Skip to main content
Log in

COVID-19 Vaccine Acceptance Among Latino/a Immigrants: The Role of Collective Responsibility and Confidence

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Research on COVID-19 vaccine hesitancy has been sparse among Latino/a immigrants, a population at high risk for infection. This exploratory study examines rates of vaccine acceptance and its association with psychological antecedents of vaccination among Latino/a immigrants. A cross-sectional telephone survey on perceptions of COVID-19 was administered between October 2020 to February 2021 in South Florida to 200 adult Latino/a immigrants. Descriptive statistics, bivariate analysis, and logistic regression were employed to determine the influence of independent variables on vaccine acceptance. Most participants indicated a willingness to get vaccinated. Participants with higher confidence (aOR = 10.2, 95% CI: 4.8–21.8) and collective responsibility scores were (aOR = 3.1, 95%CI:1.3–6.9) more likely to report vaccine acceptance than those with lower scores. No other psychological antecedents or demographic variables were significantly associated with vaccine acceptance. Study results provide insights into motivating factors for vaccination that can inform culturally tailored education campaigns to increase vaccine acceptability in this population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Doherty I, Pilkington W, Brown L, et al. COVID-19 vaccine hesitancy in underserved communities of North Carolina. medRxiv. 2021. https://doi.org/10.1101/2021.02.21.21252163.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Mackey K, Ayers CK, Kondo KK, et al. Racial and ethnic disparities in COVID-19–related infections, hospitalizations, and deaths: a systematic review. Ann Intern Med. 2021;174(3):362–73.

    Article  PubMed  Google Scholar 

  3. Palacio A, Tamariz L. Social determinants of health mediate COVID-19 disparities in South Florida. J Gen Intern Med. 2021;36(2):472–7.

    Article  PubMed  Google Scholar 

  4. Jones J, Sullivan PS, Sanchez TH, et al. Similarities and differences in COVID-19 awareness, concern, and symptoms by race and ethnicity in the United States: cross-sectional survey. J Med Internet Res. 2020;22(7):e20001.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Hooper MW, Nápoles AM, Pérez-Stable EJ. COVID-19 and racial/ethnic disparities. JAMA. 2020;323(24):2466–7.

    Article  CAS  Google Scholar 

  6. Thakur N, Lovinsky-Desir S, Bime C, Wisnivesky JP, Celedón JC. The structural and social determinants of the racial/ethnic disparities in the US COVID-19 pandemic. What’s our role? Am J Respir Crit Care Med. 2020;202(7):943–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. US Department of Health and Human Services. COVID 19 - Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. cdc.gov Web site. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html. Updated 11/22/21. Accessed 09/07/2021.

  8. Bibbins-Domingo K. This time must be different: disparities during the COVID-19 pandemic. Ann Intern Med. 2020;173(3):233–4.

    Article  PubMed  Google Scholar 

  9. Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 vaccination hesitancy in the United States: a rapid national assessment. J Community Health. 2021;46(2):270–7.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Harmon AHJ. They haven’t gotten a covid vaccine yet. but they aren’t ‘Hesitant’ either. The New York TImes. Available from: https://www.nytimes.com/2021/05/12/us/covid-vaccines-vulnerable.html. Accessed May 12, 2021.

  11. Martinez CR, McClure HH, Eddy JM, Ruth B, Hyers MJ. Recruitment and retention of latino immigrant families in prevention research. Prev Sci. 2012;13(1):15–26.

    Article  PubMed  Google Scholar 

  12. Lopez DS, Fernandez ME, Cano MA, et al. Association of acculturation, nativity, and years living in the United States with biobanking among individuals of mexican descent. Cancer Epidemiol Prev Biomarkers. 2014;23(3):402–8.

    Article  Google Scholar 

  13. De La Rosa M, Babino R, Rosario A, Martinez NV, Aijaz L. Challenges and strategies in recruiting, interviewing, and retaining recent latino immigrants in substance abuse and HIV epidemiologic studies. Am J Addictions. 2012;21(1):11–22.

    Article  Google Scholar 

  14. MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33(34):4161–4.

    Article  PubMed  Google Scholar 

  15. Lazarus JV, Ratzan SC, Palayew A, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021;27(2):225–8.

    Article  CAS  PubMed  Google Scholar 

  16. Raja AS, Niforatos JD, Anaya N, Graterol J, Rodriquez RM. Vaccine hesitancy and reasons for refusing the COVID-19 vaccination among the US public: a cross-sectional survey. medRxiv. 2021.

