Evidence map›Paper›PMID 37531019›Full record

ArticleJournal of racial and ethnic health disparities2024

The Influence of Racism in Healthcare: COVID-19 Vaccine Hesitancy Among Black Mothers in Chicago.

Melissa Harris, Darielle Sherrod, Jennifer L Walsh, Bijou R Hunt, Jacquelyn Jacobs, Jesus Valencia, Shannon Baumer-Mouradian, Katherine G Quinn

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

8 authors.

Melissa HarrisInstitute of Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA. meharris@mcw.edu.ORCID 0000-0001-6250-7104
Darielle SherrodSinai Health System, Sinai Urban Health Institute, Chicago, IL, USA.
Jennifer L WalshDepartment of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA.
Bijou R HuntSinai Health System, Sinai Infectious Disease Center, Chicago, IL, USA.
Jacquelyn JacobsSinai Health System, Sinai Urban Health Institute, Chicago, IL, USA.
Jesus ValenciaDepartment of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA.
Shannon Baumer-MouradianDivision of Pediatric Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Katherine G QuinnDepartment of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, WI, USA.

Funding

Behavioral and Social Science Research to Optimize SARS-CoV-2 Protective Vaccine Uptake in Racial Minority Communities with High Rates of COVID-19R01MD016372 · NIMHD · MEDICAL COLLEGE OF WISCONSIN · PI AMIRKHANIAN, YURI A, KELLY, JEFFREY A · 2021 to 2023
$1.9M
Understanding the COVID-19, Racism, and Violence Syndemic and its Effects on COVID-19 Testing DisparitiesR21MH122010 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI QUINN, KATHERINE G, VOISIN, DEXTER ROMMELL · 2020 to 2022
$1.3M
NIMH NIH HHS R21 MH122010NIMH NIH HHS R21MH122010-S1
6 · The paper itself

Abstract

Black mothers and children experience significant health disparities in the USA. These health disparities have been attributed, in part, to experiencing racism in healthcare. This study aimed to explore how experiences of healthcare discrimination and mistreatment experienced by Black mothers may influence COVID-19 vaccine beliefs and decision-making for themselves and their families. From April 2021 to November 2021, we conducted 50 semi-structured interviews among Chicago residents. Ten participants self-identified as female and with reported children; these data were extracted from the larger sample for data analysis. Interview content included perceptions and experiences with the COVID-19 vaccine and experiences with healthcare discrimination, mistreatment, and medical mistrust. Interview transcripts were transcribed verbatim and coded using the MAXQDA 2022 qualitative software. Themes were identified using a team-based thematic analysis to understand how experiences of racism in healthcare may influence COVID-19 vaccine decision-making. Four themes were generated from the data: (1) experiences of healthcare discrimination and mistreatment, (2) distrust and fears of experimentation, (3) the influence of discrimination and distrust on COVID-19 vaccine decision-making, and (4) overcoming vaccine hesitancy. The results of this study highlight the current literature; Black mothers experience racism and discrimination in healthcare when seeking care for themselves and their children. It is evident in their stories that medical racism and historical medical abuse influence vaccine decision-making. Therefore, healthcare and public health initiatives should be intentional in addressing past and present racism in healthcare to improve vaccine distrust.

Indexed as

Black or African AmericanCOVID-19 VaccinesMothersRacismVaccination HesitancyAdultChicagoCOVID-19FemaleHealthcare DisparitiesHumansMiddle AgedQualitative ResearchTrustCOVID-19 VaccinesBlack mothersCOVID-10 vaccineCOVID-19Healthcare discriminationHistorical racismMedical mistrustQualitativeRacism

Identifiers

PMID37531019
PMCPMC11618851

What OpenQuestion holds

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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.