Journal of Immigrant and Minority Health

, Volume 19, Issue 4, pp 790–800 | Cite as

Individual, Cultural and Structural Predictors of Vaccine Safety Confidence and Influenza Vaccination Among Hispanic Female Subgroups

  • Meghan Bridgid MoranEmail author
  • Joyee S. Chatterjee
  • Lauren B. Frank
  • Sheila T. Murphy
  • Nan Zhao
  • Nancy Chen
  • Sandra Ball-Rokeach
Original Paper


Rates of influenza vaccination among US Hispanics are lower than for non-Hispanic whites, yet little is known about factors affecting vaccination in this population. Additionally, although Hispanics are a diverse population with culturally distinct subgroups, they are often treated as a homogenous population. This study (1) examines how confidence in vaccine safety and influenza vaccine use vary by Hispanic subgroup and (2) identifies individual, cultural and structural correlates of these outcomes. This study analyzed survey data from 1565 Hispanic women who were recruited at clinic- and community-based sites in Los Angeles. Education, healthcare coverage, acculturation, fatalism, and religiosity were predictors of influenza vaccination behavior and predictors varied by subgroup. These findings provide guidance for how influenza vaccine promotion efforts can be developed for Hispanic subgroups. Confidence in the safety of a vaccine is a major predictor of flu vaccination and an important modifiable target for intervention.


Hispanics Immunizations Influenza Vaccines Vaccine hesitancy 


Compliance with Ethical Standards

Conflict of interest

None of the authors of this manuscript have any conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and Animal Rights Statement

The research reported in this manuscript involved human participants and all study procedures were approved by the university Institutional Review Board.

Informed Consent

All participants in this study provided informed consent.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Meghan Bridgid Moran
    • 1
    Email author
  • Joyee S. Chatterjee
    • 2
  • Lauren B. Frank
    • 3
  • Sheila T. Murphy
    • 2
  • Nan Zhao
    • 4
  • Nancy Chen
    • 5
  • Sandra Ball-Rokeach
    • 2
  1. 1.Department of Health, Behavior & SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Annenberg School of Communication and JournalismUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Department of CommunicationPortland State UniversityPortlandUSA
  4. 4.Department of Public HealthCalifornia State UniversityLos AngelesUSA
  5. 5.Department of CommunicationCalifornia State University – Channel IslandsCamarilloUSA

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