"黑人不是单一的":COVID-19疫苗决策中的复杂性
Megan Wu1, John Havlik2, Kristin Reese3
1Yale College, New Haven, CT, USA.
Journal of racial and ethnic health disparities
|February 14, 2024
概括
黑人父母对COVID-19疫苗接种表达了不同的感受,原因是不信任和恐惧,受到系统种族主义的影响. 了解这些观点对于黑人社区有效的疫苗咨询至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学伦理 医学伦理
背景情况:
- 由于长期存在的不平等,COVID-19不成比例地影响了黑人美国人.
- 黑人群体中COVID-19疫苗接种率较低与医疗不信任有关.
研究的目的:
- 探索黑人家长对COVID-19大流行和疫苗接种的看法.
- 了解影响自己和孩子接种COVID-19疫苗的因素.
- 评估黑人社区对医疗系统的信任.
主要方法:
- 使用深度,半结构面试的定性方法.
- 有根据的理论方法和恒定的比较方法.
- 在高等学术医疗中心对20名黑人家长进行了采访.
主要成果:
- 五个主题出现了:对疫苗决策的混合感受,健康问题和任务的影响,风险感知影响接收,系统性种族主义加剧机构不信任,以及对儿童疫苗接种的矛盾感受.
- 在接受采访的家长中,有50%接种了COVID-19疫苗.
- 关键的决策因素包括缓解,不确定性,恐惧,不信任和感知到疫苗完整性.
结论:
- 黑人家庭的疫苗决策是复杂的,受到机构不信任的影响.
- 解决系统性种族主义和建立信任对于有效的COVID-19疫苗咨询至关重要.
- 调查结果突出了对公共卫生干预措施的文化敏感方法的需要.
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