Beliefs related to COVID-19 vaccine receipt in the Chicago area

Abstract Background In Chicago, Illinois, USA, Black and Latinx populations experienced disproportionate rates of COVID-19 mortality compared to White populations. By February 2023, Black residents had the lowest levels of completing the primary vaccine series of any racial or ethnic group. The Chic...

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Main Authors: Sarah Lomahan, Abigail Silva, Jessica Bishop-Royse, Paris Thomas, Molly A. Martin
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Public Health
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Online Access:https://doi.org/10.1186/s12982-025-00789-y
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author Sarah Lomahan
Abigail Silva
Jessica Bishop-Royse
Paris Thomas
Molly A. Martin
author_facet Sarah Lomahan
Abigail Silva
Jessica Bishop-Royse
Paris Thomas
Molly A. Martin
author_sort Sarah Lomahan
collection DOAJ
description Abstract Background In Chicago, Illinois, USA, Black and Latinx populations experienced disproportionate rates of COVID-19 mortality compared to White populations. By February 2023, Black residents had the lowest levels of completing the primary vaccine series of any racial or ethnic group. The Chicagoland CEAL Program surveyed an urban minoritized population about COVID-19 beliefs and vaccination status. The purpose of this study was to evaluate this association and to determine if it could be explained by health care connectedness and discrimination. Methods Responses were collected from December 2021 to February 2023. Descriptive statistics were used to examine differences by vaccination status. Logistic regression was used to determine associations between each of the eight COVID-19 beliefs and not completing the primary vaccine series. Models were adjusted for sociodemographic factors, health care connectedness, and discrimination. Results From 760 surveys analyzed, 76% had completed the primary vaccine series. Most participants were women (74%), identified as nH Black (61%), and did not complete higher education (70%). Individuals who agreed that the vaccine was developed too quickly (aOR: 1.55 (0.99–2.43, p = 0.05)) and that the vaccine went against religious beliefs (aOR: 2.72 (1.67–4.43, p = < 0.0001)) had a greater likelihood of not completing the vaccine series. Conclusion Building and sustaining trustworthiness should be at the center of messaging surrounding vaccine uptake for Black and Latinx residents in an urban setting. Messaging should consider the importance of religion on vaccine uptake and collaborate with trusted messengers to address negative sentiment towards health behavior recommendations.
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spelling doaj-art-70a3a5d280d44b2288c35bf1c317fb052025-08-20T03:45:45ZengSpringerDiscover Public Health3005-07742025-07-0122111110.1186/s12982-025-00789-yBeliefs related to COVID-19 vaccine receipt in the Chicago areaSarah Lomahan0Abigail Silva1Jessica Bishop-Royse2Paris Thomas3Molly A. Martin4Equal HopeParkinson School of Health Sciences and Public Health, Loyola UniversityDepartment of Adult Health and Gerontological Nursing, Rush University College of NursingEqual HopeDepartment of Pediatrics, Center for Dissemination and Implementation Science, University of Illinois College of MedicineAbstract Background In Chicago, Illinois, USA, Black and Latinx populations experienced disproportionate rates of COVID-19 mortality compared to White populations. By February 2023, Black residents had the lowest levels of completing the primary vaccine series of any racial or ethnic group. The Chicagoland CEAL Program surveyed an urban minoritized population about COVID-19 beliefs and vaccination status. The purpose of this study was to evaluate this association and to determine if it could be explained by health care connectedness and discrimination. Methods Responses were collected from December 2021 to February 2023. Descriptive statistics were used to examine differences by vaccination status. Logistic regression was used to determine associations between each of the eight COVID-19 beliefs and not completing the primary vaccine series. Models were adjusted for sociodemographic factors, health care connectedness, and discrimination. Results From 760 surveys analyzed, 76% had completed the primary vaccine series. Most participants were women (74%), identified as nH Black (61%), and did not complete higher education (70%). Individuals who agreed that the vaccine was developed too quickly (aOR: 1.55 (0.99–2.43, p = 0.05)) and that the vaccine went against religious beliefs (aOR: 2.72 (1.67–4.43, p = < 0.0001)) had a greater likelihood of not completing the vaccine series. Conclusion Building and sustaining trustworthiness should be at the center of messaging surrounding vaccine uptake for Black and Latinx residents in an urban setting. Messaging should consider the importance of religion on vaccine uptake and collaborate with trusted messengers to address negative sentiment towards health behavior recommendations.https://doi.org/10.1186/s12982-025-00789-yCOVID-19Vaccine uptakeHealth disparities
spellingShingle Sarah Lomahan
Abigail Silva
Jessica Bishop-Royse
Paris Thomas
Molly A. Martin
Beliefs related to COVID-19 vaccine receipt in the Chicago area
Discover Public Health
COVID-19
Vaccine uptake
Health disparities
title Beliefs related to COVID-19 vaccine receipt in the Chicago area
title_full Beliefs related to COVID-19 vaccine receipt in the Chicago area
title_fullStr Beliefs related to COVID-19 vaccine receipt in the Chicago area
title_full_unstemmed Beliefs related to COVID-19 vaccine receipt in the Chicago area
title_short Beliefs related to COVID-19 vaccine receipt in the Chicago area
title_sort beliefs related to covid 19 vaccine receipt in the chicago area
topic COVID-19
Vaccine uptake
Health disparities
url https://doi.org/10.1186/s12982-025-00789-y
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