More than medical mistrust

Manning, Kimberly D.

doi:10.1016/s0140-6736(20)32286-8

Cited by 31 publications

(16 citation statements)

References 1 publication

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“… 4 The difference is likely attributable to structural racism, which requires the medical establishment to demonstrate its trustworthiness to Black Americans 5 and recognize medical mistrust as a rightful adaptation to historical dehumanization in order to begin to mitigate vaccine hesitancy. 3 Health education programs focused on building medical trust may underperform if they do not address structural racism. Because third-party survey respondent pools may be less generalizable to the Black and Hispanic population, 6 the interaction between trust and vaccine willingness may be stronger than we detected.…”

Section: Discussionmentioning

confidence: 99%

“…1 Up to 40% of Americans either do not intend to be vaccinated, or are unsure. 2 Black Americans have borne a particularly disproportionate share of COVID-19 infections, 3 and surveys have revealed higher rates of COVID-19 vaccine hesitancy among Black Americans relative to other racial/ethnic groups. 2 Centuries of medical racism and subsequent medical mistrust among racial/ethnic minorities 3 has left COVID-19 vaccine trials struggling to achieve diverse participation.…”

Section: Introductionmentioning

confidence: 99%

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The Limits of Medical Trust in Mitigating COVID-19 Vaccine Hesitancy among Black Americans

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Limits of Medical Trust in Mitigating COVID-19 Vaccine Hesitancy among Black Americans

et al. 2021

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“…[9] Regarding race, the literature points to signi cant differences in reason for parental vaccine hesitancy by racial group with Black populations reporting higher historically-and contemporarily-grounded distrust of the medical establishment compared to other race groups. [10,11] However, recent childhood vaccination rates did not differ signi cantly by race/ethnicity, suggesting that initial hesitation may not lead to overall vaccine rejection. [9] The rapid development and implementation of the COVID-19 vaccine and the continued disparities in COVID-19 infection and disease outcomes has likely further enforced distrust towards the medical establishment among Black parents.…”

Section: Discussionmentioning

confidence: 96%

Political Affiliation and Race Associated With Parents’ Intentions to Have a COVID-19 Vaccination but Not With History of Refusing to Vaccinate a Child: A Cross-Sectional Study

Roess

Adams

Huddleston

et al. 2021

Preprint

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Background: Parental attitudes about vaccinating themselves against COVID-19 may offer insights into their attitudes about vaccinating their children when the time comes. The objective was to identify parents with high COVID-19 vaccine hesitancy to prioritize for vaccine education interventions.Methods. We conducted multiple logistic regression on data from a nationally representative sample to estimate the association between socio-demographic factors and COVID-19 vaccine intention and history of refusal to vaccinate a child. Results. In the adjusted model, parents who were Black, female, Republican, and lower income had a significantly lower odds of COVID-19 vaccine intention (adjusted Odds Ratio [aOR]=0.47, 0.73, 2.59, 0.50, respectively). Only age was associated with previous vaccine refusal. Conclusions. The results highlight the politicization of the pandemic and the possibility of continued disparities in COVID-19 health outcomes among those unlikely to get COVID-19 vaccination. Overall, a high proportion of parents and children may ultimately go unvaccinated given that parents’ vaccine behavior is closely tied to that of their children. This is concerning given the role that younger adults and pediatric populations play in sustaining SARS-CoV-2 transmission.

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“…Mistrust of health care providers and conventional medicine in general may influence these attitudes: studies suggest medical mistrust is higher among racial and ethnic minority adults, particularly Black adults, and higher medical mistrust is associated with reduced intent to receive vaccines. 118 , 119 However, medical mistrust is an incomplete explanation that ignores perceptions and experiences of racism in medical settings 120–122 ; research suggests that physician communication with Black adults may be less patient centered or engaged. 123 Addressing health care provider communication with racial and ethnic minority patients, as well as increasing racial concordance and medical workforce diversity, 124 may reduce vaccine hesitancy in these populations.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Disparities in Adult Vaccination: A Review of the State of Evidence

et al. 2022

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Background Adult vaccination coverage remains low in the United States, particularly among racial and ethnic minority populations. Objective To conduct a comprehensive literature review of research studies assessing racial and ethnic disparities in adult vaccination. Search Methods We conducted a search of PubMed, Cochrane Library, ClinicalTrials.gov, and reference lists of relevant articles. Selection Criteria Research studies were eligible for inclusion if they met the following criteria: (1) study based in the United States, (2) evaluated receipt of routine immunizations in adult populations, (3) used within-study comparison of race/ethnic groups, and (4) eligible for at least one author-defined PICO (patient, intervention, comparison, and outcome) question. Data Collection and Analysis Preliminary abstract review was conducted by two authors. Following complete abstraction of articles using a standardized template, abstraction notes and determinations were reviewed by all authors; disagreements regarding article inclusion/exclusion were resolved by majority rule. The Social Ecological Model framework was used to complete a narrative review of observational studies to summarize factors associated with disparities; a systematic review was used to evaluate eligible intervention studies. Results Ninety-five studies were included in the final analysis and summarized qualitatively within two main topic areas: (1) factors associated with documented racial-ethnic disparities in adult vaccination and (2) interventions aimed to reduce disparities or to improve vaccination coverage among racial-ethnic minority groups. Of the 12 included intervention studies, only 3 studies provided direct evidence and were of Level II, fair quality; the remaining 9 studies met the criteria for indirect evidence (Level I or II, fair or poor quality). Conclusions A considerable amount of observational research evaluating factors associated with racial and ethnic disparities in adult vaccination is available. However, intervention studies aimed at reducing these disparities are limited, are of poor quality, and insufficiently address known reasons for low vaccination uptake among racial and ethnic minority adults.

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More than medical mistrust

Cited by 31 publications

References 1 publication

The Limits of Medical Trust in Mitigating COVID-19 Vaccine Hesitancy among Black Americans

The Limits of Medical Trust in Mitigating COVID-19 Vaccine Hesitancy among Black Americans

Political Affiliation and Race Associated With Parents’ Intentions to Have a COVID-19 Vaccination but Not With History of Refusing to Vaccinate a Child: A Cross-Sectional Study

Racial and Ethnic Disparities in Adult Vaccination: A Review of the State of Evidence

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