Effects of Government Mistrust and Group-Based Medical Mistrust on Covid-19 Vaccine Hesitancy Among a Sample of African Americans

Datos Bibliográficos

ID7146808
AutoresMelinda Manning (0000-0001-5288-7238, Oakland University Department of Psychology, , Rochester, MI, autor de correspondencia), Rhonda Dailey (Wayne State University Department of Family Medicine and Public Health Sciences, , Detroit, MI), Phil Levy (Wayne State University Department of Emergency Medicine, , Detroit, MI), Elizabeth Towner (Wayne State University Department of Family Medicine and Public Health Sciences, , Detroit, MI), Elizabeth K Towner (0000-0003-0986-7586, Wayne State University), Sheena Cresswell (Office of Cancer Health Equity and Community Engagement, Wayne State University , Detroit, MI), Hayley S Thompson (0009-0009-5314-4212, Wayne State University Department of Oncology, , Detroit, MI)
Año2025
Volumen59
Número1
Fecha de publicación2025-01-04
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAnnals of Behavioral Medicine (JOURNAL)
Identificadores de la revistaISSN: 0883-6612 • E-ISSN: 1532-4796
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/abm/kaae067
PMID39661958
OpenAlexW4405251430
IdiomaEN
Citas recibidas2
Referencias citadas104

BACKGROUND: Despite the demonstrated efficacy of coronavirus disease (COVID-19) vaccines, higher rates of vaccine hesitancy among African Americans remain concerning. As determinants of vaccine hesitancy, the simultaneous roles of government mistrust and group-based medical mistrust have not been examined via from a cognitive information perspective among African Americans. PURPOSE: We examined the direct and indirect effects of government mistrust and group-based medical mistrust on COVID-19 vaccine hesitancy in a sample of African Americans. METHODS: We obtained data from 382 African Americans in South-East Michigan via an online survey. We assessed demographic variables, government mistrust, group-based medical mistrust, COVID risk and COVID worry, and positive and negative beliefs regarding the COVID-19 vaccine (i.e., vaccine pros and cons), and vaccine hesitancy. We examined our hypotheses with path analyses. RESULTS: Results indicated significant direct effects of government mistrust on vaccine hesitancy; however, despite a significant correlation, there was no direct effect of group-based medical mistrust on vaccine hesitancy. The effect of group-based medical mistrust was fully mediated by both vaccine pros and cons, whereas the effect of government mistrust was partially mediated by vaccine pros. COVID risk and COVID worry did not mediate the effects of mistrust to vaccine hesitancy. CONCLUSION: Negative effects of group-based medical mistrust on COVID-19 vaccine hesitancy among African Americans may be amenable to interventions that focus on beliefs about the vaccine rather than beliefs about vulnerability to the virus. However, given its direct effect, it may be necessary to focus directly on government mistrust to diminish its effects on COVID-19 vaccine hesitancy.

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Environmental health · Family medicine · Government (linguistics) · Health psychology · Political science · Public health · Sample (material) · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · COVID-19 and Mental Health · Internal Medicine · Medicine · Misinformation and Its Impacts · Nursing · Psychology · Social Psychology · Vaccine Coverage and Hesitancy · Virology