Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 1-2/2023

18-01-2023

Social and structural determinants of COVID-19 vaccine uptake among racial and ethnic groups

Auteurs: Juan M. Peña, Matthew R. Schwartz, Alexandra Hernandez-Vallant, Gabriel R. Sanchez

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1-2/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Latino, Black, American Indian/Alaska Native (AI/AN), and Native Hawaiian or Other Pacific Islander people have the highest hospitalizations and death rates from COVID-19. Social inequalities have exacerbated COVID-19 related health disparities. This study examines social and structural determinants of COVID-19 vaccine uptake. Results from logistic regressions suggest Latino and Black people were less likely to be vaccinated. People that did not have health insurance, a primary care doctor and were unemployed were more than 30% less likely to be vaccinated for COVID-19. Greater perceived health inequalities in one’s neighborhood and perceived racial/ethnic discrimination were associated with a decreased odds in being vaccinated. People that suffered the loss of a household member from COVID-19 were three times more likely to have been vaccinated. Establishing policies that will increase access to health insurance and create jobs with living wages may have lasting impacts. Furthermore, collaboration with local and national community organizations can enhance the development of sustainable solutions.
Voetnoten
1
In this manuscript, we use Latinos and Hispanics interchangeably and Blacks or African Americans interchangeably. We recognize the heterogeneity within each racial and ethnic group and the expected variations by ancestry, sociodemographics, and differences in preferred terms.
 
Literatuur
go back to reference Adkins-Jackson, P. B., Chantarat, T., Bailey, Z. D., & Ponce, N. A. (2022). Measuring structural racism: a guide forepidemiologists and other health researchers. American journal of epidemiology, 191(4), 539-547. Adkins-Jackson, P. B., Chantarat, T., Bailey, Z. D., & Ponce, N. A. (2022). Measuring structural racism: a guide forepidemiologists and other health researchers. American journal of epidemiology, 191(4), 539-547.
go back to reference Asabor, E. N., Warren, J. L., & Cohen, T. (2022). Racial/Ethnic segregation and Access to COVID-19 testing: spatial distribution of COVID-19 Testing Sites in the four largest highly segregated cities in the United States. American Journal of Public Health, 112(3), 518–526.CrossRefPubMed Asabor, E. N., Warren, J. L., & Cohen, T. (2022). Racial/Ethnic segregation and Access to COVID-19 testing: spatial distribution of COVID-19 Testing Sites in the four largest highly segregated cities in the United States. American Journal of Public Health, 112(3), 518–526.CrossRefPubMed
go back to reference Baden, L. R., Sahly, E., Essink, H. M., Kotloff, B., Frey, K., Novak, S., & Zaks, R., T (2021). Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. New England Journal of Medicine, 384(5), 403–416.CrossRefPubMed Baden, L. R., Sahly, E., Essink, H. M., Kotloff, B., Frey, K., Novak, S., & Zaks, R., T (2021). Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. New England Journal of Medicine, 384(5), 403–416.CrossRefPubMed
go back to reference Bailey, Z. D., Feldman, J. M., & Bassett, M. T. (2021). How structural racism works—racist policies as a root cause of US racial health inequities. New England Journal of Medicine, 384, 768–773.CrossRefPubMed Bailey, Z. D., Feldman, J. M., & Bassett, M. T. (2021). How structural racism works—racist policies as a root cause of US racial health inequities. New England Journal of Medicine, 384, 768–773.CrossRefPubMed
go back to reference Bailey, Z. D., Krieger, N., Agénor, M., Graves, J., Linos, N., & Bassett, M. T. (2017). Structural racism and health inequities in the USA: evidence and interventions. The Lancet, 389(10077), 1453–1463.CrossRef Bailey, Z. D., Krieger, N., Agénor, M., Graves, J., Linos, N., & Bassett, M. T. (2017). Structural racism and health inequities in the USA: evidence and interventions. The Lancet, 389(10077), 1453–1463.CrossRef
go back to reference Bailey, Z. D., & Moon, J. R. (2020). Racism and the political economy of COVID-19: will we continue to resurrect the past? Journal of Health Politics Policy and Law, 45(6), 937–950.CrossRefPubMed Bailey, Z. D., & Moon, J. R. (2020). Racism and the political economy of COVID-19: will we continue to resurrect the past? Journal of Health Politics Policy and Law, 45(6), 937–950.CrossRefPubMed
