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Black and Latinx Community Perspectives on COVID-19 Mitigation Behaviors, Testing, and Vaccines.
Jimenez, Manuel E; Rivera-Núñez, Zorimar; Crabtree, Benjamin F; Hill, Diane; Pellerano, Maria B; Devance, Donita; Macenat, Myneka; Lima, Daniel; Martinez Alcaraz, Emmanuel; Ferrante, Jeanne M; Barrett, Emily S; Blaser, Martin J; Panettieri, Reynold A; Hudson, Shawna V.
  • Jimenez ME; Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Rivera-Núñez Z; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Crabtree BF; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Rutgers Environmental and Occupational Health Sciences Institute, Piscataway, New Jersey.
  • Hill D; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Pellerano MB; Rutgers School of Public Affairs and Administration, University-Community Partnerships, Newark, New Jersey.
  • Devance D; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Macenat M; Rutgers, the State University of New Jersey, University-Community Partnerships, Newark.
  • Lima D; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Martinez Alcaraz E; Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Ferrante JM; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Barrett ES; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • Blaser MJ; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Rutgers Environmental and Occupational Health Sciences Institute, Piscataway, New Jersey.
  • Panettieri RA; Department of Medicine, Rutgers Robert Wood Johnson Medical School, Rutgers Center for Advance Biotechnology and Medicine, New Brunswick, New Jersey.
  • Hudson SV; Department of and Pathology, Rutgers Robert Wood Johnson Medical School, Rutgers Center for Advance Biotechnology and Medicine, New Brunswick, New Jersey.
JAMA Netw Open ; 4(7): e2117074, 2021 07 01.
Article in English | MEDLINE | ID: covidwho-1310420
ABSTRACT
Importance Black and Latinx communities have been disproportionately affected by the COVID-19 pandemic, yet little work has sought to understand their perspectives.

Objective:

To explore the experiences of Black and Latinx communities during the pandemic to better understand their perspectives on COVID-19 mitigation behaviors (eg, mask wearing), testing, and vaccines. Design, Setting, and

Participants:

In this community-engaged qualitative study conducted with 18 community-based organizations and 4 health care organizations between November 19, 2020, and February 5, 2021, in New Jersey counties severely affected by the pandemic, group and individual interviews were used to purposively sample 111 Black and Latinx individuals. A total of 13 group interviews were organized by race/ethnicity and language 4 English-speaking groups with Black participants (n = 34), 3 Spanish-speaking groups with Latinx participants (n = 24), and 4 English-speaking groups with Black and Latinx participants (n = 36). To understand the views of health care workers from these communities, 2 additional groups (n = 9) were convened and supplemented with individual interviews. Main Outcomes and

Measures:

Description of Black and Latinx participants' experiences during the COVID-19 pandemic and their perspectives on mitigation behaviors, testing, and vaccines.

Results:

The study included 111 participants (87 women [78.4%]; median age, 43 years [range, 18-93 years]). Participants described the devastating effects of the pandemic on themselves, loved ones, and their community. Their experiences were marked by fear, illness, loss, and separation. These experiences motivated intense information seeking, mitigation behaviors, and testing. Nevertheless, vaccine skepticism was high across all groups. Participants did not trust the vaccine development process and wanted clearer information. Black participants expressed that they did not want to be subjects of experiments. Conclusions and Relevance The remaining unknowns about new vaccines need to be acknowledged and described for Black and Latinx communities to make informed decisions. Ultimately, scientists and public officials need to work transparently to address unanswered questions and work collaboratively with trusted community leaders and health professionals to foster partnered approaches, rather than focusing on marketing campaigns, to eliminate vaccine skepticism.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Black or African American / Attitude / Hispanic or Latino / Trust / Pandemics / COVID-19 Vaccines / COVID-19 Type of study: Diagnostic study / Experimental Studies / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: JAMA Netw Open Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Black or African American / Attitude / Hispanic or Latino / Trust / Pandemics / COVID-19 Vaccines / COVID-19 Type of study: Diagnostic study / Experimental Studies / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: JAMA Netw Open Year: 2021 Document Type: Article