Understanding the psychological antecedents of COVID-19 vaccine acceptance among Black Americans: implications for vaccine communication.
J Commun Healthc
; 16(1): 62-74, 2023 03.
Article
in English
| MEDLINE | ID: covidwho-2283982
ABSTRACT
BACKGROUND:
Guided by the 5C (confidence, complacency, constraints, calculation, and collective responsibility) model of vaccination behavior, we examine the psychological antecedents of COVID-19 vaccine acceptance (i.e. attitudes and intentions toward COVID-19 vaccination) among Black Americans, a group disproportionately affected by the coronavirus pandemic.METHOD:
We conducted a national survey of Black Americans (N = 1,497) in February/March 2021.RESULTS:
We found that, among the five psychological antecedents, three (confidence, calculation - or extensive information searching, and collective responsibility) significantly predicted attitudes toward COVID-19 vaccination and had indirect effects on vaccination intentions through vaccination attitudes. Two antecedents (confidence and collective responsibility) also directly predicted vaccination intentions. Our analysis suggests that a partially mediated model produced better fit than a fully mediated model.CONCLUSIONS:
Developing culturally tailored interventions for Black Americans that build confidence in COVID-19 vaccines, highlight collective responsibility, and attend to Black Americans' information sources is key to boosting Black Americans' COVID-19 vaccine acceptance. Future research is needed to understand how historical and ongoing racism affects the psychological antecedents of COVID-19 vaccine acceptance among Black Americans.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Black or African American
/
Patient Acceptance of Health Care
/
Vaccination
/
COVID-19 Vaccines
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Topics:
Vaccines
Limits:
Humans
Language:
English
Journal:
J Commun Healthc
Year:
2023
Document Type:
Article
Affiliation country:
17538068.2022.2117528
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