دورية أكاديمية
أعرض في EDS

The Influence of Racism in Healthcare: COVID-19 Vaccine Hesitancy Among Black Mothers in Chicago.

التفاصيل البيبلوغرافية
العنوان: The Influence of Racism in Healthcare: COVID-19 Vaccine Hesitancy Among Black Mothers in Chicago.
المؤلفون: Harris M; Institute of Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA. meharris@mcw.edu., Sherrod D; Sinai Health System, Sinai Urban Health Institute, Chicago, IL, USA., Walsh JL; Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA., Hunt BR; Sinai Health System, Sinai Infectious Disease Center, Chicago, IL, USA., Jacobs J; Sinai Health System, Sinai Urban Health Institute, Chicago, IL, USA., Valencia J; Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA., Baumer-Mouradian S; Division of Pediatric Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA., Quinn KG; Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA.
المصدر: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug; Vol. 11 (4), pp. 2425-2434. Date of Electronic Publication: 2023 Aug 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101628476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2196-8837 (Electronic) Linking ISSN: 21968837 NLM ISO Abbreviation: J Racial Ethn Health Disparities Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Cham] : Springer International Publishing
مواضيع طبية MeSH: Racism*/psychology , Black or African American*/psychology , Black or African American*/statistics & numerical data , COVID-19 Vaccines* , Mothers*/psychology , Mothers*/statistics & numerical data , Vaccination Hesitancy*/psychology , Vaccination Hesitancy*/statistics & numerical data, Humans ; Female ; Chicago ; Adult ; COVID-19/prevention & control ; COVID-19/ethnology ; Middle Aged ; Trust ; Healthcare Disparities/ethnology ; Qualitative Research
مستخلص: Black mothers and children experience significant health disparities in the USA. These health disparities have been attributed, in part, to experiencing racism in healthcare. This study aimed to explore how experiences of healthcare discrimination and mistreatment experienced by Black mothers may influence COVID-19 vaccine beliefs and decision-making for themselves and their families. From April 2021 to November 2021, we conducted 50 semi-structured interviews among Chicago residents. Ten participants self-identified as female and with reported children; these data were extracted from the larger sample for data analysis. Interview content included perceptions and experiences with the COVID-19 vaccine and experiences with healthcare discrimination, mistreatment, and medical mistrust. Interview transcripts were transcribed verbatim and coded using the MAXQDA 2022 qualitative software. Themes were identified using a team-based thematic analysis to understand how experiences of racism in healthcare may influence COVID-19 vaccine decision-making. Four themes were generated from the data: (1) experiences of healthcare discrimination and mistreatment, (2) distrust and fears of experimentation, (3) the influence of discrimination and distrust on COVID-19 vaccine decision-making, and (4) overcoming vaccine hesitancy. The results of this study highlight the current literature; Black mothers experience racism and discrimination in healthcare when seeking care for themselves and their children. It is evident in their stories that medical racism and historical medical abuse influence vaccine decision-making. Therefore, healthcare and public health initiatives should be intentional in addressing past and present racism in healthcare to improve vaccine distrust.
(© 2023. W. Montague Cobb-NMA Health Institute.)
References: Thebault R, Andrew BT, Williams V. The conronavirus is infecting and killing black Americans at an alarmingly high rate: The Washington Post, National. April, 7 2020.  https://www.washingtonpost.com/nation/2020/04/07/coronavirus-is-infecting-killing-black-americans-an-alarmingly-high-rate-post-analysis-shows/ .
Eldeib D, Gallaro, A, Johnson A, Waldman, A, Martin N, Buford T, Briscoe. The first 100: COVID-19 took black lives first. It didn’t have to. ProPublica Illinois. May 9, 2020.  https://features.propublica.org/chicago-first-deaths/covid-coronavirus-took-black-lives-first/ .
