Narratives from African American/Black, American Indian/Alaska Native, and Hispanic/Latinx community members in Arizona to enhance COVID-19 vaccine and vaccination uptake

• Published in: Journal of behavioral medicine 2023-04, Vol.46 (1-2), p.140-152
• Main Authors: Ignacio, Matt, Oesterle, Sabrina, Mercado, Micaela, Carver, Ann, Lopez, Gilberto, Wolfersteig, Wendy, Ayers, Stephanie, Ki, Seol, Hamm, Kathryn, Parthasarathy, Sairam, Berryhill, Adam, Evans, Linnea, Sabo, Samantha, Doubeni, Chyke
• Format: Article
• Language: English
• Subjects: African Americans; American Indian or Alaska Native; American Indians; Arizona; Beliefs, opinions and attitudes; Black or African American; Colleges & universities; Community; Community organizations; Coronaviruses; COVID-19; COVID-19 - prevention & control; COVID-19 - psychology; COVID-19 vaccines; COVID-19 Vaccines - therapeutic use; Family Medicine; Focus Groups; General Practice; Health aspects; Health disparities; Health promotion; Health Promotion - methods; Health Psychology; Hispanic Americans; Hispanic or Latino; Humans; Immunization; Indigenous peoples; Medical research; Medicine; Medicine & Public Health; Narration; Narratives; Native Americans; Past experiences; Syphilis; Uptake; Vaccination - psychology; Vaccination Hesitancy - ethnology; Vaccination Hesitancy - psychology
• ISSN: 0160-7715; 1573-3521
• DOI: 10.1007/s10865-022-00300-x

The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake.