Syracuse University.
University of California, Irvine.
Milbank Q. 2022 Jun;100(2):492-503. doi: 10.1111/1468-0009.12561. Epub 2022 Mar 22.
Policy Points Mass vaccination is essential for bringing the COVID-19 pandemic to a close, yet substantial disparities remain between whites and racial and ethnic minorities within the United States. Online messaging campaigns featuring expert endorsements are a low-cost way to increase vaccine awareness among minoritized populations, yet the efficacy of same-race/ethnicity expert messaging in increasing uptake remains unknown. Our preregistered analysis of an online vaccine endorsement campaign, which randomly varied the racial/ethnic identity of the expert, revealed no evidence that information from same race/ethnicity experts affected vaccine interest or the intention to vaccinate. Our results do not rule out the possibility that other low-cost endorsement campaigns may be more effective in increasing vaccine uptake, but do suggest that public health campaigns might profitably focus on issues of access and convenience when targeting minoritized populations in the United States.
The COVID-19 pandemic in the United States has been unequally experienced across racial and ethnic groups. Mass vaccination is the most effective way to bring the pandemic to an end and to manage its public health consequences. But the racialization of public health delivery in the United States has produced a sizable racial/ethnic gap in vaccination rates. Closing this gap in vaccine uptake is therefore essential to ending the pandemic.
We conducted a preregistered, well-powered (N = 2,117) between-subjects survey experiment, fielded March 24 to April 5, 2021, in which participants from YouGov's online panel-including oversamples of Black (n = 471), Hispanic/Latino/a (n = 430), and Asian American (n = 319) participants-were randomly assigned to see COVID-19 vaccine information endorsed by same- or different-race/ethnicity experts or to a control condition. We then measured respondents' vaccination intentions, intention to encourage others to get vaccinated, and interest in learning more information and sharing information with others.
Same-race/ethnicity expert endorsements had no measurable effect on nonwhite or white respondents' willingness to get the COVID-19 vaccine, to encourage others to get the vaccine, or to learn more or share information with others.
Our study provides empirical evidence suggesting online endorsements from same-race/ethnicity experts do not increase vaccine interest, advocacy, or uptake, though same-race/ethnicity endorsements may be effective in other venues or mediums.
大规模疫苗接种对于结束 COVID-19 大流行至关重要,但美国白人和少数族裔之间仍然存在着巨大的差异。具有专家认可的在线信息宣传活动是提高少数族裔人群疫苗意识的一种低成本方法,但同种族/族裔专家信息宣传增加接种率的效果仍不清楚。我们对一项在线疫苗认可活动的预先注册分析,该分析随机改变了专家的种族/族裔身份,没有证据表明来自同种族/族裔专家的信息会影响疫苗接种意愿或接种意愿。我们的研究结果并不排除其他低成本认可活动可能更有效地提高疫苗接种率,但确实表明,在美国针对少数族裔人群时,公共卫生运动可能会从增加获取机会和便利性方面受益。
美国的 COVID-19 大流行在不同种族和族裔群体中的经历是不平等的。大规模疫苗接种是结束大流行并管理其公共卫生后果的最有效方法。但是,美国公共卫生服务的种族化导致疫苗接种率出现了相当大的种族/族裔差距。因此,缩小疫苗接种率的差距对于结束大流行至关重要。
我们进行了一项预先注册、有充分效力(N=2117)的受试者间调查实验,于 2021 年 3 月 24 日至 4 月 5 日在 YouGov 的在线小组中进行,其中包括来自黑人(n=471)、西班牙裔/拉丁裔(n=430)和亚裔美国人(n=319)的参与者的样本,参与者被随机分配观看由同种族/族裔或不同种族/族裔专家认可的 COVID-19 疫苗信息,或观看对照组信息。然后,我们测量了受访者的疫苗接种意愿、鼓励他人接种疫苗的意愿、以及对了解更多信息和与他人分享信息的兴趣。
同种族/族裔专家的认可对非白人或白人受访者接种 COVID-19 疫苗、鼓励他人接种疫苗或了解更多信息和与他人分享信息的意愿没有可衡量的影响。
我们的研究提供了实证证据,表明来自同种族/族裔专家的在线认可并不会增加疫苗接种的兴趣、倡导或接种率,尽管在其他场所或媒体中,同种族/族裔的认可可能是有效的。