  17. Nguyen LH, Joshi AD, Drew DA et al. Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake. medRxiv. 2021.

  18. Dror AA, Eisenbach N, Taiber S, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020;35(8):775–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Callaghan T, Moghtaderi A, Lueck JA, Hotez P, Strych U, Dor A, et al. Correlates and disparities of intention to vaccinate against COVID-19. Soc Sci Med. 2021;272:113638.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Dubé È, Ward JK, Verger P, MacDonald NE. Vaccine hesitancy, acceptance, and anti-vaccination: Trends and future prospects for public health. Annu Rev Public Health. 2021;42:175–91.

    Article  PubMed  Google Scholar 

  21. Dudley MZ, Privor-Dumm L, Dubé È, MacDonald NE. Words matter: vaccine hesitancy, vaccine demand, vaccine confidence, herd immunity and mandatory vaccination. Vaccine. 2020;38(4):709–11.

    Article  PubMed  Google Scholar 

  22. Kim D. Associations of race/ethnicity and other demographic and socioeconomic factors with vaccine initiation and intention during the COVID-19 pandemic in the United States. medRxiv. 2021.

  23. Kelly BJ, Southwell BG, McCormack LA, et al. Predictors of willingness to get a COVID-19 vaccine in the US. BMC Infect Dis. 2021;21(1):1–7.

    Google Scholar 

  24. Wiysonge CS, Ndwandwe D, Ryan J et al. Vaccine hesitancy in the era of COVID-19: could lessons from the past help in divining the future? Hum Vaccines Immunotherapeutics. 2021:1–3.

  25. Betsch C, Schmid P, Heinemeier D, Korn L, Holtmann C, Böhm R. Beyond confidence: development of a measure assessing the 5 C psychological antecedents of vaccination. PLoS ONE. 2018;13(12):e0208601.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. JS SA, Warren SS, Meriggi NF, et al. COVID-19 vaccine acceptance and hesitancy in low and middle income countries. Nat Med. 2021;27:1385–94. https://doi.org/10.1038/s41591-021-01454-y.

    Article  CAS  Google Scholar 

  27. Wouters OJ, Shadlen KC, Salcher-Konrad M et al. Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. The Lancet. 2021.

  28. Machingaidze S, Wiysonge CS. Understanding COVID-19 vaccine hesitancy. Nat Med. 2021;27(8):1338–9.

    Article  CAS  PubMed  Google Scholar 

  29. Jones DL, Salazar AS, Rodriguez VJ, Balise RR, Uribe CS, Morgan K. SARS-CoV-2: Vaccine hesitancy among underrepresented racial and ethnic groups with HIV in Miami, Florida. Open Forum Infectious Diseases. 2021;8(6). DOI: https://doi.org/10.1093/ofid/ofab154 2021.

  30. Teixeira da Silva D, Biello K, Lin WY, et al. COVID-19 vaccine acceptance among an online sample of sexual and gender minority men and transgender women. Vaccines. 2021;9(3):204.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Shen L. Fatalism and locus of control as a consideration when designing health and risk messages. In: Oxford Research Encyclopedia of Communication 2017.

  32. Ramírez AS, Carmona KA. Beyond fatalism: information overload as a mechanism to understand health disparities. Soc Sci Med. 2018;219:11–8.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Abraído-Lanza AF, Viladrich A, Flórez KR, Céspedes A, Aguirre AN, De La Cruz. Ana Alicia. Commentary: Fatalismo reconsidered: a cautionary note for health-related research and practice with latino populations. Ethn Dis. 2007;17(1):153.

    PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported in part, by [Grant #U54MD002266] awarded by the National Institutes of Health and Health Disparities (NIMHD). The funder had no role in the preparation, design, data collection, analysis or decision to publish the manuscript. The views expressed here solely belong to the authors and do not necessarily reflect the official views of NIH or NIMHD.

This study was approved by the Social and Behavioral Institutional Review Board at a large public university in South Florida.

Author information

Authors and Affiliations

Authors

Contributions

Christie Kirchoff: Conceptualization, Writing – initial draft, Writing – review and editing, Data curation, Methodology, and, A. Penn: Conceptualization, Writing – initial draft, Writing – review and editing. M. Sanchez: Supervision, Writing – review, and editing. W. Wang: Data curation, Formal analysis, Writing – review, and editing. R. Babino: Project administration, Writing- review, and editing. M. De La Rosa: Supervision, Writing – review, and editing. M.A. Cano: Methodology, Funding acquisition, Supervision, Writing- review & editing.

Corresponding author

Correspondence to A. Penn.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kirchoff, C., Penn, A., Wang, W. et al. COVID-19 Vaccine Acceptance Among Latino/a Immigrants: The Role of Collective Responsibility and Confidence. J Immigrant Minority Health 25, 1246–1253 (2023). https://doi.org/10.1007/s10903-023-01513-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-023-01513-1

Keywords

Navigation