Persistent disparities exist in routine immunizations and immunizations in a public health emergency such as the H1N1 pandemic between Black and White adults for vaccine preventable diseases. Research has identified numerous factors that contribute to but do not account fully for the disparities. Further research is needed to understand attitudes, cultural beliefs, and other psychosocial factors that influence vaccine behavior. We will identify new factors affecting immunization disparities and test the effectiveness of new communication components on intent to get a vaccine. Methods include: 1) focus groups and belief elicitation interviews to uncover psychosocial factors and cultural variables;2) construction of new quantitative items and cognitive interviews assessing those items;3) a national pilot survey with 200 Blacks and Whites to validate the instrument;4) a nationally representative survey of 1600 Blacks and Whites;5) translation of results into communication components;and 6) testing those components with 200 Black adults.

Public Health Relevance

Public acceptance of vaccines for vaccine preventable diseases is critical to reduce morbidity and mortality from routine infectious diseases such as seasonal influenza, pneumonia and others. Public willingness to take a vaccine in a public helath emergency such as a pandemic is esstential. This research addresses the persistent problem of disparities between Black and White adults that places Blacks at higher risk.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD006737-03
Application #
8687517
Study Section
Special Emphasis Panel (ZMD1-MLS)
Project Start
Project End
Budget Start
2014-03-01
Budget End
2015-02-28
Support Year
3
Fiscal Year
2014
Total Cost
$174,660
Indirect Cost
$58,141
Name
University of Maryland College Park
Department
Type
DUNS #
790934285
City
College Park
State
MD
Country
United States
Zip Code
20742
Sterling, Kymberle L; Fryer, Craig S; Majeed, Ban et al. (2015) Promotion of waterpipe tobacco use, its variants and accessories in young adult newspapers: a content analysis of message portrayal. Health Educ Res 30:152-61
King, Christopher J; Chen, Jie; Dagher, Rada K et al. (2015) Decomposing differences in medical care access among cancer survivors by race and ethnicity. Am J Med Qual 30:459-69
Jimenez, Daniel E; Begley, Amy; Bartels, Stephen J et al. (2015) Improving health-related quality of life in older African American and non-Latino White patients. Am J Geriatr Psychiatry 23:548-58
King, Christopher J; Chen, Jie; Garza, Mary A et al. (2014) Breast and cervical screening by race/ethnicity: comparative analyses before and during the Great Recession. Am J Prev Med 46:359-67
Quinn, Sandra Crouse; Kumar, Supriya (2014) Health inequalities and infectious disease epidemics: a challenge for global health security. Biosecur Bioterror 12:263-73
Reynolds 3rd, Charles F; Thomas, Stephen B; Morse, Jennifer Q et al. (2014) Early intervention to preempt major depression among older black and white adults. Psychiatr Serv 65:765-73
Debnam, Katrina J; Howard, Donna E; Garza, Mary A (2014) "If you don't have honesty in a relationship, then there is no relationship": African American girls' characterization of healthy dating relationships, a qualitative study. J Prim Prev 35:397-407
Dinwiddie, Gniesha Y; Zambrana, Ruth E; Garza, Mary A (2014) Exploring risk factors in Latino cardiovascular disease: the role of education, nativity, and gender. Am J Public Health 104:1742-50
Freimuth, Vicki S; Musa, Don; Hilyard, Karen et al. (2014) Trust during the early stages of the 2009 H1N1 pandemic. J Health Commun 19:321-39
Dagher, Rada K; Garza, Mary A; Kozhimannil, Katy Backes (2014) Policymaking Under Uncertainty: Routine Screening for Intimate Partner Violence. Violence Against Women 20:730-749

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