Guided by the 5C (confidence, complacency, constraints, calculation, and collective responsibility) model of vaccination behavior, we examine the psychological antecedents of COVID-19 vaccine acceptance (i.e. attitudes and intentions toward COVID-19 vaccination) among Black Americans, a group disproportionately affected by the coronavirus pandemic. We conducted a national survey of Black Americans (N = 1,497) in February/March 2021. We found that, among the five psychological antecedents, three (confidence, calculation – or extensive information searching, and collective responsibility) significantly predicted attitudes toward COVID-19 vaccination and had indirect effects on vaccination intentions through vaccination attitudes. Two antecedents (confidence and collective responsibility) also directly predicted vaccination intentions. Our analysis suggests that a partially mediated model produced better fit than a fully mediated model. Developing culturally tailored interventions for Black Americans that build confidence in COVID-19 vaccines, highlight collective responsibility, and attend to Black Americans’ information sources is key to boosting Black Americans’ COVID-19 vaccine acceptance. Future research is needed to understand how historical and ongoing racism affects the psychological antecedents of COVID-19 vaccine acceptance among Black Americans.
Thier, K., Wang, Y., Adebamowo, C., Ntiri, S. O., Quinn, S. C., & Nan, X. (2022). Understanding the psychological antecedents of COVID-19 vaccine acceptance among Black Americans: Implications for vaccine communication. Journal of Communication in Healthcare, 1-13. https://doi.org/10.1080/17538068.2022.2117528