Direct Support Professionals and COVID-19 Vaccination: A Comparison of Vaccinated and Unvaccinated Direct Support Professionals.
Only 70% of DSPs were vaccinated; safety fears and lower schooling predict non-vaccination.
01Research in Context
What this study did
Howard et al. (2023) asked U.S. direct support professionals if they got the COVID-19 shot. They used the same big National Core Indicators survey that tracks DSP workforce data every year.
The team compared staff who got the shot with those who did not. They looked at age, schooling, and the people each DSP supports.
What they found
Seven out of ten DSPs were vaccinated. Vaccinated staff were older and had more school years.
Unvaccinated staff mostly said they worried about safety. They also served more individuals who had skipped the shot.
How this fits with other research
Beck et al. (2021) saw higher intent than uptake. In Ontario, 82% of disability workers planned to vaccinate before the roll-out, yet L et al. found only 70% actually did in the U.S. The gap makes sense: plans often shrink when side-effect stories spread.
Howard et al. (2023) extends its own data. A sister paper splits vaccinated DSPs into early and late groups. Late adopters were younger, lower-paid, and mostly people of color. Together the two papers show education and income steer both the yes/no choice and the speed of the shot.
Anderson et al. (2020) and McQuaid et al. (2024) link low pay and weak benefits to higher turnover. The vaccination study adds a new angle: the same low-resource staff are also less likely to get vaccinated, stacking risk on an already shaky workforce.
Why it matters
You now know the unvaccinated DSP in your agency is probably younger, less educated, and scared of side effects. Offer short, plain-language science sheets, paid time to get the shot, and on-site clinics. These steps close both the vaccine gap and the morale gap.
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02At a glance
03Original abstract
Direct support professionals (DSPs) may be at increased risk of contracting COVID-19 due to the proximal nature of their work. In response to the pandemic a three-wave study was launched to understand experiences of DSPs. An on-line national survey found that 70% of DSPs were vaccinated. Vaccinated DSPs were older and had higher education levels. Among the unvaccinated, 56% reported concerns about COVID-19 vaccination safety. Unvaccinated DSPs were more likely to report that the people they supported were also unvaccinated. Encouraging DSPs to get vaccinated to protect the people they support is essential. Paid time off, arranging for vaccinations, and setting an expectation for vaccination may encourage vaccination uptake among DSPs.
Intellectual and developmental disabilities, 2023 · doi:10.1093/jlb/lsab027