“…When considering vaccination acceptance and its role in the control and prevention of influenza, it is also important to consider how sex and gender intersect with other social stratifiers, such as race, socio-economic status, education, and disability. Evidence shows that in the United States, for example, race plays a role in influenza vaccine attitudes and uptake [67,68], with African Americans having greater vaccine hesitancy and lower uptake of vaccination. Factors that contribute to lower rates of immunizations among different races include: personal beliefs, trust in health providers, limited access to health care, and anticipated negative side effects [61].…”