TY - JOUR
T1 - Examining COVID-19 Sources of Information, Vaccine Hesitancy, and Uptake Behaviors Among Diverse Underserved Latinx Communities
T2 - A Convergent Parallel Mixed Methods Approach
AU - Ravelo, Gira J.
AU - Wang, Weize
AU - Penn, Alvonee
AU - Bautista, Tara G.
AU - Sanchez, Mariana
AU - Bastida, Elena
AU - Carrasquillo, Olveen
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/12
Y1 - 2024/12
N2 - At 63.7 million, Latinxs constitute the largest racial/ethnic minority in the United States (US). Early during the COVID-19 pandemic, Latinxs were disproportionately impacted and exhibited lower vaccine uptake. Widespread infodemics contributed to confusion, eroded trust, and fostered vaccine hesitancy among this population. This study used a convergent parallel mixed-methods approach to analyze, integrate, and interpret concurrently collected data gathered as part of the Community Engaged Alliance (CEAL) Against COVID-19 Disparities project, initiated by the National Institutes of Health (NIH) in response to the COVID-19 pandemic in the US. Target populations were three underserved Latinx communities of Miami-Dade County (MDC), Florida, during the pandemic’s peak. Qualitative findings show six themes and subthemes that integrate with quantitative survey data (N = 451). Themes included a “wait-and-see” approach to vaccine uptake; concerns about infodemics; attitudes about science, education, healthcare providers; and personal sources of information. Our findings highlight cultural significance, trusted sources, and reasons for hesitancy before vaccination decisions as corroborated by quantitative results. However, divergence was found regarding media sources. Consistent with the literature, although participants report concerns about infodemics and media bias, they still rely on media for updates, particularly with established television networks and trusted personalities. The value placed on education throughout the study (quantitative and qualitative) highlights the importance of culturally appropriate educational interventions. Moreover, the complex nature of the impact that media has on health-related information and vaccine uptake in this population underscores the need for media literacy interventions alongside health education.
AB - At 63.7 million, Latinxs constitute the largest racial/ethnic minority in the United States (US). Early during the COVID-19 pandemic, Latinxs were disproportionately impacted and exhibited lower vaccine uptake. Widespread infodemics contributed to confusion, eroded trust, and fostered vaccine hesitancy among this population. This study used a convergent parallel mixed-methods approach to analyze, integrate, and interpret concurrently collected data gathered as part of the Community Engaged Alliance (CEAL) Against COVID-19 Disparities project, initiated by the National Institutes of Health (NIH) in response to the COVID-19 pandemic in the US. Target populations were three underserved Latinx communities of Miami-Dade County (MDC), Florida, during the pandemic’s peak. Qualitative findings show six themes and subthemes that integrate with quantitative survey data (N = 451). Themes included a “wait-and-see” approach to vaccine uptake; concerns about infodemics; attitudes about science, education, healthcare providers; and personal sources of information. Our findings highlight cultural significance, trusted sources, and reasons for hesitancy before vaccination decisions as corroborated by quantitative results. However, divergence was found regarding media sources. Consistent with the literature, although participants report concerns about infodemics and media bias, they still rely on media for updates, particularly with established television networks and trusted personalities. The value placed on education throughout the study (quantitative and qualitative) highlights the importance of culturally appropriate educational interventions. Moreover, the complex nature of the impact that media has on health-related information and vaccine uptake in this population underscores the need for media literacy interventions alongside health education.
KW - COVID-19 vaccine
KW - health communication
KW - infodemic
KW - Latinx/o/a
KW - mixed methods
KW - vaccine hesitancy
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UR - http://www.scopus.com/inward/citedby.url?scp=85213534599&partnerID=8YFLogxK
U2 - 10.3390/covid4120136
DO - 10.3390/covid4120136
M3 - Article
AN - SCOPUS:85213534599
SN - 2673-8112
VL - 4
SP - 1931
EP - 1950
JO - COVID
JF - COVID
IS - 12
ER -