Exploring the Scope and Dimensions of Vaccine Hesitancy and Resistance to Enhance COVID-19 Vaccination in Black Communities
| Autor: | Kay Allen, Olihe N Okoro, Desiré Singer, Renee Roberts, Glenn E. Simmons, Elyse Carter Vosen, Desmond Scott, Janet Kennedy |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
COVID-19 Vaccines Health (social science) Sociology and Political Science COVID-19 vaccination media_common.quotation_subject Population Vaccine resistance Qualitative property Article Surveys and Questionnaires Health care medicine Community-based Humans education Vaccine hesitancy media_common Vaccines education.field_of_study Distrust business.industry Health Policy Vaccination Public Health Environmental and Occupational Health COVID-19 Black/African American Focus group Anthropology Family medicine Needs assessment Thematic analysis business Psychology |
| Zdroj: | Journal of Racial and Ethnic Health Disparities |
| ISSN: | 2196-8837 2197-3792 |
| Popis: | Background The long history of distrust that characterizes the relationship between the Black/African-American population and the US Medical community makes COVID-19 vaccine hesitancy of great concern. A needs assessment of the Black/African-American community assessed willingness and explored the perceptions of community members regarding COVID-19 vaccination. Methods The study used a mixed-methods approach. Respondents (n = 183) were surveyed with a web-based questionnaire. They were asked whether there would get vaccinated for COVID-19 barring any access or cost-related challenges. Perceptions of community members regarding vaccination were explored through one-on-one interviews (n = 30) and eight focus groups (n = 49), with participants drawn from across various demographic characteristics. Survey responses were summarized using frequencies and proportions. A thematic analysis was conducted on the qualitative data. Results Thirty-four percent of respondents indicated “Yes” (willing to get vaccinated); 26.8% indicated “No”, while 37.1% expressed hesitancy (“Maybe” or “I don’t know”). Themes emerging from the qualitative data are grouped into three broad categories: vaccine accessibility (transportation, information, navigating healthcare system); vaccine hesitancy (with sub-categories of compliance, complacency and confidence); and vaccine “resistance” (conspiracy theories, conflicting beliefs, distrust of Government, trustworthiness of Health care). Conclusion Findings demonstrate a nuanced expansion of “vaccine hesitancy” to delineate groups with varying issues and perspectives. Interventions to enhance vaccination rates in Black/African-American communities should incorporate components that assure accessibility at the minimum, but also address non-access-related issues. Priority should be given to enhancing vaccine literacy, information-sharing as efficacy and safety data emerge, and addressing specific concerns identified through community-engaged outreach efforts. |
| Databáze: | OpenAIRE |
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