Show simple item record

dc.contributor.authorBurger, Andrew
dc.contributor.authorReither, Eric
dc.contributor.authorMamelund, Svenn-Erik
dc.contributor.authorLim, Sojung
dc.date.accessioned2021-08-30T11:29:23Z
dc.date.available2021-08-30T11:29:23Z
dc.date.created2020-12-24T00:39:20Z
dc.date.issued2021
dc.identifier.citationVaccine. 2021, 39 943-951.en_US
dc.identifier.issn0264-410X
dc.identifier.urihttps://hdl.handle.net/11250/2771760
dc.description.abstractBackground Prior research has highlighted racial and ethnic disparities in H1N1 vaccination in the United States. Our study adds to this literature by utilizing an intersectionality framework to examine the joint influence of race and sex on H1N1 vaccination beliefs and behaviors among non-Hispanic blacks and non-Hispanic whites (hereafter blacks and whites). Methods Using data from the National H1N1 Flu Survey of U.S. adults, we measured differences in beliefs about the safety and efficacy of the H1N1 vaccine among black women, black men, white women, and white men. We then estimated a series of nested logistic regression models to examine how race/sex vaccination disparities were influenced by health beliefs, socioeconomic status (SES), pre-existing conditions, and healthcare. Results Black respondents were more likely than white respondents to express reservations about the safety and efficacy of the H1N1 vaccine. Consistent with those beliefs, white females reported the highest rate of H1N1 vaccination (28.4%), followed by white males (26.3%), black males (21.6%), and black females (17.5%). Differences in health beliefs, SES, pre-existing conditions, and healthcare explained lower odds of H1N1 vaccination among white men and black men, relative to white women. However, black women experienced 35–45% lower odds of vaccination than white women across all models, highlighting the intersectional nature of these associations. Discussion The 2009 H1N1 influenza pandemic provides a cautionary tale about the distribution of new vaccines across large populations with diverse racial, sex, and socioeconomic characteristics. Despite differences between the H1N1 and COVID-19 pandemics, our study warns that many black Americans will forego COVID-19 vaccines unless swift action is taken to address black-white disparities in access to vital resources. Public health stakeholders can also encourage widespread adoption of COVID-19 vaccines by tailoring health promotion messages for different groups of racial minorities, especially groups like black women who face intersecting disadvantages.en_US
dc.language.isoengen_US
dc.relation.urihttps://doi.org/10.1016/j.vaccine.2020.12.069
dc.subjectInfluenza vaccineen_US
dc.subjectIntersectionalityen_US
dc.subjectHealth inequalitiesen_US
dc.subjectRacial disparitiesen_US
dc.subjectVaccine hesitancyen_US
dc.titleBlack-White disparities in 2009 H1N1 vaccination among adults in the United States: A cautionary tale for the COVID-19 pandemicen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
cristin.ispublishedfalse
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doihttps://doi.org/10.1016/j.vaccine.2020.12.069
dc.identifier.cristin1863153
dc.source.journalVaccineen_US
dc.source.volume39en_US
dc.source.pagenumber943-951en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Infeksjonsmedisin: 776en_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record