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Research Paper Undergraduate 2,668 words

COVID-19 Vaccine Hesitancy in the Black Community

~14 min read 5 sections Health · Community Health
Abstract

This paper examines the factors contributing to COVID-19 vaccine hesitancy among African Americans. Drawing on peer-reviewed research, public health data, and historical analysis, the paper explores how a long pattern of medical exploitation — from slave-era experimentation to the Tuskegee Syphilis Study — has generated deep-rooted mistrust of the U.S. healthcare system. It also addresses structural barriers such as limited vaccine access in minority communities, documented implicit bias among healthcare providers, and the amplifying role of social media misinformation. The paper argues that meaningful progress in vaccination rates requires both rebuilding trust with the Black community and ensuring equitable access to vaccine distribution infrastructure.

Key Takeaways
  • Introduction: Pandemic context and scope of vaccine hesitancy
  • Summary and Research Questions: Medical neglect history and guiding research questions
  • Literature Review: Historical injustices, access barriers, and implicit bias evidence
  • Discussion and Analysis: CDC data, Tuskegee legacy, and social media's role
  • Conclusion: Policy recommendations and call for equitable vaccine access
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What makes this paper effective

  • The paper grounds its argument in a well-documented historical arc, tracing medical mistrust from the slave trade through J. Marion Sims's experiments to the Tuskegee Syphilis Study, giving readers a coherent causal narrative rather than isolated anecdotes.
  • It distinguishes carefully between outright vaccine refusal and hesitancy, citing quantitative data (e.g., CDC vaccination rates, Khubchandani et al.'s national survey) to support nuanced claims about the Black community's wait-and-see posture.
  • The paper incorporates multiple voices — clinicians, public health officials, and scholars — to build a multidimensional case rather than relying on a single line of evidence.

Key academic technique demonstrated

The paper demonstrates effective integration of primary data with secondary literature. CDC statistics on racial vaccination disparities are paired with peer-reviewed studies on implicit bias and historical injustice, showing how quantitative evidence and qualitative historical context can reinforce one another to strengthen an argument.

Structure breakdown

The paper opens with a broad pandemic context before narrowing to its specific population and research questions. A literature review then surveys historical injustices, structural access barriers, and documented provider bias. The discussion section revisits those themes through a focused research question, adding CDC data and social media's amplifying role. A brief conclusion synthesizes findings and issues a policy call to action. This funnel structure — wide context → focused review → targeted analysis → synthesis — is well suited to a public health argument paper.

Essay 2,668 words

Introduction

There is no doubt whatsoever that COVID-19 has wreaked havoc around the globe. With over 3 million people dead worldwide and the United States having registered more than half a million deaths, this is a pandemic unlike any other the world has encountered in recent times. In an attempt to contain the spread of the virus, various measures have been undertaken by governments, agencies, and private entities across the world. One of the most promising developments has been the creation of the COVID-19 vaccine by a number of pharmaceutical companies. At present, vaccinations are ongoing in various parts of the world. It is important to note, however, that efforts to combat the pandemic have in some instances been hampered by the hesitancy or outright refusal by some segments of society to take the COVID-19 vaccine. This paper concerns itself primarily with the refusal or hesitancy by African Americans regarding the COVID-19 vaccine.

Summary and Research Questions

COVID-19 remains one of the worst pandemics to have hit the world over the last few decades, affecting millions of people in one way or another. Most of those affected are disproportionately minorities. With the development of COVID-19 vaccines, there has been considerable discussion about the apprehension that many minority groups feel toward receiving a vaccine that could protect them from the coronavirus. It is important to note from the outset that, as Tuckson (2020) points out, many Black people are extremely uncomfortable with receiving the coronavirus vaccine. This discomfort stems largely from a long-standing feeling of being medically neglected by the healthcare establishment. Minorities often feel that their healthcare is not a priority for White doctors and that they are left on the back burner while white patients receive superior care. Tuckson (2020) further explains how, several decades ago, J. Marion Sims — an award-winning Caucasian physician — operated on Black individuals without any anesthesia. Pain medications were withheld because Black individuals were believed to be capable of tolerating extremely high levels of pain and were thought not to require as much medication as other racial groups.

With minorities believing that their health is not taken seriously by White doctors, their overall wellbeing suffers because they are less likely to seek healthcare when unwell. The health of minority groups — predominantly Black people — tends to suffer the most because, in addition to being economically disadvantaged, trust is one of the fundamental building blocks of the patient-provider relationship. Given this context, it is understandable why a minority individual might be reluctant to visit a doctor and risk being subjected to unfair treatment. Tuckson (2020) argues that in order to convince minorities to trust the coronavirus vaccine, doctors must first work on building that trust. Minority groups' health needs must also be taken more seriously by White healthcare professionals. A genuine change in perspective regarding how the healthcare system has treated Black Americans is what will ultimately be required for them to feel more confident in the coronavirus vaccine.

This paper therefore asks: In what ways have Caucasian health professionals lost the trust of African American individuals? And in what ways could trust be rebuilt so that minorities feel better treated and become more confident in receiving the coronavirus vaccine? (Tuckson, 2020, p. 745)

3 Sections Hidden · 1,235 words
Literature Review720 words
Available data indicates that among those hit hardest by the present pandemic are Black Americans. According to Soucheray (2020), data from Johns Hopkins University shows that…
Discussion and Analysis410 words
Research Question: What causes African Americans to be hesitant about taking the COVID-19 vaccine?
Conclusion105 words
In summary, there are a myriad of factors contributing to the refusal or hesitancy of African Americans to take the COVID-19 vaccine. Among the most prominent is the deep mistrust that this community…

References

Anderson, J. (2021). America has a history of medically abusing Black people. No wonder many are wary of COVID-19 vaccines. USA Today.

Barker, C. J. (2021, February 4). Numbers reveal racial inequity in COVID vaccine distribution. New York Amsterdam News.

Brandt, A. (1978). Racism and research: The case of the Tuskegee Syphilis Study. The Hastings Center Report, 8(6), 21–29.

Carney, C. J. (2021, January 2). The role of experimentation and medical mistrust in COVID-19 vaccine skepticism. Diverse: Issues in Higher Education.

Cost, C. (2021, January 7). COVID vaccines, the Black community, many questions. New York Amsterdam News.

Ferdinand, K. C. (2021). Overcoming barriers to COVID-19 vaccination in African Americans: The need for cultural humility. American Journal of Public Health, 111(4), 586–588.

Green, L., Li, L., Morris, J. F., Gluzman, R., Davis, J. L., & Qi, M. (2021). Detailed knowledge of the Tuskegee Syphilis Study: Who knows what? A framework for health promotion strategies. Health Education and Behavior, 38(6), 629–636.

Hall, W. J., Chapman, M. V., Lee, K. M., Merino, Y. M., Thomas, T. W., Payne, B. K., Eng, E., Day, S. H., & Coyne-Beasley, T. C. (2015). