Vaccine Attitudes and COVID-19 Vaccine Intentions and Prevention Behaviors among Young People At-Risk for and Living with HIV in Los Angeles and New Orleans

Dallas Swendeman, Peter Norwood, Jessica Saleska, Katherine Lewis, Wilson Ramos, Nicholas Santabarbara, Stephanie Sumstine, Warren Scott Comulada, Sergio Jimenez, Manuel A. Ocasio, Elizabeth M. Arnold, Karin Nielsen-Saines, Maria Isabel Fernandez, Mary Jane Rotheram-Borus

Research output: Contribution to journalArticlepeer-review

Abstract

Sexual and gender minority (SGM) and racial or ethnic minority youth at-risk for or living with HIV may have higher risk of SARS-CoV-2 infection. However, there are few data on vaccine hesitancy/acceptance and COVID-19 self-protective behaviors among this population. Youth aged 15–24 years (n = 440), predominantly African American and Latine (73%, n = 320) SGM, from Los Angeles and New Orleans reported their vaccine attitudes and COVID-19 and HIV preventive be-haviors in October 2020. Latent class analyses categorized individuals into groups based on their vaccine attitudes and preventive behaviors. Relationships between these groups and other factors were analyzed using Fisher’s exact tests, ANOVA, and logistic regression. Most youth had accepting vaccine attitudes (70.2%, n = 309), with 20.7% hesitant (n = 91), and 9.1% resistant (n = 40). SGM and African Americans were significantly less accepting than their cis-gender and heterosexual peers. About two-thirds (63.2%, n = 278) of the respondents reported consistent COVID-19 self-pro-tective behaviors. Youth with pro-vaccine attitudes were most consistently self-protective; however, only 54.4% (n= 168/309) intended to take a COVID-19 vaccine. Homelessness history, race, and sexual orientation were associated with vaccine attitudes. Accepting vaccine attitudes and consistent COVID-19 self-protective behaviors were closely related. COVID-19 attitudes/behaviors were not associated with HIV risk and only loosely associated with SARS-CoV-2 vaccine intentions.

Original languageEnglish (US)
Article number413
JournalVaccines
Volume10
Issue number3
DOIs
StatePublished - Mar 2022

Keywords

  • Attitudes
  • COVID-19
  • Gay/bisexual
  • HIV
  • Prevention behaviors
  • Transgender
  • Youth

ASJC Scopus subject areas

  • Immunology
  • Pharmacology
  • Drug Discovery
  • Infectious Diseases
  • Pharmacology (medical)

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