Community-based Strategies to Engage Pastors Can Help Address Vaccine Hesitancy and Health Disparities in Black Communities

Privor-Dumm, Lois; King, Terris

doi:10.1080/10810730.2021.1873463

Cited by 52 publications

(50 citation statements)

References 24 publications

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“…Perceived severity of-and susceptibility to-COVID-19: As predicted by the HBM and other current COVID-19-vaccine-hesitancy studies [43], beliefs about COVID-19 and its prevalence and severity were strongly associated with vaccine acceptance and should be taken into account when developing messages and activities to promote COVID-19 vaccines. In Bangladesh, India, and the DRC, Acceptors were more likely to believe that more people had been infected with COVID-19.…”

Section: Perceived Positive Consequences Of Covid-19 Vaccinesmentioning

confidence: 85%

Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries

Davis¹,

Yimam²,

Kalam³

et al. 2022

Vaccines

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Delayed acceptance or refusal of COVID-19 vaccines may increase and prolong the threat to global public health and the economy. Identifying behavioural determinants is considered a critical step in explaining and addressing the barriers of vaccine refusal. This study aimed to identify the behavioural determinants of COVID-19-vaccine acceptance and provide recommendations to design actionable interventions to increase uptake of the COVID-19 vaccine in six lower- and middle-income countries. Taking into consideration the health belief model and the theory of reasoned action, a barrier analysis approach was employed to examine twelve potential behavioural determinants of vaccine acceptance in Bangladesh, India, Myanmar, Kenya, the Democratic Republic of the Congo (DRC), and Tanzania. In all six countries, at least 45 interviews with those who intended to get the vaccine (“Acceptors”) and another 45 or more interviews with those who did not (“Non-acceptors”) were conducted, totalling 542 interviews. Data analysis was performed to find statistically significant (p < 0.05) differences between Acceptors and Non-acceptors of COVID-19 vaccines and to identify which beliefs were most highly associated with acceptance and non-acceptance of vaccination based on the estimated relative risk. The analysis showed that perceived social norms, perceived positive and negative consequences, perceived risk, perceived severity, trust, perceived safety, and expected access to COVID-19 vaccines had the highest associations with COVID-19-vaccine acceptance in Bangladesh, Kenya, Tanzania, and the DRC. Additional behavioural determinants found to be significant in Myanmar and India were perceived self-efficacy, trust in COVID-19 information provided by leaders, perceived divine will, and perceived action efficacy of the COVID-19 vaccines. Many of the determinants were found to be significant, and their level of significance varied from country to country. National and local plans should include messages and activities that address the behavioural determinants found in this study to significantly increase the uptake of COVID-19 vaccines across these countries.

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Section: Perceived Positive Consequences Of Covid-19 Vaccinesmentioning

confidence: 85%

Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries

Davis¹,

Yimam²,

Kalam³

et al. 2022

Vaccines

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show abstract

“…[35][36][37][38][39] If so, scholars, journalists, public health advocates, and government officials engaged in vaccine education might do well to continue to deploy protectionrelevant messages, partner with trusted messengers from within Black communities, and presume that community members have genuine concerns for protecting their own health and that of their communities. [40][41][42][43] Despite encouraging shifts in hesitancy among Black These figures, along with our own findings, underscore the need to ensure that research and practical efforts focus on the access barriers faced by those willing to be vaccinated. 7,45,46 Kaiser Family Foundation surveys document the substantial proportions of Black individuals who worry about such access barriers; 55% of Black individuals (vs 41% of White individuals) are very or somewhat concerned that they might miss work if the vaccine makes them sick, 37% of Black individuals (vs 24% of White individuals) worry that they might have to pay for the vaccine, 23% of Black individuals (vs 16% of White individuals) are concerned about taking time off work to get vaccinated, and 17% of Black individuals (vs 9% of White individuals) worry about finding transportation to the vaccination site.…”

