Asian American Vaccination, Testing, and Other Healthcare Knowledge &amp; Behaviors during COVID-19, A Systematic Review

Anand, Sahil; Cao, Evan; Kimura, Reona; Guo, William; Bassi, N

doi:10.1080/20477724.2022.2106110

Cited by 7 publications

(4 citation statements)

References 87 publications

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“…The previous literature indicates that English proficiency is an important factor associated with Asian-Americans’ perceptions of COVID-19 vaccination [ 51 ]. The Asian-American participants with limited English proficiency may face more challenges in obtaining accurate and timely information about the pandemic as well as updates of vaccines [ 51 , 52 ]. In this study, however, selecting a preferrable language for the survey was not a significant factor associated with participants’ willingness to receive an annual COVID-19 vaccine.…”

Section: Discussionmentioning

confidence: 99%

Exploring Factors Associated with Chinese-Americans’ Willingness to Receive an Additional Hypothetical Annual Dose of the COVID-19 Vaccine

Yang

et al. 2023

Vaccines

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Chinese-Americans are one of the largest groups of Asian-Americans in the US with distinctive behavioral and cultural characteristics that influence health service use. Although Chinese-Americans have significantly higher COVID-19-related mortality rates, relative to other racial and ethnic groups, limited literature is available examining their willingness to accept the COVID-19 vaccine. With recent development of the combination influenza-COVID-19 vaccine by biotechnology companies to mitigate COVID-19 infection, we examined factors associated with Chinese-Americans’ acceptance of hypothetical annual doses of COVID-19 vaccination before the vaccine rollout. A total of 241 Chinese-Americans who received at least one dose of the COVID-19 vaccine completed an online questionnaire developed and based on health behavior theories. Our results indicated that Chinese-American participants who were satisfied with their prior COVID-19 vaccination experience, who had more accurate knowledge and perceived higher susceptibility of getting COVID-19, were more willing to receive the annual COVID-19 vaccine in the future. The findings of our current study may be used to guide the development of strategic messages to promote uptake of the annual COVID-19 vaccine by Chinese-Americans in the U.S.

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Section: Discussionmentioning

confidence: 99%

Exploring Factors Associated with Chinese-Americans’ Willingness to Receive an Additional Hypothetical Annual Dose of the COVID-19 Vaccine

Yang

et al. 2023

Vaccines

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“…A complex set of demographics were direct predictors of vaccination rates. Asian residents had higher vaccination rates than residents who were not Asian [17]. Similarly, other studies report high vaccination rates among Asians.…”

Section: Discussionmentioning

confidence: 55%

Social Determinants of COVID-19 Vaccination Rates: A Time-Constrained Multiple Mediation Analysis

Lee¹,

Alemi²,

Yu³

et al. 2023

Cureus

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To estimate the multiple direct/indirect effects of social, environmental, and economic factors on COVID-19 vaccination rates (series complete) in the 3109 continental counties in the United States (U.S.). Study designThe dependent variable was the COVID-19 vaccination rates in the U.S. (April 15, 2022). Independent variables were collected from reliable secondary data sources, including the Census and CDC. Independent variables measured at two different time frames were utilized to predict vaccination rates. The number of vaccination sites in a given county was calculated using the geographic information system (GIS) packages as of April 9, 2022. The Internet Archive (Way Back Machine) was used to look up data for historical dates. MethodsA chain of temporally-constrained least absolute shrinkage and selection operator (LASSO) regressions was used to identify direct and indirect effects on vaccination rates. The first regression identified direct predictors of vaccination rates. Next, the direct predictors were set as response variables in subsequent regressions and regressed on variables that occurred before them. These regressions identified additional indirect predictors of vaccination. Finally, both direct and indirect variables were included in a network model. ResultsFifteen variables directly predicted vaccination rates and explained 43% of the variation in vaccination rates in April 2022. In addition, 11 variables indirectly affected vaccination rates, and their influence on vaccination was mediated by direct factors. For example, children in poverty rate mediated the effect of (a) median household income, (b) children in single-parent homes, and (c) income inequality. For another example, median household income mediated the effect of (a) the percentage of residents under the age of 18, (b) the percentage of residents who are Asian, (c) home ownership, and (d) traffic volume in the prior year. Our findings describe not only the direct but also the indirect effect of variables. ConclusionsA diverse set of demographics, social determinants, public health status, and provider characteristics predicted vaccination rates. Vaccination rates change systematically and are affected by the demographic composition and social determinants of illness within the county. One of the merits of our study is that it shows how the direct predictors of vaccination rates could be mediators of the effects of other variables.

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“…This shortcoming is consistent with a more general dearth of studies on the determinants and consequences of COVID-19 for Asian Americans (6), and a longer-term omission of Asian Americans in health-focused research (7,8,9). Two exceptions that explicitly examine Asian American life expectancy during the pandemic are a recent National Vital Statistics Systems (NVSS) report providing national estimates of life expectancy for 2021 (2), and a paper comparing life expectancy losses during the pandemic worldwide (10).…”

Section: Introductionmentioning

confidence: 63%

“…Furthermore, several groups (Chinese, Japanese, and Koreans) made modest recoveries, which may be partially attributable to higher vaccination and booster rates (41). Although data on mitigation behaviors by subgroup are limited, Asian Americans have been noted elsewhere as having higher rates of handwashing, isolation, and masking than other groups (6).…”

Section: [Figure 1 Life Expectancy At Birth and Loss Of Life From 201...mentioning

confidence: 99%

The Impact of COVID-19 on Life Expectancy among Asian American Subgroups

Park

Goldman

Andrasfay

2022

Preprint

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Despite recognition of the diversity of the Asian American population, the mortality impact of the COVID-19 pandemic has been limited to estimates for non-Hispanic Asian Americans in aggregate. This study provides estimates of life expectancy at birth before (2019) and during the pandemic, along with a broad set of demographic, health-related, and socioeconomic risk factors for COVID-19, for the six largest Asian American subgroups: Asian Indians, Chinese, Filipino, Japanese, Korean, and Vietnamese. Our study places these estimates in the context of the broader U.S. population by including the corresponding estimates for non-Hispanic Whites, non-Hispanic Blacks, Hispanics, and non-Hispanic Native Americans. We use data on age-specific all-cause mortality from CDC WONDER and population estimates from the 2015-2019 American Community Survey to construct life tables for each Asian subgroup by year. While losses in life expectancy during the second year of the pandemic diminished significantly among all racial/ethnic and Asian subgroups, these improvements do not compensate for the large increases in death rates in 2020. All major Asian subgroups except Japanese experienced greater losses of life in 2019-2020 as well as cumulatively (2019-2021) than Whites, with Vietnamese, Filipinos, and other South/Southeast Asians having suffered the largest declines in life expectancy among non-Hispanic Asians. Vietnamese and other Southeast Asians experienced the greatest cumulative losses across all racial/ethnic groups except Native Americans. Our findings underscore the heterogeneity of loss in life expectancy within the Asian American population while identifying some of the risk factors that likely underlie this large variation.

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Asian American Vaccination, Testing, and Other Healthcare Knowledge & Behaviors during COVID-19, A Systematic Review

Cited by 7 publications

References 87 publications

Exploring Factors Associated with Chinese-Americans’ Willingness to Receive an Additional Hypothetical Annual Dose of the COVID-19 Vaccine

Exploring Factors Associated with Chinese-Americans’ Willingness to Receive an Additional Hypothetical Annual Dose of the COVID-19 Vaccine

Social Determinants of COVID-19 Vaccination Rates: A Time-Constrained Multiple Mediation Analysis

The Impact of COVID-19 on Life Expectancy among Asian American Subgroups

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