Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19

Objective. To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to iden­tify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods. We estimated the acceptance, refusal and hesitancy proportions using data from the...

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Main Authors: Martha Carnalla, Ana Basto-Abreu, Dalia Stern, Sergio Bautista-Arredondo, Teresa Shamah-Levy, Celia M Alpuche-Aranda, Juan Rivera-Dommarco, Tonatiuh Barrientos-Gutiérrez
Format: Article
Language:English
Published: Instituto Nacional de Salud Pública 2021-09-01
Series:Salud Pública de México
Subjects:
Online Access:https://www.saludpublica.mx/index.php/spm/article/view/12696
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author Martha Carnalla
Ana Basto-Abreu
Dalia Stern
Sergio Bautista-Arredondo
Teresa Shamah-Levy
Celia M Alpuche-Aranda
Juan Rivera-Dommarco
Tonatiuh Barrientos-Gutiérrez
author_facet Martha Carnalla
Ana Basto-Abreu
Dalia Stern
Sergio Bautista-Arredondo
Teresa Shamah-Levy
Celia M Alpuche-Aranda
Juan Rivera-Dommarco
Tonatiuh Barrientos-Gutiérrez
author_sort Martha Carnalla
collection DOAJ
description Objective. To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to iden­tify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods. We estimated the acceptance, refusal and hesitancy proportions using data from the Covid-19 National Health and Nutrition Survey conducted from August to November 2020. Factors associated with re­fusal and hesitancy were explored using multinomial logistic regression. Results. Covid-19 vaccination acceptance was 62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy were associated with being female, having older age, lower educational level, lower socioeconomic status and working in the informal sector. Conclusion. National campaigns to incentivize vaccine acceptance need to consider specific subgroups were the likelihood of hesitancy and refusal is high. In Mexico, refusal and hesitancy were higher in vulnerable groups, and people at a higher risk of Covid-19 complica­tions and death.
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spelling doaj.art-f73bb000d7a24044acdc1126eaa99f2f2022-12-22T01:47:01ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342021-09-0163559860610.21149/1269611581Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19Martha Carnalla0Ana Basto-Abreu1Dalia Stern2Sergio Bautista-Arredondo3Teresa Shamah-Levy4Celia M Alpuche-Aranda5Juan Rivera-Dommarco6Tonatiuh Barrientos-Gutiérrez7Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoConacyt-Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoCentro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoCentro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoCentro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoDirección General, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, MexicoObjective. To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to iden­tify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods. We estimated the acceptance, refusal and hesitancy proportions using data from the Covid-19 National Health and Nutrition Survey conducted from August to November 2020. Factors associated with re­fusal and hesitancy were explored using multinomial logistic regression. Results. Covid-19 vaccination acceptance was 62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy were associated with being female, having older age, lower educational level, lower socioeconomic status and working in the informal sector. Conclusion. National campaigns to incentivize vaccine acceptance need to consider specific subgroups were the likelihood of hesitancy and refusal is high. In Mexico, refusal and hesitancy were higher in vulnerable groups, and people at a higher risk of Covid-19 complica­tions and death.https://www.saludpublica.mx/index.php/spm/article/view/12696covid-19sars-cov-2vaccinationacceptancesurveysmexico
spellingShingle Martha Carnalla
Ana Basto-Abreu
Dalia Stern
Sergio Bautista-Arredondo
Teresa Shamah-Levy
Celia M Alpuche-Aranda
Juan Rivera-Dommarco
Tonatiuh Barrientos-Gutiérrez
Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
Salud Pública de México
covid-19
sars-cov-2
vaccination
acceptance
surveys
mexico
title Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
title_full Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
title_fullStr Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
title_full_unstemmed Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
title_short Acceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
title_sort acceptance refusal and hesitancy of covid 19 vaccination in mexico ensanut 2020 covid 19
topic covid-19
sars-cov-2
vaccination
acceptance
surveys
mexico
url https://www.saludpublica.mx/index.php/spm/article/view/12696
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