信任和可靠性:在芝加哥大都会地区接受COVID-19疫苗的考虑因素
Jessica Bishop-Royse1, Melissa Gutierrez-Kapheim2, Abigail Silva3
1Department of Adult Health and Gerontological Nursing, Rush University College of Nursing, Chicago, USA. jessica_c_bishop-royse@rush.edu.
Journal of community health
|December 16, 2024
概括
结构性种族主义和歧视对芝加哥的COVID-19疫苗接种影响很小. 对政府和医生的信任对黑人和西班牙裔人口的影响更大.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康 公平 卫生 公平
背景情况:
- 由于系统性不公正,黑人美国人不成比例地经历了COVID-19死亡率.
- 公共卫生研究往往忽略了结构性决定因素,而是专注于个人对疫苗的信任.
- 结构性种族主义和歧视对接种疫苗接受的影响仍未得到充分研究.
研究的目的:
- 检查结构性种族主义,歧视和与COVID-19疫苗接受有关的信任之间的关联.
- 调查这些因素如何影响芝加哥大都会地区黑人和西班牙裔人口接种疫苗和初级系列完成.
主要方法:
- 利用来自芝加哥大都会地区的调查数据.
- 使用多变量逻辑回归来分析关联.
- 评估了两种疫苗接受度指标:任何疫苗的自我报告接收和初级系列的完成.
主要成果:
- 对联邦政府的信任与更高的疫苗接种率和初级系列完成率有关.
- 对医生的不信任减少了NH黑人和西班牙裔参与者接种疫苗的几率.
- 教育影响了任何接种疫苗,而就业与初级系列完成有关.
- 在这个样本中,结构性种族主义和歧视措施对疫苗接种的影响很小.
结论:
- 对政府和医疗机构的信任在COVID-19疫苗接受方面发挥着重要作用.
- 虽然结构因素对健康差异至关重要,但它们对接种疫苗的直接影响可能不如个人对疫苗的信心那么明显.
- 需要进一步的研究才能充分理解系统因素和疫苗行为之间的复杂相互作用.
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