Changing the Narrative: Structural Barriers and Racial and Ethnic Inequities in COVID-19 Vaccination

Anuli U. Njoku · Marcelin Joseph · Rochelle Felix

164 citations0/0 files storedInternational Journal of Environmental Research and Public Health

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

Abstract

The COVID-19 pandemic has disproportionately affected racial and ethnic minority groups in the United States. Although a promising solution of the COVID-19 vaccination offers hope, disparities in access again threaten the health of these communities. Various explanations have arisen for the cause of disparate vaccination rates among racial and ethnic minorities, including discussion of vaccine hesitancy. Conversely, the role of vaccine accessibility rooted in structural racism as a driver in these disparities should be further explored. This paper discusses the impact of structural barriers on racial and ethnic disparities in COVID-19 vaccine uptake. We also recommend public health, health system, and community-engaged approaches to reduce racial disparities in COVID-19 disease and mortality.

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References

2015Vaccine hesitancy: Definition, scope and determinants 2017Structural racism and health inequities in the USA: evidence and interventions 2000Levels of racism: a theoretic framework and a gardener's tale 2001Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health 2019Racism and Health: Evidence and Needed Research 2001Racial residential segregation: A fundamental cause of racial disparities in health 2020COVID-19 and Racial/Ethnic Disparities 2020How Structural Racism Works — Racist Policies as a Root Cause of U.S. Racial Health Inequities

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2021Time trends, factors associated with, and reasons for COVID-19 vaccine hesitancy: A massive online survey of US adults from January-May 2021 2024Faith and vaccination: a scoping review of the relationships between religious beliefs and vaccine hesitancy 2022When Lack of Trust in the Government and in Scientists Reinforces Social Inequalities in Vaccination Against COVID-19 2024Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

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