COVID-19 vaccination coverage, intentions, attitudes and barriers by race/ethnicity, language of interview, and nativity, National Immunization Survey Adult COVID Module, April 22, 2021–January 29, 2022

• Published in: Clinical infectious diseases
• Main Authors: Ohlsen, Elizabeth C, Yankey, David, Pezzi, Clelia, Kriss, Jennifer L, Lu, Peng Jun, Hung, Mei Chuan, Bernabe, Maria I Dionicio, Kumar, Gayathri S, Jentes, Emily, Elam-Evans, Laurie D, Jackson, Hannah, Black, Carla L, Singleton, James A, Ladva, Chandresh N, Abad, Neetu, Lainz, Alfonso Rodriguez
• Format: Journal Article
• Language: English
• Published: Oxford University Press 23.06.2022
• Subjects: Vaccines, Variants, And Vigilance Supplement
• ISSN: 1058-4838; 1537-6591
• DOI: 10.1093/cid/ciac508

The National Immunization Survey Adult COVID Module used a random-digit-dialed phone survey during April 22, 2021–January 29, 2022 to quantify COVID-19 vaccination, intent, attitudes, and barriers by detailed race/ethnicity, interview language, and nativity. Foreign-born respondents overall and within racial/ethnic categories had higher vaccination coverage (80.9%), higher intent to be vaccinated (4.2%), and lower hesitancy towards COVID-19 vaccination (6.0%) than US-born respondents (72.6%, 2.9%, and 15.8%, respectively). Vaccination coverage was significantly lower for certain subcategories of national origin or heritage (e.g., Jamaican (68.6%), Haitian (60.7%), Somali (49.0%) in weighted estimates). Respondents interviewed in Spanish had lower vaccination coverage than interviewees in English but higher intent to be vaccinated and lower reluctance. Collection and analysis of nativity, detailed race/ethnicity and language information allow identification of disparities among racial/ethnic subgroups. Vaccination programs could use such information to implement culturally and linguistically appropriate focused interventions among communities with lower vaccination coverage.