Evidence map›Paper›PMID 40205313›Full record

ArticleAIDS and behavior2025

Perspectives on COVID-19 Vaccination Among Unvaccinated and Under-Vaccinated African American/Black and Latine Frontline Essential Workers: A Qualitative Exploration.

Marya Gwadz, Jennifer A Robinson, Fernanda Gonzalez Blanco Serrano, Stephanie Campos, Robin M Freeman, Rauly Chero, Charles M Cleland, Lalitha Parameswaran, Robert L Hawkins, Prema Filippone and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Marya GwadzNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003. Mg2890@nyu.edu.ORCID http://orcid.org/0000-0002-2386-9409
Jennifer A RobinsonNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.
Fernanda Gonzalez Blanco SerranoNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.ORCID http://orcid.org/0009-0004-9904-6662
Stephanie Campos, Jersey City, NJ, USA.ORCID http://orcid.org/0000-0002-6389-6508
Robin M Freeman, Brooklyn, NY, USA.ORCID http://orcid.org/0000-0002-9295-0243
Rauly CheroNorthern Manhattan Improvement Corporation (NMIC), 45 Wadsworth Avenue, New York, 10033, NY, USA.
Charles M ClelandNew York University Grossman School of Medicine, 550 First Avenue, New York, 10016, NY, USA.ORCID http://orcid.org/0000-0002-6931-9904
Lalitha ParameswaranNew York University Grossman School of Medicine, NYU Vaccine Center, 660 1 st Ave, 5 th Floor, New York, 10016, NY, USA.ORCID http://orcid.org/0009-0000-2750-5357
Robert L HawkinsSchool of Social Work, The University of North Carolina at Chapel Hill, 325 Pittsboro Street, Chapel Hill, 27599, NC, USA.ORCID http://orcid.org/0000-0002-2694-7644
Prema FilipponeNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.ORCID http://orcid.org/0000-0002-3180-8710
Maria LizardoNorthern Manhattan Improvement Corporation (NMIC), 45 Wadsworth Avenue, New York, 10033, NY, USA.
Greg BangserNorthern Manhattan Improvement Corporation (NMIC), 45 Wadsworth Avenue, New York, 10033, NY, USA.
Paola G RamirezNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.
Andrea NegretNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.
Mehreen KagziNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.
Hanna LissinnaNew York University Silver School of Social Work, 1 Washington Square North, New York, NY, USA, 10003.

Funding

Using the multiphase optimization strategy (MOST) to optimize an intervention to increase COVID-19 testing for Black and Latino/Hispanic frontline essential workersU01MD017418 · NIMHD · NEW YORK UNIVERSITY · PI GWADZ, MARYA · 2022 to 2023
$2.4M
NIMHD NIH HHS U01 MD017418NIMHD NIH HHS U01MD017418
6 · The paper itself

Abstract

Racial/ethnic disparities in COVID-19 morbidity and mortality are serious in the United States, particularly among African American/Black and Latine (AABL) populations. Staying up-to-date on COVID-19 vaccination is essential for mitigating risk, but AABL vaccination rates are low. The present qualitative study explores perspectives on COVID-19 among AABL persons at high-risk for exposure to the SARS-CoV- 2 virus: frontline essential workers engaged in public-facing professions (e.g., retail). From a larger study of AABL frontline essential workers not up-to-date on COVID-19 vaccination, N = 50 participants were purposively sampled for maximum variability. Participants engaged in semi-structured qualitative interviews in English or Spanish that were audio-recorded, professionally transcribed, and translated into English as needed. Data were analyzed using a directed content analysis approach that was both inductive and theory-driven. Participants were 37 years old, on average, and most (65%) were men. Approximately half (56%) were Latine/Hispanic and 44% were African American/Black. Occupations included food preparation (40%), retail (28%), construction (12%), in-home health care (8%), and building maintenance and personal services (12%). Approximately a third (38%) had received ≥ 1 COVID-19 vaccine dose. We found COVID-19 vaccination perspectives were grounded in a larger context of medical and institutional distrust and past/ongoing systemic racism. In this context, results were organized into the following themes: general perspectives on COVID-19; barriers/facilitators related to race/ethnicity, social class, and community; specific aspects of the COVID-19 vaccine as barriers; mandates, incentives, and pressures to be vaccinated; and mixed effects of public health initiatives. Overall, participants were knowledgeable about COVID-19. Social norms reduced vaccine intentions but altruism and community/family concern could motivate it. Aspects of the public health response (e.g., advertisement campaigns targeting AABL populations) increased distrust and reduced vaccination willingness. However, at least some ambivalence about vaccination was common (participants would consider it). Yet there was a large gap between considering and receiving vaccination. Thus, barriers to COVID-19 vaccination for AABL frontline essential workers operate at multiple levels of influence, but are addressable. The present study yields recommendations to improve vaccination, including increasing the trustworthiness of systems and institutions, reducing systemic/structural barriers, harnessing social forces, and engaging AABL communities in program planning.

Indexed as

Attitude of Health PersonnelBlack or African AmericanCOVID-19Frontline WorkersHispanic or LatinoVaccinationAdultCOVID-19 VaccinesFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSARS-CoV-2United StatesCOVID-19 VaccinesAfrican American/Black and Latine frontline essential workersCOVID-19 vaccinationMedical distrustQualitativeRacial/ethnic disparitiesRADX-upVaccine hesitancy

Identifiers

PMID40205313
PMCPMC12228974

What OpenQuestion holds

Textmetadata
LicenceTDM
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.