We Need the Lens of Equity in COVID-19 Communication

Viswanath, Kasisomayajula; Lee, Edmund Wei Jian; Pinnamaneni, Ramya

doi:10.1080/10410236.2020.1837445

Cited by 83 publications

(70 citation statements)

References 12 publications

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“…We need to understand the reasons for reluctance among people with low schooling and how to address them. In addition, studies have documented inequalities in communication that deter access to, processing of and capacity to act on information among different social classes which need to be addressed in the context of COVID-19 [27,28]. In what appears to be counterintuitive, people who are working or employed are more likely to be reluctant to get a vaccine compared to retired and student populations.…”

Section: Discussionmentioning

confidence: 99%

Individual and social determinants of COVID-19 vaccine uptake

et al. 2021

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Background COVID-19 has had a devastating impact and efforts are being made to speed up vaccinations. The growing problem of vaccine hesitancy may affect the uptake of COVID-19 vaccine. We examined the individual, communication and social determinants associated with vaccines uptake. Methods Data come from a nationwide online probability-based panel of 1012 representative adults in the United States and the survey was conducted before the vaccines were available. People under the federal poverty level and racial and ethnic minorities were oversampled. Our outcome variables of interest were likelihood of vaccinating self and likelihood of vaccinating people under one’s care (such as children) measuring behavioral intentions. Independent variables included perceptions of risk, exposure to different media for COVID-19 news, political party identification, confidence in scientists and social determinants of health. Logistic regression analysis was used to ascertain the effects of independent variables on the two outcome variables. Results The results indicated that 68 and 65% agreed to get the vaccine for themselves and people under their care, respectively. Risk perceptions (severity of and susceptibility to COVID-19) were significantly associated with vaccine uptake. People who relied on “conservative” news outlets, Republicans, and who had low confidence in scientists are least likely to vaccinate self or children. Non-Hispanic Blacks and those with least schooling were also less likely to receive vaccine for themselves or people in their care. Conclusions Our study identified race/ethnicity, risk perceptions, exposure to different media for COVID-19 news, party identification and confidence in scientists as factors that would be affecting COVID-19 vaccine uptake. The good news is that these are addressable through strategic public health communications, but a lot of work remains to be done with some urgency.

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Section: Discussionmentioning

confidence: 99%

Individual and social determinants of COVID-19 vaccine uptake

et al. 2021

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“…When people do not have personal knowledge or experience with a vaccine, they have information insufficiency and are motivated to seek additional information [ 75 , 76 ]. During information seeking, they may encounter disinformation, misinformation, or conspiracies, and if their confidence is low, information seekers are more susceptible to believe inaccurate information [ 77 ]. As science emerged regarding COVID-19, so did disinformation, particularly in social media, including false claims that COVID-19 is a hoax or that the virus was manufactured for the sole purpose of pharmaceutical profit [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States

et al. 2021

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In the United States, African Americans (AAs) have been disproportionately affected by COVID-19 mortality. However, AAs are more likely to be hesitant in receiving COVID-19 vaccinations when compared to non-Hispanic Whites. We examined factors associated with vaccine hesitancy among a predominant AA community sample. We performed a cross-sectional analysis on data collected from a convenience sample of 257 community-dwelling participants in the Central Savannah River Area from 5 December 2020, through 17 April 2021. Vaccine hesitancy was categorized as resistant, hesitant, and acceptant. We estimated relative odds of vaccine resistance and vaccine hesitancy using polytomous logistic regression models. Nearly one-third of the participants were either hesitant (n = 40, 15.6%) or resistant (n = 42, 16.3%) to receiving a COVID-19 vaccination. Vaccine-resistant participants were more likely to be younger and were more likely to have experienced housing insecurity due to COVID-19 when compared to both acceptant and hesitant participants, respectively. Age accounted for nearly 25% of the variation in vaccine resistance, with 21-fold increased odds (OR: 21.93, 95% CI: 8.97–5.26–91.43) of vaccine resistance in participants aged 18 to 29 compared to 50 and older adults. Housing insecurity accounted for 8% of the variation in vaccine resistance and was associated with 7-fold increased odds of vaccine resistance (AOR: 7.35, 95% CI: 1.99–27.10). In this sample, AAs under the age of 30 and those experiencing housing insecurity because of the COVID-19 pandemic were more likely to be resistant to receiving a free COVID-19 vaccination.

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“…Research also found that men are more likely to be at risk than women (Bwire, 2020). Moreover, the disease disproportionally affects people with different income statuses and racial groups (Kim & Bostwick, 2020;Viswanath et al, 2020). Following prior research (Paek et al, 2012), past behavior was designated as a covariate as it tends to be significantly related to behavioral intentions.…”

Section: Covariatesmentioning

confidence: 99%

Risk perception and COVID-19 preventive behaviors: application of the integrative model of behavioral prediction

Duong

Nguyen

McFarlane

et al. 2021

The Social Science Journal

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Preventing the COVID-19 outbreak primarily depends on individuals' willingness to adopt social distancing and mask wearing behaviors. However, little is known about what drives individuals to adopt these behaviors. Guided by the Integrative Model of Behavioral Prediction, this study surveyed 590 adults in the US during the early stages of the outbreak to identify factors influencing intentions to practice social distancing and wear masks. Structural equation modeling results show that while attitudes are positively associated with intentions to perform both behaviors, perceived norms are positively associated with intentions to wear masks, and self-efficacy is positively associated with intentions to practice social distancing. Additionally, results indicate that adding personal risk perception and societal risk perception as distal variables increases the model's predictive power. Results reveal that while social risk perception is positively associated with attitudes, perceived norms, and self-efficacy for both behaviors, personal risk perception is negatively associated with attitudes toward mask wearing, and perceived norms and self-efficacy for both behaviors. Theoretical and practical implications are discussed.

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We Need the Lens of Equity in COVID-19 Communication

Cited by 83 publications

References 12 publications

Individual and social determinants of COVID-19 vaccine uptake

Individual and social determinants of COVID-19 vaccine uptake

Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States

Risk perception and COVID-19 preventive behaviors: application of the integrative model of behavioral prediction

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