COVID-19 Vaccine Decision-Making Among Black Pregnant and Postpartum Women.

Autor: Avorgbedor F; School of Nursing, University of North Carolina Greensboro, Greensboro, NC, USA. f_avorgbedo@uncg.edu., Gondwe KW; School of Nursing, University of Washington, Seattle, WA, USA., Aljarrah A; School of Nursing, University of North Carolina Greensboro, Greensboro, NC, USA., Bankole AO; School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug; Vol. 11 (4), pp. 2073-2082. Date of Electronic Publication: 2023 Jun 19.
DOI: 10.1007/s40615-023-01675-6
Abstrakt: Introduction: The history of biomedical research is marred by racially discriminatory and abusive practices that impacted Black/African Americans. Medical racism impacts the trust and utilization of new medical interventions, such as the COVID-19 vaccine. This study aimed to understand Black pregnant and postpartum women's perspectives and decision-making about the COVID-19 vaccine.
Methods: We used a qualitative descriptive design and recruited 23 pregnant and postpartum Black women aged 18 years and above. Data was collected using a semi-structured interview guide. Data were analyzed using content analysis.
Findings: The participants described factors influencing their decision to receive or not receive the COVID-19 vaccines. These factors included individual, cultural, ethnicity, religious, and family-related factors (individual-personal beliefs influenced decisions about the vaccine; ethnicity, culture, and religion influenced vaccine decision-making; group-family and friends played a role in decision-making), vaccine or vaccination-related issues (concerns about vaccination and pregnancy outcomes and mistrust in the vaccine information), and contextual influence (sources of vaccine information influenced decision-making and healthcare providers influenced decision-making).
Conclusion: Understanding the vaccine decision-making process of underserved populations likely to decline vaccination due to pregnancy, postpartum, and breastfeeding status will help design tailored interventions to improve vaccine acceptance in minority communities, especially for pregnant and postpartum women.
(© 2023. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE