COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey-Reference-Cited by-同舟云学术

COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey

Published:2023-06-02 Issue:6 Volume:11 Page:1059
ISSN:2076-393X
Container-title:Vaccines
language:en
Short-container-title:Vaccines

Author:

Rojop Neudy¹,Calvimontes Diva M.¹²,Barrios Edgar¹,Lamb Molly M.²³^ORCID,Paniagua-Avila Alejandra⁴,Monzon Jose⁵^ORCID,Duca Lindsey M.⁵,Iwamoto Chelsea⁵,Chard Anna N.⁵,Gomez Melissa¹,Arias Kareen¹,Roell Yannik²,Bolanos Guillermo Antonio¹,Zielinski-Gutierrez Emily⁵,Azziz-Baumgartner Eduardo⁵,Lopez Maria Renee⁶,Cordon-Rosales Celia⁶^ORCID,Asturias Edwin J.¹²³⁷,Olson Daniel¹²³⁷

Affiliation:

1. Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala

2. Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA

3. Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA

4. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 11032, USA

5. Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA

6. Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala

7. Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA

Abstract

Despite offering free-of-charge COVID-19 vaccines starting July 2021, Guatemala has one of the lowest vaccination rates in Latin America. From 28 September 2021 to 11 April 2022, we conducted a cross-sectional survey of community members, adapting a CDC questionnaire to evaluate COVID-19 vaccine access and hesitancy. Of 233 participants ≥ 12 years, 127 (55%) received ≥1 dose of COVID-19 and 4 (2%) reported prior COVID-19 illness. Persons ≥ 12 years old who were unvaccinated (n = 106) were more likely to be female (73% vs. 41%, p < 0.001) and homemakers (69% vs. 24%, p < 0.01) compared with vaccinated participants (n = 127). Among those ≥18 years, the main reported motivation for vaccination among vaccinated participants was to protect the health of family/friends (101/117, 86%); on the other hand, 40 (55%) unvaccinated persons reported little/no confidence in public health institutions recommending COVID-19 vaccination. Community- and/or home-based vaccination programs, including vaccination of families through the workplace, may better reach female homemakers and reduce inequities and hesitancy.

Funder

Centers for Disease Control and Prevention

National Institute of Allergy and Infectious Diseases

Publisher

MDPI AG

Subject

Pharmacology (medical),Infectious Diseases,Drug Discovery,Pharmacology,Immunology

Link

https://www.mdpi.com/2076-393X/11/6/1059/pdf

Reference34 articles.

1. Marcela Vélez, C. (2021). UNESCO Office Montevideo and Regional Bureau for Science in Latin America and the Caribbean, United Nations Educational, Scientific and Cultural Organization (UNESCO).

2. Revisiting COVID-19 vaccine hesitancy around the world using data from 23 countries in 2021;Lazarus;Nat. Commun.,2022

3. Md Khairi, L.N.H., Fahrni, M.L., and Lazzarino, A.I. (2022). The Race for Global Equitable Access to COVID-19 Vaccines. Vaccines, 10.

4. The Vaccine-Hesitant Moment;Larson;N. Engl. J. Med.,2022

5. Das, J.K., Chee, H.Y., Lakhani, S., Khan, M.H., Islam, M., Muhammad, S., and Bhutta, Z.A. (2022). COVID-19 Vaccines: How Efficient and Equitable Was the Initial Vaccination Process?. Vaccines, 11.