Skip to main content

Advertisement

Log in

Individual, Cultural and Structural Predictors of Vaccine Safety Confidence and Influenza Vaccination Among Hispanic Female Subgroups

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

Abstract

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.

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. 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.

  4. Lu PJ, Singleton JA, Euler GL, et al. Seasonal influenza vaccination coverage among adult populations in the United States, 2005–2011. Am J Epidemiol. 2013;178(9):1478–87.

    Article  PubMed  Google Scholar 

  5. Haviland AM, Elliott MN, Hambarsoomian K, et al. Immunization disparities by Hispanic ethnicity and language preference. Arch Intern Med. 2011;171(2):158–65.

    Article  PubMed  Google Scholar 

  6. Phippart AE, Kimura AC, Lopez K, et al. Understanding knowledge, attitudes, and behaviors related to influenza and the influenza vaccine in US–Mexico border communities. J Immigr Minor Health. 2013;15(4):741–6.

    Article  Google Scholar 

  7. Elder JP, Ayala GX, Parra-Medina D, et al. Health communication in the Latino community: issues and approaches. Annu Rev Public Health. 2009;30:227–51.

    Article  PubMed  Google Scholar 

  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/.

  10. Cokkinides VE, Bandi P, Siegel RL, et al. Cancer-related risk factors and preventive measures in US Hispanics/Latinos. CA Cancer J Clin. 2012;62(6):353–63.

    Article  PubMed  Google Scholar 

  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.

  12. Daviglus ML, Talavera GA, Avilés-Santa ML, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA. 2012;308(17):1775–84.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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 

  14. Howe HL, Wu X, Ries LA, et al. Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among US Hispanic/Latino populations. Cancer. 2006;107(8):1711–42.

    Article  PubMed  Google Scholar 

  15. Iribarren C, Darbinian JA, Fireman BH, et al. Birthplace and mortality among insured Latinos: the paradox revisited. Ethn Dis. 2009;19(2):185–91.

    PubMed  Google Scholar 

  16. Pinheiro PS, Williams M, Miller EA, et al. Cancer survival among Latinos and the Hispanic Paradox. Cancer Causes Control. 2011;22(4):553–61.

    Article  PubMed  Google Scholar 

  17. Singh GK, Rodriguez-Lainz A, Kogan MD. Immigrant health inequalities in the United States: use of eight major national data systems. Sci World J. 2013;2013:512313. doi:10.1155/2013/512313.

    Google Scholar 

  18. Corace K, Prematunge C, McCarthy A, et al. Predicting influenza vaccination uptake among health care workers: what are the key motivators? Am J Infect Control. 2013;41(8):679–84.

    Article  PubMed  Google Scholar 

  19. Gust DA, Strine TW, Maurice E, et al. Underimmunization among children: effects of vaccine safety concerns on immunization status. Pediatrics. 2004;114(1):e1–22.

    Article  Google Scholar 

  20. Hakim H, Gaur AH, McCullers JA. Motivating factors for high rates of influenza vaccination among healthcare workers. Vaccine. 2011;29(35):5963–9.

    Article  PubMed  Google Scholar 

  21. Salmon DA, Moulton LH, Omer SB, et al. Factors associated with refusal of childhood vaccines among parents of school-aged children: a case-control study. Arch Pediatr Adolesc Med. 2005;159(5):470–6.

    Article  PubMed  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 

  24. Egede LE, Zheng D. Racial/ethnic differences in influenza vaccination coverage in high-risk adults. Am J Public Health. 2003;93(12):2074–8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Marin MG, Johanson WG Jr, Salas-Lopez D. Influenza vaccination among minority populations in the United States. Prev Med. 2002;34(2):235–41.

    Article  PubMed  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 

  28. Barnack JL, Reddy DM, Swain C. Predictors of parents’ willingness to vaccinate for human papillomavirus and physicians’ intentions to recommend the vaccine. Womens Health Issues. 2010;20(1):28–34.

    Article  PubMed  Google Scholar 

  29. Lara M, Gamboa C, Kahramanian MI. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.

    Article  PubMed  Google Scholar 

  30. Niederdeppe J, Levy AG. Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiol Biomarkers Prev. 2007;16(5):998–1003.

