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

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 acc...

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Published inVaccines (Basel) Vol. 11; no. 6; p. 1059
Main Authors Rojop, Neudy, Calvimontes, Diva M., Barrios, Edgar, Lamb, Molly M., Paniagua-Avila, Alejandra, Monzon, Jose, Duca, Lindsey M., Iwamoto, Chelsea, Chard, Anna N., Gomez, Melissa, Arias, Kareen, Roell, Yannik, Bolanos, Guillermo Antonio, Zielinski-Gutierrez, Emily, Azziz-Baumgartner, Eduardo, Lopez, Maria Renee, Cordon-Rosales, Celia, Asturias, Edwin J., Olson, Daniel
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.06.2023
MDPI
Subjects
access
Agrarian society
agricultural worker
Analysis
Cohort analysis
COVID-19
COVID-19 vaccines
Cross-sectional studies
Decision making
Disease transmission
Ethnicity
Family income
Farmworkers
Females
Food
Food supply
Guatemala
Health behavior
Health care rationing
hesitancy
Households
Immunization
Methods
Pandemics
Personal protective equipment
Population
Public health
Rural areas
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Surveys
Vaccines
Guatemala
United States > US
COVID-19
Guatemala
agricultural worker
hesitancy
SARS-CoV-2
access
Online AccessGet full text
ISSN2076-393X
2076-393X
DOI10.3390/vaccines11061059

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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.
AbstractList 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.
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 ( = 106) were more likely to be female (73% vs. 41%, < 0.001) and homemakers (69% vs. 24%, < 0.01) compared with vaccinated participants ( = 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.
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.
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.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.
Audience Academic
Author Rojop, Neudy
Bolanos, Guillermo Antonio
Olson, Daniel
Asturias, Edwin J.
Gomez, Melissa
Paniagua-Avila, Alejandra
Iwamoto, Chelsea
Arias, Kareen
Azziz-Baumgartner, Eduardo
Duca, Lindsey M.
Lamb, Molly M.
Chard, Anna N.
Barrios, Edgar
Monzon, Jose
Lopez, Maria Renee
Cordon-Rosales, Celia
Zielinski-Gutierrez, Emily
Roell, Yannik
Calvimontes, Diva M.
AuthorAffiliation 4 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 11032, USA; mp3856@cumc.columbia.edu
2 Center for Global Health, Colorado School of Public Health, Aurora, CO 80045, USA; molly.lamb@cuanschutz.edu (M.M.L.)
5 Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA ebz0@cdc.gov (E.Z.-G.); eha9@cdc.gov (E.A.-B.)
1 Center for Human Development, Fundación para la Salud Integral de los Guatemaltecos, Retalhuleu 11010, Guatemala; rojophernandez@gmail.com (N.R.); diva.barrientos@cuanschutz.edu (D.M.C.); ebarrios1908@gmail.com (E.B.); melissa.gomez.fsigcu@gmail.com (M.G.); kareen.arias@gmail.com (K.A.); antonio.bolanos@cuanschutz.edu (G.A.B.); edwin.asturias@cuanschutz.edu (E.J.A.)
7 Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
3 Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA
6 Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala Cit
AuthorAffiliation_xml – name: 3 Department of Epidemiology, Colorado School of Public Health, Aurora, CO 80045, USA
– name: 4 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 11032, USA; mp3856@cumc.columbia.edu
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Issue 6
Keywords COVID-19
Guatemala
agricultural worker
hesitancy
SARS-CoV-2
access
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Snippet 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...
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StartPage 1059
SubjectTerms access
Agrarian society
agricultural worker
Analysis
Cohort analysis
COVID-19
COVID-19 vaccines
Cross-sectional studies
Decision making
Disease transmission
Ethnicity
Family income
Farmworkers
Females
Food
Food supply
Guatemala
Health behavior
Health care rationing
hesitancy
Households
Immunization
Methods
Pandemics
Personal protective equipment
Population
Public health
Rural areas
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Surveys
Vaccines
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Title COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey
URI https://www.ncbi.nlm.nih.gov/pubmed/37376448
https://www.proquest.com/docview/2829888849
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https://pubmed.ncbi.nlm.nih.gov/PMC10302313
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Volume 11
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