{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:17Z","timestamp":1777858997224,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012005","name":"University of Massachusetts Boston","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["NICHD\/R25HD090723-02"],"award-info":[{"award-number":["NICHD\/R25HD090723-02"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The COVID-19 vaccine is vital for protecting pregnant women and their babies, yet many foreign-born women face unique challenges in vaccine uptake. This study explores COVID-19-related fears and vaccine acceptance among from the Northern Triangle countries\u2014El Salvador, Guatemala, and Honduras in the United States (U.S.).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study aimed to identify factors influencing COVID-19 vaccination among foreign-born pregnant women from Central America, specifically El Salvador, Guatemala, and Honduras, living in the U.S.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study included 93 women (mean gestation: 23.3\u2009weeks), most of whom had lived in the U.S. for at least 10\u2009years and had low acculturation. Over two-thirds (66.7%) were fully vaccinated. Key factors driving vaccine acceptance included healthcare access, community health initiatives, and trusted provider recommendations. Cultural values emphasizing family protection and a heightened sense of vulnerability to COVID-19 also contributed to higher vaccination rates. However, 33.3% expressed hesitancy, particularly due to distrust in government, fear of needles, and concerns about the vaccine\u2019s rapid development, with Guatemalan participants showing the highest hesitancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings underscore the critical role of healthcare providers in vaccination decisions. Tailored communication strategies that address cultural and emotional factors are essential for improving vaccine uptake, particularly within immigrant communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251348136","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T05:53:33Z","timestamp":1750139613000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring COVID-19 Vaccine Concerns, Uptake, and Hesitancy Among Pregnant Central American Immigrant Women in the United States During the Pandemic"],"prefix":"10.1177","volume":"16","author":[{"given":"Nachalie","family":"Rodriguez-Cruz","sequence":"first","affiliation":[{"name":"University of Massachusetts Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia Arango","family":"Moreno","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doris","family":"Lucero","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qun","family":"Le","sequence":"additional","affiliation":[{"name":"University of Massachusetts Lowell, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary L.","family":"Greaney","sequence":"additional","affiliation":[{"name":"University of Rhode Island, Kingston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2520-0493","authenticated-orcid":false,"given":"Ana Cristina","family":"Lindsay","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daac078"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-069741"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.03.060"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202604"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1658"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2023.02.003"},{"key":"e_1_3_3_8_2","unstructured":"American College of Obstetricians and Gynecologists. 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