COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey.

COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey.
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DOI:
10.3390/vaccines11061059
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发表时间:
2023-06-02
期刊:
影响因子:
7.8
通讯作者:
Olson D
Olson D
中科院分区:
医学3区
文献类型:
--
作者:
Rojop N;Calvimontes DM;Barrios E;Lamb MM;Paniagua-Avila A;Monzon J;Duca LM;Iwamoto C;Chard AN;Gomez M;Arias K;Roell Y;Bolanos GA;Zielinski-Gutierrez E;Azziz-Baumgartner E;Lopez MR;Cordon-Rosales C;Asturias EJ;Olson D

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尽管危地马拉自二零二一年七月起提供免费COVID-19疫苗,但其疫苗接种率为拉丁美洲最低之一。自2021年9月28日至2022年4月11日,我们对社区成员进行了一项横断面调查,采用CDC问卷评估COVID-19疫苗的获取和犹豫。在233名≥ 12岁的参与者中,127名(55%)接受了≥1剂COVID-19,4名(2%)报告了既往COVID-19疾病。与接种疫苗的参与者(n = 127)相比,未接种疫苗的≥ 12岁的人(n = 106)更可能是女性(73% vs. 41%,p < 0.001)和家庭主妇(69% vs. 24%,p < 0.01)。在≥18岁的人群中,接种疫苗的参与者报告的主要接种动机是保护家人/朋友的健康(101/117,86%);另一方面,40名(55%)未接种疫苗的人报告对公共卫生机构推荐的COVID-19疫苗接种几乎没有信心。以社区和/或家庭为基础的疫苗接种方案,包括通过工作场所为家庭接种疫苗,可以更好地接触到女性家庭主妇,减少不平等和犹豫。
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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