Acceptance, refusal, and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19

Objective. To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to identify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods. We estimated the acceptance, refusal and hesitancy proportions using data from the Covid-19 National Health and Nutrition Survey conducted from August to November 2020. Factors associated with refusal and hesitancy were explored using multinomial logistic regression. Results. Covid-19 vaccination acceptance was 62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy were associated with being female, having older age, lower educational level, lower socioeconomic status and working in the informal sector. Conclusion. National campaigns to incentivize vaccine acceptance need to consider specific subgroups were the likelihood of hesitancy and refusal is high. In Mexico, refusal and hesitancy were higher in vulnerable groups, and people at a higher risk of Covid-19 complications and death. (English) [ABSTRACT FROM AUTHOR] Objetivo. Estimar la aceptabilidad de la vacunacion contra Covid-19 en la poblacion mexicana e identificar factores socioeconomicos asociados con el rechazo o la duda. Material y metodos. Se estimo la proporcion de aceptabilidad, rechazo y duda utilizando los datos de la Encuesta Nacional de Salud y Nutricion 2020 sobre Covid-19 levantada durante agosto y noviembre de 2020. Se exploraron los factores asociados con rechazo y duda mediante un modelo de regresion multinomial. Resultados. La aceptabilidad de la vacunacion contra Covid-19 fue de 62.3%, el rechazo de 28.2% y la duda de 9.5%. El rechazo y la duda se asociaron con ser mujer, tener mayor edad, menor nivel de educacion, menor nivel socioeconomico y trabajar en el sector informal. Conclusion. Las campanas para incentivar la aceptabilidad de la vacuna necesitan considerar los subgrupos especificos con una alta proporcion de rechazo y duda. En Mexico observamos un mayor rechazo y duda en grupos con mayor riesgo de complicaciones y muerte por Covid-19. (Spanish) [ABSTRACT FROM AUTHOR] Copyright of Salud Publica de Mexico is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)