COVID-19 Vaccine Knowledge, Attitudes, and Practices in Alabama: The Case for Primary Health Care Providers

Bassler, John; Redden, David T.; Hall, Allyson G.; Ford, Eric T; Chrapah, Sandra; Erwin, Paul Campbell

doi:10.1097/phh.0000000000001556

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…One recent study found that out of 963 Alabamians, 44.5% were unlikely or highly unlikely to get vaccinated. Furthermore, healthcare providers were the most trusted regardless of vaccination status, however those who were unlikely to be vaccinated trusted social media and their local news more (11). Covid-19 has placed undue stress on families to adjust their daily routines.…”

Section: Discussionmentioning

confidence: 99%

Underlying Pressures that Black Mothers and Their Children Face: A Qualitative Assessment on the Effects of Racism/Discrimination and the COVID 19 Pandemic

Thomas

Rodriguez

Rizzieri

2023

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Background: Poverty, racism, discrimination, inadequate access to healthcare, and personal, everyday stressors lead to poor health outcomes, especially in African American families in the south. There is limited data on how these stressors are absorbed between the mother and child dyad. Objective: To assess the effects of racism, everyday stressors (i.e. motherhood), and the COVID pandemic on African American/Black mothers and their children. Methods: Utilizing the Health Belief Model, a survey was developed to assess mother-child stressors relating to three different constructs: racism/discrimination, pandemic/covid-19, and parenting. We interviewed seven black mothers and their children (aged 4-10yo). The families were recruited from a pediatric office in the rural city of Alexander City, Alabama. Interviews took place in an intimate setting and lasted for 1.5-2 hours. Medical students conducted, recorded, and transcribed each interview. The interview assessed the association between the COVID-19 pandemic, personal traumatic events, and racism and discrimination in their everyday lives. Results: Through qualitative analysis; racism, daily activities, and the COVID-19 pandemic were demonstrated to be significant stressors for the mothers. Knowledge, school/work, actions, emotions, and seriousness/susceptibility displayed stressors not only in the mom as one would expect, but in the children as well. Using the resilience model, we assessed adversity, coping strategies, and self-efficacy. As one might expect, each situation caused a different level of anxiety; however, the coping strategies varied. Some moms took to smoking to cope with it while others chose suppression. The children’s coping ranged from inconsolable crying and using outlets such as phones to cope. Conclusion: Ultimately, our qualitative approach saw an association between the pandemic and discrimination. Mothers often felt the need to shield children from the emotions attached to discrimination, and ultimately were unable to. There is a need to explore resilience and assess these stressors and changes in perception over time.

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Section: Discussionmentioning

confidence: 99%

Underlying Pressures that Black Mothers and Their Children Face: A Qualitative Assessment on the Effects of Racism/Discrimination and the COVID 19 Pandemic

Thomas

Rodriguez

Rizzieri

2023

Preprint

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Trusted Sources of Information and COVID-19 Vaccination Among Black Adults in Chicago

Hirschtick,

Walsh,

DiFranceisco

et al. 2024

Am J Health Promot

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Purpose Examine trust in sources of COVID-19 information and vaccination status. Design Cross-sectional. Setting Chicago, Illinois. Subjects Convenience sample of 538 Black adults surveyed between September 2021 and March 2022. Measures Trust in sources of COVID-19 information, COVID-19 vaccination. Analysis Using latent class analysis, we identified classes of trust in sources of COVID-19 information. We considered predictors of class membership using multinomial logistic regression and examined unadjusted and adjusted associations between trust class membership and COVID-19 vaccination while accounting for uncertainty in class assignment. Results Our analytic sample (n = 522) was predominantly aged 18-34 (52%) and female (71%). Results suggested a four-class solution: (1) low trust, (2) high trust in all sources, (3) high trust in doctor and government, and (4) high trust in doctor, faith leader, and family. Unadjusted odds of vaccination were greater in the high trust in all sources (OR 2.0, 95% CI 1.2-3.2), high trust in doctor and government (OR 2.7, 95% CI 1.4-5.3), and high trust in doctor, faith leader, and family classes (OR 2.1, 95% CI 1.2, 3.9) than the low trust class. However, these associations were not significant after adjustment for sociodemographic and health status factors. Conclusion Although COVID-19 vaccination varied across trust classes, our adjusted findings do not suggest a direct association between trust and vaccination, reflecting complexities in the vaccine decision-making process.

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COVID-19 Vaccine Knowledge, Attitudes, and Practices in Alabama: The Case for Primary Health Care Providers

Cited by 2 publications

References 19 publications

Underlying Pressures that Black Mothers and Their Children Face: A Qualitative Assessment on the Effects of Racism/Discrimination and the COVID 19 Pandemic

Underlying Pressures that Black Mothers and Their Children Face: A Qualitative Assessment on the Effects of Racism/Discrimination and the COVID 19 Pandemic

Trusted Sources of Information and COVID-19 Vaccination Among Black Adults in Chicago

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