Silk BJ, Scobie HM, Duck WM, et al. COVID-19 Surveillance after expiration of the public health emergency declaration ― United States, May 11, 2023. MMWR Morb Mortal Wkly Rep 2023;72:523–8.  https://doi.org/10.15585/mmwr.mm7219e1 .
National Vital Statistics Services, Arias FAE, Tejada-Vera B. Provisional life expectancy estimates for January through June, 2020. Natl Cent Heal Stat. 2021;10(010):1–8.
Mazimba S, Peterson PN. JAHA spotlight on racial and ethnic disparities in cardiovascular disease. J Am Heart Assoc. 2021;10(17):1–4. https://doi.org/10.1161/JAHA.121.023650 . (PMID: 10.1161/JAHA.121.023650)
Chinn JJ, Martin IK, Redmond N. Health equity among Black women in the United States. J Women's Health. 2021;30(2):212–9. https://doi.org/10.1089/jwh.2020.8868 . (PMID: 10.1089/jwh.2020.8868)
Padamsee TJ, et al. Changes in COVID-19 Vaccine hesitancy among Black and White individuals in the US. JAMA Netw Open. 2022;5(1):1–12. https://doi.org/10.1001/jamanetworkopen.2021.44470 . (PMID: 10.1001/jamanetworkopen.2021.44470)
Thompson HS, et al. Factors associated with racial/ethnic group-based medical mistrust and perspectives on COVID-19 vaccine trial participation and vaccine uptake in the US. JAMA Netw Open. 2021;4(5):1–10. https://doi.org/10.1001/jamanetworkopen.2021.11629 . (PMID: 10.1001/jamanetworkopen.2021.11629)
Audrey Kearney MB, Hamel L. Attitudes towards COVID-19 vaccination among Black women and men: Kaiser Family Foundation. 2021.  https://www.kff.org/coronavirus-covid-19/poll-finding/attitudes-towards-covid-19-vaccination-among-black-women-and-men/ .
Grobman WA, et al. Racial disparities in adverse pregnancy outcomes and psychosocial stress. Obstet Gynecol. 2018;131(2):328–35. https://doi.org/10.1097/AOG.0000000000002441 . (PMID: 10.1097/AOG.0000000000002441293246135785441)
Willis DE, et al. COVID-19 vaccine hesitancy: race/ethnicity, trust, and fear. Clin Transl Sci. 2021;14(6):2200–7. https://doi.org/10.1111/cts.13077 . (PMID: 10.1111/cts.13077342130738444681)
Momplaisir F, Haynes N, Nkwihoreze H, Nelson M, Werner RM, Jemmott J. Understanding drivers of coronavirus disease 2019 vaccine hesitancy among Blacks. Clin Infect Dis. 2021;73(10):1784–9. https://doi.org/10.1093/cid/ciab102 . (PMID: 10.1093/cid/ciab102335603467929035)
Kennedy B, Mathis C, Woods A. African Americans and their distrust of the Health Care System : healthcare for diverse populations. J Cult Divers. 2007;14(2):56–60. (PMID: 19175244)
Suite DH, La Bril R, Primm A, Harrison-Ross P. Beyond misdiagnosis, misunderstanding and mistrust: relevance of the historical perspective in the medical and mental health treatment of people of color. J Natl Med Assoc. 2007;99(8):879–85. (PMID: 177226642574307)
Hamed S, Bradby H, Ahlberg BM, Thapar-Björkert S. Racism in healthcare: a scoping review. BMC Public Health. 2022;22:1–22. https://doi.org/10.1186/s12889-022-13122-y . (PMID: 10.1186/s12889-022-13122-y)
Yasmin F, et al. COVID-19 vaccine hesitancy in the United States: a systematic review. Front Public Health. 2021;9(November):770985. https://doi.org/10.3389/fpubh.2021.770985 . (PMID: 10.3389/fpubh.2021.770985348882888650625)
Harris AL. ‘I got caught up in the game’: generational influences on contraceptive decision making in African-American women. J Am Acad Nurse Pract. 2013;25(3):156–65. https://doi.org/10.1111/j.1745-7599.2012.00772.x . (PMID: 10.1111/j.1745-7599.2012.00772.x)
Allen JD, Akinyemi IC, Reich A, Fleary S, Tendulkar S, Lamour N. African American women’s involvement in promoting informed decision-making for prostate cancer screening among their partners/spouses. Am J Mens Health. 2018;12(4):884–93. https://doi.org/10.1177/1557988317742257 . (PMID: 10.1177/1557988317742257292985586131450)
