Breaking down the monolith: Understanding flu vaccine uptake among African Americans
Breaking down the monolith: Understanding flu vaccine uptake among African Americans
复制标题
DOI：
10.1016/j.ssmph.2017.11.003
复制
发表时间：
2018-04-01
影响因子：
4.7
通讯作者：
Musa, Donald
中科院分区：
文献类型：
--
作者：
Quinn, Sandra Crouse;Jamison, Amelia;Musa, Donald
与白人相比，黑人成年人接受季节性流感免疫接种的可能性要小得多。这种持续的差异导致非裔美国人人群中流感相关的发病率和死亡率增加。大多数关于疫苗差异的奖学金都比较了白人和黑人。采用公共卫生关键种族实践，本研究旨在转移重点，探讨黑人人口内的差异。利用2015年对美国黑人成年人（n = 806）的全国代表性调查，我们探讨了性别，年龄，收入和教育在疫苗相关措施中的差异（例如，感知风险、知识、态度）和种族因素（例如种族显著性、种族公平、感知歧视）。我们还探索了过去五年中每年接种疫苗，大多数年份但不是全部，一次或两次以及从未接种疫苗的人的疫苗行为差异。流感疫苗接种频率越高，自我报告的疫苗知识越好，疫苗态度越积极，对流感疫苗和疫苗接种过程的信任度越高，感知疾病风险越高，疫苗副作用的感知风险越低，主观和道德规范越强，一般疫苗犹豫越低，对流感疫苗的信心越高，感知障碍越低。逻辑回归结果突出了各组之间的其他显著差异，强调了提高疫苗接种率的目标领域。我们发现黑人社区在流感免疫决策方面存在很大的多样性，这凸显了在未来研究中“打破单一”的必要性。
Black adults are significantly less likely to be immunized for seasonal influenza when compared to Whites. This persistent disparity contributes to increased influenza-related morbidity and mortality in the African American population. Most scholarship on vaccine disparities has compared Whites and Blacks. Employing Public Health Critical Race Praxis, this study seeks to shift the focus to explore differences within the Black population. Utilizing a nationally-representative 2015 survey of US Black adults (n = 806), we explore differences by gender, age, income, and education across vaccine-related measures (e.g., perceived risk, knowledge, attitudes) and racial factors (e.g. racial salience, racial fairness, perceived discrimination). We also explore differences by vaccine behavior in the past five years among those who vaccinate every year, most years but not all, once or twice, and never. Greater frequency of flu vaccine uptake was associated with better self-reported vaccine knowledge, more positive vaccine attitudes, more trust in the flu vaccine and the vaccine process, higher perceived disease risk, lower perceived risk of vaccine side effects, stronger subjective and moral norms, lower general vaccine hesitancy, higher confidence in the flu vaccine, and lower perceived barriers. Logistic regression results highlighted other significant differences among the groups, emphasizing areas to target for improved vaccination rates. We find great diversity within the Black community related to influenza immunization decisions, highlighting the need to "break down the monolith" in future research.