Individual, Cultural and Structural Predictors of Vaccine Safety Confidence and Influenza Vaccination Among Hispanic Female Subgroups
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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.
KeywordsHispanics 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.
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.
All participants in this study provided informed consent.
- 1.U.S. Department of Health and Human Services: Healthy people 2020: immunization and infectious diseases. 2014. https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases.
- 2.Grohskoph LA, Olsen SJ, Sokolow LZ, et al. Prevention and control of seasonal Influenza with vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP)—United States, 2014–15 influenza season. MMWR Morb Mortal Wkly Rep. 2014;63(23):691–7.Google Scholar
- 3.Centers for Disease Control & Prevention: Flu vaccination coverage, United States, 2013–14 influenza season. 2014. http://www.cdc.gov/flu/fluvaxview/coverage-1314estimates.htm.
- 8.Lopez MH, Gonzalez-Barrera A, Cuddington D.Diverse origins: The nation’s 14 largest Hispanic-origin groups. Washington DC: Pew Research Center. 2013. http://www.pewhispanic.org/2013/06/19/diverse-origins-the-nations-14-largest-hispanic-origin-groups/.
- 9.Motel S, Patten E. Statistical portrait of the foreign-born population in the United States, 2011. Washington DC: Pew Research Center. 2013. http://www.pewhispanic.org/2013/01/29/statistical-portrait-of-the-foreign-born-population-in-the-united-states-2011/.
- 11.Siegel R, Ahmedin Jemal D. Cancer facts and figures. Atlanta, GA: American Cancer Society. 2012. http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-027766.pdf.
- 13.Fang J, Madhavan S, Alderman MH. The influence of birthplace on mortality among Hispanic residents of New York City. Ethn Dis. 1996;7(1):55–64.Google Scholar
- 22.Dutta M. Communicating health: a culture-centered approach. London: Polity Press; 2008.Google Scholar
- 23.Airhihenbuwa CO. Health and culture: beyond the western paradigm. Thousand Oaks: SAGE; 1995.Google Scholar
- 26.Williams WW, Lu PJ, Lindley MC, et al. Influenza vaccination coverage among adults: National Health Interview Survey, United States, 2008–09 influenza season. MMWR Morb Mortal Wkly Rep. 2012;61:65–72.Google Scholar
- 27.Kline MV, Huff RM. Health promotion in multicultural populations: a handbook for practitioners and students. Thousand Oaks: SAGE; 2007.Google Scholar
- 31.Institute of Medicine. Health literacy: a prescription to end confusion. Washington: National Academies Press; 2004.Google Scholar
- 34.Frank LB, Murphy ST, Ball-Rokeach S. Personal network analysis and health among Latinas. Int Rev Soc Res. (in press).Google Scholar
- 40.SPSS Inc. SPSS statistics for windows, version 17.0. Chicago: SPSS Inc; 2008.Google Scholar
- 41.Messias DKH, Rubio M. Immigration and health. Annu Rev Nurs Res. 2004;23:101–34.Google Scholar
- 42.Ramirez AG, Thompson IM. Hispanic/Latino health, cancer, and disease: an overview. In: Huff RM, Kline MV, Peterson DV, editors. Health promotion in multicultural populations: a handbook for practitioners and students. 3rd ed. Thousand Oaks: SAGE; 2015.Google Scholar
- 49.Ennis SR, Ríos-Vargas M, Albert NG. The hispanic population: 2010. US Department of Commerce, Economics and Statistics Administration, US Census Bureau. 2011.Google Scholar