Understanding Drivers of Coronavirus Disease 2019 Vaccine Hesitancy Among Blacks.
Understanding Drivers of Coronavirus Disease 2019 Vaccine Hesitancy Among Blacks.
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DOI：
10.1093/cid/ciab102
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发表时间：
2021-11-16
期刊：
影响因子：
--
通讯作者：
Jemmott J
中科院分区：
文献类型：
--
作者：
Momplaisir F;Haynes N;Nkwihoreze H;Nelson M;Werner RM;Jemmott J
2019 年冠状病毒病 (COVID-19) 对有色人种社区的影响尤为严重，其中黑人的疾病严重程度和死亡率最高。针对严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 的疫苗有可能缩小与 COVID-19 的种族死亡率差距；然而，黑人社区对疫苗的犹豫不决威胁到了疫苗的使用。我们对居住在 COVID-19 流行率较高的邮政编码地区的黑人理发店和沙龙老板进行了焦点小组讨论，以评估他们对 COVID-19 疫苗的态度、信念和规范。我们使用修改后的扎根理论方法来分析成绩单。我们于 2020 年 7 月和 8 月完成了 4 个焦点小组（N = 24 名参与者）。参与者的平均年龄为 46 岁，其中 89% 是非西班牙裔黑人。由于对医疗机构的不信任、对疫苗开发时间加快的担忧、短期和长期副作用的数据有限以及助长种族不公正的政治环境，人们对 COVID-19 疫苗的犹豫度很高。一旦安全性可靠且令人放心，一些参与者愿意考虑该疫苗。从值得信赖的医疗保健提供者那里获得接种疫苗的建议起到了促进作用。所确定的健康信念与对其他疫苗的担忧类似，包括担心通过疫苗接种而感染，以及更愿意通过替代疗法改善个人的基本身体健康状况。我们发现，人们对接种 COVID-19 疫苗犹豫不决；然而，提供商的建议和安全状况的透明度可能有助于减少这种犹豫。在焦点小组讨论中，黑人参与者对 COVID-19 疫苗的犹豫度很高，因为他们普遍对疫苗抱有健康观念，再加上大流行期间对疫苗开发的怀疑以及助长种族不公正的政治环境。
Coronavirus disease 2019 (COVID-19) has disproportionately affected communities of color, with black persons experiencing the highest rates of disease severity and mortality. A vaccine against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has the potential to reduce the race mortality gap from COVID-19; however, hesitancy toward the vaccine in the black community threatens vaccine uptake. We conducted focus groups with black barbershop and salon owners living in zip codes of elevated COVID-19 prevalence to assess their attitudes, beliefs, and norms around a COVID-19 vaccine. We used a modified grounded theory approach to analyze the transcripts. We completed 4 focus groups (N = 24 participants) in July and August 2020. Participants were an average age of 46 years, and 89% were black non-Hispanic. Hesitancy against the COVID-19 vaccine was high due to mistrust in the medical establishment, concerns with the accelerated timeline for vaccine development, limited data on short- and long-term side effects, and the political environment promoting racial injustice. Some participants were willing to consider the vaccine once the safety profile is robust and reassuring. Receiving a recommendation to take the vaccine from a trusted healthcare provider served as a facilitator. Health beliefs identified were similar to concerns around other vaccines and included the fear of getting the infection with vaccination and preferring to improve one’s baseline physical health through alternative therapies. We found that hesitancy of receiving the COVID-19 vaccine was high; however, provider recommendation and transparency around the safety profile might help reduce this hesitancy. In focus group discussions, hesitancy of a COVID-19 vaccine was high among black participants due to health beliefs against vaccines in general, compounded by skepticism of vaccine development during the pandemic and the political environment fostering racial injustice.
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影响因子：
9
作者：
Head KJ;Kasting ML;Sturm LA;Hartsock JA;Zimet GD
通讯作者：
Zimet GD
DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
13.8
作者：
Kreps S;Prasad S;Brownstein JS;Hswen Y;Garibaldi BT;Zhang B;Kriner DL
通讯作者：
Kriner DL
影响因子：
2.3
作者：
Chun Tie, Ylona;Birks, Melanie;Francis, Karen
通讯作者：
Francis, Karen