Shadé Owolabi, Helen Singer, Katherine Reilly, Lucja T Bundy, J K Veluswamy, Carla Berg, Regine Haardörfer, James Hotz, Ajay Gehlot, Michelle Kegler
{"title":"COVID-19 Vaccine Acceptance among People who Smoke in Rural Southwest Georgia: Perspectives and Influencing Factors.","authors":"Shadé Owolabi, Helen Singer, Katherine Reilly, Lucja T Bundy, J K Veluswamy, Carla Berg, Regine Haardörfer, James Hotz, Ajay Gehlot, Michelle Kegler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 vaccine is a critical tool in reducing COVID-19 related morbidity and mortality. Unfortunately, vaccine hesitancy is an ongoing public health challenge, especially in certain geographic areas and sub-populations. This study assessed factors associated with COVID-19 vaccine uptake and hesitancy among individuals who smoke in rural communities in southwest Georgia, one of the first COVID-19 \"hot spots\" in the U.S.</p><p><strong>Methods: </strong>We conducted qualitative interviews (n=23) using a semi-structured interview guide, informed by the Integrated Behavioral Model (IBM), that assessed vaccine-related behavior, intention to be vaccinated, perceived risk, social norms, attitudes, and environmental barriers and facilitators influencing vaccine hesitance and uptake.</p><p><strong>Results: </strong>Participants were 46 years old on average (SD=9.9; range: 25-63), 82.6% female, 60.9% Black, and 43.5% with an annual income <$25,000. Slightly over half (56.5%) had received at least one dose of the vaccine, 17.4% planned to, and 26.1% were unsure or did not plan to. Generally, participants acknowledged that those who smoke were at risk for worse COVID-19 related outcomes. Positive attitudes toward vaccination included reduced stress or concern about contracting and/or spreading the virus, less worry about becoming severely ill and/or dying from the virus, and reduced stress about socializing and inviting people over. Negative attitudes commonly focused on the speed of vaccine development and unknown long-term side effects, but also included distrust of government, fear of getting the virus from the vaccine, fear of needles, conspiracy theories, and dislike of mandates. Normative influences, most often from family members, were especially salient in the decision to get the vaccine, as was \"doing research.\"</p><p><strong>Conclusions: </strong>Current results uncovered several salient factors aligning with IBM that should be considered when addressing vaccine uptake and hesitancy among priority populations, particularly those in rural areas who smoke, and improving vaccination outreach efforts.</p>","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alison Amoroso, C. Pavão, Russell E. Luke, J. McCoy, Sean Richey, Shenendoah Evans
{"title":"Health Communications Trial with a Resistant Population to Increase Public Health Compliance during a Pandemic","authors":"Alison Amoroso, C. Pavão, Russell E. Luke, J. McCoy, Sean Richey, Shenendoah Evans","doi":"10.20429/jgpha.2022.080206","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080206","url":null,"abstract":"Background: Georgia has among the worst rates of COVID-19 hospitalization and death rates in the nation. Many identifying as politically conservative resist public health mitigation measures, similar to populations in other politically conservative geographical areas. There are limited peer-reviewed public health communications designed for this population. We aimed to determine if an intervention using a fear appeal approach with efficacy during a pandemic can positively affect knowledge, attitude, perception, and/or behavior (KAP) in Georgia with this population. Methods: We delivered online video stimuli tailored to the geocultural characteristics of the target population. designed to stimulate fear, encourage efficacy, and counter mis- and disinformation. It used three routes to affect participants: narrative, direct messaging, and non-message cues. We measured risk aversion and conspiratorial ideation as moderating psychological factors using psychological batteries. Census and voting data were used to identify a convenience sample of 829 Georgia adults in an outer Atlanta suburb. Results: Exposure to the video, moderated by risk aversion, resulted in increased recommended mitigating behavior to prevent COVID-19 (13.7%, 95% CI: 2.7% to 24.7%,) and increased positive attitude toward the recommendations (7.7%, 95% CI: 5.9% to 9.3%). Exposure to the video, moderated by conspiratorial ideation, resulted in an increase in perception of COVID-19 risk (7.6% 95% CI: 1.8% to 13.5%) among participants. Conclusions: An intervention using a fear appeal approach with efficacy during a pandemic can positively affect attitude and risk perception of a politically conservative population. Scaling similar interventions with resistant geocultural populations has promise of increasing adherence to public health recommendations. The moderating factor of conspiratorial ideation is relevant given conspiracies during pandemics, such as COVID-19. This multidisciplinary study contributes to the extant literature by providing insights of populations influenced by contrary political attitudes.","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41665941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of Community-level Health Behaviors and Social Determinants of Health in Preventable Hospitalizations","authors":"Elizabeth Ayangunna, Kingsley Kalu, G. Shah","doi":"10.20429/jgpha.2022.080312","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080312","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41622634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An analysis of Georgia mothers who gave birth in 2015 and 2016 without receiving prenatal care","authors":"J. Stephens, Shanta Dube, Merrilee Gober","doi":"10.20429/jgpha.2022.080305","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080305","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41457183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabrielle C Darville- Sanders, Jann MacInnes, K. Schwarz
{"title":"“Someone You Love” Documentary: Using Narratives in Entertainment Media to increase HPV vaccination in Georgia","authors":"Gabrielle C Darville- Sanders, Jann MacInnes, K. Schwarz","doi":"10.20429/jgpha.2022.080306","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080306","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44039254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing Maternal Mental Health among Black Perinatal Women in Atlanta, Georgia: a CBPR approach","authors":"N. Hernandez","doi":"10.20429/jgpha.2022.080314","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080314","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48321899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers and Facilitators to Conducting Physical Activity Interventions in Children's Camps","authors":"S. Giraudo, J. Merideth, B. Grossman","doi":"10.20429/jgpha.2022.080308","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080308","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46125060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perception of Health Care Access in Rural Georgia: Findings From a Community Health Needs Assessment Survey","authors":"Elisa M Childs, Tiffany R. Washington","doi":"10.20429/jgpha.2022.080309","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080309","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43421560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Hamid, U. Onwubiko, David Holland, Alison M Chamberlain
{"title":"Selective Participation in Syphilis Partner Services and Implications for Control Efforts, Fulton County, Georgia, 2013-2015","authors":"Sarah Hamid, U. Onwubiko, David Holland, Alison M Chamberlain","doi":"10.20429/jgpha.2022.080310","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080310","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43995029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Goggans, Jean C. O'Connor, Elena A Wood, Elizabeth LaClair, Kathryn R Martin, Paul Wallach
{"title":"Impact of public health nurse training on their perception to provide hypertension and diabetes care to patients in their communities.","authors":"Stephen Goggans, Jean C. O'Connor, Elena A Wood, Elizabeth LaClair, Kathryn R Martin, Paul Wallach","doi":"10.20429/jgpha.2022.080313","DOIUrl":"https://doi.org/10.20429/jgpha.2022.080313","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46058574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}