COVID- 19 Vaccination: Potential Challenges and Reforms

Kirksey, Lee; Sorour, Ahmed A.; Modlin, Charles S.

doi:10.1016/j.jnma.2021.01.001

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Compared to those who had moderate to very much trust in public health agencies that recommended the COVID-19 vaccination, those who had little or no trust at all were significantly less likely to have received the COVID-19 vaccine. Trust in the information provided by public health agencies that recommend the COVID-19 vaccination among African Americans is deeply intertwined with personal experiences, observations, and social representations over time [ 42 ]. According to results of a national survey conducted by SteelFisher and colleagues, individuals with lower levels of trust in the CDC and public health departments largely attributed their lack of trust to “political influence on recommendation and policies” and “have given too many conflicting recommendations” [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina

Lloyd

Foy

Caban‐Holt

et al. 2023

J. Racial and Ethnic Health Disparities

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Background Mistrust of the government and medical establishments are prominent reasons for vaccine hesitancy among African Americans (AAs). As COVID-19 research evolves in real time with some uncertainties remaining, AA communities may be less trusting of public health agencies. The purpose of these analyses was to assess the association between trust in public health agencies that recommend the COVID-19 vaccination and COVID-19 vaccination status among AAs in North Carolina. Methods A 75-item cross-sectional survey, the Triad Pastors Network COVID-19 and COVID-19 Vaccination survey, was developed and administered to African Americans in North Carolina. Multivariable logistic regression was used to examine the association between levels of trust in public health agencies who recommend the COVID-19 vaccine and COVID-19 vaccination status among AAs. Results Of the 1157 AAs included in these analyses, approximately 14% of AAs had not received the COVID-19 vaccine. These findings indicated that lower levels of trust in public health agencies significantly decreased the odds of getting the COVID-19 vaccination compared to those with higher levels of trust among AAs. The most trusted source for information on COVID-19 included federal agencies among all respondents. Among the vaccinated, primary care physicians were another trusted source of information. Pastors were another trusted source for those willing to be vaccinated. Conclusions Despite the majority of the respondents in this sample receiving the COVID-19 vaccine, subgroups of AAs remain unvaccinated. Federal agencies have a high level of trust among AA adults; however, innovative approaches are needed to reach AAs who remain unvaccinated.

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Section: Discussionmentioning

confidence: 99%

Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina

Lloyd

Foy

Caban‐Holt

et al. 2023

J. Racial and Ethnic Health Disparities

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“…As regards the principle of justice in connection with vaccinations, the first issue relates to equity in vaccine trial programs [ 20 , 21 ], and the second pertains to the agreements which make financing for research dependent on the supply of a certain number of vaccine doses [ 22 , 23 ]. The third issue concerns the distribution of the vaccines themselves.…”

Section: Covid-19 Pandemic and Equal Access To Treatment And Vaccinationmentioning

confidence: 99%

COVID-19 Pandemic and Equal Access to Vaccines

et al. 2021

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The COVID-19 pandemic has evidenced the chronic inequality that exists between populations and communities as regards global healthcare. Vaccination, an appropriate tool for the prevention of infection, should be guaranteed by means of proportionate interventions to defeat such inequality in populations and communities affected by a higher risk of infection. Equitable criteria of justice should be identified and applied with respect to access to vaccination and to the order in which it should be administered. This article analyzes, as regards the worldwide distribution of anti-COVID-19 vaccines, the various ways the principle of equity has been construed and applied or even overlooked. The main obstacle to equal access to vaccines is vaccine nationalism. The perception of equity varies with the differing reference values adopted. Adequate response to needs appears to be the principal rule for achieving the criterion of equity in line with distributive justice. Priorities must be set equitably based on rational parameters in accordance with current needs. The entire process must be governed by transparency, from parameter identification to implementation. The issue of equal access to vaccination affects the entire world population, necessitating specific protective interventions. In light of this, the World Health Organization (WHO) has devised the COVAX plan to ensure that even the poorest nations of the world receive the vaccine; certain initiatives are also supported by the European Union (EU). This pandemic has brought to the fore the need to build a culture of equitable relationships both in each country’s own domain and with the rest of the world.

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“…It is also important for those leading the vaccination efforts to address the historical medical mistreatment of minorities. The US Public Health Services Study at Tuskegee is one of the most noteworthy and highly cited examples of malicious medical abuse of African Americans (Kirksey et al, 2021). As a result of the Tuskegee experiment on uninformed and unconsented persons, definitive guidelines were established in the Belmont Report to prohibit similarly structured studies from being performed on vulnerable populations.…”

Section: Covid-19 Vaccination Hesitancy and Distribution Concernsmentioning

confidence: 99%

A sobering examination of how the COVID-19 pandemic exacerbates the disparities of vulnerable populations

Williams

2021

EDI

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PurposeIntersectionality theory is a social justice theory customarily employed to address inequities which arise in the academic or legal arenas as it relates to race and gender. The application of intersectionality theory extends beyond the convergence of multiple social identities. It provides an invaluable framework to examine the convergence of social identities, the social determinants of health and a global pandemic in communities of historically marginalized and underrepresented persons. The purpose of this paper is to examine how the coronavirus pandemic has exacerbated the disparities experienced by African American and Latinx persons using the principles of intersectionality theory as the schema.Design/methodology/approachA literature review was performed on the scholarly articles examining the disproportionate incidence and mortality rates of African Americans and Latinx persons in America.FindingsThe current literature confirms that the disparities which existed prior to the onset of the coronavirus pandemic have been magnified by systemic oppression and racism of historically marginalized and underrepresented persons in America. The coronavirus pandemic has spotlighted the disparities in sustainable employment and access to health care for African American and Latinx persons.Originality/valueEmploying a social justice theoretical framework of intersectionality provides an opportunity to examine the lived experiences of African American and Latinx persons without race/ethnicity being the primary focal point. Future research will illustrate the urgent need for public health policy reform to eradicate the disparities experienced by African American and Latinx populations.

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COVID- 19 Vaccination: Potential Challenges and Reforms

Cited by 4 publications

References 7 publications

Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina

Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina

COVID-19 Pandemic and Equal Access to Vaccines

A sobering examination of how the COVID-19 pandemic exacerbates the disparities of vulnerable populations

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