Race/Ethnicity Differences in COVID-19 Vaccine Uptake Among Nurses

2022 ◽  
pp. 104365962110653
Author(s):  
Kristen Choi ◽  
June Rondinelli ◽  
Emma Cuenca ◽  
Bruno Lewin ◽  
John Chang ◽  
...  

Introduction: There is evidence for relatively lower COVID-19 vaccine uptake among people of color in the United States. The purpose of this study was to investigate associations between race/ethnicity and COVID-19 vaccine uptake among nurses. Methods: Nurses in Southern California ( N = 1183) completed a one-time, web-based survey to assess COVID-19 vaccine perceptions and uptake. Results: In all, 82.8% of respondents ( N = 979) received at least one COVID-19 vaccine dose. Identifying as East Asian was associated with 14% higher odds of COVID-19 vaccine uptake relative to identifying as White (odds ratio [OR] = 1.14/95% confidence interval [CI] = [1.06, 1.24]); identifying as Filipino was associated with 14% higher odds of uptake (OR = 1.14/95% CI = [1.08, 1.20]); and identifying as Hispanic/Latinx was associated with 6% higher odds of uptake (OR = 1.06/95% CI = [1.00, 1.12]). Discussion: Although nurses and people of color have been identified as groups with low levels of COVID-19 vaccine uptake, this study found that nurses of color received the vaccine at higher levels than their White counterparts.

2016 ◽  
Vol 41 (4) ◽  
pp. 446-468 ◽  
Author(s):  
Lauren E. Wright ◽  
Thomas Vander Ven ◽  
Clara Fesmire

Little is known about the social correlates of serial rape or about trends in offending across time and space in the United States. Furthermore, the limited serial rape scholarship that exists was largely generalized from small, captive samples. The current study aims to amplify our understanding of serial rape by pursuing three fundamental objectives. First, guided by theory and research we propose a new, more precise, and comprehensive conceptualization of serial rape. Next, we draw from media representations of serial rape published in five major American newspapers from 1940 to 2010 to develop an offender social profile and to identify patterns in attack style. Our analysis of a broad and diverse sample of serial offenders described in media accounts ( N = 1,037) produced the following profile estimates—age: 27 years; race/ethnicity: African American, 46%; Caucasian, 29%; Latino, 19%; Asian, 5%. Most offenders were employed in unskilled or semiskilled occupations and the most common attack strategy was the surprise approach (47%). Finally, our data allow us to estimate and interpret historical trends as depicted in media accounts. Our analysis revealed low levels of serial rape in newspaper accounts during the 1940s to 1950s, followed by a steady increase (with periodic decreases) leading to a peak in 1991. This peak is followed by a steady and dramatic decline from 1992 to 2010.


2021 ◽  
Author(s):  
Raymond M Duch ◽  
Adrian Barnett ◽  
Maciej Filipek ◽  
Laurence Roope ◽  
Mara Violato ◽  
...  

Governments are considering financial incentives to increase vaccine uptake to end the COVID-19 pandemic. Incentives being offered include cash-equivalents such as vouchers or being entered into lotteries. Our experiment involved random assignment of 1,628 unvaccinated participants in the United States to one of three 45 second informational videos promoting vaccination with messages about: (a) health benefits of COVID-19 vaccines (control); (b) being entered into lotteries; or (c) receiving cash equivalent vouchers. After seeing the control health information video, 16% of individuals wanted information on where to get vaccinated. This compared with 14% of those assigned to the lottery video (odds ratio of 0.82 relative to control: 95% credible interval 0.57-1.17) and 22% of those assigned to the cash voucher video (odds ratio of 1.53 relative to control: 95% credible interval 1.11-2.11). These results support greater use of cash vouchers to promote COVID-19 vaccine uptake and do not support the use of lottery incentives.


Author(s):  
Brent M. Egan ◽  
Jiexiang Li ◽  
Susan E. Sutherland ◽  
Michael K. Rakotz ◽  
Gregory D. Wozniak

Hypertension control (United States) increased from 1999 to 2000 to 2009 to 2010, plateaued during 2009 to 2014, then fell during 2015 to 2018. We sought explanatory factors for declining hypertension control and assessed whether specific age (18–39, 40–59, ≥60 years) or race-ethnicity groups (Non-Hispanic White, NH [B]lack, Hispanic) were disproportionately impacted. Adults with hypertension in National Health and Nutrition Examination Surveys during the plateau (2009–2014) and decline (2015–2018) in hypertension control were studied. Definitions: hypertension, blood pressure (mm Hg) ≥140 and/or ≥90 mm Hg or self-reported antihypertensive medications (Treated); Aware, ‘Yes” to, “Have you been told you have hypertension?”; Treatment effectiveness, proportion of treated adults controlled; control, blood pressure <140/<90. Comparing 2009 to 2014 to 2015 to 2018, blood pressure control fell among all adults (−7.5% absolute, P <0.001). Hypertension awareness (−3.4%, P =0.01), treatment (−4.6%, P =0.004), and treatment effectiveness (−6.0%, P <0.0001) fell, despite unchanged access to care (health care insurance, source, and visits [−0.2%, P =0.97]). Antihypertensive monotherapy rose (+4.2%, P =0.04), although treatment resistance factors increased (obesity +4.0%, P =0.02, diabetes +2.3%, P =0.02). Hypertension control fell across age (18–39 [−4.9%, P =0.30]; 40–59 [−9.9%, P =0.0003]; ≥60 years [−6.5%, P =0.005]) and race-ethnicity groups (Non-Hispanic White [−8.5%, P =0.0007]; NHB −7.4%, P =0.002]; Hispanic [−5.2%, P =0.06]). Racial/ethnic disparities in hypertension control versus Non-Hispanic White were attenuated after adjusting for modifiable factors including education, obesity and access to care; NHB (odds ratio, 0.79 unadjusted versus 0.84 adjusted); Hispanic (odds ratio 0.74 unadjusted versus 0.98 adjusted). Improving hypertension control and reducing disparities require greater and more equitable access to high quality health care and healthier lifestyles.


