Beyond Tuskegee, To Middlesboro: How Perspectives of Policing Shape Vaccine Attitudes for Black Americans
Attempts to explain the higher levels of vaccine skepticism among Black Americans frequentlyfocus on the history of racial discrimination within the American healthcare system. Whilestudying this discrimination is important, we argue that past research overlooks the role of law enforcement actors outside the healthcare system; both in their history of supporting medical discrimination, and in its contemporary function as a coercive face of the state that may influence Black American’s concerns about vaccines. Using cross-sectional and longitudinal nationally representative surveys, we demonstrate that police attitudes have a strong and causal effect on vaccine skepticism and opposition to pro-vaccine policies among Black Americans. These findings point to the importance of reforming areas outside of the medical field, such as policing, in order to promote lasting declines in vaccine hesitancy.