Fisher Celia, Bragard Elise, Madhivanan Purnima
Department of Psychology, Fordham University, Bronx, New York, NY 10458, USA.
Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85721, USA.
Vaccines (Basel). 2023 Mar 6;11(3):599. doi: 10.3390/vaccines11030599.
Hispanic children in the US have high rates of COVID-19-related hospitalizations and deaths. Following FDA emergency approval, COVID-19 vaccination rates for young children under five years have been alarmingly low, especially in border states with significant Hispanic populations. This study identified social and cultural determinants of COVID-19 vaccine hesitancy among economically marginalized Hispanic parents of children under five. In 2022, following FDA approval, 309 Hispanic female guardians in US border states responded to an online survey assessing parental intent to vaccinate their child, demographic characteristics, COVID-19 health and vaccine beliefs, trust in traditional sources of health information, physician and community support, and acculturation to Anglo American norms. The majority (45.6%) did not intend to vaccinate their child or were unsure (22.0%). Kendall's indicated vaccine acceptance was negatively associated with COVID-19 specific and general vaccine distrust, belief the vaccine was unnecessary, time living in the U.S., and language acculturation (range = -0.13 to -0.44; = 0.05-0.001) and positively related to trust in traditional resources, doctor's recommendation, child's age, household income and parent education (range = 0.11 to 0.37; = 0.05-0.001). This research highlights the importance of COVID-19 vaccination public health strategies that draw on Hispanic cultural values, community partnerships and enhanced pediatrician communication regarding routine and COVID-19-specific vaccinations.
美国的西班牙裔儿童因感染新冠病毒而住院和死亡的比例很高。在美国食品药品监督管理局（FDA）紧急批准后，五岁以下幼儿的新冠疫苗接种率低得惊人，尤其是在西班牙裔人口众多的边境州。本研究确定了经济上处于边缘地位的五岁以下儿童的西班牙裔父母对新冠疫苗犹豫的社会和文化决定因素。2022年，在FDA批准后，美国边境州的309名西班牙裔女性监护人回应了一项在线调查，该调查评估了父母为孩子接种疫苗的意愿、人口特征、对新冠健康和疫苗的看法、对传统健康信息来源的信任、医生和社区支持以及对英美规范的文化适应情况。大多数人（45.6%）不打算为孩子接种疫苗或不确定（22.0%）。肯德尔检验表明，疫苗接受度与对新冠病毒特定疫苗和一般疫苗的不信任、认为疫苗不必要、在美国生活的时间以及语言文化适应呈负相关（范围=-0.13至-0.44；P=0.05-0.001），与对传统资源的信任、医生的建议、孩子的年龄、家庭收入和父母教育呈正相关（范围=0.11至0.37；P=0.05-0.001）。这项研究强调了新冠疫苗接种公共卫生策略的重要性，这些策略借鉴了西班牙裔文化价值观、社区伙伴关系，并加强了儿科医生关于常规疫苗和新冠病毒特定疫苗接种的沟通。