Author(s):  
Emilie Snedevig Hoffmann

Based on comparative, intercategorical intersectional analyses of Aladdin (1992), Mulan (1998), and The Princess and the Frog (2009), I find that Disney’s intersectional representations and socialization messages tied to gender and race/ethnicity have not changed noticeably from the release of Aladdin to that of Princess. Rather, they continue to be problematically postfeminist because they hide heteronormative and patriarchal sentiments behind images of girl power. They are also sinisterly stereotypical because they negatively portray the Other and valorize Western values. Although Disney socializes different intersectional groups of children in a racialized way that distinguishes between people of color living within or outside of the United States by only encouraging the latter group to attempt to achieve relative whiteness, all three films socialize their target child audience according to heteronormative, patriarchal, and white privilege affirming values. As such, I argue that the films may be harmful to the socialization of all children.


2016 ◽  
Vol 12 ◽  
pp. P894-P894
Author(s):  
Jason R. Richardson ◽  
Judith Graber ◽  
Gerry Harris ◽  
Dwight C. German ◽  
Sid O'Bryant ◽  
...  

2020 ◽  
Vol 30 (4) ◽  
pp. 525-532
Author(s):  
Meredith G. Manze ◽  
Diana R. Romero

Objective: Black and Latinx individuals are often the focus of health educational efforts to ‘correct’ perceived flawed beliefs about pregnancy, in order to increase contracep­tive use and reduce unintended pregnan­cies. We sought to revisit the association between race, ethnicity, and beliefs about pregnancy.Methods: We administered a web-based survey to 2,099 heterosexual men and women aged 21-44 years, using non-proba­bility quota sampling. We analyzed a subset who were not currently pregnant (n=1,884) and conducted chi-square tests to examine the association between race/ethnicity and beliefs about avoiding pregnancy (can be avoided, determined by fate/God, ‘just happens,’ and is a natural process). We then performed a two-stage multinomial logistic regression, modeling the belief that pregnancy can be avoided. The first model included sociodemographic characteristics and the second model added feelings about pregnancy.Results: Bivariate analyses revealed that, compared with Whites, those who identi­fied as Black/African American or Latinx were significantly more likely to believe that pregnancy was determined by fate/God (15%,13% vs 9%, respectively) or a natural process (13%,13% vs 9%, respectively) and less likely to report that it can be avoided (57%,56% vs 67%, respectively; P=.001). In the first regression model, these differences persisted. However, in the second model, being Black/African American or Latinx was not significantly associated with beliefs about avoiding pregnancy.Conclusions: Our findings suggest that once more nuanced beliefs about pregnancy prevention are considered, Black and Latinx individuals do not hold strongly different beliefs than Whites. Efforts that exclusively focus on people of color to change beliefs about pregnancy appear unwarranted. Ethn Dis. 2020;30(4):525-532; doi:10.18865/ed.30.4.525


2020 ◽  
Author(s):  
Jamila K Stockman ◽  
Brittany A Wood ◽  
Katherine M Anderson

BACKGROUND In the United States, racial and ethnic minorities are disproportionately affected by COVID-19, with persistent social and structural factors contributing to these disparities. At the intersection of race/ethnicity and gender, women of color may be disadvantaged in terms of COVID-19 outcomes due to their role as essential workers, their higher prevalence of pre-existing conditions, their increased stress and anxiety from the loss of wages and caregiving, and domestic violence. OBJECTIVE The purpose of this study is to examine racial and ethnic differences in the prevalence of COVID-19 outcomes, stressors, fear, and prevention behaviors among adult women residing in the United States. METHODS Between May and June 2020, women were recruited into the Capturing Women’s Experiences in Outbreak and Pandemic Environments (COPE) Study, a web-based cross-sectional study, using advertisements on Facebook; 491 eligible women completed a self-administered internet-based cross-sectional survey. Descriptive statistics were used to examine racial and ethnic differences (White; Asian; Native Hawaiian or other Pacific Islander; Black; Hispanic, Latina, or Spanish Origin; American Indian or Alaskan Native; multiracial or some other race, ethnicity, or origin) on COVID-19 outcomes, stressors, fear, and prevention behaviors. RESULTS Among our sample of women, 16% (73/470) reported COVID-19 symptoms, 22% (18/82) were concerned about possible exposure from the people they knew who tested positive for COVID-19, and 51.4% (227/442) knew where to get tested; yet, only 5.8% (27/469) had been tested. Racial/ethnic differences were observed, with racial/ethnic minority women being less likely to know where to get tested. Significant differences in race/ethnicity were observed for select stressors (food insecurity, not enough money, homeschooling children, unable to have a doctor or telemedicine appointment) and prevention behaviors (handwashing with soap, self-isolation if sick, public glove use, not leaving home for any activities). Although no racial/ethnic differences emerged from the Fear of COVID-19 Scale, significant racial/ethnic differences were observed for some of the individual scale items (eg, being afraid of getting COVID-19, sleep loss, and heart racing due to worrying about COVID-19). CONCLUSIONS The low prevalence of COVID-19 testing and knowledge of where to get tested indicate a critical need to expand testing for women in the United States, particularly among racial/ethnic minority women. Although the overall prevalence of engagement in prevention behaviors was high, targeted education and promotion of prevention activities are warranted in communities of color, particularly with consideration for stressors and adverse mental health.


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