Medical College of Wisconsin, Center for AIDS Intervention Research, Milwaukee, WI, 53202, USA.
Sinai Health System, Sinai Urban Health Institute, Chicago, IL, USA.
J Racial Ethn Health Disparities. 2024 Dec;11(6):3864-3871. doi: 10.1007/s40615-023-01837-6. Epub 2023 Oct 23.
The COVID-19 pandemic put a significant strain on communities, social resources, and personal relationships, disproportionately impacting Black and low-income communities in the United States. Community cohesion and social support are positively associated with numerous health outcomes and preventive health measures, yet were strained during the pandemic due to COVID mitigation measures. This study examined the relationships between social cohesion, social support, mental health, and COVID-19 vaccination to understand whether community cohesion and social support were associated with increased likelihood of receiving a COVID-19 vaccination. Data are from a cross-sectional survey of 537 Black Chicagoans that was disseminated between September 2021 and March 2022. Structural equation modeling was used to test associations between community cohesion, social support, loneliness, anxiety, stress, and having received a COVID-19 vaccination. Results demonstrated that social support mediated associations between community cohesion and loneliness, anxiety, and stress, but was not associated with COVID-19 vaccination. These results demonstrate the importance of community cohesion and social support on mental health and suggest there are other potential pathways that may link community cohesion and vaccination.
新冠疫情对社区、社会资源和人际关系造成了重大压力，对美国的黑人和低收入社区造成了不成比例的影响。 社区凝聚力和社会支持与许多健康结果和预防保健措施呈正相关，但由于新冠缓解措施，在疫情期间受到了压力。本研究考察了社会凝聚力、社会支持、心理健康和新冠疫苗接种之间的关系，以了解社区凝聚力和社会支持是否与增加接种新冠疫苗的可能性有关。数据来自于 2021 年 9 月至 2022 年 3 月期间在芝加哥的 537 名黑人进行的横断面调查。结构方程模型用于测试社区凝聚力、社会支持、孤独感、焦虑、压力和接种新冠疫苗之间的关联。结果表明，社会支持中介了社区凝聚力与孤独感、焦虑和压力之间的关联，但与新冠疫苗接种无关。这些结果表明了社区凝聚力和社会支持对心理健康的重要性，并表明可能存在其他潜在途径可以将社区凝聚力和疫苗接种联系起来。
