{"doi":"10.20944/preprints202304.0200.v1","title":"COVID-19 Attitudes and Vaccine Hesitancy Among an Agricul-Tural Community in Southwest Guatemala: A Cross-Sectional Survey","abstract":"Despite offering free-of-charge COVID-19 vaccines starting July 2021, Guatemala has one of the lowest vaccination rates in Latin America. During September 28, 2021 to April 11, 2022, we conducted a cross-sectional survey of community members adapting a CDC questionnaire to evaluate COVID-19 vaccine access and hesitancy. Of 233 participants ≥12 years, 127 (55%) received >1 dose of COVID-19 and 4 (2%) reported prior COVID-19 illness. Persons ≥12 years old unvaccinated (n=106) were more likely to be female (73% vs 41%, p<0.001) and homemakers (69% vs 24%, p<0.01) compared with vaccinated participants (n=127). Among those ≥18 years, the main reported motivation for vaccination among vaccinated participants was to protect the health of family/friends (101/117, 86%); 40 (55%) unvaccinated persons reported little/no confidence in public health institutions recommending COVID-19 vaccination. Community- and/or home-based vaccination programs, including vaccination of families through the workplace, may better reach female homemakers and reduce inequities and hesitancy.","journal":"Preprints.org","year":2023,"id":406316,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9533,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1185616,"name":"Diva Mirella Calvimotes","orcid":null,"position":1,"is_corresponding":false},{"id":1185349,"name":"Édgar Varela Barrios","orcid":"0000-0003-3546-852X","position":2,"is_corresponding":false},{"id":441634,"name":"Molly M. Lamb","orcid":"0000-0002-2331-2555","position":3,"is_corresponding":false},{"id":1007802,"name":"Maria Alejandra Paniagua-Avila","orcid":null,"position":4,"is_corresponding":false},{"id":387798,"name":"José Monzón","orcid":"0000-0002-0145-6355","position":5,"is_corresponding":false},{"id":526919,"name":"Lindsey M. Duca","orcid":"0000-0003-2998-646X","position":6,"is_corresponding":false},{"id":429133,"name":"Chelsea Iwamoto","orcid":null,"position":7,"is_corresponding":false},{"id":412049,"name":"Anna N. Chard","orcid":"0000-0003-2077-1235","position":8,"is_corresponding":false},{"id":954284,"name":"Melissa Gomez","orcid":"0009-0008-6072-8534","position":9,"is_corresponding":false},{"id":954719,"name":"Kareen Arias","orcid":null,"position":10,"is_corresponding":false},{"id":954720,"name":"Guillermo A. Bolaños","orcid":null,"position":11,"is_corresponding":false},{"id":1185617,"name":"Emily Zielinksi-Gutierrez","orcid":null,"position":12,"is_corresponding":false},{"id":7186,"name":"Eduardo Azziz‐Baumgartner","orcid":"0000-0001-8038-0530","position":13,"is_corresponding":false},{"id":383806,"name":"María Reneé López","orcid":"0000-0001-7498-5840","position":14,"is_corresponding":false},{"id":888581,"name":"Celia Cordón‐Rosales","orcid":"0000-0003-2381-4173","position":15,"is_corresponding":false},{"id":390251,"name":"Edwin J. Asturias","orcid":"0000-0002-1275-0787","position":16,"is_corresponding":false},{"id":533495,"name":"Daniel G. Olson","orcid":"0000-0001-5393-6302","position":17,"is_corresponding":false},{"id":1185615,"name":"Neudy Carolina Rojop","orcid":null,"position":0,"is_corresponding":true}],"reference_count":6,"raw_metadata":null,"created_at":"2026-07-19T01:21:03.432924Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}