학술논문
COVID-19 Attitudes and Vaccine Hesitancy among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey
Document Type
Survey
Author
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
Source
Vaccines. June 2023, Vol. 11 Issue 6
Subject
Language
English
ISSN
2076-393X
Abstract
Author(s): Neudy Rojop [1]; Diva M. Calvimontes [1,2]; Edgar Barrios [1]; Molly M. Lamb [2,3]; Alejandra Paniagua-Avila [4]; Jose Monzon [5]; Lindsey M. Duca [5]; Chelsea Iwamoto [5]; Anna N. [...]
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.