COVID-19 vaccine deliberation in individuals directly impacted by incarceration

•Analysis of U.S. survey data regarding the COVID-19 vaccine, Feb-Mar 2021.•Exposure to the criminal legal system associated with COVID-19 vaccine deliberation.•Exposure linked to higher concerns of vaccine safety and political mistrust. Delays in vaccinating communities of color to COVID-19 have si...

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Bibliographic Details
Published in:Vaccine 2023-05, Vol.41 (23), p.3475-3480
Main Authors: Kim, Charlotte, Aminawung, Jenerius A., Brinkley-Rubinstein, Lauren, Wang, Emily A., Puglisi, Lisa B.
Format: Article
Language:English
Subjects:
Coronaviruses
COVID-19
COVID-19 - prevention & control
COVID-19 Vaccines
Deliberation
Ethnicity
Hispanic people
Humans
Imprisonment
Incarceration
Jail
Mass incarceration
Pandemics
Prison
Prisons
Race
Short Communication
Surveys and Questionnaires
Systemic racism
Vaccination
Vaccine
Vaccines
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Summary:•Analysis of U.S. survey data regarding the COVID-19 vaccine, Feb-Mar 2021.•Exposure to the criminal legal system associated with COVID-19 vaccine deliberation.•Exposure linked to higher concerns of vaccine safety and political mistrust. Delays in vaccinating communities of color to COVID-19 have signaled a need to investigate structural barriers to vaccine uptake, with mass incarceration demanding greater characterization as a potential factor. In a nationally representative survey from February-March 2021 (N = 1,157), exposure to the criminal legal system, defined as having been incarcerated in prison or jail or having had a family member or close friend incarcerated, was associated with higher odds for COVID-19 vaccine deliberation. Individuals with criminal legal system exposure reported lower confidence in physician recommendation as a reason to get vaccinated. They were also more likely to decline vaccination out of fear it would cause COVID-19 infection, and that the vaccine might be promoted as a political tool. Our analysis suggests that populations impacted by the criminal legal system would benefit from targeted vaccine outreach by trusted community members who can address distrust during current and future pandemics.
ISSN:0264-410X
1873-2518
DOI:10.1016/j.vaccine.2023.04.068