High Uptake and Series Completion of COVID-19 Vaccine at Community-Based Vaccination for Latinos With Limited English Proficiency

Bigelow, Benjamin F.; Saxton, Ronald; Martínez, Diego A.; Flores-Miller, Alejandra; Shin, Jong M.; Parent, Cassandra; Williams, Samantha; Phillips, Katherine Hartman; Yang, Cui; Page, Kathleen R.

doi:10.1097/phh.0000000000001625

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…We also noted some influence from personal connections with people who experienced COVID-19 hospitalization and death motivating vaccination [46,64,65]. Taken together, these results support multi-level and community-based approaches for disseminating vaccination information [66], including events, workshops, and printed materials at local community health centers, places of worship (i.e., churches, mosques), and schools.…”

Section: Discussionsupporting

confidence: 66%

Parents’ Intentions, Concerns and Information Needs about COVID-19 Vaccination in New Jersey: A Qualitative Analysis

et al. 2023

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Background: In 2019, the World Health Organization identified vaccine hesitancy as a top ten global health threat, which has been exacerbated by the COVID-19 pandemic. Despite local and nationwide public health efforts, adolescent COVID-19 vaccination uptake in the US remains low. This study explored parents’ perceptions of the COVID-19 vaccine and factors influencing hesitancy to inform future outreach and education campaigns. Methods: We conducted two rounds of individual interviews via Zoom in May–September 2021 and January–February 2022, with parents of adolescents from the Greater Newark Area of New Jersey, a densely populated area with historically marginalized groups that had low COVID-19 vaccination uptake. Data collection and analysis was guided by the Increasing Vaccination Model and WHO Vaccine Hesitancy Matrix. Interview transcripts were double-coded and thematically analyzed in NVivo. Results: We interviewed 22 parents (17 in English, 5 in Spanish). Nearly half (45%) were Black and 41% were Hispanic. Over half (54%) were born outside of the US. Most of the parents described that their adolescents had received at least one dose of a COVID-19 vaccine. All but one parent had received the COVID-19 vaccine. Despite strong vaccination acceptance for themselves, parents remained hesitant about vaccinating their adolescents. They were mostly concerned about the safety and potential side effects due to the novelty of the vaccine. Parents sought information about the vaccines online, through healthcare providers and authorities, and at community spaces. Interpersonal communication exposed parents to misinformation, though some personal connections to severe COVID-19 illness motivated vaccination. Historical mistreatment by the healthcare system and politicization of the vaccine contributed to parents’ mixed feelings about the trustworthiness of those involved with developing, promoting, and distributing COVID-19 vaccines. Conclusions: We identified multilevel influences on COVID-19 vaccine-specific hesitancy among a racially/ethnically diverse sample of parents with adolescents that can inform future vaccination interventions. To increase vaccine confidence, future COVID booster campaigns and other vaccination efforts should disseminate information through trusted healthcare providers in clinical and also utilize community settings by addressing specific safety concerns and promoting vaccine effectiveness.

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Section: Discussionsupporting

confidence: 66%

Parents’ Intentions, Concerns and Information Needs about COVID-19 Vaccination in New Jersey: A Qualitative Analysis

et al. 2023

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“…This contradicts a review of 13 published studies that showed that Hispanic immigrants have lower rates of vaccination rate [27]. Perhaps one reason is that many counties implemented interventions targeting Hispanic populations and published reports have found that residents with limited English proficiency have high vaccination rates when interventions are targeted at them [28]. Fifth, the percentage of children in poverty (and not the adult poverty rate) was a direct predictor of vaccination rates.…”

Section: Discussionmentioning

confidence: 89%

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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“…When COVID-19 vaccinations became available, these populations most at risk for severe COVID-19 illness faced unique challenges and barriers to getting vaccinated. Black or African American and Hispanic or Latino persons may not receive COVID-19 vaccinations because of many concerns often specific to their community, including lack of insurance, issues accessing health care such as employment restrictions for time off, safety at county buildings due to mistrust of government, lack of transportation, and decreased health literacy 3-6. Older adults also experience difficulties obtaining COVID-19 vaccinations due to diverse issues such as physical limitations, transportation, and communication barriers 7…”

mentioning

confidence: 99%

“…COVID-19 disproportionately impacts communities experiencing barriers to health care services 1-7. The rates of hospitalization and death are higher for Black or African American persons, Hispanic or Latino persons, and American Indian or Alaska Native persons 1.…”

mentioning

confidence: 99%

Reaching Diverse Communities During a Local Public Health COVID-19 Vaccination Response Through a Mobile Clinic Compared to Mass Vaccination Sites

Gavin,

Countryman,

Musco

et al. 2024

Journal of Public Health Management &Amp; Practice

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During the COVID-19 vaccine rollout, local public health agencies were responsible for vaccinating a wide variety of communities. Dakota County Public Health (Dakota County, Minnesota) implemented a program that offered COVID-19 vaccines in a variety of settings, such as county public health buildings, community sites, in-home, mass vaccination clinics, and a mobile clinic unit. The purpose of this analysis is to compare the demographics of vaccinations administered at Dakota County COVID-19 vaccination clinics based on clinic site. More than half (52.5%) of vaccinations administered at mobile clinic sites were administered to Hispanic or Latino clients, while at the mass vaccination clinic site, 5.4% of vaccinations were administered to Hispanic or Latino clients. In addition, 59.6% of in-home vaccinations were administered to adults 65 years and older. Offering COVID-19 vaccination clinics in a variety of clinic settings strategically throughout the community helped increase vaccine reach to diverse communities.

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High Uptake and Series Completion of COVID-19 Vaccine at Community-Based Vaccination for Latinos With Limited English Proficiency

Cited by 6 publications

References 16 publications

Parents’ Intentions, Concerns and Information Needs about COVID-19 Vaccination in New Jersey: A Qualitative Analysis

Parents’ Intentions, Concerns and Information Needs about COVID-19 Vaccination in New Jersey: A Qualitative Analysis

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

Reaching Diverse Communities During a Local Public Health COVID-19 Vaccination Response Through a Mobile Clinic Compared to Mass Vaccination Sites

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