COVID-19 vaccine hesitancy among American Indian and Alaska native college students: the roles of discrimination, historical trauma, and healthcare system distrust

Gonzalez, Vivian M.; Stewart, Tracy J.

doi:10.1007/s10865-023-00443-5

Cited by 1 publication

(1 citation statement)

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“…Recently, researchers have found that the prevalence of COVID-19 vaccine hesitancy was highest among AI/AN respondents [ 6 , 7 ]. These findings can certainly be understood within the historical and cultural contexts of AI/AN people’s distrust of colonized ways and White medicine [ 8 ]. The primary purpose of the present study was to explore the factors associated with AI/AN people’s willingness to receive a COVID-19 vaccination, including their health literacy, their mental health literacy, self-reported health and mental health status, and some socio-demographic factors.…”

Section: Introductionmentioning

confidence: 99%

Identifying Mental Health Literacy as a Key Predictor of COVID-19 Vaccination Acceptance among American Indian/Alaska Native/Native American People

Chen,

Winterowd,

et al. 2023

Vaccines

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Background: This study examines how health literacy and mental health literacy associate with the willingness to receive a COVID-19 vaccination among American Indian/Alaska Native/Native American (AI/AN) people. Methods: The data were collected with an online Qualtrics survey in February 2021 (n = 563). A purposive snowball sampling strategy was used by sending recruitment flyers to colleagues and organizations who work with AI/AN communities to share with appropriate potential respondents. We performed linear regression analyses examining the relationships between the willingness to receive a COVID-19 vaccination and socio-demographic characteristics such as age, gender, education, health literacy, mental health literacy, self-rated physical and mental health status, worry about getting COVID-19, perceived COVID-19 susceptibility, and perceived COVID-19 severity. Results: Mental health literacy and health literacy predicted 30.90% and 4.65% of the variance (R2adjusted) in the willingness to receive a COVID-19 vaccine, respectively. After holding the self-rated physical/mental health status, worry about getting COVID-19, perceived susceptibility, perceived severity, health literacy, and socio-demographics constant, mental health literacy was still a strong predictor (b = 0.03, p < 0.001) for the willingness to receive a COVID-19 vaccine (model R2adjusted = 40.14%). Conclusions: We identified mental health literacy as a substantial factor associated with the willingness to receive a COVID-19 vaccination among AI/AN respondents.

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Section: Introductionmentioning

confidence: 99%