2021, Number 5
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salud publica mex 2021; 63 (5)
Acceptance, refusal, and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
Carnalla M, Basto-Abreu A, Stern D, Bautista-Arredondo S, Shamah-Levy T, Alpuche-Aranda CM, Rivera-Dommarco J, Barrientos-Gutiérrez T
Language: English
References: 22
Page: 598-606
PDF size: 305.37 Kb.
ABSTRACT
Objective. To estimate the willingness to vaccinate against
Covid-19 (acceptance) in the Mexican population and to identify
socioeconomic factors associated with vaccine hesitancy
and refusal.
Materials and methods. We estimated the
acceptance, refusal and hesitancy proportions using data from
the Covid-19 National Health and Nutrition Survey conducted
from August to November 2020. Factors associated with refusal
and hesitancy were explored using multinomial logistic
regression.
Results. Covid-19 vaccination acceptance was
62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy
were associated with being female, having older age, lower
educational level, lower socioeconomic status and working
in the informal sector.
Conclusion. National campaigns
to incentivize vaccine acceptance need to consider specific
subgroups were the likelihood of hesitancy and refusal is high.
In Mexico, refusal and hesitancy were higher in vulnerable
groups, and people at a higher risk of Covid-19 complications
and death.
REFERENCES
Instituto Nacional de Geografía y Estadística. Características de las defunciones registradas en México durante enero a agosto de 2020. Comunicado de prensa núm 61/21 [Internet]. Mexico City: INEGI, 2021 [cited June 24, 2021]. Available from: https://www.inegi.org.mx/contenidos/ saladeprensa/boletines/2021/EstSociodemo/DefuncionesRegistradas2020_ Pnles.pdf
Anderson RM, Vegvari C, Truscott J, Collyer BS. Challenges in creating herd immunity to SARS-CoV-2 infection by mass vaccination. Lancet. 2020;396(10263):1614-16. https://doi.org/10.1016/S0140-6736(20)32318-7
Urrunaga-Pastor D, Bendezu-Quispe G, Herrera-Añazco P, Uyen- Cateriano A, Toro-Huamanchumo CJ, Rodriguez-Morales AJ, et al. Cross-sectional analysis of Covid-19 vaccine intention, perceptions and hesitancy across Latin America and the Caribbean. Travel Med Infect Dis. 2021;41:102059. https://doi.org/10.1016/j.tmaid.2021.102059
Schwarzinger M, Watson V, Arwidson P, Alla F, Luchini S. Covid-19 vaccine hesitancy in a representative working-age population in France: a survey experiment based on vaccine characteristics. Lancet Public Health. 2021;6(4):e210-21. http://doi.org/10.1016/S2468-2667(21)00012-8
El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward Covid-19 vaccines: A cross-sectional study from Jordan. PLoS One. 2021;16(4):e0250555. https://doi.org/10.1371/ journal.pone.0250555
Rodríguez-Blanco N, Montero-Navarro S, Botella-Rico JM, Felipe- Gómez AJ, Sánchez-Más J, Tuells J. Willingness to be vaccinated against Covid-19 in Spain before the start of vaccination: A cross-sectional study. Int J Environ Res Public Health. 2021;18(10):5272. https://doi.org/10.3390/ ijerph18105272
Burki T. The online anti-vaccine movement in the age of Covid-19. Lancet Digit Health. 2020;2(10):e504-5. https://doi.org/10.1016/S2589- 7500(20)30227-2
Paul E, Steptoe A, Fancourt D. Attitudes towards vaccines and intention to vaccinate against Covid-19: Implications for public health communications. Lancet Reg Health Eur. 2021;1:100012. https://doi.org/10.1016/j. lanepe.2020.100012
