Vaccine Distrust: A Predictable Response to Structural Racism and an Inadequate Public Health Infrastructure
Black Americans have higher mortality rates from COVID-19 than the general population and also stand out as less inclined to accept COVID-19 vaccination. As of January 5, 2021,1 in 735 Black Americans and 1 in 1000 Latino Americans Has Died From Covid-19, In Comparison With 1 In 1030 White Americans...
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| Veröffentlicht in: | American journal of public health (1971) 2021-10, Vol.111 (S3), p.S185-S188 |
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| container_title | American journal of public health (1971) |
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| creator | Madorsky, Toni Z. Adebayo, Nihmotallahi A. Post, Sharon L. O’Brian, Catherine A. Simon, Melissa A. |
| description | Black Americans have higher mortality rates from COVID-19 than the general population and also stand out as less inclined to accept COVID-19 vaccination. As of January 5, 2021,1 in 735 Black Americans and 1 in 1000 Latino Americans Has Died From Covid-19, In Comparison With 1 In 1030 White Americans.1 As These Statistics illustrate, the public health infrastructure has visibly failed to protect Black and Brown communities from disproportionate rates of death from COVID-19. Also, according to Khubchandani et al., only 66% of Black adults and 71% of Hispanic adults say that they would get vaccinated compared with 78% of White adults.2 The Public Health 3.0 framework introduced by DeSalvo et al. in 2016 committed to creating adequate public health systems that would be able to respond to community needs in times of crises.3 The evidence of racial inequity in access to COVID-19 prevention and treatment and in the distribution of the social and economic burden of the pandemic calls into question the capacity of the Public Health 3.0 framework to meaningfully address structural racism. Vaccine hesitancy, as defined by the World Health Organization, is a refusal or a delay in the acceptance of vaccines despite availability.2 We posit that the term "vaccine distrust" is preferred over the term "vaccine hesitancy" because of the negative connotations of the latter, which in effect faults the individual for their lack of confidence in a system that has historically failed and continues to fail them. We examine the shortcomings ofthe Public Health 3.0 framework through the instructive case of vaccine distrust, which is both a barrier to health care and a predictable response to the public health infrastructure's failure to respond to structural racism. |
| doi_str_mv | 10.2105/AJPH.2021.306411 |
| format | Article |
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As of January 5, 2021,1 in 735 Black Americans and 1 in 1000 Latino Americans Has Died From Covid-19, In Comparison With 1 In 1030 White Americans.1 As These Statistics illustrate, the public health infrastructure has visibly failed to protect Black and Brown communities from disproportionate rates of death from COVID-19. Also, according to Khubchandani et al., only 66% of Black adults and 71% of Hispanic adults say that they would get vaccinated compared with 78% of White adults.2 The Public Health 3.0 framework introduced by DeSalvo et al. in 2016 committed to creating adequate public health systems that would be able to respond to community needs in times of crises.3 The evidence of racial inequity in access to COVID-19 prevention and treatment and in the distribution of the social and economic burden of the pandemic calls into question the capacity of the Public Health 3.0 framework to meaningfully address structural racism. Vaccine hesitancy, as defined by the World Health Organization, is a refusal or a delay in the acceptance of vaccines despite availability.2 We posit that the term "vaccine distrust" is preferred over the term "vaccine hesitancy" because of the negative connotations of the latter, which in effect faults the individual for their lack of confidence in a system that has historically failed and continues to fail them. We examine the shortcomings ofthe Public Health 3.0 framework through the instructive case of vaccine distrust, which is both a barrier to health care and a predictable response to the public health infrastructure's failure to respond to structural racism.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2021.306411</identifier><identifier>PMID: 34709877</identifier><language>eng</language><publisher>Washington: American Public Health Association</publisher><subject>Adults ; African Americans ; Collaboration ; Community ; Community Health ; COVID-19 ; COVID-19 diagnostic tests ; COVID-19 vaccines ; Discrimination ; Health care ; Health care access ; Health care policy ; Immunization ; Immunization/Vaccines ; Infrastructure ; Mortality rates ; Neighborhoods ; Opinions, Ideas, & Practice ; Other Race/Ethnicity ; Pandemics ; Pharmacy ; Postal codes ; Prevention ; Public health ; Public schools ; Public works ; Racism ; Statistics ; Systemic racism ; Trust ; Urban Health ; Vaccines</subject><ispartof>American journal of public health (1971), 2021-10, Vol.111 (S3), p.S185-S188</ispartof><rights>Copyright American Public Health Association Oct 2021</rights><rights>American Public Health Association 2021 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-fda58d89f2f8aa4c7e60d6375ed5f0fa501031700fa9ad3d8c86d9a22691cd5d3</citedby><cites>FETCH-LOGICAL-c401t-fda58d89f2f8aa4c7e60d6375ed5f0fa501031700fa9ad3d8c86d9a22691cd5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561062/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561062/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27843,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Madorsky, Toni Z.</creatorcontrib><creatorcontrib>Adebayo, Nihmotallahi A.</creatorcontrib><creatorcontrib>Post, Sharon L.</creatorcontrib><creatorcontrib>O’Brian, Catherine A.</creatorcontrib><creatorcontrib>Simon, Melissa A.