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"systemic" Keyword-tagged Publications:

Title Authors PubMed ID
1 Understanding COVID-19 vaccination disparity among Black adults in North America: A two-study motivational approach Fang X; Holding AC; Audet ÉC; Thai H; Koestner R; 41043306
PSYCHOLOGY
2 Comparative Analysis of the Functions Work Groups and Informal Subgroups Carry out in Relation to their Members: The Essence, Conditions of Implementation, Effects, and Dysfunctions Sidorenkov AV; Borokhovski EF; 38492193
CONCORDIA
3 Candidiasis: from cutaneous to systemic, new perspectives of potential targets and therapeutic strategies Lu H; Hong T; Jiang Y; Whiteway M; Zhang S; 37307922
BIOLOGY
4 Survey of Cooperative Advanced Driver Assistance Systems: From a Holistic and Systemic Vision González-Saavedra JF; Figueroa M; Céspedes S; Montejo-Sánchez S; 35459025
ENCS
5 Protocol for a partially nested randomised controlled trial to evaluate the effectiveness of the scleroderma patient-centered intervention network COVID-19 home-isolation activities together (SPIN-CHAT) program to reduce anxiety among at-risk scleroderma patients. Thombs BD, Kwakkenbos L, Carrier ME, Bourgeault A, Tao L, Harb S, Gagarine M, Rice D, Bustamante L, Ellis K, Duchek D, Wu Y, Bhandari PM, Neupane D, Carboni-Jiménez A, Henry RS, Krishnan A, Sun Y, Levis B, He C, Turner KA, Benedetti A, Culos-Reed N, El-Baalbaki G, Hebblethwaite S, Bartlett SJ, Dyas L, Patten S, Varga J, Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 Patient Advisory Team, SPIN Investigators 32521358
PSYCHOLOGY
6 Protocol for a partially nested randomised controlled trial to evaluate the effectiveness of the scleroderma patient-centered intervention network COVID-19 home-isolation activities together (SPIN-CHAT) program to reduce anxiety among at-risk scleroderma patients. Fortuné C, Gietzen A, Guillot G, Lewis N, Nielsen K, Richard M, Sauvé M, Welling J, SPIN Investigators, Baron M, Furst DE, Gottesman K, Malcarne V, Mayes MD, Mouthon L, Nielson WR, Riggs R, Wigley F, Assassi S, Boutron I, Ells C, van den Ende C, Fligelstone K, Frech T, Godard D, Harel D, Hinchcliff M, Hudson M, Johnson SR, Larche M, Leite C, Nguyen C, Pope J, Portales A, Rannou F, Reyna TSR, Schouffoer AA, Suarez-Almazor ME, Agard C, Albert A, André M, Arsenault G, Benzidia I, Bernstein EJ, Berthier S, Biss 32419703
PSYCHOLOGY

 

Title:Understanding COVID-19 vaccination disparity among Black adults in North America: A two-study motivational approach
Authors:Fang XHolding ACAudet ÉCThai HKoestner R
Link:https://pubmed.ncbi.nlm.nih.gov/41043306/
DOI:10.1016/j.vaccine.2025.127803
Publication:Vaccine
Keywords:Black populationsPublic healthRacialized minoritySelf-determination theorySystemic racismVaccine
PMID:41043306 Category: Date Added:2025-10-04
Dept Affiliation: PSYCHOLOGY
1 Department of Psychology, McGill University, Montréal, Canada. Electronic address: xiaoyan.fang@mail.mcgill.ca.
2 Department of Psychology, Concordia University, Montréal, Canada.
3 Department of Psychology, McGill University, Montréal, Canada.

Description:

Previous research has revealed lower vaccination rates among Black communities relative to other racial-ethnic communities in North America. However, there remains a gap in understanding the motivational barriers contributing to these persistent disparities. Grounded in Self-Determination Theory, the current research aimed to examine the effects of different motivations for vaccine acceptance across population groups (autonomous, controlled, and amotivation). The current investigation involved two survey studies conducted in the United States and Canada during the second year of the COVID-19 pandemic. Study 1 was cross-sectional and included 623 Americans (60.4 % female). Study 2 was a prospective longitudinal study of 413 Canadians (54 % female; Mage = 47.6, SD = 17.9). In both studies, Black adults reported significantly lower levels of vaccination (MBlack = 1.15 vs. MNon-Black = 1.48 in Study 1; MBlack = 2.25 vs. MNon-Black = 2.63 in Study 2), lower autonomous motivation, and higher distrust-based amotivation compared to individuals from other population groups. In the cross-sectional study, autonomous motivation (ß = 0.45, p < .001) was positively associated with vaccine uptake while distrust-based amotivation (ß = -0.23, p < .001) was negatively associated with vaccine uptake. In the longitudinal study, distrust-based amotivation (ß = -0.11, p < .01) was associated with vaccination uptake for all groups, while lower autonomous motivation (b = 0.17, p < .01) and higher controlled motivation (b = -0.14, p < .05) were associated with lower vaccine uptake among Black individuals. These findings suggest that while addressing distrust-based amotivation at the institutional and systemic level to promote utilization of vaccination services is essential across all population groups, tailored public health interventions and policies that foster a sense of autonomy over one's healthcare decisions may play a particularly significant role for Black adults in supporting vaccine acceptance and uptake.





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