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Racial and Ethnic Health Disparities"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>County-level barriers (sociodemographic barriers, limited healthcare system resources, healthcare accessibility barriers, irregular healthcare seeking behaviors, low vaccination history) may impact individuals\u2019 reasons for receiving the COVID-19 vaccine.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This study linked data from REACH-US (Race-Related Experiences Associated with COVID-19 and Health in the United States), a nationally representative, online survey of 5475 adults living in the U.S (January-March 2021) to county-level barriers in the COVID-19 Vaccine Coverage Index. County-level vaccination barriers were measured using the COVID-19 Vaccine Coverage Index. Participants reported why they would or would not receive the COVID-19 vaccine in an open-ended item and their responses were coded using thematic analysis. Descriptive statistics and chi-square tests assessed whether reasons for COVID-19 vaccination intentions varied by county-level barriers and whether these distributions varied across racial\/ethnic groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thematic analysis revealed twelve themes in participants\u2019 reasons why they would or would not receive the COVID-19 vaccine. Themes of societal responsibility (9.8% versus 7.7%), desire to return to normal (8.1% versus 4.7%), and trust in science\/healthcare\/government (7.7% versus 5.1%) were more frequently reported in counties with low\/medium barriers (versus high\/very high) (p-values\u2009&lt;\u20090.05). Concerns of COVID-19 vaccine side effects\/safety\/development (25.3% versus 27.9%) and concerns of access\/costs\/availability\/convenience (1.9% versus 3.6%) were less frequently reported in counties with low\/medium barriers (versus\u00a0high\/very high) (p-values\u2009&lt;\u20090.05). Trends in the prevalence of these themes varied across racial\/ethnic groups (p-values\u2009&lt;\u20090.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Future pandemic responses should consider potential ways county-level barriers shape reasons for COVID-19 vaccination.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s40615-024-02096-9","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T10:22:05Z","timestamp":1722594125000},"page":"2882-2895","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Motivators and Barriers to COVID-19 Vaccination Intentions Across U.S. County-Level Barriers in the COVID-19 Vaccine Coverage Index"],"prefix":"10.1007","volume":"12","author":[{"given":"Jessica R.","family":"Fernandez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Richmond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula D.","family":"Strassle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Cunningham-Erves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3097-0038","authenticated-orcid":false,"given":"Allana T.","family":"Forde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"issue":"25","key":"2096_CR1","doi-asserted-by":"publisher","first-page":"922","DOI":"10.15585\/mmwr.mm7025e1","volume":"70","author":"J Diesel","year":"2021","unstructured":"Diesel J, et al. 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JCE is an education consultant for MERCK, ChromaHealth, and Foundation for Sarcoidosis Research.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimers"}}]}}