A crisis of confidence? Intervening in vaccine hesitancy in North Dakota

Datos Bibliográficos

ID2289262
AutoresEllis Rubinstein (0000-0003-4299-021X, Department of Sociology and Anthropology North Dakota State University Fargo North Dakota USA, autor de correspondencia), Laura L Heinemann (0009-0007-3979-5401, Department of Cultural and Social Studies Creighton University Omaha Nebraska USA)
Año2024
Volumen38
Número3
Páginas298-312
Fecha de publicación2024-09-01
Open AccessSí
TipoARTICLE
RevistaMedical Anthropology Quarterly (JOURNAL)
Identificadores de la revistaISSN: 0745-5194 • E-ISSN: 1548-1387
EditorialWiley (PUBLISHER • GB)
DOI10.1111/maq.12873
PMID38847386
OpenAlexW4399434849
IdiomaEN
Citas recibidas1
Referencias citadas28

In November 2020, North Dakota reported a higher number of cases and deaths per capita from COVID-19 than any other state in the United States. Several months later, it reported one of the country's highest rates of vaccine hesitancy, leading to the development and implementation of the state-funded and physician-led "Vaccine Champion" ("VaxChamp") program. Glossing the primary problem as one of "provider confidence," the VaxChamp program emphasized a standardized, scalable intervention that targeted healthcare providers directly, and patients only indirectly. Although the program hit its quantitative benchmarks, a qualitative inquiry into the program's history and context reveals multiple crises of confidence, many beyond the bioscientific domain of the program's focus. Drawing from work in medical and linguistic anthropology, we describe and analyze the "multiple levers of vaccine confidence" at play in the intervention and its surrounding context, as well as how these crises of confidence emerged

Political science · Sociology · Demography · History · Psychology · Vaccine Coverage and Hesitancy