Nguyen KH, et al. Parental vaccine hesitancy and association with childhood diphtheria, tetanus toxoid, and acellular pertussis; measles, mumps, and rubella; rotavirus; and combined 7-series vaccination. Am J Prev Med. 2022;62(3):367–76. https://doi.org/10.1016/j.amepre.2021.08.015 . (PMID: 10.1016/j.amepre.2021.08.01535190101)
Valier MR, et al. Racial and ethnic differences in COVID-19 vaccination coverage among children and adolescents aged 5–17 years and parental intent to vaccinate their children — National Immunization Survey–child COVID module, United States, December 2020–September 2022. MMWR Morb Mortal Wkly Rep. 2023;72:1–8. https://doi.org/10.15585/mmwr.mm7201a1 . (PMID: 10.15585/mmwr.mm7201a1366029309815155)
Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–63. https://doi.org/10.1016/S0140-6736(17)30569-X . (PMID: 10.1016/S0140-6736(17)30569-X28402827)
Unequal Treatment. Washington, D.C.: National Academies Press, 2003. https://doi.org/10.17226/12875 .
Shavers VL, et al. The state of research on racial/ethnic discrimination in the receipt of health care. Am J Public Health. 2012;102(5):953–66. https://doi.org/10.2105/AJPH.2012.300773 . (PMID: 10.2105/AJPH.2012.300773224940023347711)
Wisniewski JM, Walker B. Association of simulated patient race/ethnicity with scheduling of primary care appointments. JAMA Netw Open. 2020;3:1–11. https://doi.org/10.1001/jamanetworkopen.2019.20010 . (PMID: 10.1001/jamanetworkopen.2019.20010)
Taylor JK. Structural racism and maternal health among Black women. J Law, Med Ethics. 2020;48(3):506–17. https://doi.org/10.1177/1073110520958875 . (PMID: 10.1177/107311052095887533021163)
Adams C, Thomas SP. Alternative prenatal care interventions to alleviate Black-White maternal/infant health disparities. Sociol Compass. 2017;12(1):e12549. https://doi.org/10.1111/soc4.12549 .
Ward TCS, Mazul M, Ngui EM, Bridgewater FD, Harley AE. ‘You learn to go last’: perceptions of prenatal care experiences among African-American women with limited incomes. Matern Child Health J. 2013;17(10):1753–9. https://doi.org/10.1007/s10995-012-1194-5 . (PMID: 10.1007/s10995-012-1194-5)
Mazul MC, Salm Ward TC, Ngui EM. Anatomy of good prenatal care: perspectives of low income African-American women on barriers and facilitators to prenatal care. J Racial Ethn Health Disparities. 2017;4(1):79–86. https://doi.org/10.1007/s40615-015-0204-x . (PMID: 10.1007/s40615-015-0204-x26823064)
Collins CC, Rice H, Bai R, Brown PL, Bronson C, Farmer C. ‘I felt like it would’ve been perfect, if they hadn’t been rushing’: Black women’s childbirth experiences with medical providers when accompanied by perinatal support professionals. J Adv Nurs. 2021;16:16. https://doi.org/10.1111/jan.14941 . (PMID: 10.1111/jan.14941)
Dove-Medows E, Thompson L, McCracken L, Kavanaugh K, Misra DP, Giurgescu C. I wouldn’t let it get to me: pregnant Black women’s experiences of discrimination. Am J Matern Child Nurs. 2021;08:8. https://doi.org/10.1097/NMC.0000000000000707 . (PMID: 10.1097/NMC.0000000000000707)
Williams MT. Microaggressions: clarification, evidence, and impact. Perspect Psychol Sci. 2020;15(1):3–26. https://doi.org/10.1177/1745691619827499 . (PMID: 10.1177/174569161982749931418642)
Walton JR, Spinks-Franklin A. Discrimination and the role of the clinician. Pediatr. 2021;148:6–8. https://doi.org/10.1542/peds.2021-053619 . (PMID: 10.1542/peds.2021-053619)
Sakala C, Declercq ER, Turon JM, Corry MP. Listening to mothers in California. no. September, p. 114, 2018, [Online]. Available: https://www.chcf.org/wp-content/uploads/2018/09/ListeningMothersCAFullSurveyReport2018.pdf .
