探索在黑人社区建立COVID-19疫苗信心的观点。

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lisa N Mansfield, Savanna L Carson, Yelba Castellon-Lopez, Alejandra Casillas, D'Ann Morris, Ejiro Ntekume, Juan Barron, Keith C Norris, Arleen F Brown
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引用次数: 4

摘要

目的:探讨影响成年黑人COVID-19感染高危人群疫苗接种决策的因素。尽管有有效的治疗和疫苗接种,但美国黑人仍然受到COVID-19的不成比例的影响。设计环境和参与者:使用社区参与的定性方法,在广泛推广疫苗之前,我们对洛杉矶县的黑人居民进行了虚拟的半结构化焦点小组。招募是通过当地社区合作伙伴进行的。主要结果测量:关于疫苗信心和可及性因素的主题和分主题。方法:作为探索多民族人群COVID-19疫苗决策因素的大型研究的一部分,在2020年12月15日至2021年1月27日期间进行了两小时的虚拟焦点小组研究。使用反身性主题分析对转录本进行分析。结果:进行了三个焦点小组,17名黑人参与者,主要是女性(n=15),高贫困邮政编码的居民(n=11)和全职工作(n=6)。针对黑人的疫苗信心和可及性考虑包括:1)由于历史上政府的不作为和种族主义(现有的卫生不平等和差距源于种族主义),对COVID-19疫苗的信心降低;历史上不道德的研究实践);2)误解黑人社区对疫苗的担忧(“疫苗犹豫”是描述疫苗怀疑的不准确标签;对疫苗怀疑的根本原因一无所知);3)确认并利用资源(社区机构充分解决COVID-19疫苗需求)。结论:疫苗接种运动应提高对潜在疫苗接种问题的理解,以提高疫苗推广效果,并应与当地值得信赖的黑人社区实体合作,向其提供资源并投资,以改善COVID-19疫苗接种差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Perspectives on Establishing COVID-19 Vaccine Confidence in Black Communities.

Objective: To explore factors influencing COVID-19 vaccine decision-making among Black adults at high-risk for COVID-19 infection. Despite effective treatment and vaccination availability, Black Americans continue to be disproportionately impacted by COVID-19.

Design setting and participants: Using community-engaged qualitative methods, we conducted virtual, semi-structured focus groups with Black residents in Los Angeles County before widespread vaccine rollout. Recruitment occurred through local community partners.

Main outcome measures: Themes and subthemes on factors for vaccine confidence and accessibility.

Methods: As part of a larger study exploring COVID-19 vaccine decision-making factors among multiethnic groups, two-hour virtual focus groups were conducted between December 15, 2020 and January 27, 2021. Transcripts were analyzed using reflexive thematic analysis.

Results: Three focus groups were conducted with 17 Black participants, who were primarily female (n=15), residents of high-poverty zip codes (n=11) and employed full-time (n=6). Black-specific considerations for vaccine confidence and accessibility include: 1) reduced confidence in COVID-19 vaccines due to historical government inaction and racism (existing health inequities and disparities are rooted in racism; historical unethical research practices); 2) misunderstanding of Black communities' vaccine concerns ("vaccine hesitancy" as an inaccurate label to describe vaccine skepticism; ignorance to root causes of vaccine skepticism); and 3) recognizing and building on resources (community agency to address COVID-19 vaccine needs adequately).

Conclusions: Vaccination campaigns should improve understanding of underlying vaccination concerns to improve vaccine outreach effectiveness and should partner with, provide resources to, and invest in local, trusted Black community entities to improve COVID-19 vaccination disparities.

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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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