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Examining the Relationship between Anti-Black Racism, Community and Police Violence, and COVID-19 Vaccination.

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  • Additional Information
    • Source:
      Publisher: Routledge Country of Publication: United States NLM ID: 8804264 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0896-4289 (Print) Linking ISSN: 08964289 NLM ISO Abbreviation: Behav Med Subsets: MEDLINE
    • Publication Information:
      Publication: 2010- : New York : Routledge
      Original Publication: [Washington, DC] : Heldref Publications, [c1988-
    • Subject Terms:
      Police*/psychology ; Black or African American*/psychology ; COVID-19 Vaccines* ; Racism*/psychology ; COVID-19*/prevention & control ; COVID-19*/psychology ; Violence*/psychology ; Trust*/psychology; Humans ; Male ; Female ; Adult ; Chicago ; Middle Aged ; Vaccination/psychology ; Residence Characteristics ; Young Adult
    • Abstract:
      Competing Interests: Disclosure statement: No potential conflict of interest was reported by the author(s).
      In 2020, the COVID-19 pandemic emerged against a backdrop of long-standing racial inequities that contributed to significant disparities in COVID-19 mortality, morbidity, and eventually, vaccination rates. COVID-19 also converged with two social crises: anti-Black racism and community and police violence. The goal of this study was to examine the associations between community violence, police violence, anti-Black racism, and COVID-19 vaccination. Survey data were collected from a sample of 538 Black residents of Chicago between September 2021 and March 2022. Structural equation modeling was used to test associations between neighborhood violence, police violence, racism, medical mistrust, trust in COVID-related information, depressive symptoms, and having received a COVID-19 vaccination. In line with predictions, neighborhood violence had a significant indirect effect on vaccination via trust in COVID-related information from a personal doctor. Additionally, racism had a significant indirect effect on vaccination via trust in COVID-related information from a personal doctor, as well as via medical mistrust and trust in COVID-related information from a personal doctor. These findings add to the growing body of literature demonstrating the importance of medical mistrust when examining COVID-19 vaccination disparities. Furthermore, this study highlights the importance of considering how social and structural factors such as violence and racism can influence medical mistrust.
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    • Grant Information:
      R21 MH122010 United States MH NIMH NIH HHS
    • Contributed Indexing:
      Keywords: COVID-19; medical mistrust; racial disparities; racism; vaccination
    • Accession Number:
      0 (COVID-19 Vaccines)
    • Publication Date:
      Date Created: 20230814 Date Completed: 20240808 Latest Revision: 20250702
    • Publication Date:
      20250702
    • Accession Number:
      PMC10864675
    • Accession Number:
      10.1080/08964289.2023.2244626
    • Accession Number:
      37578320