Black in the pandemic: Comparing experiences of mistrust, anxiety, and the COVID-19 vaccine among Black adults in the U.S.

Autor: Goodwill JR; University of Chicago, Crown Family School of Social Work, Policy, and Practice, United States. Electronic address: jgoodwill@uchicago.edu., Fike KJ; Vanderbilt University, Peabody College of Education and Human Development, United States.
Jazyk: angličtina
Zdroj: Social science & medicine (1982) [Soc Sci Med] 2023 Dec; Vol. 338, pp. 116302. Date of Electronic Publication: 2023 Oct 11.
DOI: 10.1016/j.socscimed.2023.116302
Abstrakt: COVID-19 vaccine decisions are shaped by many factors including historical and contemporary patterns of medical mistreatment of marginalized communities. In attending to these concerns, we measured whether fear of COVID-19, general feelings of mistrust, and race-specific mistrust of the government and healthcare providers are indirectly associated with COVID-19 vaccination status via anxiety among Black Americans. We analyzed responses from 996 Black adults who participated in the AmeriSpeak panel - a nationally representative probability-based sample recruited from the National Opinion Research Center from April-June 2022. We used multiple-group structural equation modeling to compare outcomes among those who lost a loved one to COVID-19 to those who did not. Results indicate that fear of COVID-19 was associated with a greater probability of being fully vaccinated for those who lost a family member/friend. Race-specific mistrust was positively associated with anxiety, but was negatively associated with being fully vaccinated for bereaved Black Americans. Targeted efforts are needed to specifically reach those who lost a loved one to COVID-19. More within-group evaluations are needed to identify barriers to COVID-19 vaccination that are specific to Black Americans living with loss and grief.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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