Taylor S, Landry CA, Paluszek MM, Groenewoud R, Rachor GS, Asmundson GJG. A proactive approach for managing Covid-19: The importance of understanding the motivational roots of vaccination hesitancy for SARS-CoV-2. Front Psychol. 2020;11:575950. https://doi.org/10.3389/ fpsyg.2020.575950
Zheng Z, Peng F, Xu B, Zhao J, Liu H, Peng J, et al. Risk factors of critical & mortal Covid-19 cases: A systematic literature review and meta-analysis. J Infect. 2020;81(2):e16-25. http://doi.org/10.1016/j.jinf.2020.04.021
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista- Arredondo S, Colchero A, Gaona-Pineda EB, et al. Metodología de la En- cuesta Nacional de Salud y Nutrición 2020 sobre Covid-19. Salud Publica Mex. 2021;63(3):444-51. https://doi.org/10.21149/12580
Secretaría de Salud, Subsecretaría de Prevención y Promoción de la Salud, Dirección General de Epidemiología. Lineamiento estandarizado para la vigilancia epidemiológica y por laboratorio de la enfermedad respiratoria viral [Internet]. Mexico City: Secretaría de Salud, 2021 [cited February 24, 2020]. Available from: https://www.gob.mx/salud/documentos/ lineamiento-estandarizado-para-la-vigilancia-epidemiologica-y-porlaboratorio- de-la-enfermedad-respiratoria-viral
StataCorp. Stata User’s Guide [Internet]. Texas: Stata Press Publication, 2021 [cited July 2,2021]. Available from: https://www.stata.com/manuals/ rmlogit.pdf
Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. Author correction: A global survey of potential acceptance of a Covid-19 vaccine. Nat Med. 2021;27(2):354. https://doi.org/10.1038/s41591-020- 01226-0
Wouters OJ, Shadlen KC, Salcher-Konrad M, Pollard AJ, Larson HJ, Teerawattananon Y, Jit M. Challenges in ensuring global access to Covid-19 vaccines: production, affordability, allocation, and deployment. Lancet. 2021;397(10278):1023-34. https://doi.org/10.1016/S0140- 6736(21)00306-8
Daly M, Robinson E. Willingness to vaccinate against Covid-19 in the US: Representative longitudinal evidence from April to October 2020. Am J Prev Med. 2021;60(6):766-73. https://doi.org/10.1016/j.amepre. 2021.01.008
Sherman SM, Smith LE, Sim J, Amlôt R, Cutts M, Dasch H, et al. Covid-19 vaccination intention in the UK: results from the Covid-19 vaccination acceptability study (CoVAccS), a nationally representative crosssectional survey. Hum Vaccin Immunother. 2021;17(6):1612-21. http://doi. org/10.1080/21645515.2020.1846397
Caycho-Rodríguez T, Carbajal-León C, Vivanco-Vidal A, Saroli-Araníbar D. Intención de vacunarse contra la Covid-19 en adultos mayores peruanos. Rev Esp Geriatr Gerontol. 2021;56(4):245-6. https://doi.org/10.1016/j. regg.2021.03.005
Santos-Preciado JI. La vacunación en México en el marco de las “décadas de las vacunas”: logros y desafíos. Gac Med Mex. 2014:150(2):180-8 [cited July 2,2021]. Available from: http://www.anmm.org.mx/GMM/2014/ n2/GMM_150_2014_2_180-188.pdf
International Labour Organization. Informal employment in Mexico: Current situation, policies and challenges [Internet]. International Labour Organization, 2014 [cited March 22, 2021]. Available from: https://www.ilo. org/wcmsp5/groups/public/---americas/---ro-lima/documents/publication/ wcms_245889.pdf
Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of influenza vaccination intention and behavior - A systematic review of influenza vaccine Hesitancy, 2005-2016. PLoS One. 2017;12(1):e0170550. https://doi.org/10.1371/journal.pone.0170550
Secretaría de Salud. Estatus regulatorio de las vacunas contra el virus SARS-CoV-2 en México [Internet]. Mexico City: Secretaría de Salud, 2021 [cited March 22, 2021]. Available from: https://coronavirus.gob.mx.