go back to reference Blazer, D. G. (2008). How do you feel about… Health outcomes in late life and self-perceptions of health and well-being. The Gerontologist, 48(4), 415–422.CrossRefPubMed Blazer, D. G. (2008). How do you feel about… Health outcomes in late life and self-perceptions of health and well-being. The Gerontologist, 48(4), 415–422.CrossRefPubMed
go back to reference Braun, C., & O’Leary, S. T. (2020). Recent advances in addressing vaccine hesitancy. Current Opinion in Pediatrics, 32(4), 601–609.CrossRefPubMed Braun, C., & O’Leary, S. T. (2020). Recent advances in addressing vaccine hesitancy. Current Opinion in Pediatrics, 32(4), 601–609.CrossRefPubMed
go back to reference Braveman, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming of age. Annual review of public health, 32, 381–398.CrossRefPubMed Braveman, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming of age. Annual review of public health, 32, 381–398.CrossRefPubMed
go back to reference Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it’s time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19–31.CrossRefPubMedPubMedCentral Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it’s time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19–31.CrossRefPubMedPubMedCentral
go back to reference Bolsen, T., & Palm, R. (2022). Politicization and COVID-19 vaccine resistance in the US. Progress in molecular biology and translational science, 188(1), 81–100.CrossRefPubMed Bolsen, T., & Palm, R. (2022). Politicization and COVID-19 vaccine resistance in the US. Progress in molecular biology and translational science, 188(1), 81–100.CrossRefPubMed
go back to reference Bonilla-Silva, E. (1997). Rethinking racism: toward a structural interpretation (pp. 465–480). American sociological review. Bonilla-Silva, E. (1997). Rethinking racism: toward a structural interpretation (pp. 465–480). American sociological review.
go back to reference Cha, L., Le, T., Ve’e, T., Soon, N. T. A., & Tseng, W. (2021). Pacific Islanders in the Era of COVID-19: an Overlooked Community in Need.Journal of Racial and Ethnic Health Disparities,1–10. Cha, L., Le, T., Ve’e, T., Soon, N. T. A., & Tseng, W. (2021). Pacific Islanders in the Era of COVID-19: an Overlooked Community in Need.Journal of Racial and Ethnic Health Disparities,1–10.
go back to reference s, J. A., Zhang, E., & Liu, C. H. (2020). Potential impact of COVID-19–related racial discrimination on the health of Asian Americans. American Journal of Public Health, 110(11), 1624–1627.CrossRefPubMedPubMedCentral s, J. A., Zhang, E., & Liu, C. H. (2020). Potential impact of COVID-19–related racial discrimination on the health of Asian Americans. American Journal of Public Health, 110(11), 1624–1627.CrossRefPubMedPubMedCentral
go back to reference de St Maurice, A., Block, R. Jr., Sanchez, G., Szilagyi, P. G., Collaborative, A. A. R., & COVID Group. (2021). &. (2022). Parental COVID-19 Vaccine Hesitancy in Diverse Communities: A National Survey. Academic pediatrics, 22(8), 1399–1406. de St Maurice, A., Block, R. Jr., Sanchez, G., Szilagyi, P. G., Collaborative, A. A. R., & COVID Group. (2021). &. (2022). Parental COVID-19 Vaccine Hesitancy in Diverse Communities: A National Survey. Academic pediatrics, 22(8), 1399–1406.
go back to reference Egede, L. E., & Walker, R. J. (2020). Structural racism, social risk factors, and Covid-19—A dangerous convergence for Black Americans.New England Journal of Medicine, 383(12), e77. Egede, L. E., & Walker, R. J. (2020). Structural racism, social risk factors, and Covid-19—A dangerous convergence for Black Americans.New England Journal of Medicine, 383(12), e77.
go back to reference Finney Rutten, L. J., Blake, K. D., Greenberg-Worisek, A. J., Allen, S. V., Moser, R. P., & Hesse, B. W. (2019). Online health information seeking among US adults: measuring progress toward a healthy people 2020 objective. Public Health Reports, 134(6), 617–625.CrossRefPubMedPubMedCentral Finney Rutten, L. J., Blake, K. D., Greenberg-Worisek, A. J., Allen, S. V., Moser, R. P., & Hesse, B. W. (2019). Online health information seeking among US adults: measuring progress toward a healthy people 2020 objective. Public Health Reports, 134(6), 617–625.CrossRefPubMedPubMedCentral
go back to reference Fridman, A., Gershon, R., & Gneezy, A. (2021). COVID-19 and vaccine hesitancy: a longitudinal study.PloS one, 16(4), e0250123. Fridman, A., Gershon, R., & Gneezy, A. (2021). COVID-19 and vaccine hesitancy: a longitudinal study.PloS one, 16(4), e0250123.
