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Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida

Author

Listed:
  • Acadia W. Buro

    (Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL 33617, USA)

  • Kevin Roman Candelaria

    (Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA)

  • Rocio Bailey

    (Hispanic Services Council, Tampa, FL 33614, USA)

  • Frances Luna

    (Hispanic Services Council, Tampa, FL 33614, USA)

  • Alexandra Albizu-Jacob

    (Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA)

  • Marilyn Stern

    (Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL 33617, USA
    Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA
    These authors contributed equally to this work.)

  • Laura Redwine

    (Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA
    Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, FL 33136, USA
    These authors contributed equally to this work.)

Abstract

The COVID-19 pandemic has disproportionately impacted multiple racial and ethnic minority groups, including Latinos residing in rural communities. Low rates of vaccination and testing combined with social determinants of health have contributed significantly to this disparate impact. Given the needs and constraints unique to rural Latino migrant and immigrant communities, this qualitative study examined multilevel barriers and strategies that affect COVID-19 vaccination and testing uptake among these communities in southwest Florida. Four focus groups (n = 25) were conducted between March and April 2021 with various key stakeholders, including rural Latino community members, local leaders, and community health workers (‘Promotoras de Salud’). Themes that aligned with barriers to COVID-19 vaccination and testing included fear, lack of control, misinformation, lack of accessibility, and institutional/policy issues; themes that aligned with strategies to improve COVID-19 vaccination and testing uptake included faith, taking care of self, and community and family resilience. Recommendations for improving future pandemic responses for rural Latino communities include incorporating multiple levels of intervention, such as consideration of the role of the family, involving trusted community members, and ensuring the development and implementation of fair and consistent policies.

Suggested Citation

  • Acadia W. Buro & Kevin Roman Candelaria & Rocio Bailey & Frances Luna & Alexandra Albizu-Jacob & Marilyn Stern & Laura Redwine, 2022. "Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11785-:d:918254
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    References listed on IDEAS

    as
    1. DeHaven, M.J. & Hunter, I.B. & Wilder, L. & Walton, J.W. & Berry, J., 2004. "Health programs in faith-based organizations: Are they effective?," American Journal of Public Health, American Public Health Association, vol. 94(6), pages 1030-1036.
    2. Elizabeth B. Pathak & Janelle M. Menard & Rebecca B. Garcia & Jason L. Salemi, 2022. "Joint Effects of Socioeconomic Position, Race/Ethnicity, and Gender on COVID-19 Mortality among Working-Age Adults in the United States," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
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