Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review.
Confidence and Hesitancy During the Early Roll-out of COVID-19 Vaccines Among Black, Hispanic, and Undocumented Immigrant Communities: a Review.
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DOI：
10.1007/s11524-021-00588-1
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Nelson LE
中科院分区：
文献类型：
--
作者：
McFadden SM;Demeke J;Dada D;Wilton L;Wang M;Vlahov D;Nelson LE
黑人和西班牙裔美国人受到 COVID-19 感染、住院和死亡的打击最严重，但在疫苗推出的头几个月里，他们的疫苗接种率最低。我们对疫苗犹豫的研究主要集中在对疫苗本身及其推出的怀疑。我们的搜索策略使用 PUBMED 和 Google 以及一组规定的定义和搜索术语，原因有两个：在推出初期，同行评审的研究有限，并且迫切需要实时观点。文献检索发生在2021年4月，涵盖2020年9月至2021年4月。分析包括专家意见、调查结果和定性总结。总体而言，对于普通美国人来说，最初存在相当大的犹豫，并且在早期推出期间仍然很高。普通民众对疫苗开发速度（“曲速”）表示担忧，对政府参与疫苗开发的能力充满信心，并对政府普遍不信任。在黑人和西班牙裔美国人中，犹豫进一步表现为对医疗机构的不信任，这与过去和现在的医疗虐待有关。无证移民担心获得保险和可能被驱逐出境。这些关于疫苗推出初期对疫苗信心的结果表明，影响人们是否接种疫苗的决定有多种原因。疫苗接种的其他障碍包括自满和获取。为了确保健康公平，特别是为了解决发病率和死亡率方面的差异，随着 COVID-19 疫苗的推出，需要承认和解决疫苗犹豫的问题，这些观察结果要求有意识地规划，以便在未来的健康危机中及早解决这些问题。
Black and Hispanic Americans have been hardest hit with COVID-19 infections, hospitalizations, and deaths, yet during the first several months of vaccine roll-out they had the lowest level of vaccine uptake. Primarily, our research on vaccine hesitancy focused on skepticism around the vaccine itself and its roll-out. Our search strategy used PUBMED and Google with a prescribed set of definitions and search terms for two reasons: there were limited peer-reviewed studies during early period of roll-out and real-time perspectives were crucially needed. Literature searches occurred in April 2021and covered September 2020-April 2021. Analyses included expert opinion, survey results and qualitative summaries. Overall, for the general U.S. population, there was considerable hesitancy initially that remained high during the early roll-out. The general population expressed concerns over the speed of vaccine development (“warp speed”), confidence in the competence of government being involved in the development of vaccines and general mistrust of government. Among Black and Hispanic Americans, hesitancy was further expressed as mistrust in the medical establishment that was related to past and current medical mistreatment. Undocumented immigrants worried about access to insurance and possible deportation. These results on confidence in the vaccine early during vaccine roll-out suggest diverse reasons that influence a person’s decision to vaccinate or not. Additional barriers to vaccine uptake include complacency and access. To ensure health equity, particularly to address disparities in morbidity and mortality, vaccine hesitancy needs to be acknowledged and addressed as COVID-19 vaccine roll-out continues, and these observations calls for conscious planning to address these issues early with future health crises.
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DOI：
10.1007/s10730-021-09440-0
发表时间：
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期刊：
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影响因子：
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作者：
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DOI：
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发表时间：
2010-07-19
期刊：
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影响因子：
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