Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina
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...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2024-06, Vol.11 (3), p.1730-1740 |
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| container_title | Journal of racial and ethnic health disparities |
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| creator | 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. |
| description | 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. |
| doi_str_mv | 10.1007/s40615-023-01646-x |
| format | Article |
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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.</description><identifier>ISSN: 2197-3792</identifier><identifier>ISSN: 2196-8837</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-023-01646-x</identifier><identifier>PMID: 37273163</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject><![CDATA[Adolescent ; Adult ; African Americans ; Aged ; Black or African American - psychology ; Black or African American - statistics & numerical data ; Clergy ; COVID-19 ; COVID-19 - ethnology ; COVID-19 - prevention & control ; COVID-19 vaccines ; COVID-19 Vaccines - administration & dosage ; Cross-Sectional Studies ; Disease transmission ; Epidemiology ; False information ; Family income ; Female ; Government agencies ; Humans ; Immunization ; Male ; Marginalized groups ; Medicine ; Medicine & Public Health ; Middle Aged ; Minority & ethnic groups ; North Carolina ; Pandemics ; Pneumonia ; Polls & surveys ; Primary care ; Public Health ; Quality of Life Research ; Severe acute respiratory syndrome coronavirus 2 ; Social Inequality ; Social Structure ; Subgroups ; Surveys ; Surveys and Questionnaires ; Trust ; Underserved populations ; Vaccination - psychology ; Vaccination - statistics & numerical data ; Vaccination Hesitancy - psychology ; Vaccination Hesitancy - statistics & numerical data ; Vaccines ; Young Adult]]></subject><ispartof>Journal of racial and ethnic health disparities, 2024-06, Vol.11 (3), p.1730-1740</ispartof><rights>W. Montague Cobb-NMA Health Institute 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. W. Montague Cobb-NMA Health Institute.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-ae6cf2b3bea76e2946eff5331b9267a4aaed99e3ba1c017a943b8f062851127d3</citedby><cites>FETCH-LOGICAL-c475t-ae6cf2b3bea76e2946eff5331b9267a4aaed99e3ba1c017a943b8f062851127d3</cites><orcidid>0000-0002-4335-4912</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40615-023-01646-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40615-023-01646-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,30976,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37273163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lloyd, Shawnta L.</creatorcontrib><creatorcontrib>Foy, Capri G.</creatorcontrib><creatorcontrib>Caban-Holt, Allison</creatorcontrib><creatorcontrib>Gwathmey, TanYa</creatorcontrib><creatorcontrib>Williams, Kelvin Lamonte</creatorcontrib><creatorcontrib>Starks, Takiyah D.</creatorcontrib><creatorcontrib>Mathews, Allison</creatorcontrib><creatorcontrib>Vines, Anissa I.</creatorcontrib><creatorcontrib>Richmond, Alan</creatorcontrib><creatorcontrib>Byrd, Goldie S.</creatorcontrib><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</title><title>Journal of racial and ethnic health disparities</title><addtitle>J. Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Aged</subject><subject>Black or African American - psychology</subject><subject>Black or African American - statistics & numerical data</subject><subject>Clergy</subject><subject>COVID-19</subject><subject>COVID-19 - ethnology</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 vaccines</subject><subject>COVID-19 Vaccines - administration & dosage</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Epidemiology</subject><subject>False information</subject><subject>Family income</subject><subject>Female</subject><subject>Government agencies</subject><subject>Humans</subject><subject>Immunization</subject><subject>Male</subject><subject>Marginalized groups</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>North Carolina</subject><subject>Pandemics</subject><subject>Pneumonia</subject><subject>Polls & surveys</subject><subject>Primary care</subject><subject>Public Health</subject><subject>Quality of Life Research</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Social Inequality</subject><subject>Social Structure</subject><subject>Subgroups</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Trust</subject><subject>Underserved populations</subject><subject>Vaccination - psychology</subject><subject>Vaccination - statistics & numerical data</subject><subject>Vaccination Hesitancy - psychology</subject><subject>Vaccination Hesitancy - statistics & numerical data</subject><subject>Vaccines</subject><subject>Young Adult</subject><issn>2197-3792</issn><issn>2196-8837</issn><issn>2196-8837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kctu1TAQhiMEolXpC7BAltiwCfiS2MkKRYdLK1UU0dKtNfGZnOMqsQ-2g9oH4X1xT0q5LFh5pPnmG4_-onjO6GtGqXoTKypZXVIuSspkJcubR8UhZ60sm0aox_talUK1_KA4jvGaUsp4XbdCPi0OhOJKMCkOix9djBijdRuStki--BGJH8hlmGMi1pHPcz9aQ04QxrQl3QadsRgJuDVZnV-dvitZS67AGOsgWe_IRYI0R9JNPhuBrPw0zc6mW3IB025xd0OwBlxmcF_Euz2ffMj-FQQ_ZtWz4skAY8Tj-_eo-Prh_eXqpDw7_3i66s5KU6k6lYDSDLwXPYKSyNtK4jDUQrC-5VJBBYDrtkXRAzOUKWgr0TcDlbypGeNqLY6Kt4t3N_cTrg26FGDUu2AnCLfag9V_d5zd6o3_rhnlFWOCZcOre0Pw32aMSU82GhxHcOjnqHnDuaI1UzSjL_9Br_0cXL5PC1pLKpWiMlN8oUzwMQYcHn7DqL5LXi_J65y83ievb_LQiz_veBj5lXMGxALE3HIbDL93_0f7E1WsumM</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Lloyd, Shawnta L.