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COVID-19 vaccine hesitancy among American Indian and Alaska native college students: the roles of discrimination, historical trauma, and healthcare system distrust.
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- Author(s): Gonzalez VM;Gonzalez VM; Stewart TJ; Stewart TJ
- Source:
Journal of behavioral medicine [J Behav Med] 2024 Feb; Vol. 47 (1), pp. 123-134. Date of Electronic Publication: 2023 Aug 27.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 7807105 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3521 (Electronic) Linking ISSN: 01607715 NLM ISO Abbreviation: J Behav Med Subsets: MEDLINE
- Publication Information: Publication: <2008->: New York, NY : Springer Science + Business Media
Original Publication: New York, Plenum Press. - Subject Terms:
- Abstract: For American Indians and Alaska Native (AIAN) and other communities of color, experiences with discrimination and historical trauma may contribute to healthcare system distrust and negatively affect health care decisions, including vaccination. A saturated path analysis was conducted to examine the direct and indirect associations of thoughts regarding historical losses (of culture, language, and traditional ways) and AIAN racial discrimination with historical loss associated distress, healthcare system distrust, and COVID-19 vaccine hesitancy among AIAN college students (N = 391). Historical loss thoughts and experiences with racial discrimination were strongly associated with each other, and both were uniquely associated with greater historical loss associated distress. In turn, historical loss associated distress was associated with greater healthcare system distrust, which in turn was associated with greater likelihood of being COVID-19 vaccine hesitant. While further research is needed, the findings suggest that to address health disparities for AIAN people it is necessary to consider how to best overcome healthcare system distrust and factors that contribute to it, including historical trauma and contemporary experiences with discrimination.
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Zuckerman, S., Haley, J., Roubideaux, Y., & Lillie-Blanton, M. (2004). Health service access, use, and insurance coverage among American Indians/Alaska Natives and Whites: What role does the Indian Health Service play? American Journal of Public Health, 94(1), 53–59. https://doi.org/10.2105/AJPH.94.1.53 . - Contributed Indexing: Keywords: American Indian/Alaska native; Distrust; Historical trauma; Racial discrimination; Vaccine hesitancy
- Accession Number: 0 (COVID-19 Vaccines)
- Publication Date: Date Created: 20230827 Date Completed: 20240215 Latest Revision: 20240503
- Publication Date: 20240503
- Accession Number: 10.1007/s10865-023-00443-5
- Accession Number: 37634151
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