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Vaccine perceptions among Black adults with long COVID.

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Title: Vaccine perceptions among Black adults with long COVID.
Authors: Dell'Imperio, Samantha G., Aboul-Hassan, Deena, Batchelor, Rachel, Chambers-Peeple, Keiyana, Clauw, Daniel J., DeJonckheere, Melissa, Bergmans, Rachel S.
Source: Ethnicity & Health. Aug2023, Vol. 28 Issue 6, p853-873. 21p. 1 Diagram, 3 Charts.
Subjects: Vaccination, Patient abuse, Focus groups, Attitude (Psychology), Post-acute COVID-19 syndrome, COVID-19 vaccines, Research methodology, Interviewing, Reinfection, Institutional racism, Vaccine effectiveness, Qualitative research, Decision making, Immunity, Descriptive statistics, Research funding, Health equity, Thematic analysis, Vaccination status, Information needs, Data analysis software, African Americans, Patient safety, Trust
Geographic Terms: Michigan
Abstract: Low uptake of COVID vaccines within Black communities is a concern given the stark racial inequities associated with the pandemic. Prior research details COVID vaccine perceptions within the general population and Black communities specifically. However, Black individuals with long COVID may be more or less receptive to future COVID vaccination than their peers without long COVID. The impact of COVID vaccination on long COVID symptoms is still controversial, since some studies suggest that vaccination can improve long COVID symptoms, whereas other studies report no significant change in symptoms or a worsening of symptoms. In this study, we aimed to characterize the factors influencing perceptions of COVID vaccines among Black adults with long COVID to inform future vaccine-related policies and interventions. We conducted 15 semi-structured, race-concordant interviews over Zoom with adults who reported physical or mental health symptoms that lingered for a month or more after acute COVID infection. We transcribed and anonymized the interviews and implemented inductive, thematic analysis to identify factors influencing COVID vaccine perceptions and the vaccine decision-making process. We identified five themes that influenced vaccine perceptions: (1) Vaccine safety and efficacy; (2) Social implications of vaccination status; (3) Navigating and interpreting vaccine-related information; (4) Possibility of abuse and exploitation by the government and scientific community; and (5) Long COVID status. Safety concerns were amplified by long COVID status and mistrust in social systems due to mistreatment of the Black community. Among the factors influencing COVID vaccine perceptions, participants reported a desire to avoid reinfection and a negative immune response. As COVID reinfection and long COVID become more common, achieving adequate uptake of COVID vaccines and boosters may require approaches that are tailored in partnership with the long COVID patient community. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Vaccine perceptions among Black adults with long COVID.
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. Aug2023, Vol. 28 Issue 6, p853-873. 21p. 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Michigan%22">Michigan</searchLink>
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  Data: Low uptake of COVID vaccines within Black communities is a concern given the stark racial inequities associated with the pandemic. Prior research details COVID vaccine perceptions within the general population and Black communities specifically. However, Black individuals with long COVID may be more or less receptive to future COVID vaccination than their peers without long COVID. The impact of COVID vaccination on long COVID symptoms is still controversial, since some studies suggest that vaccination can improve long COVID symptoms, whereas other studies report no significant change in symptoms or a worsening of symptoms. In this study, we aimed to characterize the factors influencing perceptions of COVID vaccines among Black adults with long COVID to inform future vaccine-related policies and interventions. We conducted 15 semi-structured, race-concordant interviews over Zoom with adults who reported physical or mental health symptoms that lingered for a month or more after acute COVID infection. We transcribed and anonymized the interviews and implemented inductive, thematic analysis to identify factors influencing COVID vaccine perceptions and the vaccine decision-making process. We identified five themes that influenced vaccine perceptions: (1) Vaccine safety and efficacy; (2) Social implications of vaccination status; (3) Navigating and interpreting vaccine-related information; (4) Possibility of abuse and exploitation by the government and scientific community; and (5) Long COVID status. Safety concerns were amplified by long COVID status and mistrust in social systems due to mistreatment of the Black community. Among the factors influencing COVID vaccine perceptions, participants reported a desire to avoid reinfection and a negative immune response. As COVID reinfection and long COVID become more common, achieving adequate uptake of COVID vaccines and boosters may require approaches that are tailored in partnership with the long COVID patient community. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/13557858.2023.2191914
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        Text: English
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      – SubjectFull: Vaccination
        Type: general
      – SubjectFull: Patient abuse
        Type: general
      – SubjectFull: Focus groups
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      – SubjectFull: Attitude (Psychology)
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      – SubjectFull: Post-acute COVID-19 syndrome
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      – SubjectFull: COVID-19 vaccines
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      – SubjectFull: Interviewing
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      – SubjectFull: Reinfection
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      – SubjectFull: Institutional racism
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      – SubjectFull: Vaccine effectiveness
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      – SubjectFull: Qualitative research
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      – SubjectFull: Decision making
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      – SubjectFull: Immunity
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      – SubjectFull: Vaccination status
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      – SubjectFull: Data analysis software
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              Text: Aug2023
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