COVID-19 Disparities and Vaccine Hesitancy in Black Americans: What Ethical Lessons Can Be Learned?

2021 ◽  
pp. 019459982110654
Author(s):  
Nicolas Restrepo ◽  
Helene J. Krouse
Keyword(s):  
Health Professionals ◽  
Minority Groups ◽  
Black Americans ◽  
Black Population ◽  
Vaccine Hesitancy ◽  
Black Communities ◽  
Low Health Literacy ◽  
Health Related ◽  
Expert Analysis ◽  
Research Findings

Objective This state of the art review focuses on bioethical questions and considerations from research findings and methodological issues, including design and recruitment of participants, in studies related to COVID-19 vaccine hesitation in Black individuals. Ethical concerns identified were applied to otolaryngology with recommendations for improving health inequities within subspecialties. Data Sources An internet search through PubMed, CINAHL, and socINDEX was conducted to identify articles on COVID-19 vaccine hesitation among the Black population between 2020 and 2021. Review Methods A systematic review approach was taken to search and analyze the research on this topic, which was coupled with expert analysis in identifying and classifying vital ethical considerations. Conclusions The most common COVID-19 vaccine hesitation factors were related to the development of the vaccine, mistrust toward government agencies, and misconceptions about safety and side effects. These findings raised bioethical concerns around mistrust of information, low health literacy, insufficient numbers of Black participants in medical research, and the unique positions of health professionals as trusted sources. These bioethical considerations can be applied in otolaryngology and other health-related areas to aid the public in making informed medical decisions regarding treatments, which may reduce health inequalities among Black Americans and other racial and ethnic minority groups. Implications for Practice Addressing ethical questions by decreasing mistrust, tailoring information for specific populations, increasing minority representation in research, and using health professionals as primary sources for communicating health information and recommendations may improve relationships with Black communities and increase acceptance of new knowledge and therapies such as COVID-19 vaccination.

scholarly journals COVID-19 vaccine online misinformation in Fiji: Preliminary findings

2021 ◽  
Vol 27 (1and2) ◽  
pp. 47-62
Author(s):  
Romitesh Kant ◽  
Rufino Varea ◽  
Jason Titifanue
Keyword(s):  
Digital Media ◽  
Vaccine Hesitancy ◽  
Health Issues ◽  
Health Crisis ◽  
Conspiracy Theories ◽  
Vast Array ◽  
Fertile Ground ◽  
Health Related ◽  
Research Findings ◽  
Preliminary Research

Digital media, opens a vast array of avenues for lay people to effectively engage with news, information and debates about important science and health issues. However, they have also become a fertile ground for various stakeholders to spread misinformation and disinformation, stimulate uncivil discussions and engender ill-informed, dangerous public decisions. During the COVID-19 pandemic, antivaccination social media accounts are proliferating online, threatening to further escalate vaccine hesitancy. The pandemic signifies not only a global health crisis, it has also proven to be an infodemic characterised by many conspiracy theories. Prior research indicates that belief in health-related conspiracies can harm efforts to curtail the spread of a virus. This article presents and examines preliminary research findings on COVID-19 vaccine related misinformation being circulated on Fijian Facebook Forums.

Developing Photo-Posters for Health Education on Perceived Teething Problems in Nigeria

2003 ◽  
Vol 21 (4) ◽  
pp. 369-375
Author(s):  
O. O. Bankole ◽  
O. O. Denloye ◽  
G. A. Aderinokun ◽  
C. O. Badejo R.N. Phn
Keyword(s):  
Weight Loss ◽  
Health Education ◽  
Health Professionals ◽  
Target Population ◽  
Participatory Approach ◽  
Culturally Appropriate ◽  
Market Women ◽  
Research Findings ◽  
Enugu State ◽  
Rural Dwellers

The development of photo-posters to educate the Nigerian community on the perceived problems of teething was prompted by research findings which revealed that misconceptions about teething were widespread within the populace and in particular among some health professionals. Studies have shown that 58% of ethnic Yoruba rural dwellers in Nigeria attributed ailments to the teething process, while 70% of market women in Enugu State perceived diarrhea in their children was due to teething. In a recent survey, 61.4% of nurses believed diarrhea should accompany the teething process. Furthermore 82.1%, 35.8%, and 27.9% of them implicated fever, weight loss, and boils respectively as signs of teething. Photo-posters adopt the use of visual representation of a problem and the goal of using photo-posters is to begin to create an understanding in the minds of people that babies can be healthy in spite of their erupting teeth. It is believed that using pictures of real babies who are seen to be healthy when their teeth first emerge should go a long way to reducing some of the misconceived ideas. In its development, the participatory approach was adopted involving selected members of the target population, thus making it a culturally appropriate tool. This article describes the rationale behind the choice of the photo-posters and the process of developing them.

