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Uncertainty and unwillingness to receive a COVID-19 vaccine in adults residing in Puerto Rico: Assessment of perceptions, attitudes, and behaviors.
López-Cepero, Andrea; Cameron, Stephanie; Negrón, Lyz E; Colón-López, Vivian; Colón-Ramos, Uriyoán; Mattei, Josiemer; Fernández-Repollet, Emma; Pérez, Cynthia M.
Afiliação
  • López-Cepero A; Department of Nutrition, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
  • Cameron S; Department of Biology, University of Puerto Rico-Cayey, Cayey, Puerto Rico, USA.
  • Negrón LE; Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico, USA.
  • Colón-López V; Health Services Administration - Evaluation Program, Graduate School of Public Health, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico, USA.
  • Colón-Ramos U; Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
  • Mattei J; Department of Nutrition, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
  • Fernández-Repollet E; Department of Pharmacology, School of Medicine, Center for Collaborative Research in Health Disparities, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico, USA.
  • Pérez CM; Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico, USA.
Hum Vaccin Immunother ; 17(10): 3441-3449, 2021 10 03.
Article em En | MEDLINE | ID: mdl-34402409
Background: Widespread vaccination against COVID-19 is essential to control the pandemic. Estimates of unwillingness and uncertainty toward COVID-19 vaccination and factors associated with it remain unclear among adults in Puerto Rico (PR).Objective: To examine factors associated with uncertainty and unwillingness of COVID-19 vaccination among adults in PR.Methods: The Health Belief Model was used to develop an online survey. Analyses included adjusted logistic regressions (aOR). A total of 1,911 adults completed the survey from December 2020 to February 2021.Results: Overall, 76.2% were females, 33.7% were aged 50 or older, and 82.7% reported an intent to get vaccinated. Individuals who did not perceive that their chances of getting COVID-19 were high (aOR = 2.94; 95%CI = 2.24-3.86), that getting COVID-19 was not a possibility for them (aOR = 2.86; 95%CI = 2.19-3.74), or unafraid of getting COVID-19 (aOR = 3.80; 95%CI = 2.76-5.23) had higher odds of uncertainty and unwillingness to get vaccinated against COVID-19. Participants who perceived that COVID-19 complications were not serious also had higher odds of uncertainty and unwillingness (aOR = 7.50; 95%CI = 3.94-14.3), whereas those who did not perceive that they would get very sick with COVID-19 had 89% increased odds. Those who agreed that they would only take the vaccine if many individuals took it had higher odds of uncertainty and unwillingness (aOR = 3.32; 95%CI = 2.49-4.43). The most reported reasons for uncertainty and unwillingness toward COVID-19 vaccination were vaccine safety (63.8%), efficacy (49.4%), and novelty (45.5%).Discussion: Although COVID-19 vaccination intent was high, the study highlights concern over vaccine safety and efficacy that should be addressed by public health campaigns and interventions to enhance vaccine uptake.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vacinas / COVID-19 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Hum Vaccin Immunother Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vacinas / COVID-19 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: Hum Vaccin Immunother Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos