Nursing home in states with COVID-19 vaccine mandates saw higher staff uptakeNursing homes in US states with COVID-19 vaccine mandates for healthcare workers saw a 7 percentage-point increase in staff vaccine uptake over homes in non-mandate states during a 5-month period in 2021, with no worsening of worker shortages, finds a study published late last week in JAMA Health Forum.The study, led by a researcher from the University of Rochester Medical Center in New York, used weekly National Healthcare Safety Network data on staff COVID-19 vaccination rates and worker shortages at nursing homes in 38 study-eligible states from Jun 6 to Nov 14, 2021.The team chose this time window to avoid confounding from the federal nursing home mandate that was announced on Nov 4 and took effect Dec 6.
Vaccination was considered at least one dose of the Pfizer/BioNTech, Moderna, or Johnson & Johnson COVID-19 vaccines.Of the 38 states, 26 had no COVID-19 vaccine mandate for nursing home workers, while 8 had a mandate with no option to substitute with weekly COVID-19 tests, and 4 had a mandate with a test-out option.At least 10 weeks after mandate announcement, nursing homes in states with a mandate and no test-out option saw an increase in worker COVID-19 vaccination of 6.9 percentage points (95% confidence interval [CI], −0.1 to 13.9) over those in no-mandate states.
Nursing homes in states with a mandate and test-out option saw a 3.1 percentage-point climb in vaccination (95% CI, 0.5 to 5.7) relative to those in no-mandate states.
There were no reports of worsened staffing shortages.Increases in COVID-19 vaccination rates in mandate states with no test-out option were greater in Republican-leaning counties than in Democrat-leaning