Chambers BD, et al. Black women’s perspectives on structural racism across the reproductive lifespan: a conceptual framework for measurement development. Matern Child Health J. 2021;25(3):402–13. https://doi.org/10.1007/s10995-020-03074-3 . (PMID: 10.1007/s10995-020-03074-333398713)
Ly DP. Historical trends in the representativeness and incomes of Black physicians, 1900–2018. J Gen Intern Med. 2022;37(5):1310–2. https://doi.org/10.1007/s11606-021-06745-1 . (PMID: 10.1007/s11606-021-06745-133876377)
Muppala VR, Janwadkar RS, Rootes A, Prakash N. Creating a pipeline for minority physicians: medical-student-led programming. Cureus. 2021. https://doi.org/10.7759/cureus.14384 .
Mora H, Obayemi A, Holcomb K, Hinson M. The national deficit of Black and Hispanic physicians in the US and projected estimates of time to correction. JAMA Netw Open. 2022;5(6):E2215485. https://doi.org/10.1001/jamanetworkopen.2022.15485 . (PMID: 10.1001/jamanetworkopen.2022.15485356484049161019)
Van Eijk MS, Guenther GA, Kett PM, Jopson AD, Frogner BK, Skillman SM. Addressing systemic racism in birth doula services to reduce health inequities in the United States. Heal Equity. 2022;6(1):98–105. https://doi.org/10.1089/heq.2021.0033 . (PMID: 10.1089/heq.2021.0033)
Avakame EF, October TW, Dixon GL. Antiracism in academic medicine: fixing the leak in the pipeline of Black Physicians. ATS Sch. 2021;2(2):193–201. https://doi.org/10.34197/ats-scholar.2020-0133ps .
C. D. of P. Health. Infants under 5 years old vaccination campaign toolkiT. 2022. [Online]. Available: https://www.chicago.gov/content/dam//city/sites/youth-vax/toolkit/CDPH_Infants_Vaccination_Campaign_Toolkit_FINAL.pdf .
A. A. of Pediatrics. Communicating with families and promoting vaccine confidence. 2023. https://www.aap.org/en/patient-care/immunizations/communicating-with-families-and-promoting-vaccine-confidence/ . Accessed 12 June 2023.
معلومات مُعتمدة: R21MH122010-S1 United States MH NIMH NIH HHS; R21MH122010-S1 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: Black mothers; COVID-10 vaccine; COVID-19; Healthcare discrimination; Historical racism; Medical mistrust; Qualitative; Racism
المشرفين على المادة: 0 (COVID-19 Vaccines)
تواريخ الأحداث: Date Created: 20230802 Date Completed: 20240710 Latest Revision: 20240710
رمز التحديث: 20240711
DOI: 10.1007/s40615-023-01708-0
PMID: 37531019
قاعدة البيانات: MEDLINE
الوصف
تدمد:2196-8837
DOI:10.1007/s40615-023-01708-0