Section: Jama Network Open | Public Healthmentioning

confidence: 99%

Changes in COVID-19 Vaccine Hesitancy Among Black and White Individuals in the US

et al. 2022

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IMPORTANCE COVID-19 has disproportionately affected Black individuals in the US; however, vaccination rates among Black individuals trail those among other racial groups. This disparity is often attributed to a high level of vaccine hesitancy among Black individuals, but few studies have examined changes in vaccine hesitancy over time. OBJECTIVES To compare changes in vaccine hesitancy between Black and White individuals in the US and to examine mechanisms that might help explain the observed differences. DESIGN, SETTING, AND PARTICIPANTS This survey study used 7 waves of data collected using a panel design. A total of 1200 English-speaking adults in the US were recruited from a nonprobability online panel to construct a census-matched sample. Participants were contacted monthly between

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“…Further, engaging religious segments of the population is critical as religious conservatism is associated with poor vaccine knowledge, lack of trust in science, and higher rates of VH [ 38 – 40 ]. However, the government can engage pastors and other religious leaders to facilitate discussion and nurture trusting relations with people of faith, particularly AAs [ 41 ].…”

Section: Vaccine Hesitancymentioning

confidence: 99%

“…Third is the lack of sustainable infrastructure for health equity and justice in AA communities. Local and state governments should engage AA communities (e.g., creating Black Leadership Advisory Boards) to advocate for formulating programs and policies that elevate AA communities [ 9 , 41 ]. Fourth, given the role race and religion play in VH, research investigating the intersection of race and religion is needed.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

The Past Is so Present: Understanding COVID-19 Vaccine Hesitancy Among African American Adults Using Qualitative Data

Majee

Anakwe

Onyeaka

et al. 2022

J. Racial and Ethnic Health Disparities

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Background African Americans (AAs) are disproportionately affected by structural and social determinants of health, resulting in greater risks of exposure to and deaths from COVID-19. Structural and social determinants of health feed vaccine hesitancy and worsen health disparities. Objective The present study aims to explore vaccine attitudes and intentions among program participants, understand the role of an African American faith-based wellness program in COVID-19 awareness and vaccine uptake, and solicit potential solutions for this deep-rooted public health problem. Methods Data were collected through 21 in-depth interviews among individuals involved within a community-based wellness program. Sixteen phone and five in-person interviews were conducted with church leaders, lifestyle coaches, and program participants. All interviews were audio-recorded, transcribed verbatim, and inductively and thematically analyzed by three researchers. Findings Live Well by Faith (LWBF) acted as a trusted information source for COVID-19 resources for the AA community. Services provided by Live Well by Faith included enrolling community members for vaccines, negotiating vaccine provision to and facilitating the establishment of vaccine clinics at AA churches, and connecting community members to healthcare providers. Despite the role Live Well by Faith played, VH was a significant concern due, in part, to historical mistrust of government and pharmaceutical companies conducting unethical healthcare research among Black populations. Other factors included uncertainty about vaccination (vaccines’ safety, efficacy, and necessity), social media misinformation, and political affiliation. Participants expressed the need for government to commit resources towards addressing historical factors and building trust with minority populations. Conclusion Resource targeting programs such as Live Well by Faith that engage faith and community leaders in co-designed shared and culturally grounded interventions can help restore and strengthen trust in vaccines and governments and reduce vaccine hesitancy.

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Community-based Strategies to Engage Pastors Can Help Address Vaccine Hesitancy and Health Disparities in Black Communities

Cited by 52 publications

References 24 publications

Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries

Behavioural Determinants of COVID-19-Vaccine Acceptance in Rural Areas of Six Lower- and Middle-Income Countries

Changes in COVID-19 Vaccine Hesitancy Among Black and White Individuals in the US

The Past Is so Present: Understanding COVID-19 Vaccine Hesitancy Among African American Adults Using Qualitative Data

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