Barrier to pneumococcal and influenza vaccinations in Black elderly communities: mistrust.

LeWanza M Harris · Nancy P. Chin · Kevin A Fiscella · Sharon G. Humiston

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Vaccine Coverage and Hesitancy Patient-Provider Communication in Healthcare Intramuscular injections and effects

Abstract

OBJECTIVES: To understand the role of trust of medical institutions in the decision by elderly black Americans to receive pneumococcal and influenza vaccinations. DESIGN: Cross-sectional, qualitative study, using semistructured in-depth interviews. PARTICIPANTS: Twenty black Americans age > or = 65 years from two different socioeconomic groups. RESULTS: Six main themes were identified: prevention, vaccine-caused illnesses, vaccines as irrelevant to health, experience with healthcare, self-advocacy and attitudes toward childhood vaccinations. The majority of vaccinated participants viewed vaccines as a preventive measure, while the unvaccinated group viewed vaccines as irrelevant to their health. In addition, the majority of the participants in the unvaccinated group believed vaccines caused illness. Mistrust of medical institutions or the knowledge of the historical medical injustices was not a significant influence in participant's willingness to be vaccinated against pneumococcal or influenza disease. CONCLUSION: Mistrust of medical institutions was not a key concern affecting willingness to be vaccinated in this black community of elderly adults. Participant's willingness to be vaccinated was largely influenced by prior positive or negative experiences with healthcare systems.

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References

1998The Functions and Limitations of Trust in the Provision of Medical Care 2003What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and veterans affairs practices 2001Barriers to influenza immunization in a low-income urban population 2001Racial Disparity in Influenza Vaccination 2003Racial/Ethnic Differences in Influenza Vaccination Coverage in High-Risk Adults 2003Addressing immunization barriers, benefits, and risks.2002Influenza Vaccination among Minority Populations in the United States

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2013Influenza Vaccinations: Older Adults’ Decision-Making Process 2010Interventions to increase influenza vaccination rates of those 60 years and older in the community 2015Motives of Dutch persons aged 50 years and older to accept vaccination: a qualitative study 2022The intersection of gender and race in older adults’ decision to receive COVID-19 vaccines 2015Understanding Black Patients’ Refusal of Pneumococcal Vaccination

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