A crisis of confidence? Intervening in vaccine hesitancy in North Dakota.
COVID‐19
North Dakota
confidence
providers
vaccine hesitancy
Journal
Medical anthropology quarterly
ISSN: 0745-5194
Titre abrégé: Med Anthropol Q
Pays: United States
ID NLM: 8405037
Informations de publication
Date de publication:
07 Jun 2024
07 Jun 2024
Historique:
received:
02
01
2023
accepted:
03
05
2024
medline:
7
6
2024
pubmed:
7
6
2024
entrez:
7
6
2024
Statut:
aheadofprint
Résumé
In November 2020, North Dakota reported a higher number of cases and deaths per capita from COVID-19 than any other state in the United States. Several months later, it reported one of the country's highest rates of vaccine hesitancy, leading to the development and implementation of the state-funded and physician-led "Vaccine Champion" ("VaxChamp") program. Glossing the primary problem as one of "provider confidence," the VaxChamp program emphasized a standardized, scalable intervention that targeted healthcare providers directly, and patients only indirectly. Although the program hit its quantitative benchmarks, a qualitative inquiry into the program's history and context reveals multiple crises of confidence, many beyond the bioscientific domain of the program's focus. Drawing from work in medical and linguistic anthropology, we describe and analyze the "multiple levers of vaccine confidence" at play in the intervention and its surrounding context, as well as how these crises of confidence emerged.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : CDC HHS
Pays : United States
Organisme : U.S. Department of Health and Human Services
ID : G19.1238B
Organisme : ND Department of Health and Human Services
ID : NH23IP922623
Informations de copyright
© 2024 American Anthropological Association.
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