    Article  PubMed  Google Scholar 

  31. Institute of Medicine. Health literacy: a prescription to end confusion. Washington: National Academies Press; 2004.

    Google Scholar 

  32. Berk ML, Albers LA, Schur CL. The growth in the US uninsured population: trends in Hispanic subgroups, 1977 to 1992. Am J Public Health. 1996;86(4):572–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Bustamante AV, Fang H, Rizzo JA, et al. Heterogeneity in health insurance coverage among US Latino adults. J Gen Intern Med. 2009;24(3):561–6.

    Article  PubMed  Google Scholar 

  34. Frank LB, Murphy ST, Ball-Rokeach S. Personal network analysis and health among Latinas. Int Rev Soc Res. (in press).

  35. DeSalvo KB, Fan VS, McDonell MB, et al. Predicting mortality and healthcare utilization with a single question. Health Serv Res. 2005;40(4):1234–46.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Marin G, Gamba RJ. A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for hispanics (BAS). Hisp J Behav Sci. 1996;18(3):297–316.

    Article  Google Scholar 

  37. Kim YC, Ball-Rokeach SJ. Community storytelling network, neighborhood context, and civic engagement: a multilevel approach. Hum Commun Res. 2006;32(4):411–39.

    Article  Google Scholar 

  38. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004;36(8):588–94.

    PubMed  Google Scholar 

  39. Chew LD, Griffin JM, Partin MR, et al. Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med. 2008;23(5):561–6.

    Article  PubMed  PubMed Central  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 

  43. Balcazar H, Alvarado M, Hollen ML, Gonzalez-Cruz Y, Hughes O, Vazquez E, Lykens K. Salud Para Su Corazon-NCLR: a comprehensive Promotora outreach program to promote heart-healthy behaviors among Hispanics. Health Promot Pract. 2006;7(1):68–77.

    Article  PubMed  Google Scholar 

  44. Swider SM. Outcome effectiveness of community health workers: an integrative literature review. Public Health Nurs. 2002;19(1):11–20.

    Article  PubMed  Google Scholar 

  45. Powe BD, Weinrich S. An intervention to decrease cancer fatalism among rural elders. Oncol Nurs Forum. 1999;26(3):583–8.

    CAS  PubMed  Google Scholar 

  46. Schwingel A, Gálvez P. Divine interventions: faith-based approaches to health promotion programs for Latinos. J Relig Health. 2015. doi:10.1007/s10943-015-0156-9.

    Google Scholar 

  47. MacDonald R, Baken L, Nelson A, et al. Validation of self-report of influenza and pneumococcal vaccination status in elderly outpatients. Am J Prev Med. 1999;16(3):173–7.

    Article  CAS  Google Scholar 

  48. El Omeiri N, Azziz-Baumgartner E, Clará W, et al. Pilot to evaluate the feasibility of measuring seasonal influenza vaccine effectiveness using surveillance platforms in Central-America, 2012. BMC Public Health. 2015;15:673. doi:10.1186/s12889-015-2001-1.

    Article  PubMed  PubMed Central  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.

  50. Siatkowski AA. Hispanic acculturation: a concept analysis. J Transcult Nurs. 2007;18(4):316–23.

    Article  PubMed  Google Scholar 

  51. Opel DJ, Taylor JA, Mangione-Smith R, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine. 2011;29:6598–605.

    Article  PubMed  Google Scholar 

  52. Smith PJ, Chu SY, Barker LE. Children who have received no vaccines: who are they and where do they live? Pediatrics. 2004;114:187–95.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meghan Bridgid Moran.

Ethics declarations

Conflict of interest

None of the authors of this manuscript have any conflicts of interest to disclose.

Ethical Approval

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.

Informed Consent

All participants in this study provided informed consent.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moran, M.B., Chatterjee, J.S., Frank, L.B. et al. Individual, Cultural and Structural Predictors of Vaccine Safety Confidence and Influenza Vaccination Among Hispanic Female Subgroups. J Immigrant Minority Health 19, 790–800 (2017). https://doi.org/10.1007/s10903-016-0428-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-016-0428-9

Keywords

Navigation