scholarly journals The Limits of Medical Trust in Mitigating COVID-19 Vaccine Hesitancy among Black Americans

2021 ◽  
Author(s):  
Justin Stoler ◽  
Adam M. Enders ◽  
Casey A. Klofstad ◽  
Joseph E. Uscinski
Keyword(s):  
Black Americans ◽  
Vaccine Hesitancy

Understanding vaccine hesitancy: the evidence

2021 ◽  
Vol 32 (7) ◽  
pp. 282-287
Author(s):  
Alison While
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Herd Immunity ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Vaccine Hesitancy ◽  
Important Public Health ◽  
Positive Attitudes ◽  
The Uk

Vaccine hesitancy is a concern both globally and within the UK. Alison While reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations Vaccination is an important public health intervention, but its effectiveness depends upon the uptake of vaccination reaching sufficient levels to yield ‘herd’ immunity. While the majority of the UK hold positive attitudes about vaccination, some people, including health professionals, decline vaccinations. This article reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations.

scholarly journals National Identification and Collective Emotions as Predictors of Pro-Social Attitudes Toward Islamic Minority Groups in Indonesia

2014 ◽  
Vol 10 (2) ◽  
pp. 255-276 ◽  
Author(s):  
Ali Mashuri ◽  
Esti Zaduqisti
Keyword(s):  
Minority Groups ◽  
Social Attitudes ◽  
Direct Effects ◽  
Collective Guilt ◽  
Collective Emotions ◽  
National Identification ◽  
Group Data ◽  
Research Findings ◽  
Shed Light

The present study examined the role of Indonesian Moslem majority’s national identification, collective emotions of pride and guilt in predicting their support in helping members of Islamic minority and their perceived inclusion towards this group. Data from this study (N= 182) demonstrated that, in line with our prediction, support for minority helping significantly predicted perceived inclusion. We also hypothesized and found that collective pride and collective guilt directly predicted the minority helping. Finally, national identification had significant direct effects on both collective pride and collective guilt. These findings shed light on the importance of collective emotions and national identification in giving rise to pro-social attitudes of Indonesian Moslem majority towards members of Islamic minority. Implications of the research findings were discussed with reference to theories of group-based emotion and intergroup helping, and to practical strategies Indonesian government can apply to recognize Islamic minorities.

Treading the Troubled Waters of Training: Some Guidelines for Improving Learning Efficiency

1977 ◽  
Vol 5 (4) ◽  
pp. 267-302 ◽  
Author(s):  
John Lackmann
Keyword(s):  
Health Professionals ◽  
Learning Efficiency ◽  
Regional Medical ◽  
Research Findings ◽  
Training Institutions ◽  
Medical Meetings

The role of learning as a tool for enhancing human efficiency and survival is examined. The advantages of using simulations as a means of improving learning efficiency is discussed. Thirty important concepts based on research findings are presented for individuals interested in promoting learning efficiency. Based on these concepts simulations were constructed and tested at eight national and regional medical meetings.** Reactions were obtained from 846 physicians and other health professionals. This research suggests that it is possible for training institutions to significantly improve learning efficiency.

scholarly journals Eradicating Racism: An Endocrine Society Policy Perspective

2022 ◽  
Author(s):  
Ruban Dhaliwal ◽  
Rocio I Pereira ◽  
Alicia M Diaz-Thomas ◽  
Camille E Powe ◽  
Licy L Yanes Cardozo ◽  
...  
Keyword(s):  
Health Disparities ◽  
Ethnic Minority ◽  
Healthcare System ◽  
Health Professionals ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Minority Communities ◽  
Endocrine Society ◽  
Policy Perspective ◽  
Racial Ethnic

Abstract The Endocrine Society recognizes racism as a root cause of the health disparities that affect racial/ethnic minority communities in the United States and throughout the world. In this policy perspective, we review the sources and impact of racism on endocrine health disparities and propose interventions aimed at promoting an equitable, diverse, and just healthcare system. Racism in the healthcare system perpetuates health disparities through unequal access and quality of health services, inadequate representation of health professionals from racial/ethnic minority groups, and the propagation of the erroneous belief that socially constructed racial/ethnic groups constitute genetically and biologically distinct populations. Unequal care, particularly for common endocrine diseases such as diabetes, obesity, osteoporosis, and thyroid disease, results in high morbidity and mortality for individuals from racial/ethnic minority groups, leading to a high socioeconomic burden on minority communities and all members of our society. As health professionals, researchers, educators, and leaders, we have a responsibility to take action to eradicate racism from the healthcare system. Achieving this goal would result in high-quality health care services that are accessible to all, diverse workforces that are representative of the communities we serve, inclusive and equitable workplaces and educational settings that foster collaborative teamwork, and research systems that ensure that scientific advancements benefit all members of our society. The Endocrine Society will continue to prioritize and invest resources in a multifaceted approach to eradicate racism, focused on educating and engaging current and future health professionals, teachers, researchers, policy makers, and leaders.

scholarly journals Structural Solidarity: Lay Theories of Discrimination and Coalitional Attitudes among Stigmatized Groups

2020 ◽  
Author(s):  
Maureen A. Craig ◽  
Julian Rucker ◽  
Riana M. Brown
Keyword(s):  
White Women ◽  
Minority Groups ◽  
Black Americans ◽  
Racial Minority ◽  
Lay Theories ◽  
Structural Factors ◽  
Control Information ◽  
Stigmatized Groups ◽  
Nationally Representative ◽  
And Behavior

How do people’s beliefs about what drives discrimination against their group (structural factors or interpersonal biases) affect their support for coalescing with and improving stigmatized outgroups’ positions? Analyses of nationally-representative datasets reveal that Hispanics, Black Americans, and White women who held more structural (vs. interpersonal) understandings of ingroup discrimination (racism, sexism) were more likely to express support and attend to issues affecting other stigmatized groups (Study 1). Among White women and non-Black LGBTQ individuals, beliefs that structural factors drive the ingroup’s discrimination predicted support for intra-minority coalitions and intentions and behavior supporting Black Americans (Study 2). Finally, several experiments (Studies 3-4) revealed that White women for whom structural forms of sexism (vs. interpersonally-driven sexism or control information) were made salient expressed more support for coalescing with and acting to support racial minority groups. Overall, considering structural factors contributing to discrimination against one’s own group’s facilitates seeking and supporting intra-minority coalitions.

scholarly journals When Human Rights are not Enough

2018 ◽  
Vol 2 (1) ◽  
pp. 236
Author(s):  
Joeni Kurniawan
Keyword(s):  
Human Rights ◽  
Identity Politics ◽  
Minority Groups ◽  
Minority Group ◽  
National Commission ◽  
Multicultural Society ◽  
Fellow Citizen ◽  
Research Findings ◽  
Human Rights Act ◽  
The Law

Juridically, there have been quite a lot of legal instruments existing in Indonesia to protect human rights. These legal instruments include the Indonesian Constitution, which has special articles regulating about human rights, the Human Rights Act (the Law Number 39 of 1999), the National Commission for Human Rights, etc. Thus, normatively, all those legal instruments should be adequate to protect human rights in Indonesia, including the protection of the minority groups. However, the facts don’t seem in line with such expectation. There have been a lot of cases happened in Indonesia that bring this country into a serious question in its ability to protect the minority groups. The persecutions over the Ahmadiyah and Shia sects, the rejections against non-Muslim worship place establishments, and as the most recent one, the case of Jakarta’s governor Basuki Tjahaja Purnama, are some of the long sad stories showing how Indonesia is really poor in its performance to protect the minority groups. Identity politics and even a sentiment of racism are re-escalating in Indonesia today, which seems affirming the research findings got by the Wahid Foundation showing that 59.9% of 1520 of respondents from 34 provinces in Indonesia said that they have hatred towards some groups of their fellow citizen, such as those who are non-Muslims, Chinese-descents, communists, etc (Hakim 2016). Among this 59,9% respondents, 92,2% of them said that they highly oppose a person coming from those groups to become a governmental leader, and 82,4% of this people even said that they don’t want to have a neighbor coming from those groups (Hakim 2016). Such re-emergence of identity politics and sentiment of racism, as well as a frightening fact of hatred among people, really give a serious question about why all the human rights instruments which already exist in Indonesia seem to fail in preventing all those things to happen. In this article, I will show my hypothesis that all that sad news that happened in Indonesia in regard to the minority group protection are due to the failure of multiculturalism approach implemented in Indonesia so far. Thus, I will also propose the interculturalism approach to be implemented in Indonesia as the critique and refinement of multiculturalism approach in dealing with the multicultural society, including in regard to the minority groups protection.

Hope and Adolescent Mental Health

2017 ◽  
Author(s):  
Xu Jiang ◽  
Kristin L. Otis ◽  
Marco Weber ◽  
E. Scott Huebner
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Well Being ◽  
Adolescent Mental Health ◽  
Developmental Perspective ◽  
Hope Theory ◽  
Future Directions ◽  
Research Findings ◽  
Children’S Hope Scale

This chapter begins with a description of the tenets of hope theory and then addresses the importance of hope during adolescence from a developmental perspective. Next, two accompanying instruments for measuring hope in adults and adolescents, the Adult Hope Scale and the Children’s Hope Scale, are described. Then the chapter summarizes the research findings on the relations between hope and adolescent mental health, focusing on the findings related to emotional, psychological, and social well-being, respectively. In addition, the Making Hope Happen intervention is introduced. Finally, the chapter explores future directions in adolescent hope research, along with implications for use by mental health professionals.

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