Vaccines, Military Culture, and Cynicism: Exploring COVID-19 Vaccination Attitudes among Veterans in Homeless Transitional Housing

References

• Aker, J. (2021, October 15). More than 95% of active duty have received COVID-19 vaccine. Military Health System. Retrieved October 18, 2021, from https://www.health.mil/News/Articles/2021/10/15/More-Than-95-Percent-of-Active-Duty-Have-Received-COVID-19-Vaccine.
   Google Scholar
• Albrecht, D. (2022, January 14). Vaccination, politics and COVID-19 impacts. BMC Public Health, 22(1), 96. https://doi.org/10.1186/s12889-021-12432-x
   PubMed Web of Science ®Google Scholar
• Alenkin, N. (2015). Older Veterans in the domiciliary: Their perceptions and the realities of military experience and impacts on PTSD treatment outcomes. The Gerontologist, 55(Suppl_2), 433–433. https://doi.org/10.1093/geront/gnv188.08
   Google Scholar
• Balut, M. D., Chu, K., Gin, J. L., Dobalian, A., & Der-Martirosian, C. (2021). Predictors of COVID-19 vaccination among Veterans experiencing homelessness. Vaccines, 9(11), 1268. https://doi.org/10.3390/vaccines9111268
   Web of Science ®Google Scholar
• Beers, L., Filter, M., & McFarland, M. (2019). Increasing influenza vaccination acceptance in the homeless: A quality improvement project. The Nurse Practitioner, 44(11), 48–54. https://doi.org/10.1097/01.NPR.0000586012.31046.c9
   PubMed Web of Science ®Google Scholar
• Buechler, C. R., Ukani, A., Elsharawi, R., Gable, J., Petersen, A., Franklin, M., Chung, R., Bell, J., Manly, A., Hefzi, N., Carpenter, D., & Bryce, R. (2020). Barriers, beliefs, and practices regarding hygiene and vaccination among the homeless during a hepatitis A outbreak in Detroit, MI. Heliyon, 6(3), e03474. https://doi.org/10.1016/j.heliyon.2020.e03474
   PubMed Web of Science ®Google Scholar
• Castro, C. A., Kintzle, S., & Hassan, A. M. (2015). The combat veteran paradox: Paradoxes and dilemmas encountered with reintegrating combat veterans and the agencies that support them. Traumatology, 21(4), 299–310. https://doi.org/10.1037/trm0000049
   Google Scholar
• Corbin, J., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3–21. https://doi.org/10.1007/BF00988593
   Web of Science ®Google Scholar
• Der-Martirosian, C., Heslin, K. C., Mitchell, M. N., Chu, K., Tran, K., & Dobalian, A. (2013). Comparison of the Use of H1N1 and seasonal influenza vaccinations between veterans and non-veterans in the United States, 2010. BMC Public Health, 13(1), 1082. https://doi.org/10.1186/1471-2458-13-1082
   PubMedGoogle Scholar
• Elwy, A. R., Clayman, M. L., LoBrutto, L., Miano, D., Ann Petrakis, B., Javier, S., Erhardt, T., Midboe, A. M., Carbonaro, R., Jasuja, G. K., Maguire, E. M., Kyrish, A., Asch, S. M., Gifford, A. L., & McInnes, D. K. (2021). Vaccine hesitancy as an opportunity for engagement: A rapid qualitative study of patients and employees in the U.S. Veterans Affairs healthcare system. Vaccine: X, 9, 100116. https://doi.org/10.1016/j.jvacx.2021.100116
   PubMedGoogle Scholar
• Gale, R. C., Wu, J., Erhardt, T., Bounthavong, M., Reardon, C. M., Damschroder, L. J., & Midboe, A. M. (2019). Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implementation Science: IS, 14(1), 11. https://doi.org/10.1186/s13012-019-0853-y
   PubMed Web of Science ®Google Scholar
• Geppert, C. (2021, June 10). Mistrust and mandates: COVID-19 vaccination in the military. Federal Practitioner, 38(6): 254–255. https://doi.org/10.12788/fp.0143
   PubMedGoogle Scholar
• Gin, J. L., Balut, M. D. Dobalian, A. (under review). COVID-19 vaccine attitudes and behaviors among homeless Veterans in transitional housing. Archives of Public Health.
   Google Scholar
• Guest, G., Namey, E., & Chen, M. (2020). A simple method to assess and report thematic saturation in qualitative research. PLoS One, 15(5), e0232076. https://doi.org/10.1371/journal.pone.0232076
   PubMed Web of Science ®Google Scholar
• Heslin, K. C., Riopelle, D., Gin, J. L., Ordunez, J., Naranjo, D. E., & Dobalian, A. (2013). Confidence in the fairness of local public health systems’ response to disasters: The US Veterans’ perspective. Disaster Medicine and Public Health Preparedness, 7(1), 75–81. https://doi.org/10.1001/dmp.2012.61
   PubMed Web of Science ®Google Scholar
• Jasuja, G. K., Meterko, M., Bradshaw, L. D., Carbonaro, R., Clayman, M. L., LoBrutto, L., Miano, D., Maguire, E. M., Midboe, A. M., Asch, S. M., Gifford, A. L., McInnes, D. K., & Elwy, A. R. (2021). Attitudes and intentions of US veterans regarding COVID-19 vaccination. JAMA Network Open, 4(11), e2132548. https://doi.org/10.1001/jamanetworkopen.2021.32548
   PubMed Web of Science ®Google Scholar
• Kendall, M. (2021, July 19). COVID vaccinations lag, outbreaks spread at Bay Area homeless shelters. San Jose Mercury News.
   Google Scholar
• Kong, K. L., Chu, S., & Giles, M. L. (2020). Factors influencing the uptake of influenza vaccine vary among different groups in the hard-to-reach population. Australian and New Zealand Journal of Public Health, 44(2), 163–168. https://doi.org/10.1111/1753-6405.12964
   PubMed Web of Science ®Google Scholar
• Kranke, D., Gin, J., Saia, R., Heslin, K., & Dobalian, A. (2016). A qualitative investigation that applies an ecological strengths-based perspective to veterans’ experience of reintegration into civilian life. Military Behavioral Health, 4(1), 75–81. https://doi.org/10.1080/21635781.2015.1119771
   Google Scholar
• Leung, C. S., Ho, M. M., Kiss, A., Gundlapalli, A. V., & Hwang, S. W. (2008). Homelessness and the response to emerging infectious disease outbreaks: Lessons from SARS. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 85(3), 402–410.
   PubMed Web of Science ®Google Scholar
• Liebermann, O., & Kaufman, E. (2021, March 19). US military says a third of troops opt out of being vaccinated, but the numbers suggest it’s more. CNN.
   Google Scholar
• Mares, A. S., & Rosenheck, R. A. (2004). Perceived relationship between military service and homelessness among homeless veterans with mental illness. The Journal of Nervous and Mental Disease, 192(10), 715–719. https://doi.org/10.1097/01.nmd.0000142022.08830.f4
   PubMed Web of Science ®Google Scholar
• McGuire, J., Rosenheck, R. A., & Kasprow, W. J. (2011). Patient and program predictors of 12-month outcomes for homeless veterans following discharge from time-limited residential treatment. Administration and Policy in Mental Health, 38(3), 142–154. https://doi.org/10.1007/s10488-010-0309-9
   PubMed Web of Science ®Google Scholar
• Meehan, A. A., Yeh, M., Gardner, A., DeFoe, T. L., Garcia, A., Vander Kelen, P., Montgomery, M. P., Tippins, A. E., Carmichael, A. E., Gibbs, R., Caidi, H., Mosites, E., & Rehman, N. (2022). COVID-19 vaccine acceptability among clients and staff of homeless shelters in Detroit, Michigan, February 2021. Health Promotion Practice, 23(1), 35–41. https://doi.org/10.1177/15248399211049202
   PubMed Web of Science ®Google Scholar
• Mitchell, E. (2021, August 23). Pentagon to mandate COVID-19 vaccine for military. Retrieved August 24 from https://thehill.com/policy/defense/568996-pentagon-to-mandate-covid-19-vaccine-for-military
   Google Scholar
• Montgomery, M. P., Meehan, A. A., Cooper, A., Toews, K.-A., Ghinai, I., Schroeter, M. K., Gibbs, R., Rehman, N., Stylianou, K. S., Yeh, D., Thomas-Campbell, N., Washington, N. C., Brosnan, H. K., Chang, A. H., Gomih, A., Ngo, C., Vickery, K. D., Harrison, B., Winkelman, T. N. A., … Mosites, E. (2021). Notes from the field: COVID-19 vaccination coverage among persons experiencing homelessness - Six U.S. jurisdictions. MMWR. Morbidity and Mortality Weekly Report, 70(48), 1676–1678. https://doi.org/10.15585/mmwr.mm7048a4
   PubMed Web of Science ®Google Scholar
• National Academies of Sciences, Engineering, and Medicine. (2021). Addressing disaster vulnerability among homeless populations during COVID-19. The National Academies Press. 1–28. https://doi.org/10.17226/26220.
   Google Scholar
• Nelson, N. (2018). Considerations for use of hepatitis a vaccines for routine vaccination of the homeless. Presentation at Centers for Disease Control and Prevention-Advisory Committee on Immunization Practices.
   Google Scholar
• O’Toole, T. P., Johnson, E. E., Aiello, R., Kane, V., & Pape, L. (2016). Tailoring care to vulnerable populations by incorporating social determinants of health: The veterans health administration’s "homeless patient aligned care team”. Preventing Chronic Disease, 13, E44–E44. https://doi.org/10.5888/pcd13.150567
   PubMed Web of Science ®Google Scholar
• Patton, M. Q. (2014). Qualitative research & evaluation methods (4th ed.). Sage Publishing.
   Google Scholar
• Perl, L. (2015). Veterans and homelessness. Congressional Research Service.
