Vaccine-Associated Shifts in SARS-CoV-2 Infectivity Among the Native Hawaiian and Other Pacific Islander Population in Hawaii

Juárez, Rubén; Phankitnirundorn, Krit; Ramírez, A. Gonzaga; Peres, Rafael; Maunakea, Alika K.; Okihiro, May

doi:10.2105/ajph.2022.306973

Cited by 6 publications

(5 citation statements)

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“…However, how these factors interact to influence an individual's decision about vaccination is not fully understood. This is particularly important in Hawaii, especially for the severely under-vaccinated Native Hawaiian population, where trust in the government has been historically problematic [18,19].…”

Section: Introductionmentioning

confidence: 99%

Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake

et al. 2022

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Vaccine hesitancy remains a significant barrier to achieving herd immunity and preventing the further spread of COVID-19. Understanding contributors to vaccine hesitancy and how they change over time may improve COVID-19 mitigation strategies and public health policies. To date, no mechanism explains how trust in and consumption of different sources of information affect vaccine uptake. A total of 1594 adults enrolled in our COVID-19 testing program completed standardized surveys on demographics, vaccination status, use, reliance, and trust in sources of COVID-19 information, from September to October 2021, during the COVID-19 Delta wave. Of those, 802 individuals (50.3%) completed a follow-up survey, from January to February 2022, during the Omicron-wave. Regression analyses were performed to understand contributors to vaccine and booster uptake over time. Individuals vaccinated within two months of eligibility (early vaccinees) tended to have more years of schooling, with greater trust in and consumption of official sources of COVID-19 information, compared to those who waited 3–6 months (late vaccinees), or those who remained unvaccinated at 6 months post-eligibility (non-vaccinees). Most (70.1%) early vaccinees took the booster shot, compared to only 30.5% of late vaccinees, with the latter group gaining trust and consumption of official information after four months. These data provide the foundation for a mechanism based on the level of trust in and consumption of official information sources, where those who increased their level of trust in and consumption of official information sources were more likely to receive a booster. This study shows that social factors, including education and individual-level degree of trust in (and consumption of) sources of COVID-19 information, interact and change over time to be associated with vaccine and booster uptakes. These results are critical for the development of effective public health policies and offer insights into hesitancy over the course of the COVID-19 vaccine and booster rollout.

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Section: Introductionmentioning

confidence: 99%

Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake

et al. 2022

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“…The Community-Driven Approach to Mitigate COVID-19 Disparities in Hawai’i’s Vulnerable Populations: May Okihiro (Department of Pediatrics), Ruben Juarez (Department of Economics) and Alika Maunakea (Department of Anatomy, Biochemistry & Physiology) received pilot funds to assess COVID-19 vaccine hesitancy among vulnerable adults living in Hawai‘i [ 29 ]. The investigators assembled a multidisciplinary team of academic and community investigators, along with long-standing community partners across Hawai‘i, to form a collaborative called the Pacific Alliance Against COVID-19 (PAAC) to participate in the National Institutes of Health Rapid Acceleration of Diagnostics-Underserved Populations (RADx-UP) Initiative [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

Health Disparities Investigator Development through a Team-Science Pilot Projects Program

Hedges

Chow

Fogelgren

et al. 2023

IJERPH

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Profound health disparities are widespread among Native Hawaiians, other Pacific Islanders, and Filipinos in Hawai‘i. Efforts to reduce and eliminate health disparities are limited by a shortage of investigators trained in addressing the genetic, socio economic, and environmental factors that contribute to disparities. In this conference proceedings report from the 2022 RCMI Consortium National Conference, we describe our mentoring program, with an emphasis on community-engaged research. Elements include our encouragement of a team-science, customized Pilot Projects Program (PPP), a Mentoring Bootcamp, and a mentoring support network. During 2017–2022, we received 102 PPP preproposals. Of these, 45 (48%) were invited to submit full proposals, and 22 (19%) were awarded (8 basic biomedical, 7 clinical, 7 behavioral). Eighty-three percent of awards were made to early-career faculty (31% ethnic minority, 72% women). These 22 awards generated 77 related publications; 84 new grants were submitted, of which 31 were awarded with a resultant return on investment of 5.9. From 5 to 11 investigators were supported by PPP awards each year. A robust usage of core services was observed. Our descriptive report (as part of a scientific conference session on RCMI specialized centers) focuses on a mentoring vehicle and shows how it can support early-stage investigators in pursuing careers in health disparities research.

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“…However, it is worth noting that Indigenous populations exhibited lower vaccine intention in studies conducted in 2020 (Ogilvie et al, 2021 ; Tang et al, 2021 ). With respect to other Indigenous populations worldwide, Native Americans/Alaskan natives had the highest vaccine refusal rate and the lowest level of institutional trust (Bagasra et al, 2021 ), and Native Hawaiian and other Pacific Islander populations demonstrated low vaccine uptake due to lack of trust in COVID-19 information (Juarez et al, 2022 ), indicative of low vaccine intention among these populations.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccination intention and vaccine hesitancy among citizens of the Métis Nation of Ontario

Tsui,

Edwards,

Simms

et al. 2024

Can J Public Health

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Objective The study objective is to measure the influence of psychological antecedents of vaccination on COVID-19 vaccine intention among citizens of the Métis Nation of Ontario (MNO). Methods A population-based online survey was implemented by the MNO when COVID-19 vaccines were approved in Canada. Questions included vaccine intention, the short version of the “5C” psychological antecedents of vaccination scale (confidence, complacency, constraint, calculation, collective responsibility), and socio-demographics. Census sampling via the MNO Registry was used achieving a 39% response rate. Descriptive statistics, bivariate analyses, and multinomial logistic regression models (adjusted for sociodemographic variables) were used to analyze the survey data. Results The majority of MNO citizens (70.2%) planned to be vaccinated. As compared with vaccine-hesitant individuals, respondents with vaccine intention were more confident in the safety of COVID-19 vaccines, believed that COVID-19 is severe, were willing to protect others from getting COVID-19, and would research the vaccines (Confident OR = 19.4, 95% CI 15.5–24.2; Complacency OR = 6.21, 95% CI 5.38–7.18; Collective responsibility OR = 9.83, 95% CI 8.24–11.72; Calculation OR = 1.43, 95% CI 1.28–1.59). Finally, respondents with vaccine intention were less likely to let everyday stress prevent them from getting COVID-19 vaccines (OR = 0.47, 95% CI 0.42–0.53) compared to vaccine-hesitant individuals. Conclusion This research contributes to the knowledge base for Métis health and supported the MNO’s information sharing and educational activities during the COVID-19 vaccines rollout. Future research will examine the relationship between the 5Cs and actual uptake of COVID-19 vaccines among MNO citizens.

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Vaccine-Associated Shifts in SARS-CoV-2 Infectivity Among the Native Hawaiian and Other Pacific Islander Population in Hawaii

Cited by 6 publications

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Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake

Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake

Health Disparities Investigator Development through a Team-Science Pilot Projects Program

COVID-19 vaccination intention and vaccine hesitancy among citizens of the Métis Nation of Ontario

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