RT Journal Article SR Electronic T1 SARS-CoV-2 infections and attitudes towards COVID-19 vaccines among healthcare workers in the New York Metropolitan area, USA JF Family Medicine and Community Health JO Fam Med Com Health FD BMJ Publishing Group Ltd SP e001692 DO 10.1136/fmch-2022-001692 VO 10 IS 3 A1 Israel T Agaku A1 Alisa Dimaggio A1 Avigal Fishelov A1 Alianne Brathwaite A1 Saief Ahmed A1 Michelle Malinowski A1 Theodore Long YR 2022 UL http://fmch.bmj.com/content/10/3/e001692.abstract AB Objective Because of their increased interaction with patients, healthcare workers (HCWs) face greater vulnerability to COVID-19 exposure than the general population. We examined prevalence and correlates of ever COVID-19 diagnosis and vaccine uncertainty among HCWs.Design Cross-sectional data from the Household Pulse Survey (HPS) conducted during July to October 2021.Setting HPS is designed to yield representative estimates of the US population aged ≥18 years nationally, by state and across selected metropolitan areas.Participants Our primary analytical sample was adult HCWs in the New York Metropolitan area (n=555), with HCWs defined as individuals who reported working in a ‘Hospital’; ‘Nursing and residential healthcare facility’; ‘Pharmacy’ or ‘Ambulatory healthcare setting’. In the entire national sample, n=25 909 HCWs completed the survey. Descriptive analyses were performed with HCW data from the New York Metropolitan area, the original epicentre of the pandemic. Multivariable logistic regression analyses were performed on pooled national HCW data to explore how HCW COVID-19-related experiences, perceptions and behaviours varied as a function of broader geographic, clinical and sociodemographic characteristics.Results Of HCWs surveyed in the New York Metropolitan area, 92.3% reported being fully vaccinated, and 20.9% had ever been diagnosed of COVID-19. Of the subset of HCWs in the New York Metropolitan area not yet fully vaccinated, 41.8% were vaccine unsure, 4.5% planned to get vaccinated for the first time soon, 1.6% had got their first dose but were not planning to receive the remaining dose, while 52.1% had got their first dose and planned to receive the remaining dose. Within pooled multivariable analysis of the national HCW sample, personnel in nursing/residential facilities were less likely to be fully vaccinated (adjusted OR, AOR 0.79, 95% CI 0.63 to 0.98) and more likely to report ever COVID-19 diagnosis (AOR 1.35, 95% CI 1.13 to 1.62), than those working in hospitals. Of HCWs not yet vaccinated nationally, vaccine-unsure individuals were more likely to be White and work in pharmacies, whereas vaccine-accepting individuals were more likely to be employed by non-profit organisations and work in ambulatory care facilities. Virtually no HCW was outrightly vaccine-averse, only unsure.Conclusions Differences in vaccination coverage existed by individual HCW characteristics and healthcare operational settings. Targeted efforts are needed to increase vaccination coverage.Data are available in a public, open access repository. US Census Bureau. Measuring Social and Economic Impacts during the Coronavirus Pandemic. Available at https://www.census.gov/programs-surveys/household-pulse-survey.html. Accessed on 31 December 2021.