Black-white disparities in 2009 H1N1 vaccination among adults in the United States: A cautionary tale for the COVID-19 pandemic.
Black-white disparities in 2009 H1N1 vaccination among adults in the United States: A cautionary tale for the COVID-19 pandemic.
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DOI：
10.1016/j.vaccine.2020.12.069
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发表时间：
2021-02-05
期刊：
影响因子：
5.5
通讯作者：
Lim S
中科院分区：
文献类型：
--
作者：
Burger AE;Reither EN;Mamelund SE;Lim S
先前的研究强调了美国H1N1疫苗接种的种族和民族差异。我们的研究通过利用交叉性框架来研究种族和性别对非西班牙裔黑人和非西班牙裔白人（以下简称黑人和白人）H1N1疫苗接种信念和行为的联合影响，从而补充了这一文献。利用美国成年人国家H1N1流感调查的数据，我们测量了黑人女性、黑人男性、白色女性和白色男性对H1N1疫苗安全性和有效性的信念差异。然后，我们估计了一系列嵌套逻辑回归模型，以研究种族/性别疫苗接种差异如何受到健康信念，社会经济地位（SES），预先存在的条件和医疗保健的影响。黑人受访者比白色受访者更有可能对H1N1疫苗的安全性和有效性表示保留。与这些信念一致，白色女性报告的H1N1疫苗接种率最高（28.4%），其次是白色男性（26.3%），黑人男性（21.6%）和黑人女性（17.5%）。健康信念、社会经济地位、既往疾病和医疗保健的差异解释了白色男性和黑人男性接种H1N1疫苗的几率低于白色女性。然而，在所有模型中，黑人女性接种疫苗的几率比白色女性低35-45%，突出了这些关联的交叉性质。2009年H1N1流感大流行提供了一个关于新疫苗在具有不同种族、性别和社会经济特征的大量人群中分布的警示故事。尽管H1N1和COVID-19流行病之间存在差异，但我们的研究警告说，除非迅速采取行动解决黑人和白人在获得重要资源方面的差异，否则许多美国黑人将放弃COVID-19疫苗。公共卫生利益相关者还可以通过为不同的少数族裔群体（特别是像黑人妇女这样面临交叉劣势的群体）定制健康促进信息，鼓励广泛采用COVID-19疫苗。
Prior research has highlighted racial and ethnic disparities in H1N1 vaccination in the United States. Our study adds to this literature by utilizing an intersectionality framework to examine the joint influence of race and sex on H1N1 vaccination beliefs and behaviors among non-Hispanic blacks and non-Hispanic whites (hereafter blacks and whites). Using data from the National H1N1 Flu Survey of U.S. adults, we measured differences in beliefs about the safety and efficacy of the H1N1 vaccine among black women, black men, white women, and white men. We then estimated a series of nested logistic regression models to examine how race/sex vaccination disparities were influenced by health beliefs, socioeconomic status (SES), pre-existing conditions, and healthcare. Black respondents were more likely than white respondents to express reservations about the safety and efficacy of the H1N1 vaccine. Consistent with those beliefs, white females reported the highest rate of H1N1 vaccination (28.4%), followed by white males (26.3%), black males (21.6%), and black females (17.5%). Differences in health beliefs, SES, pre-existing conditions, and healthcare explained lower odds of H1N1 vaccination among white men and black men, relative to white women. However, black women experienced 35–45% lower odds of vaccination than white women across all models, highlighting the intersectional nature of these associations. The 2009 H1N1 influenza pandemic provides a cautionary tale about the distribution of new vaccines across large populations with diverse racial, sex, and socioeconomic characteristics. Despite differences between the H1N1 and COVID-19 pandemics, our study warns that many black Americans will forego COVID-19 vaccines unless swift action is taken to address black-white disparities in access to vital resources. Public health stakeholders can also encourage widespread adoption of COVID-19 vaccines by tailoring health promotion messages for different groups of racial minorities, especially groups like black women who face intersecting disadvantages.
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影响因子：
12.7
作者：
DeVoe, JE;Fryer, GE;Green, L
通讯作者：
Green, L
DOI：
10.1177/1090198111415105
发表时间：
2012-04
期刊：
Health education & behavior : the official publication of the Society for Public Health Education
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作者：
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作者：
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通讯作者：
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作者：
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