Evidence map›Paper›PMID 38353920›Full record

ArticleJournal of racial and ethnic health disparities2025

"Black Is Not Monolithic": Complexities in COVID-19 Vaccine Decision-Making.

Megan Wu, John Havlik, Kristin Reese, Kathleen Felisca, Jaspreet Loyal

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Megan WuYale College, New Haven, CT, USA.
John HavlikYale School of Medicine, New Haven, CT, USA.
Kristin ReeseDepartment of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Kathleen FeliscaDepartment of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Jaspreet LoyalConnecticut Children's Hospital, Hartford, CT, USA. Jaspreet.Loyal@yale.edu.
Dartmouth–Hitchcock Medical Center · USYale University · USConnecticut Children's Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLongstanding inequities in the USA have resulted in the disproportionate impact of COVID-19 on Black Americans. Coupled with medical mistrust, COVID-19 vaccine uptake is lower in Black populations.

methodsWe sought to understand the perspectives of Black parents on the COVID-19 pandemic, COVID-19 vaccination for themselves and their children, and trust with the medical community. Using qualitative methodology, we conducted in-depth semi-structured in-person interviews of Black parents of children admitted to the inpatient pediatric units in our tertiary academic medical center in Connecticut from July to November 2021. We used the grounded theory approach, and the constant comparative method until saturation was reached.

resultsWe interviewed 20 parents who identified as Black; 50% were vaccinated against COVID-19. The following 5 themes and sub-themes emerged: (1) mixed feelings influenced COVID-19 vaccine decision-making ranging from much needed relief and feelings of uncertainty, distrust, and fear; (2) COVID-19 vaccine uptake was influenced by individual and family's health concerns and job or school mandates; (3) deferring the COVID-19 vaccine was influenced by the perception of risk and concerns about vaccine integrity; (4) institutional mistrust within the Black community bred by systemic racism influenced vaccine decision-making; and (5) conflicted feelings about the COVID-19 vaccine for their child.

conclusionOur findings reiterate the complexities around vaccine decision-making and underscore the importance of recognizing the pervasive influence of institutional mistrust when counseling Black families about the COVID-19 vaccine.

Indexed as

Black or African AmericanCOVID-19COVID-19 VaccinesDecision MakingParentsAdultChildConnecticutFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchTrustCOVID-19 VaccinesCOVID-19 vaccineParent perspectivesQualitative study

Identifiers

PMID38353920
OpenAlexW4391810611

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.