Hastings Cent Rep. 2021 Jan;51 Suppl 1:S46-S50. doi: 10.1002/hast.1229.
Vaccine hesitancy is a major public health challenge, and racial disparities in the acceptance of vaccines is a particular concern. In this essay, we draw on interviews with mothers of Black male adolescents to offer insights into the reasons for the low rate of vaccination against the human papillomavirus among this group of adolescents. Based on these conversations, we argue that increasing the acceptance of HPV and other vaccines cannot be accomplished merely by providing people with more facts. Instead, we must address the pervasive racial discrimination in the United States that undermines trust in social institutions, including the health care system. In the short term, it may be helpful to increase the number of clinicians of color working in the health system, but more fundamental changes are required. The U.S. must adopt and implement policies that dismantle structural racism if it hopes to produce greater trust and community-oriented thinking on behalf of people who have been exploited for centuries.
疫苗犹豫是一个主要的公共卫生挑战，而疫苗接受度方面的种族差异是一个特别令人关注的问题。在本文中，我们借鉴了对黑人青少年母亲的访谈，深入了解了这一群体青少年中 HPV 疫苗接种率低的原因。基于这些对话，我们认为，仅仅通过向人们提供更多的事实，无法提高 HPV 疫苗和其他疫苗的接种率。相反，我们必须解决美国普遍存在的种族歧视问题，这种歧视削弱了人们对包括医疗保健系统在内的社会机构的信任。短期内，增加在医疗体系中工作的有色人种临床医生的数量可能会有所帮助，但还需要进行更根本性的变革。如果美国希望在几个世纪以来一直被剥削的人们中建立更大的信任和以社区为导向的思维，就必须通过并实施消除结构性种族主义的政策。
