Determinants of trust in the flu vaccine for African Americans and Whites

Freimuth, Vicki S.; Jamison, Amelia M.; An, Ji; Hancock, Gregory R.; Quinn, Sandra Crouse

doi:10.1016/j.socscimed.2017.10.001

Cited by 136 publications

(130 citation statements)

References 33 publications

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“… Trust was not explicitly defined Hints made towards trust concepts mentioned in the literature Trust defined through extensive use of trust literature. Vaccine uptake Cheng et al (2010) 39 Casiday et al (2006) 38 Ronnerstrand (2013) 57 Das & Das (2003) 42 Gilles et al (2011) 47 Fowler et al (2006) 43 Lee et al (2016) 50 Fu et al (2017) 46 Manika et al (2014) 51 Kolar et al (2015) 49 Intention to vaccinate Marlow et al (2007) 52 Taylor-Clark et al (2006) 59 Scherer et al (2016) 58 Weerd et al (2011) 62 Tucker-Edmonds et al (2011) 60 Chuang et al (2015) 40 Predictors of trust in relation to vaccination Berry et al (2012) 37 Won et al (2015) 63 Freimuth et al (2017) 45 ...…”

Section: Discussionmentioning

confidence: 99%

“…All studies measured some aspect of vaccination trust (see Figure 1 ). Factors outside of the specific vaccine or vaccination program were measured less frequently, with three studies examining generalized trust, 40 , 45 , 57 three studies examining out-of-program influences 44 , 54 , 61 and one study examining changes in trust over time. 62 Wada and Smith 61 was the only study to have referenced the concept of trustworthiness and its findings indicated that respondents who did not trust a vaccination recommendation were more likely to consider other non-medical sources as being trustworthy.…”

Section: Quantitative Studiesmentioning

confidence: 99%

“…67 , 69 , 71 Some of the quantitative studies examined these themes through the comparison of trust levels between different ethnic groups. 45 , 46 , 49 , 54 , 55 While this is without doubt an important topic to study, the equally important concept of trustworthiness of the systems themselves is noticeably absent. By shifting the burden of distrust onto the minority individual or community, and away from the trustworthiness of institutions, the genuine drivers of trust and distrust may actually be obscured.…”

Section: Historic Trust and Under Representation Of Low- And Middle-imentioning

confidence: 99%

See 2 more Smart Citations

Measuring trust in vaccination: A systematic review

Larson

Clarke

Jarrett

et al. 2018

Human Vaccines & Immunotherapeutics

518

505

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Vaccine acceptance depends on public trust and confidence in the safety and efficacy of vaccines and immunization, the health system, healthcare professionals and the wider vaccine research community. This systematic review analyses the current breadth and depth of vaccine research literature that explicitly refers to the concept of trust within their stated aims or research questions. After duplicates were removed, 19,643 articles were screened by title and abstract. Of these 2,779 were screened by full text, 35 of which were included in the final analysis. These studies examined a range of trust relationships as they pertain to vaccination, including trust in healthcare professionals, the health system, the government, and friends and family members. Three studies examined generalized trust. Findings indicated that trust is often referred to implicitly (19/35), rather than explicitly examined in the context of a formal definition or discussion of the existing literature on trust in a health context. Within the quantitative research analysed, trust was commonly measured with a single-item measure (9/25). Only two studies used validated multi-item measures of trust. Three studies examined changes in trust, either following an intervention or over the course of a pandemic. The findings of this review indicate a disconnect between the current vaccine hesitancy research and the wider health-related trust literature, a dearth in research on trust in low and middle-income settings, a need for studies on how trust levels change over time and investigations on how resilience to trust-eroding information can be built into a trustworthy health system.

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Section: Discussionmentioning

confidence: 99%

Section: Quantitative Studiesmentioning

confidence: 99%

Section: Historic Trust and Under Representation Of Low- And Middle-imentioning

confidence: 99%

See 1 more Smart Citation

Measuring trust in vaccination: A systematic review

Larson

Clarke

Jarrett

et al. 2018

Human Vaccines & Immunotherapeutics

518

505

View full text Add to dashboard Cite

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“…The existing literature has demonstrated that no single factor is responsible for the observed racial differences in vaccination; instead, it appears that multiple pathways function simultaneously to contribute to differential vaccine uptake ( Quinn et al, 2017 ). Racially comparative studies have identified several key factors that are significantly different between racial groups, and contribute to lower uptake among African Americans, including vaccine attitudes and beliefs ( Harris et al, 2006 , Lindley et al, 2006 , Wooten et al, 2012 ), knowledge ( Bardenheier et al, 2006 ), access to vaccination ( Lee et al, 2009 , Link et al, 2006 ), trust in health care providers and vaccines ( Freimuth et al, 2017b , Musa et al, 2009 , Quinn et al, 2009 , Redelings et al, 2012 ;), risk perception ( Freimuth, Jamison, Hancock et al, 2017 ), and racial discrimination ( Bleser, Miranda, & Jean-Jacques, 2016 ). These studies have confirmed the significance of age, health status, and socioeconomic status (SES) in vaccine uptake ( Nagata et al, 2013 , Yeung et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Breaking down the monolith: Understanding flu vaccine uptake among African Americans

