Uncovering and Addressing Cultural Beliefs Behind Vaccine Racial Disparities

常规免疫接种和公共卫生紧急情况下的免疫接种持续存在差异，例如黑人和白人成年人之间关于疫苗可预防疾病的H1N1大流行。研究已经确定了造成这种差异的许多因素，但并不能完全解释这一差异。需要进一步的研究来了解影响疫苗行为的态度、文化信仰和其他心理社会因素。我们将确定影响免疫差异的新因素，并测试新的沟通内容在接种疫苗意向方面的有效性。方法包括：1)焦点小组和信念诱导访谈，以揭示心理社会因素和文化变量；2)构建新的量化项目，并对这些项目进行认知访谈；3)对200名黑人和白人进行全国先导性调查，以验证工具的有效性；4)对1600名黑人和白人进行具有全国代表性的调查；5)将结果转化为沟通成分；以及6)对200名黑人成年人测试这些成分。

Persistent disparities exist in routine immunizations and immunizations in a public health emergency such as the H1N1 pandemic between Black and White adults for vaccine preventable diseases. Research has identified numerous factors that contribute to but do not account fully for the disparities. Further research is needed to understand attitudes, cultural beliefs, and other psychosocial factors that influence vaccine behavior. We will identify new factors affecting immunization disparities and test the effectiveness of new communication components on intent to get a vaccine. Methods include: 1) focus groups and belief elicitation interviews to uncover psychosocial factors and cultural variables; 2) construction of new quantitative items and cognitive interviews assessing those items; 3) a national pilot survey with 200 Blacks and Whites to validate the instrument; 4) a nationally representative survey of 1600 Blacks and Whites; 5) translation of results into communication components; and 6) testing those components with 200 Black adults.