Open AccessAcceptance, refusal and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
Author(s) -
Martha Carnalla,
Ana Basto-Abreu,
Dalia Stern,
Sergio BautistaArredondo,
Teresa ShamahLevy,
Celia Alpuche-Aranda,
Juan RiveraDommarco,
Tonatiuh BarrientosGutiérrez
Publication year - 2021
Publication title -
salud pública de méxico/salud pública de méxico
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.668
H-Index - 54
eISSN - 1606-7916
pISSN - 0036-3634
DOI - 10.21149/12696
Subject(s) - socioeconomic status , covid-19 , vaccination , logistic regression , medicine , multinomial logistic regression , demography , population , environmental health , virology , disease , pathology , machine learning , sociology , computer science , infectious disease (medical specialty)
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.