go back to reference Garcia, M. A., Homan, P. A., García, C., & Brown, T. H. (2021). The color of COVID-19: structural racism and the disproportionate impact of the pandemic on older Black and Latinx adults. The Journals of Gerontology: Series B, 76(3), e75–e80.CrossRef Garcia, M. A., Homan, P. A., García, C., & Brown, T. H. (2021). The color of COVID-19: structural racism and the disproportionate impact of the pandemic on older Black and Latinx adults. The Journals of Gerontology: Series B, 76(3), e75–e80.CrossRef
go back to reference Hooper, M. W., Nápoles, A. M., & Pérez-Stable, E. J. (2020). COVID-19 and racial/ethnic disparities. Jama, 323(24), 2466–2467.CrossRef Hooper, M. W., Nápoles, A. M., & Pérez-Stable, E. J. (2020). COVID-19 and racial/ethnic disparities. Jama, 323(24), 2466–2467.CrossRef
go back to reference Jerschow, E., Lin, R. Y., Scaperotti, M. M., & McGinn, A. P. (2014). Fatal anaphylaxis in the United States, 1999–2010: temporal patterns and demographic associations. Journal of allergy and clinical immunology, 134(6), 1318–1328.CrossRefPubMed Jerschow, E., Lin, R. Y., Scaperotti, M. M., & McGinn, A. P. (2014). Fatal anaphylaxis in the United States, 1999–2010: temporal patterns and demographic associations. Journal of allergy and clinical immunology, 134(6), 1318–1328.CrossRefPubMed
go back to reference Khubchandani, J., Sharma, S., Price, J. H., Wiblishauser, M. J., Sharma, M., & Webb, F. J. (2021). COVID-19 vaccination hesitancy in the United States: a rapid national assessment. Journal of Community Health, 46(2), 270–277.CrossRefPubMedPubMedCentral Khubchandani, J., Sharma, S., Price, J. H., Wiblishauser, M. J., Sharma, M., & Webb, F. J. (2021). COVID-19 vaccination hesitancy in the United States: a rapid national assessment. Journal of Community Health, 46(2), 270–277.CrossRefPubMedPubMedCentral
go back to reference Ku, L. (2022). The Association of Social factors and Health Insurance Coverage with COVID-19 Vaccinations and Hesitancy, July 2021. Journal of General Internal Medicine, 37(2), 409–414.CrossRefPubMed Ku, L. (2022). The Association of Social factors and Health Insurance Coverage with COVID-19 Vaccinations and Hesitancy, July 2021. Journal of General Internal Medicine, 37(2), 409–414.CrossRefPubMed
go back to reference Klonoff, E. A. (2009). Disparities in the provision of medical care: an outcome in search of an explanation. Journal of Behavioral Medicine, 32(1), 48–63.CrossRefPubMed Klonoff, E. A. (2009). Disparities in the provision of medical care: an outcome in search of an explanation. Journal of Behavioral Medicine, 32(1), 48–63.CrossRefPubMed
go back to reference Krieger, N. (2019). Measures of racism, Sexism, Heterosexism, and gender binarism for Health Equity Research: from structural injustice to embodied Harm-An Ecosocial Analysis. Annual Review of Public Health, 41, 37–62.CrossRefPubMed Krieger, N. (2019). Measures of racism, Sexism, Heterosexism, and gender binarism for Health Equity Research: from structural injustice to embodied Harm-An Ecosocial Analysis. Annual Review of Public Health, 41, 37–62.CrossRefPubMed
go back to reference Lamptey, E. (2021). Post-vaccination COVID-19 deaths: a review of available evidence and recommendations for the global population. Clinical and Experimental Vaccine Research, 10(3), 264–275.CrossRefPubMedPubMedCentral Lamptey, E. (2021). Post-vaccination COVID-19 deaths: a review of available evidence and recommendations for the global population. Clinical and Experimental Vaccine Research, 10(3), 264–275.CrossRefPubMedPubMedCentral
go back to reference Lazarus, J. V., Wyka, K., White, T. M., Picchio, C. A., Rabin, K., Ratzan, S. C., & El-Mohandes, A. (2022). Revisiting COVID-19 vaccine hesitancy around the world using data from 23 countries in 2021. Nature communications, 13(1), 1–14.CrossRef Lazarus, J. V., Wyka, K., White, T. M., Picchio, C. A., Rabin, K., Ratzan, S. C., & El-Mohandes, A. (2022). Revisiting COVID-19 vaccine hesitancy around the world using data from 23 countries in 2021. Nature communications, 13(1), 1–14.CrossRef
