COVID-19 vaccine hesitancy and racial discrimination among US adults.
COVID-19 vaccine hesitancy and racial discrimination among US adults.
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DOI：
10.1016/j.pmedr.2022.102074
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发表时间：
2023-02
影响因子：
2.8
通讯作者：
McElfish, Pearl A.
中科院分区：
文献类型：
--
作者：
Willis, Don E.;Montgomery, Brooke E. E.;Selig, James P.;Andersen, Jennifer A.;Shah, Sumit K.;Li, Ji;Reece, Sharon;Alik, Derek;McElfish, Pearl A.
在线调查数据收集自美国成年人（N = 2，022）。年轻人、女性和黑人受访者对COVID-19疫苗犹豫不决的可能性更大。独立派和共和党人对COVID-19疫苗犹豫不决的几率更大。随着种族歧视的经历，COVID-19疫苗犹豫的几率增加。增加疫苗接种模式中的社会进程应包括种族主义。接种疫苗是降低COVID-19健康风险的关键预防措施。我们利用全信息最大似然（FIML）逻辑回归分析了美国（US）成年人（N = 2，022）全国样本中的COVID-19疫苗犹豫。在线调查数据于2021年9月7日至10月3日期间收集。加权前，样本的种族组成如下：亚裔美国人（15.0%）、黑人/非裔美国人（20.0%）、西班牙裔/拉丁裔（20.0%）、美洲印第安人或阿拉斯加原住民（12.6%）、夏威夷原住民或太平洋岛民（12.5%）和白色人（20.0%）。根据增加疫苗接种模型（IVM），我们评估了COVID-19疫苗犹豫与种族歧视经历之间的关系（Krieger的9项指标）。对于大多数年轻年龄组，女性，COVID-19疫苗犹豫的几率更大（OR = 1.96; 95% CI[1.54，2.49]），黑人/非裔美国受访者（OR = 1.68; 95% CI[1.18，2.39]），高中及以下学历者（OR = 1.46; 95% CI[1.08，1.98]），独立（OR = 1.77; 95% CI[1.34，2.35]）或共和党政治派别（OR = 2.69; 95% CI[1.92，3.79]）和既往COVID-19感染（OR = 1.78; 95% CI[1.29，2.45]）。种族歧视的终生经历每增加一个单位，COVID-19疫苗犹豫的几率就增加1.04（95% CI[1.02，1.05]）。亚裔美国人受访者的COVID-19疫苗犹豫几率较低（OR = 0.682; 95% CI[0.480，0.969]），有初级保健医生的受访者COVID-19疫苗犹豫几率降低（OR = 0.735; 95% CI[0.542，0.998]）。我们的主要发现为美国成年人种族歧视经历与对COVID-19疫苗犹豫不决之间的联系提供了支持。我们讨论了公共卫生官员和未来的研究的影响。
Online survey data was collected from US adults (N = 2,022). COVID-19 vaccine hesitancy odds greater for younger, women, & Black respondents. COVID-19 vaccine hesitancy odds greater among Independent and Republican affiliation. COVID-19 vaccine hesitancy odds increased with experiences of racial discrimination. Social processes in the Increasing Vaccination Model should include racism. Vaccination is a critical preventive measure to reduce COVID-19 health risks. We utilize full information maximum likelihood (FIML) logistic regression to analyze COVID-19 vaccine hesitancy in a national sample of United States (US) adults (N = 2,022). Online survey data was collected between September 7th and October 3rd, 2021. Before weighting, the racial composition of the sample was as follows: Asian American (15.0 %), Black/African American (20.0 %), Hispanic/Latino (20.0 %), American Indian or Alaska Native (12.6 %), Native Hawaiian or Pacific Islander (12.5 %), and White (20.0 %). Informed by the Increasing Vaccination Model (IVM), we assessed the relationship between COVID-19 vaccine hesitancy and experiences of racial discrimination (Krieger’s 9-item measure). Odds of COVID-19 vaccine hesitancy were greater for most younger age groups, women (OR = 1.96; 95 % CI[1.54, 2.49]), Black/African American respondents (OR = 1.68; 95 % CI[1.18, 2.39]), those with a high school education or less (OR = 1.46; 95 % CI[1.08, 1.98]), Independent (OR = 1.77; 95 % CI[1.34, 2.35]) or Republican political affiliation (OR = 2.69; 95 % CI[1.92, 3.79]), and prior COVID-19 infection (OR = 1.78; 95 % CI[1.29, 2.45]). Odds of COVID-19 vaccine hesitancy were 1.04 greater for every-one unit increase in lifetime experiences of racial discrimination (95 % CI[1.02, 1.05]). Odds of COVID-19 vaccine hesitancy were lower for Asian American respondents (OR = 0.682; 95 % CI[0.480, 0.969]), and those who had a primary care doctor had reduced odds of COVID-19 vaccine hesitancy (OR = 0.735; 95 % CI[0.542, 0.998). Our primary finding provides support for a link between experiences of racial discrimination and hesitancy towards a COVID-19 vaccine among US adults. We discuss implications for public health officials and future research.
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影响因子：
4.5
作者：
Cowan, Sarah K.;Mark, Nicholas;Reich, Jennifer A.
通讯作者：
Reich, Jennifer A.
影响因子：
5
作者：
Link, Bruce G.;Garcia, San Juanita
通讯作者：
Garcia, San Juanita
影响因子：
1.5
作者：
Motta, Matthew
通讯作者：
Motta, Matthew
影响因子：
25.4
作者：
Brewer, Noel T.;Chapman, Gretchen B.;Kempe, Allison
通讯作者：
Kempe, Allison
DOI：
10.1073/pnas.2107873118
发表时间：
2021-08-17
影响因子：
11.1
作者：
Agarwal R;Dugas M;Ramaprasad J;Luo J;Li G;Gao GG
通讯作者：
Gao GG