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Assessing Trust in Physician and Vaccine Hesitancy Among Hispanic/Latinx Parents.

Hector GonzalezRita V BurkeMona S PatelMarieta Pehlivanova
Published in: Hispanic health care international : the official journal of the National Association of Hispanic Nurses (2023)
Introduction: Representing the USA's largest ethnic/racial group, Hispanic/Latinx (HL) experience health challenges of proportional magnitude. This study investigates the prevalence of vaccine hesitancy among HL adults and trust in their child's pediatrician. Methods: HL parents of children who receive medical care at one of the largest Federally Qualified Health Centers in the United States completed a survey examining associations between physician trust, vaccine hesitancy, and demographics. Data were subjected to ANOVA via SAS9 version 9.0 (Cary, NC) and SPSS version 27 (Chicago, IL) software. Results: With a total of 500 surveys completed (51% response rate; 81% completion rate), the prevalence of vaccine hesitancy amounted to 15.4% ( n  = 77). Parents with university-level education displayed higher levels of trust and perceptions in favor of routine vaccination practices ( p  < .01). When medical visits were conducted in Spanish, parents exhibited lower levels of trust and were more vaccine-hesitant ( p  < .01). Conclusions: Vaccine literacy must be prioritized in early education to reach parents who may not achieve college degrees. Ensuring language concordance within patient-physician dyads may maximize the potential for vaccine uptake and physician trust.
Keyphrases
  • healthcare
  • health information
  • primary care
  • emergency department
  • mental health
  • public health
  • risk factors
  • young adults
  • african american
  • risk assessment
  • quality improvement
  • big data
  • electronic health record