go back to reference LeMasters, K., Brinkley-Rubinstein, L., Maner, M., Peterson, M., Nowotny, K., & Bailey, Z. (2022). Carceral epidemiology: mass incarceration and structural racism during the COVID-19 pandemic. The Lancet Public Health, 7(3), e287–e290.CrossRefPubMedPubMedCentral LeMasters, K., Brinkley-Rubinstein, L., Maner, M., Peterson, M., Nowotny, K., & Bailey, Z. (2022). Carceral epidemiology: mass incarceration and structural racism during the COVID-19 pandemic. The Lancet Public Health, 7(3), e287–e290.CrossRefPubMedPubMedCentral
go back to reference McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health education quarterly, 15(4), 351–377.CrossRefPubMed McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health education quarterly, 15(4), 351–377.CrossRefPubMed
go back to reference Nguyen, L. H., Joshi, A. D., Drew, D. A., Merino, J., Ma, W., Lo, C. H., ... & Chan, A. T. (2021). Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake. MedRxiv. Nguyen, L. H., Joshi, A. D., Drew, D. A., Merino, J., Ma, W., Lo, C. H., ... & Chan, A. T. (2021). Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake. MedRxiv.
go back to reference Penaia, C. S., Morey, B. N., Thomas, K. B., Chang, R. C., Tran, V. D., Pierson, N., & Ponce, N. A. (2021). Disparities in native hawaiian and Pacific Islander COVID-19 Mortality: A Community-Driven Data Response. American Journal of Public Health, 111(S2), S49–S52.CrossRefPubMedPubMedCentral Penaia, C. S., Morey, B. N., Thomas, K. B., Chang, R. C., Tran, V. D., Pierson, N., & Ponce, N. A. (2021). Disparities in native hawaiian and Pacific Islander COVID-19 Mortality: A Community-Driven Data Response. American Journal of Public Health, 111(S2), S49–S52.CrossRefPubMedPubMedCentral
go back to reference Perreira, K. M., & Pedroza, J. M. (2019). Policies of exclusion: implications for the health of immigrants and their children. Annual review of public health, 40, 147–166.CrossRefPubMedPubMedCentral Perreira, K. M., & Pedroza, J. M. (2019). Policies of exclusion: implications for the health of immigrants and their children. Annual review of public health, 40, 147–166.CrossRefPubMedPubMedCentral
go back to reference Polack, F. P., Thomas, S. J., Kitchin, N., Absalon, J., Gurtman, A., Lockhart, S., & Gruber, W. C. (2020). Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. New England Journal of Medicine, 383, 2603–2615.CrossRefPubMed Polack, F. P., Thomas, S. J., Kitchin, N., Absalon, J., Gurtman, A., Lockhart, S., & Gruber, W. C. (2020). Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. New England Journal of Medicine, 383, 2603–2615.CrossRefPubMed
go back to reference Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: how many people would get vaccinated? Vaccine, 38(42), 6500–6507.CrossRefPubMedPubMedCentral Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: how many people would get vaccinated? Vaccine, 38(42), 6500–6507.CrossRefPubMedPubMedCentral
go back to reference Savoia, E., Piltch-Loeb, R., Goldberg, B., Miller-Idriss, C., Hughes, B., Montrond, A., & Testa, M. A. (2021). Predictors of COVID-19 vaccine hesitancy: socio-demographics, co-morbidity, and past experience of racial discrimination. Vaccines, 9(7), 767.CrossRefPubMedPubMedCentral Savoia, E., Piltch-Loeb, R., Goldberg, B., Miller-Idriss, C., Hughes, B., Montrond, A., & Testa, M. A. (2021). Predictors of COVID-19 vaccine hesitancy: socio-demographics, co-morbidity, and past experience of racial discrimination. Vaccines, 9(7), 767.CrossRefPubMedPubMedCentral
go back to reference Thakur, N., Lovinsky-Desir, S., Bime, C., Wisnivesky, J. P., & Celedón, J. C. (2020). The structural and social determinants of the racial/ethnic disparities in the US COVID-19 pandemic. What’s our role? American journal of respiratory and critical care medicine, 202(7), 943–949.CrossRefPubMedPubMedCentral Thakur, N., Lovinsky-Desir, S., Bime, C., Wisnivesky, J. P., & Celedón, J. C. (2020). The structural and social determinants of the racial/ethnic disparities in the US COVID-19 pandemic. What’s our role? American journal of respiratory and critical care medicine, 202(7), 943–949.CrossRefPubMedPubMedCentral
go back to reference Vargas, E. D., & Sanchez, G. R. (2020). COVID-19 is having a devastating impact on the economic well-being of latino families. Journal of Economics Race and Policy, 3(4), 262–269.CrossRefPubMed Vargas, E. D., & Sanchez, G. R. (2020). COVID-19 is having a devastating impact on the economic well-being of latino families. Journal of Economics Race and Policy, 3(4), 262–269.CrossRefPubMed
go back to reference Viswanath, K., Bekalu, M., Dhawan, D., Pinnamaneni, R., Lang, J., & McLoud, R. (2021). Individual and social determinants of COVID-19 vaccine uptake. Bmc Public Health, 21(1), 1–10.CrossRef Viswanath, K., Bekalu, M., Dhawan, D., Pinnamaneni, R., Lang, J., & McLoud, R. (2021). Individual and social determinants of COVID-19 vaccine uptake. Bmc Public Health, 21(1), 1–10.CrossRef
go back to reference Wang, Y., & Liu, Y. (2021). Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review.Preventive medicine reports,101673. Wang, Y., & Liu, Y. (2021). Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review.Preventive medicine reports,101673.
go back to reference Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47.CrossRefPubMed Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47.CrossRefPubMed
go back to reference Williams, N., Tutrow, H., Pina, P., Belli, H. M., Ogedegbe, G., & Schoenthaler, A. (2021). Assessment of racial and ethnic disparities in access to COVID-19 vaccination sites in Brooklyn, New York. JAMA Network Open, 4(6), e2113937. Williams, N., Tutrow, H., Pina, P., Belli, H. M., Ogedegbe, G., & Schoenthaler, A. (2021). Assessment of racial and ethnic disparities in access to COVID-19 vaccination sites in Brooklyn, New York. JAMA Network Open, 4(6), e2113937.
go back to reference Willis, D. E., Andersen, J. A., Bryant-Moore, K., Selig, J. P., Long, C. R., Felix, H. C., & McElfish, P. A. (2021). COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear. Clinical and Translational Science, 14(6), 2200–2207.CrossRefPubMedPubMedCentral Willis, D. E., Andersen, J. A., Bryant-Moore, K., Selig, J. P., Long, C. R., Felix, H. C., & McElfish, P. A. (2021). COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear. Clinical and Translational Science, 14(6), 2200–2207.CrossRefPubMedPubMedCentral
go back to reference Willis, D. E., Montgomery, B. E., Selig, J. P., Andersen, J. A., Shah, S. K., Li, J., & McElfish, P. A. (2022). COVID-19 Vaccine Hesitancy and Racial Discrimination among US Adults.Preventive Medicine Reports,102074. Willis, D. E., Montgomery, B. E., Selig, J. P., Andersen, J. A., Shah, S. K., Li, J., & McElfish, P. A. (2022). COVID-19 Vaccine Hesitancy and Racial Discrimination among US Adults.Preventive Medicine Reports,102074.
go back to reference World Health Organization, Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization. Geneva, CH. World Health Organization, Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization. Geneva, CH.
Metagegevens
Titel
Social and structural determinants of COVID-19 vaccine uptake among racial and ethnic groups
Auteurs
Juan M. Peña
Matthew R. Schwartz
Alexandra Hernandez-Vallant
Gabriel R. Sanchez
Publicatiedatum
18-01-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1-2/2023
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-023-00393-y

Andere artikelen Uitgave 1-2/2023

Journal of Behavioral Medicine 1-2/2023 Naar de uitgave