COVID-19 Vaccine Decision-Making Among Black Women: A Qualitative Study

Objective: To understand COVID-19 vaccine decision-making among Black women in the United States.Methods: We conducted qualitative interviews with 60 Black women (both African American and first- and second-generation immigrants originating from Africa and the Caribbean) living in the Minneapolis/St. Paul Metropolitan Area.Results: Participants who were highly motivated to get vaccinated described their trust in science and a desire to protect themselves and those around them; while those who delayed vaccination reported doubts about vaccine safety. Many reported being influenced by targeted misinformation including the pervasive vaccine myths related to reproductive health. Historical trauma from unethical biomedical research and experiences of racism were also motivating factors. There were several concerns raised that were specific to ethnic groups.Conclusions: Current public health strategies that are intended to promote Covid vaccination are failing Black communities. Participants highlighted the need for clear and culturally appropriate communication about COVID-19 and the vaccines that is aligned with their communities’ values and addresses misinformation. The critical insights we have gained by listening to these communities should be used to develop novel vaccination policy approaches.