Household and social characteristics associated with COVID-19 vaccine intent among Latino families in the San Francisco Bay Area
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Abstract
Background
Latinos have had higher case counts, hospitalization rates and deaths during the COVID-19 pandemic nationally and in the state of California. Meanwhile, Latino vaccination rates remain lower than those of non-Hispanic Whites. COVID-19 vaccine nonintent, defined as intent to not vaccinate against COVID-19, among Latino individuals continues to be an issue in the state of California.
Methods
Families from three Latino longitudinal mother–child cohorts previously recruited in the San Francisco Bay Area were surveyed telephonically from February to June 2021 to assess attitudes towards vaccination against COVID-19 and prior vaccination, in general, for themselves and their children. Risk for vaccine nonintent was assessed using the Mann–Whitney rank sum non-parametric test for continuous predictors and chi-squared tests for categorical ones.
Results
Three hundred and nineteen families were surveyed from the Telomere at Birth (TAB), Hispanic Eating and Nutrition (HEN) and Latino Eating and Diabetes Cohort (LEAD). Approximately 36% from TAB and 28% from HEN/LEAD indicated COVID-19 vaccine nonintent for themselves and/or their children. Risk factors for vaccine nonintent included lower maternal age (p = 0.01), concern about vaccine side effects (p < 0.01) and prior history of a household members being infected with SARS-CoV-2 (p < 0.01) and indexes of household crowding including number of people sharing a bathroom (p = 0.048). Vaccine intent was also associated with receiving vaccine input from friends (p = 0.03), family (p < 0.01) and/or coworkers (p = 0.02) compared with those who were not planning on getting vaccinated against COVID-19.
Conclusions
Latino families living in crowded living situations who may not have received any COVID-19 advice from family, coworkers or friends are at particular risk for nonintent for vaccinatation against COVID-19. Community-based grassroots or promotor/a based interventions centered on trusted individuals with close community ties and counseling concerning vaccination against COVID-19 could help boost vaccination rates in this population group.
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SciScore for 10.1101/2021.09.25.21264120: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: This study was approved by the UCSF Institutional Review Board (IRB) and participants gave oral consent for their and their children’s participation.
Consent: This study was approved by the UCSF Institutional Review Board (IRB) and participants gave oral consent for their and their children’s participation.Sex as a biological variable The TAB cohort was analyzed separately as women and children were recruited primarily at the UCSF Benioff hospital and population demographics were more heterogenous including more highly educated parents, US-born parents and English speakers. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources …
SciScore for 10.1101/2021.09.25.21264120: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: This study was approved by the UCSF Institutional Review Board (IRB) and participants gave oral consent for their and their children’s participation.
Consent: This study was approved by the UCSF Institutional Review Board (IRB) and participants gave oral consent for their and their children’s participation.Sex as a biological variable The TAB cohort was analyzed separately as women and children were recruited primarily at the UCSF Benioff hospital and population demographics were more heterogenous including more highly educated parents, US-born parents and English speakers. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Limitations: The participants in the present study are part of three, pre-existing, longitudinal cohorts in the Greater San Francisco Bay Area. While our study’s demographics provide insight into reasons for vaccination nonintent among the Latino community, our sample may not be representative of the individual beliefs, values, and behaviors of all United States Latinos. Furthermore, developments in 2021 may have altered some perceptions concerning vaccinations. Over the time period that our study was conducted the United States government and the United States Department of Homeland Security made clear that vaccines will be available free of charge to all individuals in the United States and the immigrant status will not play into vaccination nor will enforcement be conducted near clinic sites or sites of vaccination distribution (United States Department of Homeland Security, 2021). Furthermore, the Biden administration has made a greater effort to facilitate partnership with Community Health Centers to promote equal access to vaccines among minority population groups (Corallo and Tolbert, 2021). These political changes may have altered attitudes and intent concerning COVID-19 vaccination.
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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