カリフォルニア州アラメダ郡の黒人女性のワクチン接種選択における"信頼"の複雑さ
Megan Comfort1, Rania Ali1, Jennifer Lorvick1
1RTI International, Research Triangle Park, NC, USA.
Critical public health
|August 29, 2025
まとめ
黒人女性のCOVID-19ワクチンの決定は,信頼以上のものによって形作られています. 医療における人種差別や 慢性疾患や家族などの要因が 選択に影響を与え 複雑な意思決定の過程を強調しています
科学分野:
- 公衆衛生
- 社会学
- 健康に関する公平性
背景:
- COVID-19のワクチン接種に関する会話では,しばしば少数民族の間で"不信感"を挙げています.
- ウィルソン (2021) は,この枠組みを批判し,黒人の合理的な意思決定を無視していると主張している.
- 黒人女性の健康選択に影響を与える要因を より深く理解する必要がある.
研究 の 目的:
- 黒人女性のCOVID-19ワクチン接種決定を形作る多面的な要因を探求する.
- ワクチンの躊躇性を説明するには"信頼"だけでは不十分という議論を 経験的に裏付けるために
- 医療介入に関する黒人女性の複雑な考え方に 洞察を与えるためです
主な方法:
- 20件の深入インタビューを用いた定性研究
- カリフォルニア州アラメダ郡の 黒人女性から採取したものです
- インタビューは2022年3月から4月にかけて行われた.
主要な成果:
- "信頼"は黒人女性の意思決定を過度に単純化していることを示しています.
- ワクチンを評価する際,参加者は系統的な人種差別,医療経験,慢性疾患,家族を考慮した.
- 情報は様々な情報源から得られ 個人的な関連性や 地域社会の関連性から 精査されました
結論:
- 黒人女性の健康選択の複雑さを捉えることができない.
- 社会構造的要因は,COVID-19ワクチン接種に関する認識と決定に大きく影響します.
- これらの複雑な要因を認識することは 効果的な公衆衛生のコミュニケーションと介入に不可欠です
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