Trust and Coping Beliefs Contribute to Racial Disparities in COVID-19 Vaccination Intention

Health Commun. 2022 Nov;37(12):1457-1464. doi: 10.1080/10410236.2022.2035944. Epub 2022 Feb 9.

Abstract

Racial disparities in intention to obtain the COVID-19 vaccination have been noted in academic and popular press reports. The present study sought to identify cognitive and affective factors that contribute to the observed lack of acceptance of COVID-19 vaccination, even before a vaccine was made publicly available, among Black and White Americans through a national survey (N = 487; 50.6% female, 24.8% Black). Our findings are consistent with previous studies that Black respondents had lower intention to obtain the eventual COVID-19 vaccine than White respondents. Protection motivation theory's construct of coping efficacy and an additional COVID-19-relevant variable, trust in vaccination, mediated the effect of race on behavioral intention. Lastly, beliefs were elicited from Black and White Americans to identify communication strategies regarding the issue.

MeSH terms

  • Adaptation, Psychological
  • COVID-19 Vaccines*
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Female
  • Humans
  • Intention
  • Male
  • Trust
  • Vaccination / psychology
  • White People

Substances

  • COVID-19 Vaccines