A Systematic Review: Vaccine Mandates During The COVID-19 Pandemic and Vaccine Hesitancy in Racial/Ethnic Minorities Within the United States

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Pereira, Mason

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2025-04-25

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en_US

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Abstract

Objective: To review current literature concerning how COVID-19 vaccination mandates may have contributed to increased rates of vaccine hesitancy in racial/ethnic minorities. Methods: Literature was gathered through the PubMed, CINAHL, and Google Scholar databases and further reviewed for effects of the COVID-19 vaccination mandates on vaccine hesitancy in racial/ethnic minorities. Selected literature included cross-sectional surveys, panel surveys, in-depth interviews, and representative surveys to assess vaccine hesitancy and other possible contributing factors to higher rates in minorities. Results: Black healthcare workers had nearly five times higher odds of COVID-19 vaccine hesitancy compared to White healthcare workers, with racial discrimination also contributing to increased hesitancy (OR = 1.30, 95% CI: 1.12–1.50). Black individuals also overcame initial vaccine hesitancy more quickly due to more rapidly recognizing the necessity of vaccination for personal and community protection compared to White individuals. Conclusions: The findings of this review emphasize the need to change how healthcare systems and public health initiatives engage with minority communities, focusing on rebuilding trust, implementing culturally competent communication strategies that educate rather than pressure racial/ethnic minority individuals to receive vaccinations.

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