Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

COVID-19 Attitudes and Vaccine Hesitancy Among an Agricul-Tural Community in Southwest Guatemala: A Cross-Sectional Survey

Neudy Carolina Rojop
,
Diva Mirella Calvimotes
,
Edgar Barrios
,
Molly Lamb
ORCID logo ,
Maria Alejandra Paniagua-Avila
,
Jose Carlos Monzon
ORCID logo ,
Lindsey Duca
,
Chelsea Iwamoto
,
Anna Chard
,
Melissa Gomez
,
Kareen Arias
,
Guillermo Antonio Bolanos
,
Emily Zielinksi-Gutierrez
,
Eduardo Azziz-Baumgartner
,
Maria Renee Lopez
,
Celia Cordon-Rosales
ORCID logo ,
Edwin Jose Asturias
,
Daniel Olson
*
Version 1 : Received: 10 April 2023 / Approved: 11 April 2023 / Online: 11 April 2023 (05:24:35 CEST)

A peer-reviewed article of this Preprint also exists.

Rojop, N.; Calvimontes, D.M.; Barrios, E.; Lamb, M.M.; Paniagua-Avila, A.; Monzon, J.; Duca, L.M.; Iwamoto, C.; Chard, A.N.; Gomez, M.; Arias, K.; Roell, Y.; Bolanos, G.A.; Zielinski-Gutierrez, E.; Azziz-Baumgartner, E.; Lopez, M.R.; Cordon-Rosales, C.; Asturias, E.J.; Olson, D. COVID-19 Attitudes and Vaccine Hesitancy Among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey. Vaccines 2023, 11, 1059. Rojop, N.; Calvimontes, D.M.; Barrios, E.; Lamb, M.M.; Paniagua-Avila, A.; Monzon, J.; Duca, L.M.; Iwamoto, C.; Chard, A.N.; Gomez, M.; Arias, K.; Roell, Y.; Bolanos, G.A.; Zielinski-Gutierrez, E.; Azziz-Baumgartner, E.; Lopez, M.R.; Cordon-Rosales, C.; Asturias, E.J.; Olson, D. COVID-19 Attitudes and Vaccine Hesitancy Among an Agricultural Community in Southwest Guatemala: A Cross-Sectional Survey. Vaccines 2023, 11, 1059.

Abstract

Despite offering free-of-charge COVID-19 vaccines starting July 2021, Guatemala has one of the lowest vaccination rates in Latin America. During September 28, 2021 to April 11, 2022, we conducted a cross-sectional survey of community members adapting a CDC questionnaire to evaluate COVID-19 vaccine access and hesitancy. Of 233 participants ≥12 years, 127 (55%) received >1 dose of COVID-19 and 4 (2%) reported prior COVID-19 illness. Persons ≥12 years old unvaccinated (n=106) were more likely to be female (73% vs 41%, p<0.001) and homemakers (69% vs 24%, p<0.01) compared with vaccinated participants (n=127). Among those ≥18 years, the main reported motivation for vaccination among vaccinated participants was to protect the health of family/friends (101/117, 86%); 40 (55%) unvaccinated persons reported little/no confidence in public health institutions recommending COVID-19 vaccination. Community- and/or home-based vaccination programs, including vaccination of families through the workplace, may better reach female homemakers and reduce inequities and hesitancy.

Keywords

hesitancy; Guatemala; agricultural worker; COVID-10; SARS-CoV-2; access

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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