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246 Motivators and Barriers to COVID-19 vaccination among Native American and Latino Communities

Published online by Cambridge University Press:  24 April 2023

Linda Ko
Affiliation:
University of Washington
Lina Truong
Affiliation:
University of Washington
Alexandra Adams
Affiliation:
Montana State University, Center for American Indian and Rural Health Equity, Bozeman, MT
Sonia Bishop
Affiliation:
University of Washington, Department of Global Health, Seattle, WA
Virgil Dupuis
Affiliation:
Salish Kootenai College, Extension Office, Pablo, MT
Lorenzo Garza
Affiliation:
Sunnyside School District, Family and Community Engagement, Sunnyside, WA
Thomas Quigley
Affiliation:
Fred Hutchinson Cancer Research Center, Collaborative Data Services, Seattle, WA
Charlie Gregor
Affiliation:
University of Washington, Institute of Translational Health Sciences, Seattle, WA
Eliza Webber
Affiliation:
Montana State University, Center for American Indian and Rural Health Equity, Bozeman, MT
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Abstract

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OBJECTIVES/GOALS: COVID-19 disproportionately impacts rural communities of color. Socioeconomic status, occupation and chronic illnesses lead to worse COVID-19 outcomes. This study identifies motivators and barriers of COVID-19 vaccine uptake in the Latino and Flathead Reservation agricultural communities. METHODS/STUDY POPULATION: Thirty key informant interviews and 6 focus groups (N=39 focus group participants) were conducted with community and tribal leaders using an interview guide informed by the Theory of Planned Behavior, Social Cognitive Theory, and the Social Contextual Factor Frameworks. The interview guide was designed to understand the motivators and barriers of COVID-19 vaccine uptake. The Community Advisory Board, community investigators and community health workers from the community reviewed and revised the guide. A codebook applied deductive coding to informant responses, followed by an inductive, constant comparison approach. Three analysts met to refine the codebook and conduct inter-rater agreement. RESULTS/ANTICIPATED RESULTS: Participants from Flathead reservations and Yakima frequently noted a desire to protect one’s self, family and elders. This significant motivator encouraged individuals to receive the COVID-19 vaccine, despite sincere vaccine concerns and government rollout. Barriers included concerns regarding rumored, serious or rare side effects, speed of vaccine development and misinformation. Key differences exist between both communities. Yakima participants noted religious concerns and ID requirements as major barriers. Flathead reservation participants noted distrust and historical trauma of the U.S. government and issues with access (e.g. transportation, technology). DISCUSSION/SIGNIFICANCE: The pandemic disproportionately impacts vulnerable communities in agricultural settings. Participants in both communities felt vaccine availability had outpaced uptake. Clearly, culturally sensitive education and respectful communication would be key in addressing vaccine concerns and improving vaccine uptake.

Type
Health Equity and Community Engagement
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2023. The Association for Clinical and Translational Science