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通过健康信念模型探索美国深南部非裔美国人和拉丁裔社区利益相关者对 COVID-19 疫苗的犹豫态度。

Exploring COVID-19 Vaccine Hesitancy Among Stakeholders in African American and Latinx Communities in the Deep South Through the Lens of the Health Belief Model.

机构信息

School of Medicine, 9968The University of Alabama at Birmingham, Birmingham, AL, USA.

School of Health Professions, 9968The University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Am J Health Promot. 2022 Feb;36(2):288-295. doi: 10.1177/08901171211045038. Epub 2021 Oct 30.

DOI:10.1177/08901171211045038
PMID:34719985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8770578/
Abstract

PURPOSE

The purpose of this study was to qualitatively explore perceptions related to COVID-19 vaccination intention among African American and Latinx participants and suggest intervention strategies.

APPROACH

Ninety minute virtual focus groups (N = 8), segmented by county, race and ethnicity were conducted with stakeholders from 3 vulnerable Alabama counties.

PARTICIPANTS

Participants (N = 67) were primarily African American and Latinx, at least 19 years, and residents or stakeholders in Jefferson, Mobile, and Dallas counties.

SETTING

Focus groups took place virtually over Zoom.

METHODS

The semi-structured guide explored perceptions of COVID-19, with an emphasis on barriers and facilitators to vaccine uptake. Focus groups lasted approximately 90 minutes and were audio recorded, transcribed, and analyzed by a team of 3 investigators, according to the guidelines of Thematic Analysis using NVivo 12. To provide guidance in the development of interventions to decrease vaccine hesitancy, we examined how themes fit with the constructs of the Health Belief Model.

RESULTS

We found that primary themes driving COVID-19 vaccine hesitancy, ordered from most to least discussed, are mistrust, fear, and lack of information. Additionally, interventions to decrease vaccine hesitancy should be multi-modal, community engaged, and provide consistent, comprehensive messages delivered by trusted sources.

摘要

目的

本研究旨在定性探讨非裔美国人和拉丁裔参与者对 COVID-19 疫苗接种意愿的看法,并提出干预策略。

方法

在阿拉巴马州 3 个脆弱县的利益相关者中进行了 90 分钟的虚拟焦点小组(N = 8),按县、种族和族裔进行了分组。

参与者

参与者(N = 67)主要是非裔美国人和拉丁裔,年龄至少 19 岁,居住在杰斐逊、莫比尔和达拉斯县或为这些县的利益相关者。

设置

焦点小组在 Zoom 上进行虚拟讨论。

结果

我们发现,导致 COVID-19 疫苗犹豫的主要主题是从最常讨论到最不常讨论的依次是不信任、恐惧和缺乏信息。此外,减少疫苗犹豫的干预措施应该是多模式的、社区参与的,并由可信赖的来源提供一致、全面的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1530/8770578/301c30b88828/nihms-1762301-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1530/8770578/301c30b88828/nihms-1762301-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1530/8770578/301c30b88828/nihms-1762301-f0001.jpg

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