The Influence of Racism in Healthcare: COVID-19 Vaccine Hesitancy Among Black Mothers in Chicago.
The Influence of Racism in Healthcare: COVID-19 Vaccine Hesitancy Among Black Mothers in Chicago.
复制标题
种族主义对医疗保健的影响：芝加哥黑人母亲对 COVID-19 疫苗的犹豫。
DOI：
10.1007/s40615-023-01708-0
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发表时间：
2023
影响因子：
3.9
通讯作者：
Quinn,KatherineG
中科院分区：
文献类型：
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作者：
Harris,Melissa;Sherrod,Darielle;Walsh,JenniferL;Hunt,BijouR;Jacobs,Jacquelyn;Valencia,Jesus;Baumer-Mouradian,Shannon;Quinn,KatherineG
在美国，黑人母亲和儿童的健康状况存在显著差异。这些健康差距部分归因于医疗保健中的种族主义。这项研究旨在探讨黑人母亲所经历的医疗歧视和虐待的经历如何影响他们自己和家人对COVID-19疫苗的信念和决策。从2021年4月到2021年11月，我们对芝加哥居民进行了50次半结构化访谈。10名参与者自认为是女性，并报告有孩子;这些数据是从更大的样本中提取的，用于数据分析。访谈内容包括对COVID-19疫苗的看法和经历，以及医疗歧视、虐待和医疗不信任的经历。访谈记录逐字转录，并使用MAXQDA 2022定性软件编码。使用基于团队的主题分析确定主题，以了解医疗保健中的种族主义经历如何影响COVID-19疫苗决策。从数据中产生了四个主题：（1）医疗歧视和虐待的经历，（2）对实验的不信任和恐惧，（3）歧视和不信任对COVID-19疫苗决策的影响，以及（4）克服疫苗犹豫。这项研究的结果突出了当前的文献;黑人母亲在寻求照顾自己和孩子时，在医疗保健方面经历了种族主义和歧视。从他们的故事中可以明显看出，医疗种族主义和历史上的医疗滥用影响了疫苗决策。因此，医疗保健和公共卫生倡议应该是有意解决过去和现在的种族主义在医疗保健，以改善疫苗的不信任。
Black mothers and children experience significant health disparities in the USA. These health disparities have been attributed, in part, to experiencing racism in healthcare. This study aimed to explore how experiences of healthcare discrimination and mistreatment experienced by Black mothers may influence COVID-19 vaccine beliefs and decision-making for themselves and their families. From April 2021 to November 2021, we conducted 50 semi-structured interviews among Chicago residents. Ten participants self-identified as female and with reported children; these data were extracted from the larger sample for data analysis. Interview content included perceptions and experiences with the COVID-19 vaccine and experiences with healthcare discrimination, mistreatment, and medical mistrust. Interview transcripts were transcribed verbatim and coded using the MAXQDA 2022 qualitative software. Themes were identified using a team-based thematic analysis to understand how experiences of racism in healthcare may influence COVID-19 vaccine decision-making. Four themes were generated from the data: (1) experiences of healthcare discrimination and mistreatment, (2) distrust and fears of experimentation, (3) the influence of discrimination and distrust on COVID-19 vaccine decision-making, and (4) overcoming vaccine hesitancy. The results of this study highlight the current literature; Black mothers experience racism and discrimination in healthcare when seeking care for themselves and their children. It is evident in their stories that medical racism and historical medical abuse influence vaccine decision-making. Therefore, healthcare and public health initiatives should be intentional in addressing past and present racism in healthcare to improve vaccine distrust.