COVID-19 vaccination status and related process of care outcomes among U.S. adults with active epilepsy-National Health Interview Survey, United States, 2021

Epilepsy Behav. 2023 Jun:143:109223. doi: 10.1016/j.yebeh.2023.109223. Epub 2023 Apr 14.

Abstract

Growing research has examined the effects of the COVID-19 pandemic on people with epilepsy. There are no published national estimates of COVID-19 vaccination status among U.S. adults with active epilepsy. The purpose of this study is to use 2021 National Health Interview Survey (NHIS) data to examine select COVID-19-related outcomes by epilepsy status in a nationally representative sample of US adults. The study sample met the criteria for operationalization of epilepsy status (i.e., active epilepsy vs. no epilepsy history) and select questions related to COVID-19 testing, vaccination, delays in care, or experience with virtual care during the COVID-19 pandemic. All analyses accounted for the NHIS complex sample design and response sampling weights. Our study found that in 2021 receipt of one COVID-19 vaccination among U.S. adults with active epilepsy was generally similar to that among adults without a history of epilepsy. By age, adults aged 18-44 years with active epilepsy (27.0%) were significantly less likely to have reported receiving two COVID-19 vaccinations compared with their peers with no epilepsy history (39.1%). Compared to adults with no epilepsy history, adults with active epilepsy reported similar experiences and outcomes regarding COVID-19 testing and obtaining health care during the COVID-19 pandemic. This study provides baseline estimates of select COVID-19 outcomes among US adults with active epilepsy to guide interventions and additional studies.

Keywords: COVID-19; Epilepsy; Population survey; Vaccination.

MeSH terms

  • Adolescent
  • Adult
  • COVID-19 Testing
  • COVID-19 Vaccines / therapeutic use
  • COVID-19* / epidemiology
  • Epilepsy* / epidemiology
  • Epilepsy* / therapy
  • Humans
  • Pandemics
  • United States / epidemiology
  • Vaccination
  • Young Adult

Substances

  • COVID-19 Vaccines