ArticleAmerican journal of health promotion : AJHP2023
COVID-19 Vaccine Hesitancy: Disadvantaged Groups' Experience with Perceived Barriers, Cues to Action, and Attitudes.
Article in American journal of health promotion : AJHP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- COVID-19 vaccine acceptance and hesitancy in Cameroon: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Barriers to COVID-19 Vaccination and Perceptions Around Vaccination Uptake Strategies Among African Americans Living in the US South: Opportunities for Public Health Program Intervention.Journal of racial and ethnic health disparities · 2026Article
- Vaccination in the shadow of uncertainty: Exploring the links between government trust and COVID-19 vaccine acceptance.Human vaccines & immunotherapeutics · 2025Article
- Building Trust: The Perspectives of COVID-19 Vaccination Efforts among African American Community Health Workers in HHS Region 4.Journal of racial and ethnic health disparities · 2025Article
- "Life as We Knew It": Continued Challenges in Getting Up-to-Date COVID-19 Vaccinations Amongst Black and Latinx Michigan Residents.Journal of racial and ethnic health disparities · 2025Article
- Familial Educational Factors and COVID-19 Vaccine Beliefs Among Mexican-Origin Youth.Journal of immigrant and minority health · 2025Article
- Survival Analysis and Socio-Cognitive Factors in the Timing of COVID-19 Vaccination Among Mexican-Origin Youth.Journal of racial and ethnic health disparities · 2025Article
- Article
- Assessing the determinants of influenza and COVID-19 vaccine co-administration decisions in the elderly.Human vaccines & immunotherapeutics · 2024Article
- COVID-19 Vaccine Hesitancy and Misinformation Endorsement among a Sample of Native Spanish-Speakers in the US: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Motivations for Adolescent COVID-19 Vaccination: A Comparative Study of Adolescent and Caregiver Perspectives in Germany.Children (Basel, Switzerland) · 2023Article
- Article
- COVID-19 Vaccine Acceptance, Attitude and Perception among Slum and Underserved Communities: A Systematic Review and Meta-Analysis.Vaccines · 2023Review
- Sociocultural Antecedents and Mechanisms of COVID-19 Vaccine Uptake among Mexican-Origin Youth.Behavioral medicine (Washington, D.C.)Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDrawing from the Health Belief Model, we explored how disadvantaged groups in the U.S., including Black, Hispanic, less educated and wealthy individuals, experienced perceived barriers and cues to action in the context of the COVID-19 vaccination.
designA cross-sectional survey administered in March 2021.
settingUSA. SUBJECTS: A national sample of U.S. residents (n = 795) recruited from Prolific. MEASURES: Perceived barriers (clinical, access, trust, religion/spiritual), cues to action (authorities, social circles), attitudes toward COVID-19 vaccination. ANALYSIS: Factor analysis and Structural Equation Model (SEM) were performed in STATA 16.
resultsBlack and less educated individuals experienced higher clinical barriers (CI [.012, .33]; CI [.027, .10]), trust barriers (CI [.49, .92]; CI [.057, .16]), and religious/spiritual barriers (CI [.28, .66]; CI [.026, .11]). Hispanics experienced lower levels of clinical barriers (CI [-.42, .0001]). Clinical, trust, and religious/spiritual barriers were negatively related to attitudes toward vaccination (CI [-.45, -.15]; CI [-.79, -.51]; CI [-.43, -.13]). Black and less educated individuals experienced fewer cues to action by authority (CI [-.47, -.083]; CI [-.093, -.002]) and social ties (CI [-.75, -.33]; CI [-.18, -.080]). Lower-income individuals experienced fewer cues to action by social ties (CI [-.097, -.032]). Cues from social ties were positively associated with vaccination attitudes (CI [.065, .26]).
conclusionCommunication should be personalized to address perceived barriers disadvantaged groups differentially experience and use sources who exert influences on these groups.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.