Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey

Black, Latino, Pacific Islander, and American Indian/Alaska Native adults are more likely than White adults to experience SARS-CoV-2-related infections, hospitalizations, and mortality. We assessed intent to be vaccinated and concerns among 7 U.S. racial/ethnic groups (1,000 Black/African American,...

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Autores principales:	Anna María Nápoles, Anita L. Stewart, Paula D. Strassle, Stephanie Quintero, Jackie Bonilla, Alia Alhomsi, Veronica Santana-Ufret, Ana I. Maldonado, Eliseo J. Pérez-Stable
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID-19 Race/ethnicity Vaccination intent National survey Black/African American Hispanic/Latino Medicine R
Acceso en línea:	https://doaj.org/article/856e2d79832b4743ad770a6b776571e3
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spelling	oai:doaj.org-article:856e2d79832b4743ad770a6b776571e32021-11-30T04:15:50ZRacial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey2211-335510.1016/j.pmedr.2021.101653https://doaj.org/article/856e2d79832b4743ad770a6b776571e32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003442https://doaj.org/toc/2211-3355Black, Latino, Pacific Islander, and American Indian/Alaska Native adults are more likely than White adults to experience SARS-CoV-2-related infections, hospitalizations, and mortality. We assessed intent to be vaccinated and concerns among 7 U.S. racial/ethnic groups (1,000 Black/African American, 500 American Indian/Alaska Native, 1,000 Asian, 1,000 Latino (500 English- and 500 Spanish-speaking), 500 Pacific Islander, 500 multiracial, and 1,000 White adults) in a cross-sectional online survey conducted December 2020-February 2021, weighted to be nationally representative within groups. Intent to be vaccinated was ascertained with: “If a COVID-19 vaccine becomes available, how likely are you to get vaccinated?” (not at all/slightly/moderately/very/extremely likely). Respondents identified which concerns would keep them from being vaccinated: cost, not knowing where, safety, effectiveness, side-effects, and other. Multinomial logistic regression models assessed associations of race/ethnicity with odds of being extremely/very/moderately, slightly likely to be vaccinated (ref = not at all), controlling for demographics and health. Overall, 30% were extremely likely, 22% not at all likely, and 48% unsure. Compared to White respondents, American Indian/Alaska Native (Adjusted Odds Ratio (AOR) = 0.66, 95% CI, 0.47–0.92) and Black/African American (AOR = 0.54, 95% CI, 0.41–0.72) respondents were less likely, and Asian (AOR = 2.21, 95% CI, 1.61–3.02) and Spanish-speaking Latino respondents (AOR = 3.74, 95% CI, 2.51–5.55) were more likely to report being extremely likely to be vaccinated. Side-effects (52%) and safety (45%) were overriding concerns. Intent and vaccination rates are changing rapidly; these results constitute a comprehensive baseline for ongoing vaccination efforts among U.S. racial and ethnic groups.Anna María NápolesAnita L. StewartPaula D. StrassleStephanie QuinteroJackie BonillaAlia AlhomsiVeronica Santana-UfretAna I. MaldonadoEliseo J. Pérez-StableElsevierarticleCOVID-19Race/ethnicityVaccination intentNational surveyBlack/African AmericanHispanic/LatinoMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101653- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 Race/ethnicity Vaccination intent National survey Black/African American Hispanic/Latino Medicine R
spellingShingle	COVID-19 Race/ethnicity Vaccination intent National survey Black/African American Hispanic/Latino Medicine R Anna María Nápoles Anita L. Stewart Paula D. Strassle Stephanie Quintero Jackie Bonilla Alia Alhomsi Veronica Santana-Ufret Ana I. Maldonado Eliseo J. Pérez-Stable Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
description	Black, Latino, Pacific Islander, and American Indian/Alaska Native adults are more likely than White adults to experience SARS-CoV-2-related infections, hospitalizations, and mortality. We assessed intent to be vaccinated and concerns among 7 U.S. racial/ethnic groups (1,000 Black/African American, 500 American Indian/Alaska Native, 1,000 Asian, 1,000 Latino (500 English- and 500 Spanish-speaking), 500 Pacific Islander, 500 multiracial, and 1,000 White adults) in a cross-sectional online survey conducted December 2020-February 2021, weighted to be nationally representative within groups. Intent to be vaccinated was ascertained with: “If a COVID-19 vaccine becomes available, how likely are you to get vaccinated?” (not at all/slightly/moderately/very/extremely likely). Respondents identified which concerns would keep them from being vaccinated: cost, not knowing where, safety, effectiveness, side-effects, and other. Multinomial logistic regression models assessed associations of race/ethnicity with odds of being extremely/very/moderately, slightly likely to be vaccinated (ref = not at all), controlling for demographics and health. Overall, 30% were extremely likely, 22% not at all likely, and 48% unsure. Compared to White respondents, American Indian/Alaska Native (Adjusted Odds Ratio (AOR) = 0.66, 95% CI, 0.47–0.92) and Black/African American (AOR = 0.54, 95% CI, 0.41–0.72) respondents were less likely, and Asian (AOR = 2.21, 95% CI, 1.61–3.02) and Spanish-speaking Latino respondents (AOR = 3.74, 95% CI, 2.51–5.55) were more likely to report being extremely likely to be vaccinated. Side-effects (52%) and safety (45%) were overriding concerns. Intent and vaccination rates are changing rapidly; these results constitute a comprehensive baseline for ongoing vaccination efforts among U.S. racial and ethnic groups.
format	article
author	Anna María Nápoles Anita L. Stewart Paula D. Strassle Stephanie Quintero Jackie Bonilla Alia Alhomsi Veronica Santana-Ufret Ana I. Maldonado Eliseo J. Pérez-Stable
author_facet	Anna María Nápoles Anita L. Stewart Paula D. Strassle Stephanie Quintero Jackie Bonilla Alia Alhomsi Veronica Santana-Ufret Ana I. Maldonado Eliseo J. Pérez-Stable
author_sort	Anna María Nápoles
title	Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
title_short	Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
title_full	Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
title_fullStr	Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
title_full_unstemmed	Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey
title_sort	racial/ethnic disparities in intent to obtain a covid-19 vaccine: a nationally representative united states survey
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/856e2d79832b4743ad770a6b776571e3
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Racial/ethnic disparities in intent to obtain a COVID-19 vaccine: A nationally representative United States survey

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