Pandemic stressors and vaccine hesitancy among young, pregnant Black people: A qualitative study of health disparities during a global pandemic.
Pandemic stressors and vaccine hesitancy among young, pregnant Black people: A qualitative study of health disparities during a global pandemic.
复制标题
年轻怀孕黑人的流行病压力源和疫苗犹豫：全球流行病期间健康差异的定性研究。
DOI：
10.1002/bdr2.2262
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发表时间：
2023
影响因子：
2.1
通讯作者：
Hill,AshleyV
中科院分区：
文献类型：
--
作者：
DeGenna,NatachaM;Hossain,Fahmida;Dwarakanath,Megana;MsBalascio,Phoebe;MsMoore,Mikaela;Hill,AshleyV
2019年新型冠状病毒（COVID-19）大流行加剧了美国现有的健康不平等，但没有研究关注年轻黑人生育者的生活经历。这项定性研究的目标是集中在年轻的怀孕和分娩的黑人和Birthday人在pandemite.MethodsWe招募了25个黑人和Birthday怀孕和分娩的人年龄16 - 23个人半结构化访谈的经验。参与者被问及在大流行期间与医疗保健系统的经历，访谈被逐字转录并编码，用于使用nVivo进行定性分析。我们坚持报告定性研究guidelines. ResultsParticipants确定了流行病相关的压力源，如对感染的恐惧，缺乏支持，并获得疫苗接种的压力。疫苗犹豫的原因包括对政府的不信任和生殖保健期间经历的种族主义。提供者呼吁强调病人的自主性和科学更有效地鼓励疫苗的吸收比情感的呼吁，使参与者感到内疚的潜在感染loves.ConclusionsRestrictions对儿童和支持的人及时产前护理和减少有形的支持，年轻的黑人和Birmingham分娩的人在大流行期间的障碍。他们对疫苗的犹豫与不信任有关，担心疫苗在推出之前没有经过足够的测试，以及疫苗可能的副作用，包括病毒感染和妊娠丢失。产科服务提供者需要了解和认识到产科和科学种族主义对与年轻黑人和产科病人的健康沟通的持续影响。
BackgroundThe novel coronavirus 2019 (COVID‐19) pandemic exacerbated existing health inequities in the United States, but no studies have focused on the lived experiences of younger Black birthing people. The goal of this qualitative study was to center the experiences of younger pregnant and birthing Black and Biracial people during the pandemic.MethodsWe recruited 25 Black and Biracial pregnant and birthing people ages 16–23 for individual semi‐structured interviews. Participants were asked about experiences with the healthcare system during the pandemic, and interviews were transcribed verbatim and coded for qualitative analysis using nVivo. We adhered to the Consolidated Criteria for Reporting Qualitative Research guidelines.ResultsParticipants identified pandemic‐related stressors such as fears about infection, lack of support, and pressure to get vaccinated. Reasons for vaccine hesitancy included mistrust in the government and racism experienced during reproductive healthcare. Provider appeals highlighting patient autonomy and science were more effective in encouraging vaccine uptake than emotional appeals that made participants feel guilty about potentially infecting loved ones.ConclusionsRestrictions on children and support people created barriers to timely prenatal care and reduced tangible support for young Black and Biracial birthing people during the pandemic. Their vaccine hesitancy was related to mistrust, concerns that the vaccines had not been tested enough prior to roll‐out, and possible side effects of the vaccine including infection with the virus and pregnancy loss. Obstetric providers need to understand and recognize the ongoing impact of obstetric and scientific racism on health communication with younger Black and Biracial patients.