Targeting COVID-19 Vaccine Hesitancy in Minority Populations in the US: Implications for Herd Immunity.

Targeting COVID-19 Vaccine Hesitancy in Minority Populations in the US: Implications for Herd Immunity.
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DOI:
10.3390/vaccines9050489
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发表时间:
2021-05-11
期刊:
影响因子:
7.8
通讯作者:
Alcendor DJ
Alcendor DJ
中科院分区:
医学3区
文献类型:
--
作者:
Hildreth JEK;Alcendor DJ

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少数族裔在医疗保健研究和疫苗试验中的代表性持续不足,加上长期存在的系统性种族主义和歧视,数十年来加剧了这些社区对医疗保健系统的不信任。种族不公正的历史和遗留问题以及文化不敏感的医疗保健系统中的负面经历极大地导致了少数族裔对疫苗的犹豫。对 COVID-19 疫苗的犹豫将影响美国的疫苗接种情况,从而阻碍建立群体免疫(75-85% 的人口接种疫苗)以减轻 SARS-CoV-2 感染和传播。缺乏以文化上适当的方式针对美国服务不足的种族/族裔少数群体的信息。这些信息对于向这些社区进行有关 COVID-19 疫苗及其分发的教育以及消除有关疫苗试验、安全性和有效性的错误信息至关重要。教育的缺乏极大地导致了人们对 COVID-19 疫苗的犹豫不决,并将扩大疫苗接种的差异。此外,及时接种疫苗对于减少病毒传播和 SARS-CoV-2 变体的出现也至关重要,这些变体可能会逃避现有三种 COVID-19 疫苗产生的免疫反应。
There has been a continuous underrepresentation of minorities in healthcare research and vaccine trials, along with long-standing systemic racism and discrimination that have been fueling the distrust of the healthcare system among these communities for decades. The history and legacy of racial injustices and negative experiences within a culturally insensitive healthcare system have greatly contributed to vaccine hesitancy among ethnic minorities. COVID-19 vaccine hesitancy will impact vaccine uptake in the US, subsequently hindering the establishment of herd immunity (75–85% of the population vaccinated) to mitigate SARS-CoV-2 infection and transmission. Information targeting underserved racial/ethnic minorities in the US in a culturally competent manner has been lacking. This information is crucial for educating these communities about COVID-19 vaccines and their distribution as well as dispelling misinformation regarding vaccine trials, safety, and efficacy. This lack of education has greatly contributed to COVID-19 vaccine hesitancy and will increase disparities in vaccine uptake. Moreover, timely vaccinations are also essential to curtailing virus transmission and the emergence of SARS-CoV-2 variants that may evade the immune response produced by the three existing COVID-19 vaccines.
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