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Racial/ethnic and nativity disparities in U.S. Covid-19 vaccination hesitancy during vaccine rollout and factors that explain them

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  • Frisco, Michelle L.
  • Van Hook, Jennifer
  • Thomas, Kevin J.A.

Abstract

While research has begun to investigate disparities in Covid-19 vaccine hesitancy between White, Black and Hispanic adults, no nationally representative studies to date have accounted for Hispanic immigrants as a unique group or fully investigated the reasons behind racial/ethnic and nativity disparities. We make these contributions by substantively drawing from what is known about the ways that immigrant fear and structural racism create conditions that produce countervailing forces that are likely to contribute to racial/ethnic and nativity disparities in vaccine hesitancy. We use OLS regression and decomposition techniques to analyze data from 1936 18–65 year-old United States (U.S.) adults who participated in the COVID-19 and its Implications for American Communities (CIAC) study during February and March 2021, a period of time that coincides with early stages of the U.S. vaccine roll-out effort that pre-dated universal adult eligibility for Covid-19 vaccination. Results indicate that U.S.-born Black adults are more vaccine hesitant than U.S.-born White adults. This disparity is largely due to differences in anti-vaccine beliefs. U.S.-born Hispanic adults are less vaccine hesitant than U.S.-born White adults in adjusted OLS regression models and personal experiences with Covid-19 drive this difference. There were not significant differences between foreign-born Hispanic and U.S.-born White adults in vaccine hesitancy. These findings suggest that foreign-born Hispanic adults did not drive early disparities in vaccine hesitancy and that alleviating concerns about anti-vaccine beliefs and utilizing personal stories have important roles in preventing future racial/ethnic disparities in Covid-19 vaccine hesitancy as new Covid-19 vaccines and booster shots are rolled out. Study findings may also have implications for reducing racial/ethnic disparities in the uptake of other new vaccines.

Suggested Citation

  • Frisco, Michelle L. & Van Hook, Jennifer & Thomas, Kevin J.A., 2022. "Racial/ethnic and nativity disparities in U.S. Covid-19 vaccination hesitancy during vaccine rollout and factors that explain them," Social Science & Medicine, Elsevier, vol. 307(C).
    • Handle: RePEc:eee:socmed:v:307:y:2022:i:c:s0277953622004890
    DOI: 10.1016/j.socscimed.2022.115183
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    References listed on IDEAS

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    1. Romer, Daniel & Jamieson, Kathleen Hall, 2020. "Conspiracy theories as barriers to controlling the spread of COVID-19 in the U.S," Social Science & Medicine, Elsevier, vol. 263(C).
    2. Diament, Sean M. & Kaya, Ayse & Magenheim, Ellen B., 2022. "Frames that matter: Increasing the willingness to get the Covid-19 vaccines," Social Science & Medicine, Elsevier, vol. 292(C).
    3. Latkin, Carl A. & Dayton, Lauren & Yi, Grace & Konstantopoulos, Arianna & Boodram, Basmattee, 2021. "Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective," Social Science & Medicine, Elsevier, vol. 270(C).
    4. Ben Jann, 2008. "The Blinder–Oaxaca decomposition for linear regression models," Stata Journal, StataCorp LP, vol. 8(4), pages 453-479, December.
    5. McLemore, Monica R. & Altman, Molly R. & Cooper, Norlissa & Williams, Shanell & Rand, Larry & Franck, Linda, 2018. "Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth," Social Science & Medicine, Elsevier, vol. 201(C), pages 127-135.
    6. Noreen Goldman & Anne R Pebley & Keunbok Lee & Theresa Andrasfay & Boriana Pratt, 2021. "Racial and ethnic differentials in COVID-19-related job exposures by occupational standing in the US," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-17, September.
    7. Feagin, Joe & Bennefield, Zinobia, 2014. "Systemic racism and U.S. health care," Social Science & Medicine, Elsevier, vol. 103(C), pages 7-14.
    8. Caserotti, Marta & Girardi, Paolo & Rubaltelli, Enrico & Tasso, Alessandra & Lotto, Lorella & Gavaruzzi, Teresa, 2021. "Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents," Social Science & Medicine, Elsevier, vol. 272(C).
    9. Callaghan, Timothy & Moghtaderi, Ali & Lueck, Jennifer A. & Hotez, Peter & Strych, Ulrich & Dor, Avi & Fowler, Erika Franklin & Motta, Matthew, 2021. "Correlates and disparities of intention to vaccinate against COVID-19," Social Science & Medicine, Elsevier, vol. 272(C).
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    Cited by:

    1. Seungwoo Han, 2024. "Trust and needles: how perceptions of inequality shape vaccination in South Korea," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.

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