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Trustworthiness, Not Trust: How Systemic Racism Impacts COVID-19 Vaccine Receipt
Monique Jindal1, Miao Jenny Hua2, Madison Hartstein3
1Department of Medicine, University of Illinois Chicago, Chicago, Illinois, USA.
Abstract:
To illuminate the forces of structural racism influencing COVID-19 vaccine receipt, we developed a conceptual model that recontextualizes trust and presents potential pathways to address structural racism. Our model emerged from Chicagoland CEAL, a partnership of community and academic experts collaborating to encourage COVID-19 vaccine uptake for communities of color. We concluded that systemic factors influenced by racism contribute to an overall lack of trustworthiness in vaccine-affiliated institutions. We highlight the need to recenter discussions of COVID-19 vaccination on our system's trustworthiness rather than mistrust and suggest using the model to test pathways to close racial gaps in COVID-19 vaccination.
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