COVID-19 Vaccine Sentiments Among African American or Black Adolescents in Rural Alabama

Budhwani, Henna; Maycock, Tiffani; Murrell, Wilnadia; Simpson, Tina

doi:10.1016/j.jadohealth.2021.09.010

Cited by 24 publications

(48 citation statements)

References 13 publications

(10 reference statements)

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“…If public authorities are the primary source of information about COVID-19, then trust in the authorities is critical to increase the willingness to obtain the vaccine. Populations that have a historical distrust in medical institutions due to previous medical abuse continue to report a lack of trust in vaccines (Budhwani et al 2021;Hall et al 2021;Jamison et al 2019). Bennett and colleagues highlight that receiving information from private medical professionals increases comfort to be vaccinated, however, all health care professionals do not feel competent in communicating with patients who are hesitant to be vaccinated which leaves public authorities to be the primary source of information that is viewed as credible (Paterson et al 2016;Shen and Dubey 2019).…”

Section: Willingness To Take the Covid-19 Vaccinementioning

confidence: 99%

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

et al. 2021

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Although vaccination has been identified as an effective measure of reducing the spread of COVID-19, hesitancy to obtain a vaccine for COVID-19 has been shared. The aim of this cross-national study was to examine (i) the willingness in the general population to take the COVID-19 vaccine nine months after the pandemic outbreak and (ii) the willingness to take the vaccine in relation to sociodemographic variables, whether one has experienced COVID-19 infection, concerns about health and family, and trust in the authorities’ information about the pandemic. A cross-sectional survey design was used to collect data online in Norway, the UK, the USA, and Australia. Chi-Square tests or Fisher’s Exact test were used to analyze the data. Logistic regression analysis was used to assess direct associations between the independent variables and the outcome. Within the total sample (n = 3474), living in a city, having a college education, being concerned about your own health and the health of next of kin, and trusting information provided by authorities increased the likelihood of reporting willingness to take the COVID-19 vaccine. Across all countries, participants who reported trust in the authorities’ information about COVID-19 demonstrated a significantly higher plausibility of taking the COVID-19 vaccine.

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Section: Willingness To Take the Covid-19 Vaccinementioning

confidence: 99%

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

et al. 2021

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“…The historical marginalization of African Americans contributes to health inequities, such as lack of safe transportation among injured Black pedestrians leading to higher hospitalization rates compared to injured White pedestrians [ 25 ]. History of being subjected to unethical clinical studies, such as the Tuskegee study, has contributed to the African American youth’s mistrust of the government and the healthcare system which results in low influenza vaccination rates [ 26 ], COVID-19 vaccination hesitancy [ 27 ], and higher susceptibility to dying from COVID-19 than other racial groups [ 28 ].…”

Section: Historical Traumamentioning

confidence: 99%

Trauma and US Minority Children and Youth

Pumariega

Beck

et al. 2022

Curr Psychiatry Rep

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Purpose of Review This paper reviews the literature on the prevalence, risk factors, and effects of traumatic experiences on the mental health outcomes of minority youth in the USA. Recent Findings The USA has an increasing number of children and youth from minority backgrounds. Research reveals that traumatic experiences disproportionately affect minority youth. These experiences include historical/generational trauma, immigration and acculturation stressors, natural and manmade disasters, experiences of discrimination, family violence, and community violence. The COVID-19 pandemic has also disproportionately affected minority youth resulting in illness and hospitalizations. Despite the higher incidence of trauma exposure, minority youth are less likely to access medical and mental health care. These disparities are resulting in increasing rates of depression, anxiety, post-traumatic stress, substance use disorders, and suicide in minority youth. Summary Recognizing and understanding the impact of trauma is critical to the healthy development and successful functioning of minority youth, and to the success of our nation.

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“…Reducing COVID-19 vaccine hesitancy in rural Alabama is a high-priority, urgently warranted public health target. Focusing on increasing HPV vaccine uptake and concurrently examining COVID-19 vaccine hesitancy are timely and warranted targets due to low rates of HPV vaccination and high levels of COVID-19 vaccine hesitancy [ 6 ], of which both are devastating African American populations in rural communities.…”

Section: Introductionmentioning

confidence: 99%

“…Although vaccine-focused health disparities research has indicated gaps in uptake [ 14 - 16 ], studies that hone in on vaccine hesitancy have noted reasons for these gaps. A recent study of adolescent perspectives in rural Alabama found significant misinformation and institutional distrust, which resulted in vaccine skepticism [ 6 ]. Additionally, since adolescents are often ambivalent or apathetic to behavior change, including seeking preventive health care [ 17 ], theoretical orientations that enhance motivation without critique or judgment have the potential to resolve barriers to vaccination.…”

Section: Introductionmentioning

confidence: 99%

Developing a Clinic-Based, Vaccine-Promoting Intervention for African American Youth in Rural Alabama: Protocol for a Pilot Cluster-Randomized Controlled Implementation Science Trial

Budhwani¹,

Sharma²,

Long³

et al. 2022

JMIR Res Protoc

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Background African American youth in rural Alabama are clinically underserved and have limited knowledge about the human papillomavirus and the novel coronavirus 2019 (COVID-19) vaccines, including knowledge about the risk for developing cervical or oropharyngeal cancers or COVID-19. Objective In this 30-month study, we propose to develop an in-clinic, youth-tailored, vaccine-promoting intervention for vaccine hesitancy reduction that can be seamlessly integrated into the existing environments of pediatric and family practice settings in rural Alabama. Methods This exploratory, sequential mixed methods study will be conducted in 3 phases. In the first phase, we will assess stakeholders’ knowledge, sentiments, and beliefs related to vaccination in general, COVID-19 vaccination, and human papillomavirus vaccination. We will also assess stakeholders’ perceptions of barriers to vaccination that exist in rural Alabama. This will be followed by a second phase wherein we will use the data collected in the first phase to inform the development and finalization of a noninvasive, modular, synchronous counseling intervention that targets the behaviors of 15- to 26-year-old adolescents. In the third phase, we will conduct a pilot hybrid type 1 effectiveness-implementation cluster-randomized controlled trial to assess intervention acceptability and feasibility (clinics: N=4; African American youth: N=120) while assessing a “clinical signal” of effectiveness. We will document implementation contexts to provide real-world insight and support dissemination and scale-up. Results The study was funded at the end of December 2020. Approval from the University of Alabama at Birmingham Institutional Review Board was obtained in May 2021, and the qualitative data collection process outlined in the first phase of this project concluded in November 2021. The entire study is expected to be complete at the end of December 2023. Conclusions The results of the trial will provide much needed information on vaccine hesitancy in rural Alabama, and if found efficacious, the intervention could notably increase rates of vaccinations in one of the most underserved parts of the United States. The results from the trial will provide information that is valuable to public health practitioners and providers in rural settings to inform their efforts in increasing vaccination rates among 15- to 26-year-old African American youth in rural southern United States. Trial Registration ClinicalTrials.gov NCT04604743; https://clinicaltrials.gov/ct2/show/NCT04604743 International Registered Report Identifier (IRRID) DERR1-10.2196/33982

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COVID-19 Vaccine Sentiments Among African American or Black Adolescents in Rural Alabama

Cited by 24 publications

References 13 publications

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

Trauma and US Minority Children and Youth

Developing a Clinic-Based, Vaccine-Promoting Intervention for African American Youth in Rural Alabama: Protocol for a Pilot Cluster-Randomized Controlled Implementation Science Trial

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