title: Individual, Cultural and Structural Predictors of Vaccine Safety Confidence and Influenza Vaccination Among Hispanic Female Subgroups.
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.
authors.affiliation: Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Hampton House, #706, Baltimore, MD, 21205, USA. mmoran@jhu.edu.
authors.forename: Meghan Bridgid
authors.initials: MB
authors.lastname: Moran
authors.affiliation: Annenberg School of Communication and Journalism, University of Southern California, Los Angeles, CA, USA.
authors.forename: Joyee S
authors.initials: JS
authors.lastname: Chatterjee
authors.affiliation: Department of Communication, Portland State University, Portland, OR, USA.
authors.forename: Lauren B
authors.initials: LB
authors.lastname: Frank
authors.affiliation: Annenberg School of Communication and Journalism, University of Southern California, Los Angeles, CA, USA.
authors.forename: Sheila T
authors.initials: ST
authors.lastname: Murphy
authors.affiliation: Department of Public Health, California State University, Los Angeles, CA, USA.
authors.forename: Nan
authors.initials: N
authors.lastname: Zhao
authors.affiliation: Department of Communication, California State University - Channel Islands, Camarillo, CA, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Chen
authors.affiliation: Annenberg School of Communication and Journalism, University of Southern California, Los Angeles, CA, USA.
authors.forename: Sandra
authors.initials: S
authors.lastname: Ball-Rokeach
mesh_terms: D000069:Acculturation; D000328:Adult; D054242:Emigrants and Immigrants / Q000523:psychology; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D015141:Los Angeles; D008875:Middle Aged; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: Hispanics; Immunizations; Influenza; Vaccine hesitancy; Vaccines