Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People.

Publication date: Nov 17, 2023

The coronavirus disease 2019 (COVID-19) pandemic exposed the vulnerability of pregnant women to excess morbidity and mortality, as well as the disproportionate disease burden in certain racial, ethnic, and sociodemographic groups. Vaccine hesitancy represents a major threat to public health, and crafting messages that reach vulnerable groups and address their intersectionality remains a weakness for pandemic preparedness. We sought to investigate factors that influenced vaccine acceptance and social media ad response in a mixed-methods study of Spanish-speaking women living in the rural Western United States who were pregnant or recently pregnant between November 2022 and June 2023. Direct interviews were translated, transcribed, and coded, while the ad ratings were analyzed using linear mixed models. Participants most favorably rated ads that featured doctors and text-heavy content describing benefits of vaccination. Qualitative data illustrated how information from trusted medical providers along with generational and cultural history of vaccine acceptance positively impacted perspectives on vaccination. Immigration status had varying influences on vaccination perspectives. Future vaccination campaigns targeting Spanish-speaking pregnant individuals in rural communities should use medical providers as ad messengers and dispel fears that vaccine acceptance may lead to problems with immigration status.

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Concepts Keywords
Basel COVID-19
Coronavirus Hispanic
June Latina
Spanish maternal health
Trusted pregnancy
rural medicine
social media
vaccine hesitancy


Type Source Name
disease VO COVID-19 vaccine
disease MESH coronavirus disease 2019
disease VO pregnant women
disease MESH morbidity
disease VO vaccine
disease VO vaccination
disease IDO history
disease VO USA
drug DRUGBANK Coenzyme M
disease VO population
disease VO unvaccinated
drug DRUGBANK Trestolone
disease VO Gap
drug DRUGBANK Methionine
disease MESH marital status
disease VO document
disease VO vaccinated

Original Article

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