</creatorcontrib><title>Vaccine Distrust: A Predictable Response to Structural Racism and an Inadequate Public Health Infrastructure</title><title>American journal of public health (1971)</title><description>Black Americans have higher mortality rates from COVID-19 than the general population and also stand out as less inclined to accept COVID-19 vaccination. As of January 5, 2021,1 in 735 Black Americans and 1 in 1000 Latino Americans Has Died From Covid-19, In Comparison With 1 In 1030 White Americans.1 As These Statistics illustrate, the public health infrastructure has visibly failed to protect Black and Brown communities from disproportionate rates of death from COVID-19. Also, according to Khubchandani et al., only 66% of Black adults and 71% of Hispanic adults say that they would get vaccinated compared with 78% of White adults.2 The Public Health 3.0 framework introduced by DeSalvo et al. in 2016 committed to creating adequate public health systems that would be able to respond to community needs in times of crises.3 The evidence of racial inequity in access to COVID-19 prevention and treatment and in the distribution of the social and economic burden of the pandemic calls into question the capacity of the Public Health 3.0 framework to meaningfully address structural racism. Vaccine hesitancy, as defined by the World Health Organization, is a refusal or a delay in the acceptance of vaccines despite availability.2 We posit that the term "vaccine distrust" is preferred over the term "vaccine hesitancy" because of the negative connotations of the latter, which in effect faults the individual for their lack of confidence in a system that has historically failed and continues to fail them. We examine the shortcomings ofthe Public Health 3.0 framework through the instructive case of vaccine distrust, which is both a barrier to health care and a predictable response to the public health infrastructure's failure to respond to structural racism.</description><subject>Adults</subject><subject>African Americans</subject><subject>Collaboration</subject><subject>Community</subject><subject>Community Health</subject><subject>COVID-19</subject><subject>COVID-19 diagnostic tests</subject><subject>COVID-19 vaccines</subject><subject>Discrimination</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health care policy</subject><subject>Immunization</subject><subject>Immunization/Vaccines</subject><subject>Infrastructure</subject><subject>Mortality rates</subject><subject>Neighborhoods</subject><subject>Opinions, Ideas, & Practice</subject><subject>Other Race/Ethnicity</subject><subject>Pandemics</subject><subject>Pharmacy</subject><subject>Postal codes</subject><subject>Prevention</subject><subject>Public health</subject><subject>Public schools</subject><subject>Public works</subject><subject>Racism</subject><subject>Statistics</subject><subject>Systemic racism</subject><subject>Trust</subject><subject>Urban 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(1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Madorsky, Toni Z.</au><au>Adebayo, Nihmotallahi A.</au><au>Post, Sharon L.</au><au>O’Brian, Catherine A.</au><au>Simon, Melissa A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaccine Distrust: A Predictable Response to Structural Racism and an Inadequate Public Health Infrastructure</atitle><jtitle>American journal of public health (1971)</jtitle><date>2021-10-01</date><risdate>2021</risdate><volume>111</volume><issue>S3</issue><spage>S185</spage><epage>S188</epage><pages>S185-S188</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>Black Americans have higher mortality rates from COVID-19 than the general population and also stand out as less inclined to accept COVID-19 vaccination. As of January 5, 2021,1 in 735 Black Americans and 1 in 1000 Latino Americans Has Died From Covid-19, In Comparison With 1 In 1030 White Americans.1 As These Statistics illustrate, the public health infrastructure has visibly failed to protect Black and Brown communities from disproportionate rates of death from COVID-19. Also, according to Khubchandani et al., only 66% of Black adults and 71% of Hispanic adults say that they would get vaccinated compared with 78% of White adults.2 The Public Health 3.0 framework introduced by DeSalvo et al. in 2016 committed to creating adequate public health systems that would be able to respond to community needs in times of crises.3 The evidence of racial inequity in access to COVID-19 prevention and treatment and in the distribution of the social and economic burden of the pandemic calls into question the capacity of the Public Health 3.0 framework to meaningfully address structural racism. Vaccine hesitancy, as defined by the World Health Organization, is a refusal or a delay in the acceptance of vaccines despite availability.2 We posit that the term "vaccine distrust" is preferred over the term "vaccine hesitancy" because of the negative connotations of the latter, which in effect faults the individual for their lack of confidence in a system that has historically failed and continues to fail them. We examine the shortcomings ofthe Public Health 3.0 framework through the instructive case of vaccine distrust, which is both a barrier to health care and a predictable response to the public health infrastructure's failure to respond to structural racism.</abstract><cop>Washington</cop><pub>American Public Health Association</pub><pmid>34709877</pmid><doi>10.2105/AJPH.2021.306411</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adults African Americans Collaboration Community Community Health COVID-19 COVID-19 diagnostic tests COVID-19 vaccines Discrimination Health care Health care access Health care policy Immunization Immunization/Vaccines Infrastructure Mortality rates Neighborhoods Opinions, Ideas, & Practice Other Race/Ethnicity Pandemics Pharmacy Postal codes Prevention Public health Public schools Public works Racism Statistics Systemic racism Trust Urban Health Vaccines |
| title | Vaccine Distrust: A Predictable Response to Structural Racism and an Inadequate Public Health Infrastructure |
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