Early in the COVID-19 pandemic, the vaccination rate in the Black community lagged well behind that of whites, a gap many in the media speculated was the result of fears based on historical health-related injustices like the infamous Tuskegee Syphilis Study.
But new research by UCLA psychologists shows that vaccine hesitancy and mistrust of medical professionals among Black Americans may hinge more on their current unsatisfactory healthcare experiences than on their knowledge of past wrongs.
The findings, the researchers say, clearly illustrate the need for both broad and specific changes within the medical community to improve experiences and build better trust with Black patients. The research is published in the journal Health Psychology.
Kimberly Martin, who led the research as a UCLA doctoral student and is now a UC President's Postdoctoral Scholar at UC San Francisco, stated that "History is important, no doubt, but Black Americans do not have to reach into the past for examples of inequity in health care — many have experienced it themselves."
In the first two studies, Martin and her UCLA colleagues surveyed approximately 300 Black and white participants in December 2020, just as vaccines became available. Black respondents expressed less trust in medical professionals and reported significantly fewer positive experiences with the healthcare system than their white counterparts. They were also less likely to report an intention to get vaccinated.
"The findings point to Black Americans' present-day experiences in the medical system as an important factor among multiple contributors to inequities, and physicians and health systems can indeed take action to improve these experiences," she said. "Respectful, competent, and caring medical professionals can be agents of change."
Among those who were not yet vaccinated, Black and white participants who had less trust in the medical community and felt less cared for by their physicians were also less likely to report an intention to get vaccinated.
The current studies add to an extensive body of research showing that Black Americans have worse healthcare experiences than whites. And while the vaccination gap between Blacks and whites has decreased, issues of inequitable treatment and medical mistrust remain and need to be addressed in the context of present-day experiences, the researchers emphasized.
"Characterizing race-related disparities in health care experiences as a relic of the past excludes current medical experiences and absolves the current health care system from making needed change," said co-author Kerri Johnson, a UCLA professor of communication and psychology.
Johnson and the other authors said that healthcare professionals and researchers need to identify and implement changes that could provide Black Americans with more equitable and satisfying healthcare experiences in the future.
Here at the Black Physicians and Healthcare Network, we offer free COVID-19 testing and vaccines for the people of Montgomery County. To check out our testing and & vaccines location, click here.
Credit "Black Americans’ COVID vaccine hesitancy stems more from today’s inequities than historical ones", https://www.miragenews.com/black-americans-covid-vaccine-hesitancy-stems-884604/
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