Uncovering and Addressing Cultural Beliefs Behind Vaccine Racial Disparities

在常规免疫接种和公共卫生紧急情况（如H1N1大流行）中，黑人和白人成年人之间针对疫苗可预防疾病的免疫接种存在持续差异。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种差异。需要进一步研究以了解影响疫苗行为的态度、文化信仰和其他社会心理因素。我们将确定影响免疫差异的新因素，并测试新的宣传内容对接种疫苗意愿的有效性。方法包括：1)焦点小组和信念启发访谈，揭示心理社会因素和文化变量；2)构建新的定量项目和评估这些项目的认知访谈；3)对200名黑人和白人进行全国试点调查，以验证该仪器；4)对1600名黑人和白人进行的全国代表性调查；5)将结果转化为通信组件；6)在200名黑人成年人身上测试这些成分。

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.