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COVID-19 Perceptions Among North Carolina Native Americans: Using a Qualitative Approach.
Xinyan Shi1, SiAhn Mehng2, Alice Kay Locklear3
1Department of Economics, Marketing, Entrepreneurship, and Analytics, University of North Carolina at Pembroke.
North Carolina Medical Journal
|October 7, 2024
Summary
Native Americans showed strong support for COVID-19 precautions but mixed views on testing and vaccination. Distrust in government and unreliable information hindered efforts, highlighting needs for improved public health infrastructure.
Area of Science:
- Public Health
- Indigenous Health
- Health Disparities
Background:
- COVID-19 exacerbated health and economic disparities in Native American communities.
- Limited data exists on Indigenous populations' COVID-19 experiences.
- The Building Resilience And Vital Equity (BRAVE) project aims to address these gaps.
Purpose of the Study:
- Understand Indigenous perceptions, attitudes, and behaviors regarding COVID-19.
- Design and implement culturally sensitive interventions.
- Increase COVID-19 testing and vaccination rates in Native American communities.
Main Methods:
- Conducted open-ended, semi-structured interviews with 26 Native Americans.
- Explored perceptions of COVID-19, support needs, information sources, trust, communication, and elder protection.
Main Results:
- High support for mask-wearing, hand sanitizing, and social distancing.
- Mixed perceptions regarding COVID-19 testing and vaccination decisions.
- Identified lack of reliable information and government distrust as key themes.
Conclusions:
- Findings underscore the need for enhanced public health information infrastructure.
- Results explain the intensified impact of COVID-19 on Indigenous communities.
- Provides guidance for designing effective community intervention programs for testing and vaccination.
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