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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
Full text How to cite this article

Language: English
References: 22
Page: 598-606
PDF size: 305.37 Kb.


Key words:

Covid-19, SARS-CoV-2, vaccination, acceptance, surveys, Mexico.

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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. StataCorp. Stata User’s Guide [Internet]. Texas: Stata Press Publication, 2021 [cited July 2,2021]. Available from: https://www.stata.com/manuals/ rmlogit.pdf

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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.




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salud publica mex. 2021;63