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Introduction: The COVID-19 pandemic highlighted the centuries old issue of vaccine hesitancy and exposed healthcare inequities harming Black young adults. Despite vaccines being able to reduce COVID-19, human papillomavirus (HPV), and influenza morbidity and mortality, they are underutilized. An examination of socio-behavioral factors to understand motivators and barriers to vaccine uptake within Black communities is necessary to improve preventative health.
Methods: We conducted an online survey of 360 Black young adults, aged 18 and 29 years in the southern United States. Participants were part of a larger randomized-controlled trial which evaluated a digital health intervention for receiving the COVID-19 vaccine. A correlation analysis and a series of logistic regressions were performed to examine the relationships between vaccination knowledge, hesitancy, and conspiracy beliefs for vaccination status for COVID-19, HPV, and influenza.
Results: Vaccine hesitancy and conspiracy beliefs were negatively associated with COVID-19 vaccination (adjusted odds ratio (AOR) = .45, confidence interval (CI) [.284, .722], p < .001; AOR = .37, CI [.217, .628], p < .001, respectively, but vaccination knowledge was not (p = .295). Vaccination hesitancy was negatively associated with ever having accepted HPV vaccination (AOR = .66, CI [.477, 1.56], p = .011). Vaccination hesitancy, conspiracy beliefs, and knowledge were not significantly associated with influenza vaccination.
Conclusions: Vaccine hesitancy remains a pertinent factor affecting southern Black young adults. Vaccine-related conspiracy beliefs emerged amidst the COVID-19 pandemic and was significant for refusal of the COVID-19 vaccine. Results indicate the need for continued public health efforts to address vaccine hesitancy and conspiracies among southern Black young adults and providing reputable information from trusted sources recognized by this population.
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http://dx.doi.org/10.1007/s40615-025-02384-y | DOI Listing |
Health Promot Int
July 2025
Papua New Guinea Institute of Medical Research, Population Health Research Unit, P.O. Box 60, Goroka 441, Papua New Guinea.
In this paper we use constructivism to explore community members' accounts of how socio-cultural and behavioral factors provided meaning to the COVID-19 pandemic in Papua New Guinea, adherence to "niupela pasin" (new normal), and vaccination acceptance. We purposively selected 50 participants including community members, leaders, and church representatives for semi-structured interviews from urban and rural areas of Madang and Eastern Highlands Provinces. Data were analyzed using inductive thematic analysis.
View Article and Find Full Text PDFVaccine
August 2025
Department of Psychology, The University of British Columbia, 2136 West Mall, Vancouver, BC V6T 1Z4, Canada.
Belief that COVID-19 was a hoax has been associated with lower vaccine uptake, potentially due to reduced perceptions of disease threat. Using longitudinal data from a community sample (N = 1058), we tested whether perceived threat mediated the relationship between hoax belief and vaccine uptake, and whether this relationship varied by level of perceived threat. Counterfactual mediation analysis indicated that hoax belief predicted lower vaccine uptake in part through diminished perceived threat.
View Article and Find Full Text PDFJMIR Infodemiology
August 2025
Department of Media and Communication, City University of Hong Kong, Room 5086, Creative Media Center, Hong Kong, China, 852 34428691.
Background: Prevalence and spread of misinformation are a concern for the exacerbation of vaccine hesitancy and a resulting reduction in vaccine intent. However, few studies have focused on how vaccine misinformation diffuses online, who is responsible for the diffusion, and the mechanisms by which that happens. In addition, researchers have rarely investigated this in non-Western contexts particularly vulnerable to misinformation.
View Article and Find Full Text PDFFront Public Health
August 2025
Department of Family Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.
Background: Vaccinations are one of the most effective methods of preventing infectious diseases. Data published in recent years indicate a decline in routine childhood vaccination rates. Vaccine hesitancy is an increasingly serious problem, recognized as one of the 10 most significant threats to global health.
View Article and Find Full Text PDFBMC Public Health
July 2025
University of Health Sciences, Gülhane Vocational School of Health Services, Ankara, Türkiye, Turkey.
Objective: This study aims to examine individuals' justifications and experiences regarding vaccine refusal in Türkiye. The findings of this study are expected to provide significant insights into policies for preventing vaccine refusal and hesitancy.
Method: This phenomenological qualitative study involved in-depth interviews with 23 participants.