{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T01:58:37Z","timestamp":1778983117109,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer Inc.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hisp Health Care Int"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Sixty million Latinxs make up 26.4% of all COVID-19 cases in the United States. It is uncertain whether behaviors and beliefs of immunizations among Latinxs is influenced by social determinants of health. The purpose of this study was to examine how social determinants of health predict COVID-19 behaviors and beliefs toward immunization among Latinxs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this exploratory study, 11 chapters from the National Association of Hispanic Nurses collaborated to recruit participants. The CDC National 2009 H1N1 Flu Survey was adapted to measure behaviors and beliefs about immunizations of COVID-19. The Health Access Survey was used to measure social determinants of health. Instruments were available in both Spanish and English.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants (n=228) with higher education and health insurance tended to have less worry about taking the vaccine. Access to resources and practicing COVID-19 protective factors was positively associated. Alternative medicine and use of COVID-19 protective factors were negatively associated. Exposure to drugs and violence was associated with a decrease in likelihood to pursue a vaccine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Latinx need education about COVID-19 and vaccinations. Access to health care services must be available. Results highlight the importance of careful measurement when assessing social determinants of health among Latinx.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15404153211020425","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T05:35:12Z","timestamp":1628746512000},"page":"221-229","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Social Determinants of Health and COVID-19 Behaviors and Beliefs Toward Immunizations Among Latinxs"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1378-1761","authenticated-orcid":false,"given":"Norma Graciela","family":"Cuellar","sequence":"first","affiliation":[{"name":"University of Alabama System, Tuscaloosa, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J","family":"Cuellar","sequence":"additional","affiliation":[{"name":"University of Alaska, Anchorage, Anchorage, AK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"McDiarmid","sequence":"additional","affiliation":[{"name":"University of Alabama System, Tuscaloosa, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Bautista","sequence":"additional","affiliation":[{"name":"Maxim Healthcare Services Inc., Columbia, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8986-0557","authenticated-orcid":false,"given":"Michele","family":"Crespo-Fierro","sequence":"additional","affiliation":[{"name":"New York University, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardo","family":"Infante","sequence":"additional","affiliation":[{"name":"DaVita Inc., Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debora","family":"La Torre","sequence":"additional","affiliation":[{"name":"Minute Clinic LLC, North Arlington, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine","family":"Mautner","sequence":"additional","affiliation":[{"name":"Samuel Merritt University, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Perez","sequence":"additional","affiliation":[{"name":"West Coast University - Miami Campus, Hialeah, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Perry","sequence":"additional","affiliation":[{"name":"Harris County Hospital District, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isolina","family":"Pistolessi","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Central Valley, Falls Church, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Quintana","sequence":"additional","affiliation":[{"name":"Colorado Center for Nursing Excellence, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulette","family":"Rangel","sequence":"additional","affiliation":[{"name":"Dignity Health, Litchfield Park, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Valdez","sequence":"additional","affiliation":[{"name":"UC Irvine Healthcare, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"bibr1-15404153211020425","doi-asserted-by":"crossref","unstructured":"Arcury T., Furgurson K., O\u2019Hara H., Miles K., Chen H., Laurienti P. 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