Leonard David Institute of Health Economics, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States of America.
Institute for Health & Aging, University of California San Francisco, San Francisco, California, United States of America.
PLoS One. 2022 Nov 15;17(11):e0272627. doi: 10.1371/journal.pone.0272627. eCollection 2022.
To examine the effects of the COVID-19 pandemic among Latino communities, with an emphasis on understanding barriers and facilitators to vaccine intention prior to the development of the vaccine.
Qualitative data were collected between April and June 2020 from 3 focus groups with Latino adults (n = 21) and interviews with administrators of community-based organizations serving Latino communities (n = 12) in urban (Los Angeles) and rural (Fresno) California, supplemented by Community Advisory Board input in May 2021to elucidate the findings. Data were analyzed with deductive content analysis.
We have identified four main themes that are barriers to vaccinating against COVID-19: 1) concerns about accessing appropriate healthcare services, 2) financial issues and 3) immigration matters, as well as 4) misinformation.
Findings illustrate the pervasive role of addressable social determinants of health in the intention of rural and urban Latino communities in being vaccinated, which is a pressing public health issue. Policy implications: Findings provide evidence for a systemic shift to prioritize equitable access to COVID-19 vaccines to Latino communities.
研究 COVID-19 大流行对拉丁裔社区的影响,重点是在疫苗开发之前,了解疫苗接种意愿的障碍和促进因素。
2020 年 4 月至 6 月,在加利福尼亚州的洛杉矶和弗雷斯诺(Fresno)市,从参与城市(洛杉矶)和农村(弗雷斯诺)地区社区的 3 个焦点小组中收集了拉丁裔成年人(n = 21)的定性数据,并对服务拉丁裔社区的社区组织的管理人员进行了访谈(n = 12),2021 年 5 月还补充了社区顾问委员会的意见,以阐明研究结果。采用演绎内容分析法对数据进行分析。
我们确定了四个主要主题,这些主题是接种 COVID-19 疫苗的障碍:1)对获得适当医疗保健服务的担忧,2)财务问题和 3)移民问题,以及 4)错误信息。
研究结果说明了可解决的健康社会决定因素在农村和城市拉丁裔社区接种疫苗的意愿中普遍存在,这是一个紧迫的公共卫生问题。政策意义:研究结果为优先考虑向拉丁裔社区公平获得 COVID-19 疫苗提供了证据,需要进行系统性转变。