Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities
Introduction: Racial minority groups have been disproportionately affected by the 2019 novel coronavirus disease (COVID-19). Vaccine hesitancy may be a major barrier to achieving equitable herd immunity and must be addressed to reduce the excess morbidity and mortality of COVID-19 in disproportionat...
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Online Access: | http://dx.doi.org/10.3389/fmed.2021.668299 https://www.frontiersin.org/articles/10.3389/fmed.2021.668299/full |
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crfrontiers:10.3389/fmed.2021.668299 2024-03-31T07:52:47+00:00 Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities Gerretsen, Philip Kim, Julia Quilty, Lena Wells, Samantha Brown, Eric E. Agic, Branka Pollock, Bruce G. Graff-Guerrero, Ariel Canadian Institutes of Health Research Centre for Addiction and Mental Health Foundation 2021 http://dx.doi.org/10.3389/fmed.2021.668299 https://www.frontiersin.org/articles/10.3389/fmed.2021.668299/full unknown Frontiers Media SA https://creativecommons.org/licenses/by/4.0/ Frontiers in Medicine volume 8 ISSN 2296-858X General Medicine journal-article 2021 crfrontiers https://doi.org/10.3389/fmed.2021.668299 2024-03-05T00:10:52Z Introduction: Racial minority groups have been disproportionately affected by the 2019 novel coronavirus disease (COVID-19). Vaccine hesitancy may be a major barrier to achieving equitable herd immunity and must be addressed to reduce the excess morbidity and mortality of COVID-19 in disproportionately affected communities. This study aimed to determine if COVID-19 vaccine hesitancy, and its factors vaccine complacency and confidence, are more prominent among disproportionately affected racial minority groups. Methods: We collected data from participants aged 18 years or older from the four most populous U.S. states, including New York, California, Florida, and Texas, and Canada. Data were collected using a web-based survey platform. Data are available at http://www.covid19-database.com . Results: Data from 4,434 participants were included [mean (SD) age = 48.7 (17.2) and 50.4% women]. Vaccine hesitancy was higher in Black, Indigenous (Native American and Indigenous People of Canada, including First Nations, Inuit and Métis), and Latinx compared to White participants, while no difference was found between East Asian and White participants. The group differences in vaccine hesitancy for Indigenous and Black compared to White participants remained after controlling for sociodemographic factors. Determinants of vaccine complacency were equivalent between disproportionately affected racial groups and white participants. Vaccine confidence (i.e., trust in vaccine benefit) was generally lower in all racial groups compared to White participants. Differences in vaccine mistrust comparing Black and East Asian to White participants remained after controlling for sociodemographic factors. Discussion: Disproportionately affected racial minorities may have higher vaccine hesitancy and lower confidence in COVID-19 vaccines. Public health and other relevant government services should address vaccine hesitancy among racial minorities using a culturally sensitive, community-centered approach to attain equitable herd immunity. Article in Journal/Newspaper First Nations inuit Frontiers (Publisher) Canada Frontiers in Medicine 8 |
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General Medicine |
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General Medicine Gerretsen, Philip Kim, Julia Quilty, Lena Wells, Samantha Brown, Eric E. Agic, Branka Pollock, Bruce G. Graff-Guerrero, Ariel Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
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General Medicine |
description |
Introduction: Racial minority groups have been disproportionately affected by the 2019 novel coronavirus disease (COVID-19). Vaccine hesitancy may be a major barrier to achieving equitable herd immunity and must be addressed to reduce the excess morbidity and mortality of COVID-19 in disproportionately affected communities. This study aimed to determine if COVID-19 vaccine hesitancy, and its factors vaccine complacency and confidence, are more prominent among disproportionately affected racial minority groups. Methods: We collected data from participants aged 18 years or older from the four most populous U.S. states, including New York, California, Florida, and Texas, and Canada. Data were collected using a web-based survey platform. Data are available at http://www.covid19-database.com . Results: Data from 4,434 participants were included [mean (SD) age = 48.7 (17.2) and 50.4% women]. Vaccine hesitancy was higher in Black, Indigenous (Native American and Indigenous People of Canada, including First Nations, Inuit and Métis), and Latinx compared to White participants, while no difference was found between East Asian and White participants. The group differences in vaccine hesitancy for Indigenous and Black compared to White participants remained after controlling for sociodemographic factors. Determinants of vaccine complacency were equivalent between disproportionately affected racial groups and white participants. Vaccine confidence (i.e., trust in vaccine benefit) was generally lower in all racial groups compared to White participants. Differences in vaccine mistrust comparing Black and East Asian to White participants remained after controlling for sociodemographic factors. Discussion: Disproportionately affected racial minorities may have higher vaccine hesitancy and lower confidence in COVID-19 vaccines. Public health and other relevant government services should address vaccine hesitancy among racial minorities using a culturally sensitive, community-centered approach to attain equitable herd immunity. |
author2 |
Canadian Institutes of Health Research Centre for Addiction and Mental Health Foundation |
format |
Article in Journal/Newspaper |
author |
Gerretsen, Philip Kim, Julia Quilty, Lena Wells, Samantha Brown, Eric E. Agic, Branka Pollock, Bruce G. Graff-Guerrero, Ariel |
author_facet |
Gerretsen, Philip Kim, Julia Quilty, Lena Wells, Samantha Brown, Eric E. Agic, Branka Pollock, Bruce G. Graff-Guerrero, Ariel |
author_sort |
Gerretsen, Philip |
title |
Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
title_short |
Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
title_full |
Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
title_fullStr |
Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
title_full_unstemmed |
Vaccine Hesitancy Is a Barrier to Achieving Equitable Herd Immunity Among Racial Minorities |
title_sort |
vaccine hesitancy is a barrier to achieving equitable herd immunity among racial minorities |
publisher |
Frontiers Media SA |
publishDate |
2021 |
url |
http://dx.doi.org/10.3389/fmed.2021.668299 https://www.frontiersin.org/articles/10.3389/fmed.2021.668299/full |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Frontiers in Medicine volume 8 ISSN 2296-858X |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.3389/fmed.2021.668299 |
container_title |
Frontiers in Medicine |
container_volume |
8 |
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1795032125221634048 |