.42%, respectively. The vaccination rate among patients with mental illness were lower than in the general population in Thailand and in the same province. Patients with substance-related disorders had the lowest rate of the first dose vaccination compare with others. The village health volunteers and PCU officers were the mainly approachable registered way of vaccination, 85.4% and the community hospitals were the main stations of vaccination too. Mostly, the first and second doses were CoronaVac (62.4%) and ChAdOx1-S (67.9%). No serious adverse reactions and mortality were observed. Associated factors of the first and second doses vaccination rate were handicapped-scheme group, the negative attitudes toward SARS-CoV-2 vaccination and unaware or unconcerned in COVID-19 infection.
Conclusion: In many aspects, the SARS-CoV-2 vaccination rates among patients with mental illness were lower than general population. Patients with substance-related disorders had the lowest rate of the first dose vaccination. Associated factors were handicapped-scheme group, the negative attitudes toward SARS-CoV-2 vaccination and unaware or unconcerned in COVID-19 infection. Prioritization of COVID-19 vaccination in patients with mental illness should be considered.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles submitted for consideration must not have been previously published or accepted for publication in any other journal, and must not be under review by any other journal.
References
Sadock BJ, Kaplan HI, Sadock VA. Synopsis of psychiatry: behavioral sciences, clinical psychiatry. 10th ed. Philadelphia: Wolter Kluwer; 2007.
Bramness JG, Gundersen ØH, Guterstam J, Rognli EB, Konstenius M, Løberg EM, et al. Amphetamine-induced psychosis-a separate diagnostic entity or primary psychosis triggered in the vulnerable? BMC Psychiatry 2012;12:221.
Warren N, Kisely S, Siskind D. Maximizing the uptake of a covid-19 vaccine in people with severe mental Illness: a public health priority. JAMA Psychiatry 2021;78(6):589-90.
Li L, Li F, Fortunati F, Krystal JH. Association of a prior psychiatric diagnosis with mortality among hospitalized patients with coronavirus disease 2019 (COVID-19) Infection. JAMA Netw Open 2020; 3(9): e2023282.
Wang Q, Xu R, Volkow ND. Increased risk of COVID-19 infection and mortality in people with mental disorders: analysis from electronic health records in the United States. World Psychiatry 2021;20:124–30
Department of disease control. Guideline for Covid-19 vaccination in Thailand 2021 [Internet]. 2021 (updated 2021 August 17; cited 2021 August 24). Available from: https://dmsic.moph.go.th/index/detail/8750
Gordon RS Jr. An operation classification of disease prevention. Public Health Rep 1983: 98,107-9.
Royal College of Psychiatrists of Thailand. Psychotropic medications and Covid-19 vaccine [Internet]. 2021 (updated 2021 May 24; cited 2021 May 24). Available from: https://tmc.or.th/covid19/download/pdf/covid-md-040664.pdf.
Ransing R, Dashi E, Rehman S, Chepure A, Mehta V, Kundadak GK. Covid-19 anti-vaccine movement and mental health: challenges and the way forward. Asian J Psychiatr 2021; 58: 102614.
Department of Disease Control. Adverse-event definition and basic advice for Covid-19 vaccination [Internet]. 2021 (updated 2021 March 22; cited 2021 May 24). Available from: https://apps-doe.moph.go.th/boe/software/file/Adverse%20Event%20Following%20Immunization.pdf
Dodd RH, Cvejic E, Bonner C, Pickles K, McCaffery KJ. Willingness to vaccinate against COVID-19 in Australia. Lancet Infect Dis 2021; 21(3): 318–9.
MOPH immunization center, Ministry of Public Health. Covid-19 vaccination report [Internet]. (updated 2021-2022; cited 2021 Nov 30, 2021 Dec 31, 2022 Jan 31, 2022 Feb 28). Available from: https://cvp1.moph.go.th/dashboard/
World Health Organization. International statistical classification of diseases and related health problems. 10th revision, 5th ed [Internet]. 2016 (cited 2021 May 24). Available from: https://apps.who.int/iris/handle/10665/246208
American Psychiatric Association. Diagnostic and statistical manual of mental disorder 5th ed [Internet]. 2013 (cited 2021 May 24). Available from: https://repository.poltekkes-kaltim.ac.id/657/1/Diagnostic%20and%20statistical%20manual%20of%20mental%20disorders%20_%20DSM-5%20(%20PDFDrive.com%20).pdf
Boland RJ, Verduin ML, Ruiz P. Synopsis of psychiatry. 12th ed. Philadelphia: Wolters Kluwer; 2022.
Kulthida S. Covid vaccines: Recent status of 6 Covid 19 vaccine brand names which FDA register in 2020 before upcoming 2021[Internet]. thai BBC news; 2021 [cited 2021 Dec 29]. Available from: https://www.bbc.com/thai/thailand-59808231
Bank of Thailand. "Covid 19 vaccines" hope of the world [Internet]. BOT magazine; 2021 [cited 2021 Feb 17]. Available from: https://www.bot.or.th/Thai/BOTMagazine/Pages/256401GlobalTrend.aspx#
Department of Medical Services. Covid-19 clinical practice guideline 19th ed [Internet]. drug and medical supply information center, Ministry of public health; 2021 [cited 2021 Nov 4]. Available from: http://dmsic.moph.go.th/index/detail/8839.
Salmon DA , Dudley MZ, Brewer J , Kan L, Gerber JE, Budigan H, et al. Covid-19 vaccination attitudes, values and intentions among United States adults prior to emergency use authorization. Vaccine 2021;39(19): 2698-711.
Leesawat C, Detkong T, Thanaphakawat L. Factors affecting Covid-19 vaccine hesitancy and acceptance. J Ment health Thai 2022;30(2):161-70.
Roberts M. Vaccines: Low trust in vaccination ‘a global crisis’ [Internet]. BBC News; 2021 [cited 2021 Dec 16]. Available from: https://www.bbc.com/news/health-48512923
Yang Y, Dobalian A, Ward KD. Covid-19 vaccine hesitancy and its determinants among adults with a history of tobacco or marijuana use. J Community health 2021;6:1-9.
Strully KW, Harrison TM, Pardo TA, Carleo-Evangelist J. Strategies to address Covid-19 vaccine hesitancy and mitigate health disparities in minority populations. Front Public Health 2021;9:645268. 10.3389/fpubh.2021.645268.
Arcadepani FB, De Macedo MACF, Tardelli VS, Martins SS, Fidalgo TM. Covid-19 vaccination among socially vulnerable people who use drugs. Addiction 2021;116:2590-1. 10.1111/add.15500.
Yasmin F, Najeeb H, Asghar MS, Ullah I, Islam SMS. Increased Covid-19 infection risk, Covid-19 vaccine inaccessibility, and unacceptability: worrisome trio for patients with substance abuse disorders. J Glob Health 2021;11:03106.
Perri M, Guta A, Gagnon M, Bonn M, Leece P, Bayoumi AM, et al. Developing a digital health strategy for people who use drugs: lessons from covid-19. Digit Health 2021;7:20552076211028404.
Division of Health Economics and Health Security. Covid-19 vaccination guideline [Internet]. Department of Disease Control; 2021 (updated 2021 Aug 25; cited 2021 Dec 29). Available from: https://ddc.moph.go.th/ uploads/ckeditor2//files/v.11%20คำแนะนำการฉีดวัคซีนโควิด%2019%20ACIP.pdf.