Willingness to Receive the COVID-19 Vaccine in California: Disparities by Race and Citizenship Status.
Willingness to Receive the COVID-19 Vaccine in California: Disparities by Race and Citizenship Status.
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DOI：
10.1007/s40615-022-01468-3
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发表时间：
2023-12
影响因子：
3.9
通讯作者：
Haro-Ramos, Alein Y
中科院分区：
文献类型：
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作者：
Bacong, Adrian Matias;Haro-Ramos, Alein Y
尽管人们普遍认为，与非西班牙裔白人相比，种族化的少数民族可能报告的COVID-19疫苗意愿较低，但鲜为人知的是，接种COVID-19疫苗的意愿是否也因国籍而异。鉴于一些政治领导人在按公民身份接种疫苗资格问题上的误导性言论，了解不同公民在接种意愿方面的差异尤为重要。本研究使用2020年加州健康访谈调查（n = 21,949）来检查亚洲、拉丁裔和非西班牙裔白人中不同种族/民族和公民身份的疫苗接种意愿差异。总体而言，77.7%的加州人表示，如果有COVID-19疫苗，他们愿意接种。然而，种族/民族和国籍之间存在明显差异。考虑到人口统计学、社会经济和健康因素，亚洲人，无论其国籍，都有最高的疫苗意愿预测概率。考虑到人口、社会经济和健康因素，与美国出生的白人相比，非公民拉丁裔和非公民非西班牙裔白人有更高的疫苗接种意愿的预测概率。我们的研究结果表明，尽管非公民个体的疫苗意愿可能很高，但它可能不一定转化为实际的疫苗摄取。此外，虽然个人层面的因素可能解释了种族/民族和公民身份在疫苗意愿方面的一些差异，但其他体制和结构性障碍阻碍了疫苗的吸收。
Although it is widely acknowledged that racialized minorities may report lower COVID-19 vaccine willingness compared to non-Hispanic white individuals, what is less known, however, is whether the willingness to receive the COVID-19 vaccine also differs by citizenship. Understanding disparities in vaccine willingness by citizenship is particularly important given the misleading rhetoric of some political leaders regarding vaccine eligibility by citizenship status. This study used the 2020 California Health Interview Survey (n = 21,949) to examine disparities in vaccine willingness by race/ethnicity and citizenship among Asian, Latinx, and non-Hispanic white individuals. Overall, 77.7% of Californians indicated that they were willing to receive the COVID-19 vaccine if it was made available. However, there were distinct differences by race/ethnicity and citizenship. Asian people, regardless of citizenship, had the highest predicted probability of vaccine willingness, accounting for demographic, socioeconomic, and health factors. Non-citizen Latinx and non-citizen non-Hispanic white people had higher predicted probabilities of vaccine willingness compared to their US-born counterparts, accounting for demographic, socioeconomic, and health factors. Our results reveal that although vaccine willingness may be high among non-citizen individuals, it may not necessarily translate into actual vaccine uptake. Furthermore, while individual-level factors may account for some of the differences in vaccine willingness by race/ethnicity and citizenship, other institutional and structural barriers prevent vaccine uptake.