COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey.
| Title: | COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey. |
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| Authors: | Rojop N; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Calvimontes DM; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA.; Barrios E; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Lamb MM; Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA.; Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA.; Paniagua-Avila A; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 11032, USA.; Monzon J; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Duca LM; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Iwamoto C; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Chard AN; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Gomez M; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Arias K; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Roell Y; Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA.; Bolanos GA; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Zielinski-Gutierrez E; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Azziz-Baumgartner E; Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.; Lopez MR; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala.; Cordon-Rosales C; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala.; Asturias EJ; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA.; Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA.; Olson D; Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala.; Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA.; Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA. |
| Source: | Vaccines [Vaccines (Basel)] 2023 Jun 02; Vol. 11 (6). Date of Electronic Publication: 2023 Jun 02. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101629355 Publication Model: Electronic Cited Medium: Print ISSN: 2076-393X (Print) Linking ISSN: 2076393X NLM ISO Abbreviation: Vaccines (Basel) Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG |
| 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. |
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| Grant Information: | K23 AI143967 United States AI NIAID NIH HHS; U01 GH002243 United States GH CGH CDC HHS; UL1 TR001082 United States TR NCATS NIH HHS; CDCGH002243 United States CC CDC HHS |
| Contributed Indexing: | Keywords: COVID-19; Guatemala; SARS-CoV-2; access; agricultural worker; hesitancy |
| Entry Date(s): | Date Created: 20230628 Latest Revision: 20250125 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC10302313 |
| DOI: | 10.3390/vaccines11061059 |
| PMID: | 37376448 |
| Database: | MEDLINE |
Journal Article