{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T14:34:02Z","timestamp":1762353242995,"version":"build-2065373602"},"reference-count":11,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Guatemala has one of the lowest coronavirus disease 2019 vaccination rates in the Americas, with rural communities experiencing disproportionately low coverage. A 2021\u20132022 vaccine knowledge and behaviors survey of households in a rural community in southwest Guatemala revealed that access was a significant barrier, particularly among women and those who did not work outside the home. For the present study, a follow-up survey was conducted in 2023 to assess changes in vaccine access, hesitancy, and motivations. Both surveys were completed by 199 people. Among those eligible for vaccination at enrollment, the proportion vaccinated increased from 47% to 77%. The primary motivations for vaccination remained protecting family and friends, although concern for personal health increased. Regression models did not identify significant predictors of vaccine uptake, although household size approached significance. The findings highlight the importance of ongoing efforts to improve vaccine access and information, particularly in addressing the significant proportion of individuals who are uncertain about their motivations for vaccination.<\/jats:p>","DOI":"10.4269\/ajtmh.25-0149","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T17:45:40Z","timestamp":1756230340000},"page":"1075-1078","source":"Crossref","is-referenced-by-count":0,"title":["Changing Attitudes and Motivations Around Coronavirus Disease 2019 Vaccination Within an Agricultural Community in Southwest Guatemala"],"prefix":"10.4269","volume":"113","author":[{"given":"Neudy","family":"Rojop","sequence":"first","affiliation":[{"name":"Fundaci\u00f3n para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blair","family":"Weikel","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Colorado School of Public Health, Aurora, Colorado;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly M.","family":"Lamb","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Colorado School of Public Health, Aurora, Colorado;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diva M.","family":"Barrientos","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Gomez","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Olson","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n para la Salud Integral de los Guatemaltecos, Retalhuleu, Guatemala;"},{"name":"Department of Epidemiology, University of Colorado School of Public Health, Aurora, Colorado;"},{"name":"University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2024","key":"b1","article-title":"The World Bank in Guatemala: Country Overview."},{"year":"2023","key":"b2","article-title":"Vaccinating in Guatemala\u2019s Remote Areas."},{"year":"2024","key":"b3","article-title":"Salud Sobre Ruedas: Una estrategia para fortalecer el acceso a la vacunaci\u00f3n en comunidades ind\u00edgenas de Guatemala."},{"key":"b4","series-title":"Vaccines (Basel)","first-page":"1059","article-title":"COVID-19 attitudes and vaccine hesitancy among an agricultural community in southwest Guatemala: A cross-sectional survey","volume":"11","author":"Rojop","year":"2023"},{"key":"b5","series-title":"IJID Reg","first-page":"100676","article-title":"SARS-CoV-2 secondary attack rates and risks for transmission among agricultural workers and their households in Guatemala, 2022\u20132023","volume":"16","author":"Carreon","year":"2025"},{"key":"b6","series-title":"Adv Pediatr","first-page":"357","article-title":"The Center for Human Development in Guatemala: An innovative model for global population health","volume":"63","author":"Asturias","year":"2016"},{"key":"b7","series-title":"J Med Internet Res","first-page":"e368","article-title":"Performance of a mobile phone app-based participatory syndromic surveillance system for acute febrile illness and acute gastroenteritis in rural Guatemala","volume":"19","author":"Olson","year":"2017"},{"year":"2024","series-title":"Vacunaci\u00f3n Contra Covid en Guatemala Sigue Rezagada y Dosis se Vencen","author":"Ola","key":"b8"},{"key":"b9","series-title":"Travel Med Infect Dis","first-page":"102059","article-title":"Cross-sectional analysis of COVID-19 vaccine intention, perceptions and hesitancy across Latin America and the Caribbean","volume":"41","author":"Urrunaga-Pastor","year":"2021"},{"key":"b10","series-title":"Travel Med Infect Dis","first-page":"102409","article-title":"Prevalence and factors associated with not receiving the booster dose of the COVID-19 vaccine in adults in Latin America and the Caribbean","volume":"50","author":"Urrunaga-Pastor","year":"2022"},{"key":"b11","series-title":"Emerg Infect Dis","first-page":"S277","article-title":"Clinical and economic impact of COVID-19 on agricultural workers, Guatemala","volume":"28","author":"Olson","year":"2022"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/5\/article-p1075.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/5\/article-p1075.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/5\/article-p1075.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T14:23:52Z","timestamp":1762352632000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/5\/article-p1075.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":11,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.25-0149","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2025,11,5]]}}}