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Review
. 2021 May 11;9(5):489.
doi: 10.3390/vaccines9050489.

Targeting COVID-19 Vaccine Hesitancy in Minority Populations in the US: Implications for Herd Immunity

James E K Hildreth  1   2   3 , Donald J Alcendor  1   3
Affiliations
Review

Targeting COVID-19 Vaccine Hesitancy in Minority Populations in the US: Implications for Herd Immunity

James E K Hildreth et al. Vaccines (Basel). .

Abstract

There has been a continuous underrepresentation of minorities in healthcare research and vaccine trials, along with long-standing systemic racism and discrimination that have been fueling the distrust of the healthcare system among these communities for decades. The history and legacy of racial injustices and negative experiences within a culturally insensitive healthcare system have greatly contributed to vaccine hesitancy among ethnic minorities. COVID-19 vaccine hesitancy will impact vaccine uptake in the US, subsequently hindering the establishment of herd immunity (75-85% of the population vaccinated) to mitigate SARS-CoV-2 infection and transmission. Information targeting underserved racial/ethnic minorities in the US in a culturally competent manner has been lacking. This information is crucial for educating these communities about COVID-19 vaccines and their distribution as well as dispelling misinformation regarding vaccine trials, safety, and efficacy. This lack of education has greatly contributed to COVID-19 vaccine hesitancy and will increase disparities in vaccine uptake. Moreover, timely vaccinations are also essential to curtailing virus transmission and the emergence of SARS-CoV-2 variants that may evade the immune response produced by the three existing COVID-19 vaccines.

Keywords: COVID-19; SARS-CoV-2; coronavirus; health disparities; health inequities; minorities populations; vaccine hesitancy.

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Conflict of interest statement

The authors declare that they have no competing interest. The funders did not participate in the design, preparation, data analysis, or decision to publish the manuscript.

Figures

Figure 1
Figure 1
Elements of COVID-19 vaccine hesitancy that can impact herd immunity.
See this image and copyright information in PMC

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