Strategies That Promote Equity in Covid-19 Vaccine Uptake for Black Communities

A Review

Dados Bibliográficos

ID15033733
AutoresDebbie Dada (0000-0003-4199-7102, Yale University), Joseph Nguemo Djiometio (0000-0002-6071-8298, St. Michael's Hospital), SarahAnn M McFadden (0000-0002-0511-5945, Yale University), Jemal Demeke (0000-0003-0346-0769, St. Michael's Hospital), David Vlahov (0000-0003-4007-4445, Yale University), Leo Wilton (0000-0003-2513-8412, Binghamton University), Mengzu Wang (Science Applications International Corporation (United States)), Laron E Nelson (0000-0002-2630-602X, Yale University)
Ano2022
Volume99
Fascículo1
Páginas15-27
Data de publicação2022-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Urban Health (JOURNAL)
Identificadores do periódicoISSN: 1099-3460 • E-ISSN: 1468-2869
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11524-021-00594-3
PMID35018612
OpenAlexW4206835511
IdiomaEN
Citações recebidas51
Referências citadas11

Black communities have had a high burden of COVID-19 cases, hospitalizations, and death, yet rates of COVID-19 vaccine uptake among Blacks lag behind other demographic groups. This has been due in part to vaccine hesitancy and multi-level issues around access to COVID-19 vaccines. Effective strategies to promote vaccine uptake among Black communities are needed. To perform a rapid review covering December 2020–August 2021, our search strategy used PubMed, Google, and print media with a prescribed set of definitions and search terms for two reasons: there were limited peer-reviewed studies during the early period of vaccine roll-out and real-time perspectives were crucially needed. Analyses included expert opinion, descriptions of implemented projects, and project outcomes. The strategies described in these reports largely converged into three categories: (a) addressing mistrust, (b) combatting misinformation, and (c) improving access to COVID-19 vaccines. When working to reduce hesitancy, it is important to consider messaging content, messengers, and location. To address mistrust, reports detailed the importance of communicating through trusted channels, validating the real, history- and experience-based reasons why people may be hesitant to establish common ground, and addressing racism embedded within the healthcare system. To combat misinformation, strategies included dispelling myths and answering questions through town halls and culturally intelligent outreach. Black physicians and clinicians are considered trusted messengers and partnering with community leaders such as pastors can help to reach more people. The settings of vaccination sites should be convenient and trusted such as churches, barbershops, and community sites. While a number of individual and combination efforts have been developed and implemented, data that disentangle components that are the most effective are sparse. This rapid review provides a basis for developing strategic implementation to increase COVID-19 vaccine uptake in this ongoing pandemic and planning to promote health equity for future bio-events and health crises

Coproduction · Disease · Internet privacy · Misinformation · Outreach · Pandemic · Political science · Public relations · Social media · Vaccination · World Wide Web · Computer Science · COVID-19 epidemiological studies · Medicine · Misinformation and Its Impacts · Vaccine Coverage and Hesitancy