The Past Is so Present: Understanding COVID-19 Vaccine Hesitancy Among African American Adults Using Qualitative Data.
The Past Is so Present: Understanding COVID-19 Vaccine Hesitancy Among African American Adults Using Qualitative Data.
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过去如此现在：使用定性数据了解非裔美国成年人对 COVID-19 疫苗的犹豫。
DOI：
10.1007/s40615-022-01236-3
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发表时间：
2023-03
影响因子：
3.9
通讯作者：
Harvey IS
中科院分区：
文献类型：
--
作者：
Majee W;Anakwe A;Onyeaka K;Harvey IS
非裔美国人受到健康的结构性和社会决定因素的影响尤为严重，导致他们暴露于COVID-19并因此死亡的风险更大。健康的结构和社会决定因素助长了对疫苗的犹豫，并加剧了健康差距。本研究旨在探讨项目参与者对疫苗的态度和意图，了解非裔美国人基于信仰的健康项目在COVID-19意识和疫苗接种方面的作用，并为这一根深蒂固的公共卫生问题寻求潜在的解决方案。数据是通过对参与社区健康计划的个人进行的21次深度访谈收集的。对教会领袖、生活方式教练和项目参与者进行了16次电话采访和5次面对面采访。所有访谈录音，逐字转录，并归纳和主题分析，由三位研究人员。“活得美好”（Live Well by Faith， LWBF）是AA社区COVID-19资源的可信信息来源。“信仰活得好”提供的服务包括招募社区成员接种疫苗，协商疫苗供应并促进在AA教堂建立疫苗诊所，以及将社区成员与医疗保健提供者联系起来。尽管“信仰生活得很好”发挥了作用，但VH仍然是一个重要的问题，部分原因是历史上对政府和制药公司在黑人人群中进行不道德的医疗保健研究的不信任。其他因素包括疫苗接种的不确定性（疫苗的安全性、有效性和必要性）、社交媒体的错误信息和政治派别。与会者表示，政府有必要将资源用于解决历史因素和与少数民族建立信任。让信仰和社区领袖参与共同设计的共享和基于文化的干预措施的“信仰生活得好”等资源目标规划有助于恢复和加强对疫苗和政府的信任，并减少对疫苗的犹豫。
African Americans (AAs) are disproportionately affected by structural and social determinants of health, resulting in greater risks of exposure to and deaths from COVID-19. Structural and social determinants of health feed vaccine hesitancy and worsen health disparities. The present study aims to explore vaccine attitudes and intentions among program participants, understand the role of an African American faith-based wellness program in COVID-19 awareness and vaccine uptake, and solicit potential solutions for this deep-rooted public health problem. Data were collected through 21 in-depth interviews among individuals involved within a community-based wellness program. Sixteen phone and five in-person interviews were conducted with church leaders, lifestyle coaches, and program participants. All interviews were audio-recorded, transcribed verbatim, and inductively and thematically analyzed by three researchers. Live Well by Faith (LWBF) acted as a trusted information source for COVID-19 resources for the AA community. Services provided by Live Well by Faith included enrolling community members for vaccines, negotiating vaccine provision to and facilitating the establishment of vaccine clinics at AA churches, and connecting community members to healthcare providers. Despite the role Live Well by Faith played, VH was a significant concern due, in part, to historical mistrust of government and pharmaceutical companies conducting unethical healthcare research among Black populations. Other factors included uncertainty about vaccination (vaccines’ safety, efficacy, and necessity), social media misinformation, and political affiliation. Participants expressed the need for government to commit resources towards addressing historical factors and building trust with minority populations. Resource targeting programs such as Live Well by Faith that engage faith and community leaders in co-designed shared and culturally grounded interventions can help restore and strengthen trust in vaccines and governments and reduce vaccine hesitancy.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
通讯作者：
Webb FJ
影响因子：
5.5
作者：
Jacobi CJ;Vaidyanathan B
通讯作者：
Vaidyanathan B
影响因子：
2.6
作者：
Miko, David;Costache, Carmen;Colosi, Ioana Alina
通讯作者：
Colosi, Ioana Alina
影响因子：
3.9
作者：
Hill, CE;Knox, S;Ladany, N
通讯作者：
Ladany, N
影响因子：
3.9
作者：
Laurencin CT
通讯作者：
Laurencin CT