• Jennifer K Carroll, Paulina Arias Hernandez, Alicia Brooks-Greisen, Carlos CardetJuanJDivision of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine, 12908 Bruce B Downs Boulevard, Tampa, FL 33612, United States., Jing Cui, Brianna Ericson, Maureen Fagan, Merritt L Fajt, Victoria E Forth, Anne L Fuhlbrigge, Margie Lorenzi, Jacqueline Rodriguez-Louis, Nancy E Maher, Brian K Manning, Wilson D Pace, Joel B Shields, and Elliot Israel.
• American Academy of Family Physicians National Research Network, 11400 Tomahawk Creek Parkway, Leawood, KS 66211, United States; University of Colorado Department of Family Medicine, University of Colorado, 12631 East 17th Avenue, Aurora, CO 80045, United States. Electronic address: jennifer.2.carroll@cuanschutz.edu.
• J Natl Med Assoc. 2022 Apr 1; 114 (2): 182192182-192.

PurposeTo describe the socioeconomic and healthcare-related effects of the COVID-19 pandemic, and willingness to receive a free COVID-19 vaccine, among African American/Black (AA/B) and Hispanic/Latinx (H/L) adults with asthma currently enrolled in a large trial.MethodsThe present analysis is a sub-study of the PeRson EmPowered Asthma RElief (PREPARE) study, a pragmatic study of 1201 AA/B and H/L adults with asthma. A monthly questionnaire was completed by a subset of PREPARE participants (n = 325) during May-August, 2020. The 5-item questionnaire assessed self-reported impact of COVID-19 on respondents' ability to obtain asthma medications, medical care quality, employment, income and ability to pay bills; and willingness to get a free COVID-19 vaccine. Bivariate analysis and multivariate logistic regression were performed to investigate factors associated with vaccine hesitancy.ResultsOf 325 survey respondents (25% AA/B, 75% H/L), the majority reported no impact of COVID-19 on medical care or ability to get asthma medications. Approximately half of employed respondents experienced a lower level of employment or job loss, and approximately half reported having difficulty paying bills during the pandemic. Thirty-five percent of respondents reported unwillingness and 31% reported being somewhat likely to receive a free COVID-19 vaccine. AA/B race/ethnicity and poorer reported physical health were associated with a higher likelihood of COVID-19 vaccine hesitancy.ConclusionAA/B and H/L adults with asthma may experience changes in the quality of their asthma care and increased socioeconomic stressors as a result of the COVID-19 pandemic and may be hesitant or unwilling to receive a COVID-19 vaccine.Copyright © 2022. Published by Elsevier Inc.

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