Quinn

Jamison

et al. 2018

SSM - Population Health

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Black adults are significantly less likely to be immunized for seasonal influenza when compared to Whites. This persistent disparity contributes to increased influenza-related morbidity and mortality in the African American population. Most scholarship on vaccine disparities has compared Whites and Blacks. Employing Public Health Critical Race Praxis, this study seeks to shift the focus to explore differences within the Black population. Utilizing a nationally-representative 2015 survey of US Black adults (n = 806), we explore differences by gender, age, income, and education across vaccine-related measures (e.g., perceived risk, knowledge, attitudes) and racial factors (e.g. racial salience, racial fairness, perceived discrimination). We also explore differences by vaccine behavior in the past five years among those who vaccinate every year, most years but not all, once or twice, and never. Greater frequency of flu vaccine uptake was associated with better self-reported vaccine knowledge, more positive vaccine attitudes, more trust in the flu vaccine and the vaccine process, higher perceived disease risk, lower perceived risk of vaccine side effects, stronger subjective and moral norms, lower general vaccine hesitancy, higher confidence in the flu vaccine, and lower perceived barriers. Logistic regression results highlighted other significant differences among the groups, emphasizing areas to target for improved vaccination rates. We find great diversity within the Black community related to influenza immunization decisions, highlighting the need to “break down the monolith” in future research.

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“…There is a considerable need to explore differences related to the influenza vaccine rate within African-American communities. Evidence has shown that African-Americans have lower knowledge levels of the flu vaccine in addition to heightened hesitancy and decreased trust toward the vaccine and the vaccination process [ 20 , 21 ]. The weak relationship of trusting the flu vaccine may be attributed to a lack of strong recommendation of the vaccine by health care providers for African-Americans [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Influenza Vaccination among Underserved African-American Older Adults

Bazargan

Wisseh

Adinkrah

et al. 2020

BioMed Research International

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Background. Racial disparities in influenza vaccination among underserved minority older adults are a public health problem. Understanding the factors that impact influenza vaccination behaviors among underserved older African-Americans could lead to more effective communication and delivery strategies. Aims. We aimed to investigate rate and factors associated with seasonal influenza vaccination among underserved African-American older adults. We were particularly interested in the roles of demographic factors, socioeconomic status, and continuity and patient satisfaction with medical care, as well as physical and mental health status. Methods. This community-based cross-sectional study recruited 620 African-American older adults residing in South Los Angeles, one of the most under-resources areas within Los Angeles County, with a population of over one million. Bivariate and multiple regression analyses were performed to document independent correlates of influenza vaccination. Results. One out of three underserved African-American older adults aged 65 years and older residing in South Los Angeles had never been vaccinated against the influenza. Only 49% of participants reported being vaccinated within the 12 months prior to the interview. One out of five participants admitted that their health care provider recommended influenza vaccination. However, only 45% followed their provider’s recommendations. Multivariate logistic regression shows that old-old (≥75 years), participants who lived alone, those with a lower level of continuity of care and satisfaction with the accessibility, availability, and quality of care, and participants with a higher number of depression symptoms were less likely to be vaccinated. As expected, participants who indicated that their physician had advised them to obtain a flu vaccination were more likely to be vaccinated. Our data shows that only gender was associated with self-report of being advised to have a flu shot. Discussion. One of the most striking aspects of this study is that no association between influenza vaccination and being diagnosed with chronic obstructive pulmonary disease or other major chronic condition was detected. Our study confirmed that both continuity of care and satisfaction with access, availability, and quality of medical care are strongly associated with current influenza vaccinations. We documented that participants with a higher number of depression symptoms were less likely to be vaccinated. Conclusion. These findings highlight the role that culturally acceptable and accessible usual source of care van play as a gatekeeper to facilitate and implement flu vaccination among underserved minority older adults. Consistent disparities in influenza vaccine uptake among underserved African-American older adults, coupled with a disproportionate burden of chronic diseases, places them at high risk for undesired outcomes associated with influenza. As depression is more chronic/disabling and is less likely to be treated in African-Americans, there is a need to screen and treat depression as a strategy to enhance preventive care management such as vaccination of underserved African-American older adults. Quantification of associations between lower vaccine uptake and both depression symptoms as well as living alone should enable health professionals target underserved African-American older adults who are isolated and suffer from depression to reduce vaccine-related inequalities.

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Determinants of trust in the flu vaccine for African Americans and Whites

Cited by 136 publications

References 33 publications

Measuring trust in vaccination: A systematic review

Measuring trust in vaccination: A systematic review

Breaking down the monolith: Understanding flu vaccine uptake among African Americans

Influenza Vaccination among Underserved African-American Older Adults

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