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Determinants of Complete COVID-19 Vaccination Status Among Immigrant Population in North Carolina USA, Qualtrics Survey July-August 2022

The COVID-19 pandemic has disproportionately affected certain minority populations and exposed barriers to vaccination. We explored factors associated with complete and incomplete COVID-19 vaccination status among immigrant population in North Carolina, USA. The factors associated with COVID-19 vaccination status were explored using a cross-sectional study of 98 eligible participants who took an online survey between April and July 2022, on the completeness of COVID-19 vaccine and associated factors. Eligible participants included either U.S. citizens, green card holders, or adults with one of the following immigration statuses: refugee, asylee, asylum pending case, undocumented immigrant, and other groups.Analysis of frequencies, bivariate and multivariate logistic regression was performed using SAS Institute, Cary, North Carolina v. 9.4 to report the descriptive statistics and prevalence odds ratios (POR) between certain groups with 95%. The unadjusted POR of complete COVID-19 vaccination status comparing women to men was 0.42, 95% CI 0.20,0.89. Participants between 25 and 34 years old were less likely to have complete vaccination status compared to those between 35 and 44 years old;unadjusted POR: 0.21, 95% CI 0.08, 0.55. Immigrants were less likely to have complete vaccine status compared to Non-immigrant POR 0.47, 95% CI 0.24,0.92. Further factors associated with incomplete COVID-19 vaccination status were vaccine safety concerns, mistrust, transportation issues, language barriers, the proximity of the vaccination point, inconvenient work schedules, the absence of healthcare insurance, and many others. Policy and public health programs should address barriers to access healthcare faced by the immigrant population.