Health Care Discrimination and Immigration Fears

Unpacking Covid-19 Vaccine Hesitancy in Latino Adults

Bibliographic Data

ID11035372
AuthorsAlein Y Haro-Ramos (0000-0001-5818-9377, Alein Y. Haro-Ramos is with the Department of Health, Society, and Behavior, UC Irvine Program in Public Health, Irvine, CA. Gabriel R. Sanchez is with the Department of Political Science, University of New Mexico, Albuquerque. Matt A. Barreto is with the Departments of Political Science and Chicana/o and Central American Studies, University of California, Los Angeles.), G R Sanchez (0000-0002-3234-1147, University of New Mexico), Matt A Barreto (0000-0003-2423-6395, Alein Y. Haro-Ramos is with the Department of Health, Society, and Behavior, UC Irvine Program in Public Health, Irvine, CA. Gabriel R. Sanchez is with the Department of Political Science, University of New Mexico, Albuquerque. Matt A. Barreto is with the Departments of Political Science and Chicana/o and Central American Studies, University of California, Los Angeles.)
Year2024
Volume114
IssueS6
PagesS505-S509
Publication date2024-07-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307668
PMID39083732
OpenAlexW4401165933
LanguageEN
Citations received4
References cited11

Objectives. To examine the relationship between health care discrimination and COVID-19 vaccine hesitancy attributed to fears of immigration status complications among unvaccinated Latino adults and to determine whether the association differs among immigrants and US-born individuals. Methods. After universal adult eligibility for the COVID-19 vaccine, a nationally representative sample of 12 887 adults was surveyed using online and mobile random digit dialing from May 7 to June 7, 2021. The analytic sample (n = 881) comprised unvaccinated Latino adults. We examined the association between individual and cumulative health care discrimination measures and COVID-19 vaccine hesitancy assignable to immigration-related fears. Results. Using a cumulative measure of health care discrimination, each additional experience corresponded to a 28% higher odds of reporting vaccine hesitancy Because of immigration-related fears. Findings were consistent across US-born and immigrant Latino adults. Four of the 5 discriminatory experiences were positively associated with vaccine hesitancy, including the absence of optimal treatment options, denial or delayed access to necessary health care, physician communication barriers, and lack of specialist referrals. Conclusions. Findings confirm a positive association between health care discrimination and COVID-19 vaccine hesitancy attributable to immigration-related fears among Latino adults, regardless of immigration status. ( Am J Public Health. 2024;114(S6):S505–S509. https://doi.org/10.2105/AJPH.2024.307668 ) [Formula: see text]

Denial · Environmental health · Family medicine · Health care · Immigration · Logistic regression · Odds · Odds ratio · Political science · Population · Public health · Random digit dialing · Young adult · Demography · Medicine · Migration, Health and Trauma · Nursing · Psychology · Racial and Ethnic Identity Research · Vaccine Coverage and Hesitancy · Gerontology

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