</creator><creator>Foy, Capri G.</creator><creator>Caban-Holt, Allison</creator><creator>Gwathmey, TanYa</creator><creator>Williams, Kelvin Lamonte</creator><creator>Starks, Takiyah D.</creator><creator>Mathews, Allison</creator><creator>Vines, Anissa I.</creator><creator>Richmond, Alan</creator><creator>Byrd, Goldie S.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4335-4912</orcidid></search><sort><creationdate>20240601</creationdate><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</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-ae6cf2b3bea76e2946eff5331b9267a4aaed99e3ba1c017a943b8f062851127d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>Aged</topic><topic>Black or African American - psychology</topic><topic>Black or African American - statistics & numerical data</topic><topic>Clergy</topic><topic>COVID-19</topic><topic>COVID-19 - ethnology</topic><topic>COVID-19 - prevention & control</topic><topic>COVID-19 vaccines</topic><topic>COVID-19 Vaccines - administration & dosage</topic><topic>Cross-Sectional Studies</topic><topic>Disease transmission</topic><topic>Epidemiology</topic><topic>False information</topic><topic>Family income</topic><topic>Female</topic><topic>Government agencies</topic><topic>Humans</topic><topic>Immunization</topic><topic>Male</topic><topic>Marginalized groups</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>North Carolina</topic><topic>Pandemics</topic><topic>Pneumonia</topic><topic>Polls & surveys</topic><topic>Primary care</topic><topic>Public Health</topic><topic>Quality of Life Research</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Social Inequality</topic><topic>Social Structure</topic><topic>Subgroups</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Trust</topic><topic>Underserved populations</topic><topic>Vaccination - psychology</topic><topic>Vaccination - statistics & numerical data</topic><topic>Vaccination Hesitancy - psychology</topic><topic>Vaccination Hesitancy - statistics & numerical data</topic><topic>Vaccines</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lloyd, Shawnta L.</creatorcontrib><creatorcontrib>Foy, Capri G.</creatorcontrib><creatorcontrib>Caban-Holt, Allison</creatorcontrib><creatorcontrib>Gwathmey, TanYa</creatorcontrib><creatorcontrib>Williams, Kelvin Lamonte</creatorcontrib><creatorcontrib>Starks, Takiyah D.</creatorcontrib><creatorcontrib>Mathews, Allison</creatorcontrib><creatorcontrib>Vines, Anissa I.</creatorcontrib><creatorcontrib>Richmond, Alan</creatorcontrib><creatorcontrib>Byrd, Goldie S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of racial and ethnic health disparities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lloyd, Shawnta L.</au><au>Foy, Capri G.</au><au>Caban-Holt, Allison</au><au>Gwathmey, TanYa</au><au>Williams, Kelvin Lamonte</au><au>Starks, Takiyah D.</au><au>Mathews, Allison</au><au>Vines, Anissa I.</au><au>Richmond, Alan</au><au>Byrd, Goldie S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Role of Trust in Public Health Agencies and COVID-19 Vaccination Status Among a Community Sample of African Americans in North Carolina</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>11</volume><issue>3</issue><spage>1730</spage><epage>1740</epage><pages>1730-1740</pages><issn>2197-3792</issn><issn>2196-8837</issn><eissn>2196-8837</eissn><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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37273163</pmid><doi>10.1007/s40615-023-01646-x</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4335-4912</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of racial and ethnic health disparities, 2024-06, Vol.11 (3), p.1730-1740 |
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| subjects | Adolescent Adult African Americans Aged Black or African American - psychology Black or African American - statistics & numerical data Clergy COVID-19 COVID-19 - ethnology COVID-19 - prevention & control COVID-19 vaccines COVID-19 Vaccines - administration & dosage Cross-Sectional Studies Disease transmission Epidemiology False information Family income Female Government agencies Humans Immunization Male Marginalized groups Medicine Medicine & Public Health Middle Aged Minority & ethnic groups North Carolina Pandemics Pneumonia Polls & surveys Primary care Public Health Quality of Life Research Severe acute respiratory syndrome coronavirus 2 Social Inequality Social Structure Subgroups Surveys Surveys and Questionnaires Trust Underserved populations Vaccination - psychology Vaccination - statistics & numerical data Vaccination Hesitancy - psychology Vaccination Hesitancy - statistics & numerical data Vaccines Young Adult |
| 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 |
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