COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S
The purpose of this study was to assess differences in COVID-19 vaccine willingness and uptake between low-income and non-low-income adults and across race-ethnicity. We utilized data from the COVID-19′s Unequal Racial Burden online survey, which included baseline (12/17/2020–2/11/2021) and 6-month...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523002589 |
| _version_ | 1827813694896078848 |
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| author | Alexis L. Green Anita L. Stewart Anna M. Nápoles Paula D. Strassle |
| author_facet | Alexis L. Green Anita L. Stewart Anna M. Nápoles Paula D. Strassle |
| author_sort | Alexis L. Green |
| collection | DOAJ |
| description | The purpose of this study was to assess differences in COVID-19 vaccine willingness and uptake between low-income and non-low-income adults and across race-ethnicity. We utilized data from the COVID-19′s Unequal Racial Burden online survey, which included baseline (12/17/2020–2/11/2021) and 6-month follow-up (8/13/2021–9/9/2021) surveys. The sample included 1,500 Black/African American, Latino, and White low-income adults living in the U.S. (N = 500 each). A non-low-income cohort was created for comparison (n = 1,188). Multinomial logistic regression was used to assess differences in vaccine willingness and uptake between low-income and non-low-income adults, as well as across race-ethnicity (low-income adults only). Only low-income White adults were less likely to be vaccinated compared to their non-low-income counterparts (extremely willing vs. not at all: OR = 0.58, 95% CI = 0.39–0.86); low-income Black/African American and Latino adults were just as willing or more willing to vaccinate. At follow-up, only 30.2% of low-income adults who reported being unwilling at baseline were vaccinated at follow-up. White low-income adults (63.6%) appeared less likely to be vaccinated, compared to non-low-income White adults (80.9%), low-income Black/African American (70.7%), and low-income Latino adults (72.4%). Distrust in the government (46.6), drug companies (44.5%), and vaccine contents (52.1%) were common among those unwilling to vaccinate. This prospective study among a diverse sample of low-income adults found that low-income White adults were less willing and less likely to vaccinate than their non-low-income counterparts, but this difference was not observed for Black/African American or Latino adults. Distrust and misinformation were prevalent among those who remained unvaccinated at follow-up. |
| first_indexed | 2024-03-11T23:35:45Z |
| format | Article |
| id | doaj.art-295c7155c4ef41f18da354090ffb3f4e |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T23:35:45Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-295c7155c4ef41f18da354090ffb3f4e2023-09-20T04:21:12ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102367COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.SAlexis L. Green0Anita L. Stewart1Anna M. Nápoles2Paula D. Strassle3Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USAUniversity of California San Francisco, Institute for Health & Aging, Center for Aging in Diverse Communities, San Francisco, CA, USADivision of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USADivision of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA; Corresponding author at: Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892, USA.The purpose of this study was to assess differences in COVID-19 vaccine willingness and uptake between low-income and non-low-income adults and across race-ethnicity. We utilized data from the COVID-19′s Unequal Racial Burden online survey, which included baseline (12/17/2020–2/11/2021) and 6-month follow-up (8/13/2021–9/9/2021) surveys. The sample included 1,500 Black/African American, Latino, and White low-income adults living in the U.S. (N = 500 each). A non-low-income cohort was created for comparison (n = 1,188). Multinomial logistic regression was used to assess differences in vaccine willingness and uptake between low-income and non-low-income adults, as well as across race-ethnicity (low-income adults only). Only low-income White adults were less likely to be vaccinated compared to their non-low-income counterparts (extremely willing vs. not at all: OR = 0.58, 95% CI = 0.39–0.86); low-income Black/African American and Latino adults were just as willing or more willing to vaccinate. At follow-up, only 30.2% of low-income adults who reported being unwilling at baseline were vaccinated at follow-up. White low-income adults (63.6%) appeared less likely to be vaccinated, compared to non-low-income White adults (80.9%), low-income Black/African American (70.7%), and low-income Latino adults (72.4%). Distrust in the government (46.6), drug companies (44.5%), and vaccine contents (52.1%) were common among those unwilling to vaccinate. This prospective study among a diverse sample of low-income adults found that low-income White adults were less willing and less likely to vaccinate than their non-low-income counterparts, but this difference was not observed for Black/African American or Latino adults. Distrust and misinformation were prevalent among those who remained unvaccinated at follow-up.http://www.sciencedirect.com/science/article/pii/S2211335523002589Health disparitiesSocial determinants of healthCOVID-19 vaccineLow-incomeRace and ethnicity |
| spellingShingle | Alexis L. Green Anita L. Stewart Anna M. Nápoles Paula D. Strassle COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S Preventive Medicine Reports Health disparities Social determinants of health COVID-19 vaccine Low-income Race and ethnicity |
| title | COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S |
| title_full | COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S |
| title_fullStr | COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S |
| title_full_unstemmed | COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S |
| title_short | COVID-19 vaccination willingness and uptake among low-income Black/African American, Latino, and White adults living in the U.S |
| title_sort | covid 19 vaccination willingness and uptake among low income black african american latino and white adults living in the u s |
| topic | Health disparities Social determinants of health COVID-19 vaccine Low-income Race and ethnicity |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523002589 |
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