Evidence map›Paper›PMID 36785539›Full record

ArticleSSM. Qualitative research in health2023

Understanding the concept of trust and other factors related to COVID-19 vaccine intentions among Black/African American older adults prior to vaccine development.

Orlando O Harris, Tam E Perry, Julene K Johnson, Peter Lichtenberg, Tangy Washington, Bonita Kitt, Michael Shaw, Sahru Keiser, Thi Tran, Leah Vest and 2 more

Open access · goldAbstract read
In one paragraph

Article in SSM. Qualitative research in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. COVID-19 Vaccine Literacy Among Black Pregnant and Postpartum Women in the USA.Journal of racial and ethnic health disparities · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Consulting Program by and for Older Detroiters.Generations (San Francisco, Calif.) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Orlando O HarrisDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Tam E PerrySchool of Social Work, Wayne State University, Detroit, MI, USA.
Julene K JohnsonInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Peter LichtenbergInstitute of Gerontology and Merrill Palmer Skillman Institute, Wayne State University, Detroit, MI, USA.
Tangy WashingtonCommunity Advisory Board, USA.
Bonita KittCommunity Advisory Board, USA.
Michael ShawCommunity Advisory Board, USA.
Sahru KeiserInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Thi TranInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Leah VestInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Marsha MaloofMaloof & Associates, San Francisco, CA, USA.
Elena PortacoloneInstitute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USWayne State University · USAlameda County Public Health Department · US

Funding

Jamaica CARES Project: Enhancing HIV Care Continuity Among Priority Populations in JamaicaK23MH130250 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Orlando Omar Harris · 2022 to 2026
$998k
NIMH NIH HHS K23 MH130250NIMH NIH HHS L30 MH134327
6 · The paper itself

Abstract

Background: Black/African Americans are receiving COVID-19 vaccines at much lower rates than whites. However, research is still evolving that explains why these vaccination rates are lower. The aim of this study was to examine the effects of the pandemic among older Black/African Americans, with an emphasis on trust and vaccine intention prior to vaccine development. Methods: Data were collected between July and September 2020 from 8 virtual focus groups in Detroit, MI and San Francisco Bay Area, CA with 33 older African Americans and 11 caregivers of older African Americans with cognitive impairment, supplemented by one virtual meeting with the project's Community Advisory Board. Inductive/deductive content analysis was used to identify themes. Results: Five major themes influenced the intention to be vaccinated: uncertainty, systemic abandonment, decrease in trust, resistance to vaccines, and opportunities for vaccination. The last theme, opportunities for vaccination, emerged as a result of interaction with our CAB while collecting project data after the vaccines were available which provided additional insights about potential opportunities that would promote the uptake of COVID-19 vaccination among older Black/African Americans. The results also include application of the themes to a multi-layer framework for understanding precarity and the development of an Integrated Logic Model for a Public Health Crisis. Conclusions: These findings suggest that trust and culturally relevant information need to be addressed immediately to accelerate vaccine uptake among older Black/African Americans. New initiatives are needed to foster trust and address systemic abandonment from all institutions. In addition, culturally relevant public health campaigns about vaccine uptake are needed. Thus, systemic issues need immediate attention to reduce health disparities associated with COVID-19.

Identifiers

PMID36785539
PMCPMC9898052
OpenAlexW4319234513

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.