Steege, A. L., Luckhaupt, S. E., Guerin, R. J., Okun, A. H., Hung, M. C., Syamlal, G., ... & Sweeney, M. H. (2022). Characteristics Associated With a Previous COVID-19 Diagnosis, Vaccine Uptake, and Intention to Be Vaccinated Among Essential Workers in the US Household Pulse Survey. American Journal of Public Health, 112(11), 1599-1610.

Objectives. To explore previous COVID-19 diagnosis and COVID-19vaccination status among US essential worker groups. Methods. We analyzed theUS Census Household Pulse Survey (May 26-July 5, 2021), a nationallyrepresentative sample of adults aged 18 years and older. We comparedcurrently employed essential workers working outside the home with thoseworking at home using adjusted prevalence ratios. We calculated proportionvaccinated and intention to be vaccinated, stratifying by essential workerand demographic groups for those who worked or volunteered outside the homesince January 1, 2021. Results. The proportion of workers with previousCOVID-19 diagnosis was highest among first responders (24.9%) working outsidethe home compared with workers who did not (13.3%). Workers in agriculture,forestry, fishing, and hunting had the lowest vaccination rates (67.5%)compared with all workers (77.8%). Those without health insurance were muchless likely to be vaccinated across all worker groups. Conclusions. Thisstudy underscores the importance of improving surveillance to monitorCOVID-19 and other infectious diseases among workers and identify andimplement tailored risk mitigation strategies, including vaccinationcampaigns, for workplaces.