   Google Scholar
• Pixley, C. L., Henry, F. A., DeYoung, S. E., & Settembrino, M. R. (2021). The role of homelessness community-based organizations during COVID-19. Journal of Community Psychology, 50(4): 1816–1830. https://doi.org/10.1002/jcop.22609
   Google Scholar
• Rein, L. (2021, April 21). Many veterans don’t trust coronavirus vaccines – For a VA crew in the rural West, that means changing minds, one by one. Washington Post. https://www.washingtonpost.com/politics/2021/04/17/veterans-coronavirus-vaccine/
   Google Scholar
• Rettig, R. (1999). Military use of drugs not yet approved by the FDA for CW/BW defense. RAND Corporation.
   Google Scholar
• Rogers, J. H., Cox, S. N., Hughes, J. P., Link, A. C., Chow, E. J., Fosse, I., Lukoff, M., Shim, M. M., Uyeki, T. M., Ogokeh, C., Jackson, M. L., Boeckh, M., Englund, J. A., Mosites, E., Rolfes, M. A., & Chu, H. Y. (2022). Trends in COVID-19 vaccination intent and factors associated with deliberation and reluctance among adult homeless shelter residents and staff, 1 November 2020 to 28 February 2021 – King County, Washington. Vaccine, 40(1), 122–132. https://doi.org/10.1016/j.vaccine.2021.11.026
   PubMed Web of Science ®Google Scholar
• Shariff, S. Z., Richard, L., Hwang, S. W., Kwong, J. C., Forchuk, C., Dosani, N., & Booth, R. (2022). COVID-19 vaccine coverage and factors associated with vaccine uptake among 23 247 adults with a recent history of homelessness in Ontario, Canada: A population-based cohort study. The Lancet Public Health, 7(4), e366–e377. https://doi.org/10.1016/S2468-2667(22)00037-8
   PubMed Web of Science ®Google Scholar
• Steinhauer, J. (2021, July 1). Military and VA struggle with vaccination in their ranks. The New York Times.
   Google Scholar
• Stewart, P., & Ali, I. (2021, August 3). As Delta surge, U.S. military braces for mandatory COVID-19 vaccines. Reuters.
   Google Scholar
• Strauss, A., & Corbin, J. M. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Sage Publications, Inc.
   Google Scholar
• Taylor, B., Henshall, C., Kenyon, S., Litchfield, I., & Greenfield, S. (2018). Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis. BMJ Open, 8(10), e019993. https://doi.org/10.1136/bmjopen-2017-019993
   PubMed Web of Science ®Google Scholar
• Tsai, J., Kasprow, W. J., & Rosenheck, R. A. (2013). Latent homeless risk profiles of a national sample of homeless veterans and their relation to program referral and admission patterns. American Journal of Public Health, 103(S2), S239–S247. https://doi.org/10.2105/AJPH.2013.301322
   PubMedGoogle Scholar
• Tsai, J., Link, B., Rosenheck, R. A., & Pietrzak, R. H. (2016). Homelessness among a nationally representative sample of US veterans: Prevalence, service utilization, and correlates. Social Psychiatry and Psychiatric Epidemiology, 51(6), 907–916. https://doi.org/10.1007/s00127-016-1210-y
   PubMed Web of Science ®Google Scholar
• Tsai, J., & Rosenheck, R. A. (2015). Risk factors for homelessness among US veterans. Epidemiologic Reviews, 37(1), 177–195. https://doi.org/10.1093/epirev/mxu004
   PubMed Web of Science ®Google Scholar
• Tsai, J., & Wilson, M. (2020). COVID-19: A potential public health problem for homeless populations. The Lancet. Public Health, 5(4), e186–e187. https://doi.org/10.1016/S2468-2667(20)30053-0
   PubMed Web of Science ®Google Scholar
• U.S. Department of Veterans Affairs. (2018, July 19). Website for VA Grant and Per Diem Program - Homeless veterans. Retrieved July 19, 2021, from www.va.gov/homeless/gpd.asp
   Google Scholar
• U.S. Department of Veterans Affairs. (2021, September 14). Public health: Military exposures. Retrieved September 15, 2021, from https://www.publichealth.va.gov/exposures/index.asp
   Google Scholar
• U.S. Government Accountability Office. (2002, September 20). Anthrax vaccine: GAO’s survey of guard and reserve pilots and aircrew GAO-02-445. Retrieved August 12, 2021 from https://www.gao.gov/products/gao-02-445
   Google Scholar
• Weiss, E., & Coll, J. E. (2011). The influence of military culture and veteran worldviews on mental health treatment: Practice implications for combat veteran help-seeking and wellness. International Journal of Health, Wellness & Society, 1(2), 75–86.
   Google Scholar
• Zlotnick, C., Zerger, S., & Wolfe, P. B. (2013). Health care for the homeless: What we have learned in the past 30 years and what’s. American Journal of Public Health, 103(S2), S199–S205. https://doi.org/10.2105/AJPH.2013.301586
   PubMedGoogle Scholar