COVID-19 vaccine hesitancy in underserved communities of North Carolina

<h4>Background</h4> In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19. This study sought to estimate the prevalence of COVID-19 vaccine hesitancy, describe attitudes related to vaccination, and identify correlates among...

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Autores principales:	Irene A. Doherty, William Pilkington, Laurin Brown, Victoria Billings, Undi Hoffler, Lisa Paulin, K. Sean Kimbro, Brittany Baker, Tianduo Zhang, Tracie Locklear, Seronda Robinson, Deepak Kumar
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/249bb708cbf942d88e3c20960c2826da
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spelling	oai:doaj.org-article:249bb708cbf942d88e3c20960c2826da2021-11-18T06:34:29ZCOVID-19 vaccine hesitancy in underserved communities of North Carolina1932-6203https://doaj.org/article/249bb708cbf942d88e3c20960c2826da2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559933/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19. This study sought to estimate the prevalence of COVID-19 vaccine hesitancy, describe attitudes related to vaccination, and identify correlates among historically marginalized populations across 9 counties in North Carolina. <h4>Methods</h4> We conducted a cross-sectional survey distributed at free COVID-19 testing events in underserved rural and urban communities from August 27 –December 15, 2020. Vaccine hesitancy was defined as the response of “no” or “don’t know/not sure” to whether the participant would get the COVID-19 vaccine as soon as it became available. <h4>Results</h4> The sample comprised 948 participants including 27.7% Whites, 59.6% Blacks, 12.7% Latinx, and 63% female. 32% earned <$20K annually, 60% owned a computer and ~80% had internet access at home. The prevalence of vaccine hesitancy was 68.9% including 62.7%, 74%, and 59.5% among Whites, Blacks, and Latinx, respectively. Between September and December, the largest decline in vaccine hesitancy occurred among Whites (27.5 percentage points), followed by Latinx (17.6) and only 12.0 points among Blacks. 51.2% of respondents reported vaccine safety concerns, 23.7% wanted others to get vaccinated first, and 63.1% would trust health care providers about the COVID-19 vaccine. Factors associated with hesitancy in multivariable logistic regression included being female (OR = 1.90 95%CI [1.36, 2.64]), being Black (OR = 1.68 1.16, 2.45]), calendar month (OR = 0.76 [0.63, 0.92]), safety concerns (OR = 4.28 [3.06, 5.97]), and government distrust (OR = 3.57 [2.26, 5.63]). <h4>Conclusions</h4> This study engaged the community to directly reach underserved minority populations at highest risk of COVID-19 that permitted assessment of vaccine hesitancy (which was much higher than national estimates), driven in part by distrust, and safety concerns.Irene A. DohertyWilliam PilkingtonLaurin BrownVictoria BillingsUndi HofflerLisa PaulinK. Sean KimbroBrittany BakerTianduo ZhangTracie LocklearSeronda RobinsonDeepak KumarPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Irene A. Doherty William Pilkington Laurin Brown Victoria Billings Undi Hoffler Lisa Paulin K. Sean Kimbro Brittany Baker Tianduo Zhang Tracie Locklear Seronda Robinson Deepak Kumar COVID-19 vaccine hesitancy in underserved communities of North Carolina
description	<h4>Background</h4> In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19. This study sought to estimate the prevalence of COVID-19 vaccine hesitancy, describe attitudes related to vaccination, and identify correlates among historically marginalized populations across 9 counties in North Carolina. <h4>Methods</h4> We conducted a cross-sectional survey distributed at free COVID-19 testing events in underserved rural and urban communities from August 27 –December 15, 2020. Vaccine hesitancy was defined as the response of “no” or “don’t know/not sure” to whether the participant would get the COVID-19 vaccine as soon as it became available. <h4>Results</h4> The sample comprised 948 participants including 27.7% Whites, 59.6% Blacks, 12.7% Latinx, and 63% female. 32% earned <$20K annually, 60% owned a computer and ~80% had internet access at home. The prevalence of vaccine hesitancy was 68.9% including 62.7%, 74%, and 59.5% among Whites, Blacks, and Latinx, respectively. Between September and December, the largest decline in vaccine hesitancy occurred among Whites (27.5 percentage points), followed by Latinx (17.6) and only 12.0 points among Blacks. 51.2% of respondents reported vaccine safety concerns, 23.7% wanted others to get vaccinated first, and 63.1% would trust health care providers about the COVID-19 vaccine. Factors associated with hesitancy in multivariable logistic regression included being female (OR = 1.90 95%CI [1.36, 2.64]), being Black (OR = 1.68 1.16, 2.45]), calendar month (OR = 0.76 [0.63, 0.92]), safety concerns (OR = 4.28 [3.06, 5.97]), and government distrust (OR = 3.57 [2.26, 5.63]). <h4>Conclusions</h4> This study engaged the community to directly reach underserved minority populations at highest risk of COVID-19 that permitted assessment of vaccine hesitancy (which was much higher than national estimates), driven in part by distrust, and safety concerns.
format	article
author	Irene A. Doherty William Pilkington Laurin Brown Victoria Billings Undi Hoffler Lisa Paulin K. Sean Kimbro Brittany Baker Tianduo Zhang Tracie Locklear Seronda Robinson Deepak Kumar
author_facet	Irene A. Doherty William Pilkington Laurin Brown Victoria Billings Undi Hoffler Lisa Paulin K. Sean Kimbro Brittany Baker Tianduo Zhang Tracie Locklear Seronda Robinson Deepak Kumar
author_sort	Irene A. Doherty
title	COVID-19 vaccine hesitancy in underserved communities of North Carolina
title_short	COVID-19 vaccine hesitancy in underserved communities of North Carolina
title_full	COVID-19 vaccine hesitancy in underserved communities of North Carolina
title_fullStr	COVID-19 vaccine hesitancy in underserved communities of North Carolina
title_full_unstemmed	COVID-19 vaccine hesitancy in underserved communities of North Carolina
title_sort	covid-19 vaccine hesitancy in underserved communities of north carolina
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/249bb708cbf942d88e3c20960c2826da
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COVID-19 vaccine hesitancy in underserved communities of North Carolina

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