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Addressing and Inspiring Vaccine Confidence in Black, Indigenous, and People of Color During the Coronavirus Disease 2019 Pandemic

Jasmine Riviere Marcelin · Talia H. Swartz · Fidelia Bernice · Vladimir Berthaud · Robbie Christian · Christopher da Costa +13 more

62 citations0/0 files storedOpen Forum Infectious Diseases

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research Racial and Ethnic Identity Research

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, we have witnessed profound health inequities suffered by Black, Indigenous, and People of Color (BIPOC). These manifested as differential access to testing early in the pandemic, rates of severe disease and death 2-3 times higher than white Americans, and, now, significantly lower vaccine uptake compared with their share of the population affected by COVID-19. This article explores the impact of these COVID-19 inequities (and the underlying cause, structural racism) on vaccine acceptance in BIPOC populations, ways to establish trustworthiness of healthcare institutions, increase vaccine access for BIPOC communities, and inspire confidence in COVID-19 vaccines.

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References

2017Structural racism and health inequities in the USA: evidence and interventions 2020How Structural Racism Works — Racist Policies as a Root Cause of U.S. Racial Health Inequities 2007Medical apartheid: the dark history of medical experimentation on black Americans from Colonial times to the present 2021COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment 2007Medical Apartheid: The Dark History of Medical Experimentation on Black Americans From Colonial Times to the Present 2019The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It 2020From race-based to race-conscious medicine: how anti-racist uprisings call us to act 2006The Persistence of American Indian Health Disparities

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2022Quantifying inequities in COVID-19 vaccine distribution over time by social vulnerability, race and ethnicity, and location: A population-level analysis in St. Louis and Kansas City, Missouri 2022Addressing Inequities in SARS-CoV-2 Vaccine Uptake: The Boston Medical Center Health System Experience 2023The state of COVID-19 vaccine confidence and need in Black individuals in Canada: Understanding the role of sociodemographic factors, health literacy, conspiracy theories, traumatic stressors and racial discrimination

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