Yale College, New Haven, CT, USA.
St Michael's Hospital Centre for Urban Health Solutions, Toronto, ON, Canada.
J Urban Health. 2022 Feb;99(1):15-27. doi: 10.1007/s11524-021-00594-3. Epub 2022 Jan 11.
Black communities have had a high burden of COVID-19 cases, hospitalizations, and death, yet rates of COVID-19 vaccine uptake among Blacks lag behind other demographic groups. This has been due in part to vaccine hesitancy and multi-level issues around access to COVID-19 vaccines. Effective strategies to promote vaccine uptake among Black communities are needed. To perform a rapid review covering December 2020-August 2021, our search strategy used PubMed, Google, and print media with a prescribed set of definitions and search terms for two reasons: there were limited peer-reviewed studies during the early period of vaccine roll-out and real-time perspectives were crucially needed. Analyses included expert opinion, descriptions of implemented projects, and project outcomes. The strategies described in these reports largely converged into three categories: (a) addressing mistrust, (b) combatting misinformation, and (c) improving access to COVID-19 vaccines. When working to reduce hesitancy, it is important to consider messaging content, messengers, and location. To address mistrust, reports detailed the importance of communicating through trusted channels, validating the real, history- and experience-based reasons why people may be hesitant to establish common ground, and addressing racism embedded within the healthcare system. To combat misinformation, strategies included dispelling myths and answering questions through town halls and culturally intelligent outreach. Black physicians and clinicians are considered trusted messengers and partnering with community leaders such as pastors can help to reach more people. The settings of vaccination sites should be convenient and trusted such as churches, barbershops, and community sites. While a number of individual and combination efforts have been developed and implemented, data that disentangle components that are the most effective are sparse. This rapid review provides a basis for developing strategic implementation to increase COVID-19 vaccine uptake in this ongoing pandemic and planning to promote health equity for future bio-events and health crises.
黑人社区的 COVID-19 病例、住院和死亡负担一直很高,但黑人 COVID-19 疫苗接种率落后于其他人群。这部分是由于疫苗犹豫和获取 COVID-19 疫苗的多层次问题。需要采取有效的策略来提高黑人社区的疫苗接种率。为了进行一项涵盖 2020 年 12 月至 2021 年 8 月的快速审查,我们的搜索策略使用了 PubMed、Google 和印刷媒体,并使用了一套规定的定义和搜索词,原因有二:在疫苗推出的早期阶段,同行评议研究有限,并且急需实时观点。分析包括专家意见、已实施项目的描述和项目成果。这些报告中描述的策略大致分为三类:(a)解决不信任问题,(b)打击错误信息,(c)改善 COVID-19 疫苗的获取途径。在努力减少犹豫时,重要的是要考虑信息内容、信息传递者和地点。为了解决不信任问题,报告详细说明了通过可信渠道进行沟通的重要性,验证了人们可能犹豫不决的真实、历史和经验原因,并解决了医疗保健系统中存在的种族主义问题。为了打击错误信息,策略包括通过市政厅和文化智能外联来消除神话和回答问题。黑人医生和临床医生被认为是可信赖的信息传递者,与牧师等社区领袖合作可以帮助更多的人。接种点的设置应该方便和值得信赖,如教堂、理发店和社区场所。虽然已经制定和实施了许多单独和联合的努力,但缺乏可以分解出最有效的成分的数据。这项快速审查为在当前大流行期间增加 COVID-19 疫苗接种率和规划未来生物事件和卫生危机中的健康公平提供了战略实施的基础。
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