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Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy Among Underrepresented Racial and Ethnic Groups With HIV in Miami, Florida
BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and human immunodeficiency virus (HIV) disproportionally affect underrepresented ethnoracial groups in the United States. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This stud...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083672/ https://www.ncbi.nlm.nih.gov/pubmed/34621912 http://dx.doi.org/10.1093/ofid/ofab154 |
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author | Jones, Deborah L Salazar, Ana S Rodriguez, Violeta J Balise, Raymond R Starita, Claudia Uribe Morgan, Kristiana Raccamarich, Patricia D Montgomerie, Emily Nogueira, Nicholas Fonseca Barreto Ojeda, Irma Maddalon, Marissa Rodriguez, Nicolle L Yanes Brophy, Theodora Martinez, Thais Alcaide, Maria L |
author_facet | Jones, Deborah L Salazar, Ana S Rodriguez, Violeta J Balise, Raymond R Starita, Claudia Uribe Morgan, Kristiana Raccamarich, Patricia D Montgomerie, Emily Nogueira, Nicholas Fonseca Barreto Ojeda, Irma Maddalon, Marissa Rodriguez, Nicolle L Yanes Brophy, Theodora Martinez, Thais Alcaide, Maria L |
author_sort | Jones, Deborah L |
collection | PubMed |
description | BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and human immunodeficiency virus (HIV) disproportionally affect underrepresented ethnoracial groups in the United States. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This study examined SARS-CoV-2 vaccine hesitancy among underrepresented ethnoracial groups with HIV and identified factors that may reduce vaccine uptake. METHODS: We conducted a cross-sectional study of adults ≥18 years of age with HIV residing in Miami, Florida. Participants were invited to participate in the ACTION (A Comprehensive Translational Initiative on Novel Coronavirus) cohort study. A baseline survey was administered from April to August 2020 and followed by a coronavirus disease 2019 (COVID-19) vaccine hesitancy survey from August to November 2020. The COVID-19 vaccine hesitancy survey was adapted from the Strategic Advisory Group of Experts survey. Comparisons by race and ethnicity were performed using the Freedman-Haltmann extension of the Fisher exact test. RESULTS: A total of 94 participants were enrolled; mean age was 54.4 years, 52% were female, 60% were Black non-Latinx, and 40% were non-Black Latinx. Black non-Latinx participants were less likely to agree that vaccinations are important for health when compared to non-Black Latinx (67.8% vs 92.1%, P = .009), less likely to agree that vaccines are effective in preventing disease (67.8% vs 84.2%, P = .029), less likely to believe that vaccine information is reliable and trustworthy (35.7% vs 71.1%, P = .002), and less likely to believe vaccines were unnecessary because COVID-19 would disappear soon (11% vs 21%, P = .049). CONCLUSIONS: Medical mistrust, vaccine hesitancy, and negative sentiments about SARS-CoV-2 vaccines are prevalent among underrepresented ethnoracial groups with HIV, particularly Black non-Latinx. Targeted strategies to increase vaccine uptake in this population are warranted. |
format | Online Article Text |
id | pubmed-8083672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-80836722021-05-03 Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy Among Underrepresented Racial and Ethnic Groups With HIV in Miami, Florida Jones, Deborah L Salazar, Ana S Rodriguez, Violeta J Balise, Raymond R Starita, Claudia Uribe Morgan, Kristiana Raccamarich, Patricia D Montgomerie, Emily Nogueira, Nicholas Fonseca Barreto Ojeda, Irma Maddalon, Marissa Rodriguez, Nicolle L Yanes Brophy, Theodora Martinez, Thais Alcaide, Maria L Open Forum Infect Dis Major Articles BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and human immunodeficiency virus (HIV) disproportionally affect underrepresented ethnoracial groups in the United States. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This study examined SARS-CoV-2 vaccine hesitancy among underrepresented ethnoracial groups with HIV and identified factors that may reduce vaccine uptake. METHODS: We conducted a cross-sectional study of adults ≥18 years of age with HIV residing in Miami, Florida. Participants were invited to participate in the ACTION (A Comprehensive Translational Initiative on Novel Coronavirus) cohort study. A baseline survey was administered from April to August 2020 and followed by a coronavirus disease 2019 (COVID-19) vaccine hesitancy survey from August to November 2020. The COVID-19 vaccine hesitancy survey was adapted from the Strategic Advisory Group of Experts survey. Comparisons by race and ethnicity were performed using the Freedman-Haltmann extension of the Fisher exact test. RESULTS: A total of 94 participants were enrolled; mean age was 54.4 years, 52% were female, 60% were Black non-Latinx, and 40% were non-Black Latinx. Black non-Latinx participants were less likely to agree that vaccinations are important for health when compared to non-Black Latinx (67.8% vs 92.1%, P = .009), less likely to agree that vaccines are effective in preventing disease (67.8% vs 84.2%, P = .029), less likely to believe that vaccine information is reliable and trustworthy (35.7% vs 71.1%, P = .002), and less likely to believe vaccines were unnecessary because COVID-19 would disappear soon (11% vs 21%, P = .049). CONCLUSIONS: Medical mistrust, vaccine hesitancy, and negative sentiments about SARS-CoV-2 vaccines are prevalent among underrepresented ethnoracial groups with HIV, particularly Black non-Latinx. Targeted strategies to increase vaccine uptake in this population are warranted. Oxford University Press 2021-03-26 /pmc/articles/PMC8083672/ /pubmed/34621912 http://dx.doi.org/10.1093/ofid/ofab154 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Major Articles Jones, Deborah L Salazar, Ana S Rodriguez, Violeta J Balise, Raymond R Starita, Claudia Uribe Morgan, Kristiana Raccamarich, Patricia D Montgomerie, Emily Nogueira, Nicholas Fonseca Barreto Ojeda, Irma Maddalon, Marissa Rodriguez, Nicolle L Yanes Brophy, Theodora Martinez, Thais Alcaide, Maria L Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy Among Underrepresented Racial and Ethnic Groups With HIV in Miami, Florida |
title | Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy
Among Underrepresented Racial and Ethnic Groups With HIV in Miami,
Florida |
title_full | Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy
Among Underrepresented Racial and Ethnic Groups With HIV in Miami,
Florida |
title_fullStr | Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy
Among Underrepresented Racial and Ethnic Groups With HIV in Miami,
Florida |
title_full_unstemmed | Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy
Among Underrepresented Racial and Ethnic Groups With HIV in Miami,
Florida |
title_short | Severe Acute Respiratory Syndrome Coronavirus 2: Vaccine Hesitancy
Among Underrepresented Racial and Ethnic Groups With HIV in Miami,
Florida |
title_sort | severe acute respiratory syndrome coronavirus 2: vaccine hesitancy
among underrepresented racial and ethnic groups with hiv in miami,
florida |
topic | Major Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083672/ https://www.ncbi.nlm.nih.gov/pubmed/34621912 http://dx.doi.org/10.1093/ofid/ofab154 |
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