Improving COVID-19 Vaccine Uptake among Black Populations: A Systematic Review of Strategies

Morolake Adeagbo, Mary Olukotun, Salwa Musa, Dominic Alaazi, Upton Allen, Andre M. N. Renzaho, Ato Sekyi-Otu and Bukola Salami ()
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Morolake Adeagbo: Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada
Mary Olukotun: Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada
Salwa Musa: Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada
Dominic Alaazi: Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada
Upton Allen: Department of Pediatrics, University of Toronto, Toronto, ON M5G 1X8, Canada
Andre M. N. Renzaho: Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW 2560, Australia
Ato Sekyi-Otu: Department of Surgery, University of Toronto, Toronto, ON M5S 2J7, Canada
Bukola Salami: Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada

IJERPH, 2022, vol. 19, issue 19, 1-16

Abstract: Given the growing body of evidence on COVID-19 vaccine hesitancy among Black populations, the aim of this systematic review was to identify the interventions and strategies used to improve COVID-19 vaccine confidence and uptake among Black populations globally. To identify relevant studies, we conducted a systematic review of the literature based on a systematic search of 10 electronic databases: MEDLINE, Embase, PsycINFO, CINAHL, Scopus, Cochrane Library, Web of Science, Sociological Abstracts, Dissertations and Theses Global, and SocINDEX. We screened a total of 1728 records and included 14 peer-reviewed interventional studies that were conducted to address COVID-19 vaccine hesitancy among Black populations. A critical appraisal of the included studies was performed using the Newcastle-Ottawa Quality Assessment Scale. The intervention strategies for increasing COVID-19 vaccine uptake were synthesized into three major categories: communication and information-based interventions, mandate-based interventions, and incentive-based interventions. Interventions that incorporated communication, community engagement, and culturally inclusive resources significantly improved vaccine uptake among Black populations, while incentive- and mandate-based interventions had less impact. Overall, this systematic review revealed that consideration of the sociocultural, historical, and political contexts of Black populations is important, but tailored interventions that integrate culture-affirming strategies are more likely to decrease COVID-19 vaccine hesitancy and increase uptake among Black populations.

Keywords: COVID-19; Blacks; vaccine uptake; hesitancy; strategies; interventions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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