Asian American Vaccination, Testing, and Other Healthcare Knowledge & Behaviors during COVID-19, A Systematic Review

Sahil Anand · Evan Cao · Reona Kimura · William Young Guo · Naresh Bassi

14 citations0/0 files storedPathogens and Global Health

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Vaccine Coverage and Hesitancy COVID-19 epidemiological studies COVID-19 Prevention and Impact

Abstract

Novel COVID-19 variants continue to endanger global public health. Increasing COVID-19 vaccination, healthcare-related preventative behaviors, and general knowledge rates are all critical in halting COVID-19 spread. We evaluated Asian American COVID-19 healthcare-related behaviors and knowledge, due to the dearth of knowledge in this area and the unique social factor of COVID-19 related discrimination; discriminatory acts during the pandemic may play a role in COVID-19 related behavior adherence. Following PRISMA-P protocol, we conducted a systematic review. The search strategy combined synonyms of health-care behaviors and knowledge. Reviewers synthesized key themes across articles and assessed studies utilizing modified Newcastle-Ottawa criteria. Of the 2,518 articles, 32 were selected. Asian Americans reported greater COVID-19 vaccination willingness and decreased COVID-19 testing relative to other racial groups. Common COVID-19 vaccination concerns included vaccination side effects, long-term safety, and distrust of COVID-19 information sources. Asian Americans had high COVID-19 preventative behavior rates including mask-wearing, handwashing, and social isolation compared to other ethnic groups. Asian Americans, conversely, had lower COVID-19-related healthcare knowledge and telemedicine adoption levels relative to other participants. This systematic review informs public health officials and clinicians of COVID-19 related healthcare knowledge and behaviors in the Asian American population. Equipped with this knowledge, public health officials can better target messaging about vaccine safety concerns to the Asian American community and recognize the importance of tailoring COVID-19 educational materials to the heterogeneous Asian American subpopulations. This systematic review also provides insight into the unique telemedicine challenges physicians may face when engaging with Asian American patients.

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2015Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement 2016Rayyan—a web and mobile app for systematic reviews 2014The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses 2020Determinants of COVID-19 vaccine acceptance in the US 2020Attitudes Toward a Potential SARS-CoV-2 Vaccine 2021COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment 2020Racism and discrimination in COVID-19 responses 2021Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations

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