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COVID-19 vaccination readiness among multiple racial and ethnic groups in the San Francisco Bay Area: A qualitative analysis.
Butler, Jonathan Z; Carson, Mariam; Rios-Fetchko, Francine; Vargas, Roberto; Cabrera, Abby; Gallegos-Castillo, Angela; LeSarre, Monique; Liao, Michael; Woo, Kent; Ellis, Randi; Liu, Kirsten; Burra, Arun; Ramirez, Mario; Doyle, Brittney; Leung, Lydia; Fernandez, Alicia; Grumbach, Kevin.
  • Butler JZ; Department of Family and Community Medicine, University of California, San Francisco, CA, United States of America.
  • Carson M; Department of Medicine, UCSF LatinX Center for Excellence, University of California, San Francisco, CA, United States of America.
  • Rios-Fetchko F; Department of Medicine, UCSF LatinX Center for Excellence, University of California, San Francisco, CA, United States of America.
  • Vargas R; Department of Family and Community Medicine, University of California, San Francisco, CA, United States of America.
  • Cabrera A; Department of Family and Community Medicine, University of California, San Francisco, CA, United States of America.
  • Gallegos-Castillo A; Instituto Familiar de la Raza, Inc., San Francisco, CA, United States of America.
  • LeSarre M; Rafiki Coalition, San Francisco, CA, United States of America.
  • Liao M; NICOS Chinese Health Coalition, San Francisco, CA, United States of America.
  • Woo K; NICOS Chinese Health Coalition, San Francisco, CA, United States of America.
  • Ellis R; Rafiki Coalition, San Francisco, CA, United States of America.
  • Liu K; NICOS Chinese Health Coalition, San Francisco, CA, United States of America.
  • Burra A; Department of Medicine, UCSF LatinX Center for Excellence, University of California, San Francisco, CA, United States of America.
  • Ramirez M; Stanford University, Stanford, CA, United States of America.
  • Doyle B; Department of Medicine, UCSF Black Health Initiative, University of California, San Francisco, CA, United States of America.
  • Leung L; Department of Family and Community Medicine, University of California, San Francisco, CA, United States of America.
  • Fernandez A; Department of Medicine, UCSF LatinX Center for Excellence, University of California, San Francisco, CA, United States of America.
  • Grumbach K; Department of Family and Community Medicine, University of California, San Francisco, CA, United States of America.
PLoS One ; 17(5): e0266397, 2022.
Article in English | MEDLINE | ID: covidwho-1846926
ABSTRACT

BACKGROUND:

COVID-19 vaccination rates are lower among historically marginalized populations, including Black/African American and Latinx populations, threatening to contribute to already high COVID-19 morbidity and mortality disparities for these groups. We conducted a community-based participatory research study using qualitative methods to explore knowledge and beliefs about COVID-19 vaccination among Black/African American, Latinx, and Chinese American residents of the San Francisco Bay Area and assess their views on vaccination outreach and delivery strategies. METHODS AND

FINDINGS:

Data were collected from January 14, 2021, to February 24, 2021, with adult residents (N = 109 [Female N = 76; 70%]) in San Francisco. Focus groups (N = 10) and in-depth interviews (N = 25) were conducted among Black/African Americans (N = 35), Latinx (N = 40), and Chinese Americans (n = 34) in English, Spanish, Cantonese, or Mandarin. Themes were identified using grounded field theory, and included misinformation, mistrust of government and health institutions, and linguistic and other barriers to vaccine access. All three racial/ethnic groups had experiences with vaccine misinformation and information overload. Many African American and Latinx participants cited structural and interpersonal racism, and anti-immigrant discrimination, as factors reducing their trust in government and public health disseminated information and their willingness to be vaccinated. Participants expressed trust in community-based organizations, including faith-based organizations and community-run clinics. Participants often experienced barriers to vaccine access, such as transportation to drive-in sites, with Latinx and Chinese American groups also frequently citing language barriers.

CONCLUSIONS:

Vaccine outreach strategies must acknowledge how longstanding systemic, institutional, and structural racism contributes to mistrust in government and health institutions and engage with and support trusted messengers from the community to eliminate cultural, linguistic, and other barriers to vaccine access.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0266397

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0266397