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- Title
Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina.
- Authors
Lloyd, Shawnta L.; Foy, Capri G.; Caban-Holt, Allison; Gwathmey, TanYa; Williams, Kelvin Lamonte; Starks, Takiyah D.; Mathews, Allison; Vines, Anissa I.; Richmond, Alan; Byrd, Goldie S.
- Abstract
Background: Mistrust of the government and medical establishments are prominent reasons for vaccine hesitancy among African Americans (AAs). As COVID-19 research evolves in real time with some uncertainties remaining, AA communities may be less trusting of public health agencies. The purpose of these analyses was to assess the association between trust in public health agencies that recommend the COVID-19 vaccination and COVID-19 vaccination status among AAs in North Carolina. Methods: A 75-item cross-sectional survey, the Triad Pastors Network COVID-19 and COVID-19 Vaccination survey, was developed and administered to African Americans in North Carolina. Multivariable logistic regression was used to examine the association between levels of trust in public health agencies who recommend the COVID-19 vaccine and COVID-19 vaccination status among AAs. Results: Of the 1157 AAs included in these analyses, approximately 14% of AAs had not received the COVID-19 vaccine. These findings indicated that lower levels of trust in public health agencies significantly decreased the odds of getting the COVID-19 vaccination compared to those with higher levels of trust among AAs. The most trusted source for information on COVID-19 included federal agencies among all respondents. Among the vaccinated, primary care physicians were another trusted source of information. Pastors were another trusted source for those willing to be vaccinated. Conclusions: Despite the majority of the respondents in this sample receiving the COVID-19 vaccine, subgroups of AAs remain unvaccinated. Federal agencies have a high level of trust among AA adults; however, innovative approaches are needed to reach AAs who remain unvaccinated.
- Subjects
UNITED States; AFRICAN Americans; COMMUNITY health services; CROSS-sectional method; CLERGY; RESEARCH funding; DIFFUSION of innovations; GOVERNMENT agencies; LOGISTIC regression analysis; COVID-19 vaccines; MULTIVARIATE analysis; DESCRIPTIVE statistics; FEDERAL government; TRUST; VACCINE hesitancy; PUBLIC health; HEALTH equity; MEDICAL mistrust; SOCIODEMOGRAPHIC factors; VACCINATION status
- Publication
Journal of Racial & Ethnic Health Disparities, 2024, Vol 11, Issue 3, p1730
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-023-01646-x