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Civic Learning, Science, and Structural Racism.

Kiameesha R Evans, Michael K Gusmano

    The Hastings Center Report
    |February 25, 2021
    PubMed
    Summary

    Addressing vaccine hesitancy requires more than facts. We must tackle systemic racial discrimination to build trust in healthcare, especially for Black male adolescents and HPV vaccine acceptance.

    Area of Science:

    • Public Health
    • Sociology
    • Health Disparities

    Background:

    • Vaccine hesitancy presents a significant public health challenge.
    • Racial disparities in vaccine acceptance are a critical concern.
    • Low human papillomavirus (HPV) vaccination rates among Black male adolescents are particularly notable.

    Purpose of the Study:

    • To explore the reasons behind low HPV vaccination rates in Black male adolescents.
    • To understand the impact of racial discrimination on vaccine acceptance.
    • To propose strategies for increasing vaccine uptake in marginalized communities.

    Main Methods:

    • Qualitative research utilizing interviews with mothers of Black male adolescents.
    • Analysis of perspectives on vaccine hesitancy and trust in healthcare.
    Keywords:
    HPVcivic learningstructural racismtrustvaccine hesitancy

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    Main Results:

    • Providing more information (facts) alone is insufficient to increase vaccine acceptance.
    • Pervasive racial discrimination erodes trust in social institutions, including healthcare.
    • Lack of trust is a significant barrier to HPV and other vaccine uptake.

    Conclusions:

    • Addressing vaccine hesitancy necessitates tackling structural racism.
    • Increasing the number of clinicians of color may offer short-term benefits.
    • Fundamental policy changes are required to dismantle structural racism and foster trust.