Evidence map›Paper›PMID 40570937›Full record

SynthesisPreventive medicine2025

Social determinants of health and COVID-19 vaccination: An individual participant data meta-analysis of adult Latino participants.

Stephanie De Anda, Elizabeth L Budd, Pimwadee Chaovalit, Amy H Vu, Leslie D Leve, David S DeGarmo

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Stephanie De AndaPrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States; Communication Disorders and Sciences, University of Oregon 1655, Alder Street Eugene, OR 97403, United States. Electronic address: sdeanda@uoregon.edu.
Elizabeth L BuddPrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States; Counseling Psychology and Human Services, University of Oregon 1655, Alder Street Eugene, OR 97403, United States.
Pimwadee ChaovalitPrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States.
Amy H VuPrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States.
Leslie D LevePrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States; Counseling Psychology and Human Services, University of Oregon 1655, Alder Street Eugene, OR 97403, United States.
David S DeGarmoPrevention Science Institute, University of Oregon 6217, University of Oregon Eugene, OR 97403, United States; Counseling Psychology and Human Services, University of Oregon 1655, Alder Street Eugene, OR 97403, United States.

Funding

Building a Vocabulary: Lexical-semantic Development in Latino Children with Early Language DelayK23DC018033 · NIDCD · UNIVERSITY OF OREGON · PI DE ANDA, STEPHANIE · 2020 to 2024
$975k
A Multi-site Investigation of Social Determinants of Health and SARS-CoV-2 Testing and Vaccination Outcomes among Diverse US Latinx AdultsR21MD019396 · NIMHD · UNIVERSITY OF OREGON · PI BUDD, ELIZABETH L, DE ANDA, STEPHANIE · 2023 to 2024
$408k
NIDCD NIH HHS K23 DC018033NIMHD NIH HHS R21 MD019396
6 · The paper itself

Abstract

objectiveAlthough disparities in vaccination have been well documented, limited research has examined how specific Social Determinants of Health (SDOH) are associated with COVID-19 vaccination outcomes among Latino subgroups. The aims of the study are to investigate 1) the relative effects of distinct SDOH on reasons for and against vaccination among Latino adults and 2) how these effects may vary by language spoken at home.

methodsA meta-analysis was conducted utilizing person- and study-level data from 13,406 Latino participants in the United States across 12 study samples from 2020 to 2023. Analyses evaluated SDOH effects on (a) reasons for and (b) against vaccination, as well as (c) the ratio of the two. Three SDOH were entered in a single model to compare their relative effect sizes: education, economic insecurity, and healthcare insecurity.

resultsEducation and economic insecurity had the largest effect sizes compared to healthcare insecurity, which was not associated with outcomes. Greater economic insecurity was associated with more reasons against relative to reasons for vaccination. Spanish spoken at home moderated the effect of education levels, increasing both reasons for and against vaccination for highly educated participants, relative to non-Spanish speaking participants.

conclusionsFindings inform future efforts aimed at reducing health disparities. The overall pattern of results suggests tailored interventions aimed at supporting COVID-19 vaccine attitudes in Latino communities should provide supports early and in accessible formats, particularly for communities with low educational levels and who use Spanish at home.

Indexed as

COVID-19COVID-19 VaccinesHispanic or LatinoSocial Determinants of HealthVaccinationAdultEducational StatusFemaleHealthcare DisparitiesHumansMaleMiddle AgedSocioeconomic FactorsUnited StatesCOVID-19 VaccinesAttitudeCOVID-19Health disparitiesHispanic or LatinoSocial determinants of healthVaccines

Identifiers

PMID40570937
PMCPMC12372595

What OpenQuestion holds

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Registered trials

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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.