Table.
Factors associated with providing COVID-19 vaccination at syringe services programs (SSPs) in the United States, September 2021 a
| Characteristic | Total no. of responses | No. (%) of responses | No. (%) of SSPs providing vaccination (n = 24) | No. (%) of SSPs not providing vaccination (n = 49) | P value b |
|---|---|---|---|---|---|
| Program size in 2019 (syringes distributed) | 71 | >.99 | |||
| Small/medium (1-55 000) | 27 (38.0) | 9 (37.5) | 18 (38.3) | ||
| Large/very large (≥55 001) | 44 (62.0) | 15 (62.5) | 29 (61.7) | ||
| Budget size in 2019, $ | 70 | .73 | |||
| <25 000 | 25 (35.7) | 7 (31.8) | 18 (37.5) | ||
| 25 000-100 000 | 18 (25.7) | 7 (31.8) | 11 (22.9) | ||
| >100 000 | 27 (38.6) | 8 (36.4) | 19 (39.6) | ||
| Region | 71 | .83 | |||
| Northeast | 16 (22.5) | 5 (20.8) | 11 (23.4) | ||
| Midwest | 19 (26.8) | 7 (29.2) | 12 (25.5) | ||
| South | 14 (19.7) | 6 (25.0) | 8 (17.0) | ||
| West | 22 (31.0 | 6 (25.0) | 16 (34.1) | ||
| Organization type in 2019 | 73 | .32 | |||
| Health department | 14 (19.2) | 7 (29.2) | 7 (14.3) | ||
| Nonprofit | 45 (61.6) | 14 (58.3) | 31 (63.3) | ||
| Other | 14 (19.2) | 3 (12.5) | 11 (22.4) | ||
| Provided hepatitis A/B or influenza vaccinations in 2019 | 73 | .002 | |||
| Yes | 31 (42.5) | 17 (70.8) | 14 (28.6) | ||
| No | 39 (53.4) | 7 (29.2) | 32 (65.3) | ||
| Don’t know | 3 (4.1) | 0 | 3 (6.1) | ||
| Interested in providing COVID-19 vaccinations in 2021 | 49 | — | |||
| Yes | 21 (42.9) | NA | 21 (42.9) | ||
| No | 13 (26.5) | NA | 13 (26.5) | ||
| Don’t know | 15 (30.6) | NA | 15 (30.6) | ||
| Reported obstacles to providing COVID-19 vaccinations in 2021 | 73 | ||||
| Lack of facility capabilities (eg, space, refrigerators) | 42 (57.5) | 5 (20.8) | 37 (75.5) | <.001 | |
| Lack of funding | 34 (46.6) | 3 (12.5) | 31 (63.3) | <.001 | |
| Lack of trained staff | 33 (45.2) | 5 (20.8) | 28 (57.1) | .007 | |
| Willingness of clients to obtain the vaccine | 34 (46.6) | 16 (66.7) | 18 (36.7) | .03 | |
| Other | 11 (15.1) | 6 (25.0) | 5 (10.2) | .16 | |
| Provided incentives to clients for getting a COVID-19 vaccination in 2021 | 24 | ||||
| Yes | 10 (41.7) | 10 (41.7) | — | — | |
| No | 14 (58.3) | 14 (58.3) | — | — | |
| Types of incentives in 2021 | 10 | ||||
| Money to cover transportation costs | 0 | 0 | — | — | |
| Gifts or gift cards | 9 (90.0) | 9 (90.0) | — | — | |
| Money beyond transportation costs | 1 (10.0) | 1 (10.0) | — | — |
Abbreviations: —, not asked; NA, not applicable.
a
SSPs were surveyed in September 2021 to examine COVID-19 vaccination practices through a supplement to the 2020 Dave Purchase Memorial survey. 6
b
Association between characteristic and provision of COVID-19 vaccination was determined by Fisher exact test; P < .05 was considered significant.