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

作者信息

Moore Justin Xavier, Gilbert Keon L, Lively Katie L, Laurent Christian, Chawla Rishab, Li Cynthia, Johnson Ryan, Petcu Robert, Mehra Mehul, Spooner Antron, Kolhe Ravindra, Ledford Christy J W

机构信息

Division of Epidemiology, Department of Population Health Sciences, Augusta University, Augusta, GA 30912, USA.

Cancer Prevention, Control, & Population Health Program, Department of Medicine, Augusta University, Augusta, GA 30912, USA.

出版信息

Vaccines (Basel). 2021 Aug 8;9(8):879. doi: 10.3390/vaccines9080879.


DOI:10.3390/vaccines9080879
PMID:34452004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8402307/
Abstract

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 ( = 40, 15.6%) or resistant ( = 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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/de59bbcba560/vaccines-09-00879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/7ae0c41ad629/vaccines-09-00879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/9778653ab705/vaccines-09-00879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/de59bbcba560/vaccines-09-00879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/7ae0c41ad629/vaccines-09-00879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/9778653ab705/vaccines-09-00879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bf9/8402307/de59bbcba560/vaccines-09-00879-g003.jpg

相似文献

[1]
Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of African Americans Living in the Southern United States.

Vaccines (Basel). 2021-8-8

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Vaccines (Basel). 2021-6-17

引用本文的文献

[1]
Normative influence in a time of distrust and polarization: how perceived social norms predict COVID-19 vaccination intentions among Black Americans.

J Behav Med. 2025-6-9

[2]
A comprehensive analysis of COVID-19 vaccination behavior: The influence of religion, information sources, political leanings, and demographic factors.

PLoS One. 2025-5-21

[3]
Patterns and predictors of COVID-19 vaccination among young adults at 44 US sites: Secondary analysis of a randomized, controlled, open-label trial, March - December 2021.

Vaccine. 2024-10-3

[4]
Associations Between Social Networks and COVID-19 Vaccine Uptake in 4 Rural Alabama Counties: Survey Findings.

Public Health Rep. 2024

[5]
Understanding Low Vaccine Uptake in the Context of Public Health in High-Income Countries: A Scoping Review.

Vaccines (Basel). 2024-3-4

[6]
The Politics of Covid-19 Vaccination Hesitancy in Southeastern Europe.

Comp Southeast Eur Stud. 2024-3-14

[7]
Adjunctive interventions: change methods directed at recipients that support uptake and use of health innovations.

Implement Sci. 2024-2-8

[8]
COVID-19 vaccination uptake and receptivity among veterans enrolled in homelessness-tailored primary health care clinics: provider trust vs. misinformation.

BMC Prim Care. 2024-1-12

[9]
Covid-19 Vaccine Hesitancy and Under-Vaccination among Marginalized Populations in the United States and Canada: A Scoping Review.

J Racial Ethn Health Disparities. 2025-2

[10]
Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model.

Front Public Health. 2023

本文引用的文献

[1]
COVID-19 vaccine hesitancy: the five Cs to tackle behavioural and sociodemographic factors.

J R Soc Med. 2021-6

[2]
A comprehensive evaluation of early potential risk factors for disease aggravation in patients with COVID-19.

Sci Rep. 2021-4-13

[3]
Racial and Ethnic Disparities in Years of Potential Life Lost Attributable to COVID-19 in the United States: An Analysis of 45 States and the District of Columbia.

Int J Environ Res Public Health. 2021-3-12

[4]
Racial Disparities in the Epidemiology of COVID-19 in Georgia: Trends Since State-Wide Reopening.

Health Equity. 2021-3-2

[5]
Racial Disparities and COVID-19: the Social Context.

J Racial Ethn Health Disparities. 2021-6

[6]
Medical disinformation and the unviable nature of COVID-19 conspiracy theories.

PLoS One. 2021

[7]
Vaccine Hesitancy among Italian Patients Recovered from COVID-19 Infection towards Influenza and Sars-Cov-2 Vaccination.

Vaccines (Basel). 2021-2-18

[8]
The Johnson & Johnson Vaccine for COVID-19.

JAMA. 2021-4-20

[9]
Nonmetropolitan COVID-19 Incidence and Mortality Rates Surpassed Metropolitan Rates Within the First 24 Weeks of the Pandemic Declaration: United States, March 1-October 18, 2020.

J Rural Health. 2021-3

[10]
Identifying COVID-19 Risk Through Observational Studies to Inform Control Measures.

JAMA. 2021-4-13

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