Department of Psychology Albuquerque, The University of New Mexico, 2001 Redondo S Dr, Albuquerque, 87106, NM, USA.
Center for Social Policy, The University of New Mexico Albuquerque, Albuquerque, NM, USA.
J Behav Med. 2023 Apr;46(1-2):129-139. doi: 10.1007/s10865-023-00393-y. Epub 2023 Jan 18.
Latino, Black, American Indian/Alaska Native (AI/AN), and Native Hawaiian or Other Pacific Islander people have the highest hospitalizations and death rates from COVID-19. Social inequalities have exacerbated COVID-19 related health disparities. This study examines social and structural determinants of COVID-19 vaccine uptake. Results from logistic regressions suggest Latino and Black people were less likely to be vaccinated. People that did not have health insurance, a primary care doctor and were unemployed were more than 30% less likely to be vaccinated for COVID-19. Greater perceived health inequalities in one's neighborhood and perceived racial/ethnic discrimination were associated with a decreased odds in being vaccinated. People that suffered the loss of a household member from COVID-19 were three times more likely to have been vaccinated. Establishing policies that will increase access to health insurance and create jobs with living wages may have lasting impacts. Furthermore, collaboration with local and national community organizations can enhance the development of sustainable solutions.
拉丁裔、非裔、美国印第安人/阿拉斯加原住民（AI/AN）和夏威夷原住民或其他太平洋岛民的 COVID-19 住院率和死亡率最高。社会不平等加剧了与 COVID-19 相关的健康差距。本研究探讨了 COVID-19 疫苗接种的社会和结构决定因素。逻辑回归的结果表明，拉丁裔和非裔人群接种疫苗的可能性较低。没有医疗保险、初级保健医生和失业的人接种 COVID-19 疫苗的可能性降低了 30%以上。人们认为自己所在社区的健康不平等程度更大，以及感到受到种族/族裔歧视，与接种疫苗的几率降低有关。因 COVID-19 而失去家庭成员的人接种疫苗的可能性要高出三倍。制定增加医疗保险覆盖范围和创造有生计工资的就业机会的政策可能会产生持久的影响。此外，与地方和国家社区组织合作可以促进可持续解决方案的制定。
