The COVID-19 and Influenza "Twindemic": Barriers to Influenza Vaccination and Potential Acceptance of SARS-CoV2 Vaccination in African Americans

The COVID-19 and Influenza "Twindemic": Barriers to Influenza Vaccination and Potential Acceptance of SARS-CoV2 Vaccination in African Americans
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DOI:
10.1016/j.jnma.2020.11.001
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发表时间:
2020-12-01
影响因子:
3.3
通讯作者:
Reddy, Tina K.
Reddy, Tina K.
中科院分区:
医学4区
文献类型:
--
作者:
Ferdinand, Keith C.;Nedunchezhian, Saihariharan;Reddy, Tina K.

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流感是一种传染性呼吸道病毒,每年给美国造成重大的健康负担。尽管每年有效的疫苗接种可以保护个人免受流感相关的健康并发症,特别是某些慢性共病,但流感免疫接种中仍然存在持续的种族/民族差异。非裔美国人继续经历两次疫苗接种,这至少部分源于多年来对正统医学的偏见和不信任、安全问题以及获得疫苗的环境障碍。新型呼吸道冠状病毒 SARS-CoV2 会引发新冠肺炎 (COVID-19),在美国引发一场大流行,给非裔美国人和其他弱势群体造成严重的身体、心理和经济损失。这两种呼吸道传播的病毒对黑人社区造成不同的影响,暴露了医疗保健方面持续存在的差异。不幸的是,流感免疫接种接受度不佳会加剧与流感相关的不良健康结果。类似于 COVID-19 大流行造成的困难。考虑到即将到来的流感-COVID-19“双流行”,非洲裔美国人社区必须考虑开展强有力的教育活动、政策举措和新颖的流感免疫方法,以建立对流感疫苗接种对健康益处的信任,并最终信任潜在的 SARS-CoV2 疫苗(当向公众提供时)对健康的益处。
Influenza is a contagious respiratory virus that causes a significant annual health burden in the United States (US). In spite of effective yearly vaccinations to protect individuals against influenza-related health complications, especially with certain chronic co-morbid illnesses, persistent racial/ethnic disparities exist in influenza immunization. African Americans continue to experience tow vaccination uptake, stemming, at least in part, from years of bias in and mistrust of orthodox medicine, safety concerns, and environmental barriers to vaccine access. The novel respiratory coronavirus, SARS-CoV2, causes COVID-19, leading to a pandemic that in the U.S. has exerted severe physical, psychological, and economic tolls on the African Americans and other disadvantaged communities. These two respiratory-borne virus' cause disparate effects in the black community, unmasking persistent disparities in healthcare. Unfortunately, suboptimal influenza immunization acceptance exacerbates flu-related adverse health outcomes. similar to difficulties from the effects of the COVID-19 pandemic. In consideration of the impending influenza-COVID-19 "twindemic", robust educational campaigns, policy initiatives, and novel approaches to influenza immunization must be considered for the African American community to build trust in the health benefits of the influenza vaccination and, ultimately, to trust in the health benefits of potential SARS-CoV2 vaccines, when available for the general public.