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Understanding COVID-19 vaccine hesitancy in the Hispanic adult population of South Carolina: a complex mixed-method design evaluation study.
Rossi, Maria Mercedes; Parisi, Michelle A; Cartmell, Kathleen B; McFall, Danielle.
Afiliação
  • Rossi MM; Department of Food, Nutrition, and Packaging Sciences, C228 Pool Agricultural Center, Clemson University, Clemson, SC, 29631, USA. rossi@clemson.edu.
  • Parisi MA; Department Nutritional Sciences, University of Georgia, 206 Hoke Smith Annex, Athens, GA, 30602, USA.
  • Cartmell KB; Department of Public Health Sciences, Clemson University, 534 Edwards Hall, Clemson, SC, 29634, USA.
  • McFall D; Rural Health and Nutrition Program Team, Clemson University, 120 Lehotsky Hall, Clemson, SC, 29634, USA.
BMC Public Health ; 23(1): 2359, 2023 11 28.
Article em En | MEDLINE | ID: mdl-38017470
BACKGROUND: In August 2021, only 47.6% of all eligible residents in South Carolina (SC) had received at least one dose of the COVID-19 vaccine, with only 41% having completed their vaccination series. Additionally, only 27% of all Hispanics in SC had completed their vaccination series compared to 34.1% of non-Hispanics. Vaccine hesitancy is a complex phenomenon that is context and vaccine-specific. Focusing on unvaccinated Hispanics living in rural areas of SC, this study aimed to identify barriers to vaccination and provide an educational intervention designed to address vaccine hesitancy. METHODS: A complex mixed-methods evaluation design was used to conduct this study. First, in-person vaccine educational sessions were implemented, along with a pre-post-test survey, to assess changes in knowledge, attitudes, motivations, barriers, and intentions to receive COVID-19 vaccination. Second, in-person follow-up focus groups were held with the same participants to gather in-depth insight about participants' knowledge and attitudes about the COVID-19 vaccination. Third, an online follow-up survey was conducted to assess the effect of the training and discussion session on COVID-19 vaccination. Study outcomes were assessed among the 17 individuals who participated in the educational sessions and focus group discussions. RESULTS: Findings revealed that for unvaccinated Hispanics living in South Carolina; vaccine hesitancy was primarily driven by: 1) misinformation and information coming from unverified sources and 2) negative perceptions of the safety and effectiveness of the COVID-19 vaccines. Specifically, participants were fearful that the vaccine development was rushed and that the vaccines might contain questionable ingredients that could cause strong side effects or even death. Participants were also concerned that vaccination might cause them to get sick and be hospitalized, which would have financial implications since they could not afford healthcare or take time off work. CONCLUSIONS: Program implementation and mass communication campaigns should focus on COVID-19 vaccine safety and effectiveness, including side effects, what to expect after being vaccinated, and how to look for information from reputable sources. The educational session implemented proved to be effective and helped reduce vaccine hesitancy since most participants (80%) self-reported receiving a COVID-19 vaccine after program participation.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 / 4_TD / 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Vacinas contra COVID-19 / COVID-19 / Hesitação Vacinal Limite: Adult / Humans País/Região como assunto: America do norte Idioma: En Revista: BMC Public Health Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 / 4_TD / 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Vacinas contra COVID-19 / COVID-19 / Hesitação Vacinal Limite: Adult / Humans País/Região como assunto: America do norte Idioma: En Revista: BMC Public Health Ano de publicação: 2023 Tipo de documento: Article