Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development
Background: Black/African Americans are receiving COVID-19 vaccines at much lower rates than whites. However, research is still evolving that explains why these vaccination rates are lower. The aim of this study was to examine the effects of the pandemic among older Black/African Americans, with an...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | SSM: Qualitative Research in Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321523000148 |
| _version_ | 1797790822079397888 |
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| author | Orlando O. Harris Tam E. Perry Julene K. Johnson Peter Lichtenberg Tangy Washington Bonita Kitt Michael Shaw Sahru Keiser Thi Tran Leah Vest Marsha Maloof Elena Portacolone |
| author_facet | Orlando O. Harris Tam E. Perry Julene K. Johnson Peter Lichtenberg Tangy Washington Bonita Kitt Michael Shaw Sahru Keiser Thi Tran Leah Vest Marsha Maloof Elena Portacolone |
| author_sort | Orlando O. Harris |
| collection | DOAJ |
| description | Background: Black/African Americans are receiving COVID-19 vaccines at much lower rates than whites. However, research is still evolving that explains why these vaccination rates are lower. The aim of this study was to examine the effects of the pandemic among older Black/African Americans, with an emphasis on trust and vaccine intention prior to vaccine development. Methods: Data were collected between July and September 2020 from 8 virtual focus groups in Detroit, MI and San Francisco Bay Area, CA with 33 older African Americans and 11 caregivers of older African Americans with cognitive impairment, supplemented by one virtual meeting with the project's Community Advisory Board. Inductive/deductive content analysis was used to identify themes. Results: Five major themes influenced the intention to be vaccinated: uncertainty, systemic abandonment, decrease in trust, resistance to vaccines, and opportunities for vaccination. The last theme, opportunities for vaccination, emerged as a result of interaction with our CAB while collecting project data after the vaccines were available which provided additional insights about potential opportunities that would promote the uptake of COVID-19 vaccination among older Black/African Americans. The results also include application of the themes to a multi-layer framework for understanding precarity and the development of an Integrated Logic Model for a Public Health Crisis. Conclusions: These findings suggest that trust and culturally relevant information need to be addressed immediately to accelerate vaccine uptake among older Black/African Americans. New initiatives are needed to foster trust and address systemic abandonment from all institutions. In addition, culturally relevant public health campaigns about vaccine uptake are needed. Thus, systemic issues need immediate attention to reduce health disparities associated with COVID-19. |
| first_indexed | 2024-03-13T02:10:00Z |
| format | Article |
| id | doaj.art-525b3bbe67f548f38c1bcc54ec2e9469 |
| institution | Directory Open Access Journal |
| issn | 2667-3215 |
| language | English |
| last_indexed | 2024-03-13T02:10:00Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj.art-525b3bbe67f548f38c1bcc54ec2e94692023-07-01T04:36:00ZengElsevierSSM: Qualitative Research in Health2667-32152023-06-013100230Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine developmentOrlando O. Harris0Tam E. Perry1Julene K. Johnson2Peter Lichtenberg3Tangy Washington4Bonita Kitt5Michael Shaw6Sahru Keiser7Thi Tran8Leah Vest9Marsha Maloof10Elena Portacolone11Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, CA, USA; Corresponding author. University of California, School of Nursing, Department of Community Health Systems, 2 Koret Way, N 531E, Box 0608, San Francisco, CA, 94143, USA.School of Social Work, Wayne State University, Detroit, MI, USAInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USAInstitute of Gerontology and Merrill Palmer Skillman Institute, Wayne State University, Detroit, MI, USACommunity Advisory Board, USACommunity Advisory Board, USACommunity Advisory Board, USA; Alameda County Public Health Department, Urban Male Health Initiative, USAInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USAInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USAInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USAMaloof & Associates, San Francisco, CA, USAInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA; Philip Lee Institute of Health Policy, University of California, San Francisco, San Francisco, CA, USABackground: Black/African Americans are receiving COVID-19 vaccines at much lower rates than whites. However, research is still evolving that explains why these vaccination rates are lower. The aim of this study was to examine the effects of the pandemic among older Black/African Americans, with an emphasis on trust and vaccine intention prior to vaccine development. Methods: Data were collected between July and September 2020 from 8 virtual focus groups in Detroit, MI and San Francisco Bay Area, CA with 33 older African Americans and 11 caregivers of older African Americans with cognitive impairment, supplemented by one virtual meeting with the project's Community Advisory Board. Inductive/deductive content analysis was used to identify themes. Results: Five major themes influenced the intention to be vaccinated: uncertainty, systemic abandonment, decrease in trust, resistance to vaccines, and opportunities for vaccination. The last theme, opportunities for vaccination, emerged as a result of interaction with our CAB while collecting project data after the vaccines were available which provided additional insights about potential opportunities that would promote the uptake of COVID-19 vaccination among older Black/African Americans. The results also include application of the themes to a multi-layer framework for understanding precarity and the development of an Integrated Logic Model for a Public Health Crisis. Conclusions: These findings suggest that trust and culturally relevant information need to be addressed immediately to accelerate vaccine uptake among older Black/African Americans. New initiatives are needed to foster trust and address systemic abandonment from all institutions. In addition, culturally relevant public health campaigns about vaccine uptake are needed. Thus, systemic issues need immediate attention to reduce health disparities associated with COVID-19.http://www.sciencedirect.com/science/article/pii/S2667321523000148 |
| spellingShingle | Orlando O. Harris Tam E. Perry Julene K. Johnson Peter Lichtenberg Tangy Washington Bonita Kitt Michael Shaw Sahru Keiser Thi Tran Leah Vest Marsha Maloof Elena Portacolone Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development SSM: Qualitative Research in Health |
| title | Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development |
| title_full | Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development |
| title_fullStr | Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development |
| title_full_unstemmed | Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development |
| title_short | Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development |
| title_sort | understanding the concept of trust and other factors related to covid 19 vaccine intentions among black african american older adults prior to vaccine development |
| url | http://www.sciencedirect.com/science/article/pii/S2667321523000148 |
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