Examining COVID-19 hesitancies related to fertility and pregnancy among Black and Latinx women Público
Godinez-Santana, Belén (Spring 2022)
Abstract
The COVID-19 pandemic has magnified inequalities that exist in the United States of America. Black, indigenous, and people of color (BIPOC) are disproportionately affected by the pandemic. Lack of trust in healthcare and government among BIPOC and under- resourced communities in the United States is a longstanding issue rooted in historical social injustices. The COVID-19 pandemic has further exacerbated the gap that exists in medical uptake among BIPOC communities and created an increased need for culturally, linguistically, and timely COVID-19 evidence-based information. The purpose of this thesis is to understand how the COVID-19 pandemic exacerbated health inequities among BIPOC communities and to assess the factors that play a role in COVID-19 vaccination uptake as it pertains to information mayhem regarding pregnancy and fertility for Black and Latinx women. To understand how information mayhem affects decisions related to pregnancy and fertility for Black and Latinx women, a secondary review of existing literature specifically related to hesitancy among Black and Latinx communities was conducted, and COVIED design group data was analyzed. A qualitative approach was chosen to capture the variety and depth of participants’ narratives. Findings were based on four themes that were generated: fear of vaccination based on past and present injustices on Black and Brown bodies, fear of vaccination due to hesitancies related to maternal and child health outcomes, general health fears related to COVID-19 vaccinations, and fears related to culture and religion. These themes ultimately suggested that information mayhem plays a significant role in the decisions Black and Latinx women make related to COVID-19 vaccines.
Table of Contents
Purpose 1
Background 1
Importance of COVID-19 communication and vaccine uptake in BIPOC communities 1
Previous Relevant Work: COVIED Project 2
Narratives reflecting themes related to COVID-19 hesitancy among BIPOC communities 5
Histories of discrimination and marginalization (past) 5
Suspicion of authorities (political and economic motivations) (present) 6
Information mayhem (processing of information) 6
Groups of focus: Black communities 7
Groups of focus: Latinx communities 8
BIPOC are at higher risk of contracting and dying from COVID-19 8
Black and Latinx women and fears related to pregnancy/ fertility 9
Summary 9
Significance 10
Methods 11
Introduction 11
Ethical Considerations 14
Research Design 14
Population and Sample 18
Procedures and Instruments 19
Findings 19
Introduction 19
Comorbidities 19
Conspiracies 21
Death 23
History of Discrimination24
Lay Epidemiology 25
Long-Term Side Effects 25
Maternal and Child Health Outcomes 26
Religion 27
Short-Term Side Effects 28
Codes Summary 28
Themes 29
Information Mayhem and Pregnancy/ Fertility Concerns 31
Discussion 32
Finding 1: Tuskegee Syphilis Study 32
Finding 2: Issues Related to Fertility 33
Finding 3: Cardiovascular Disease 34
Finding 4: Contradiction of Faith 35
Limitations 35
Conclusions 36
References 38
About this Master's Thesis
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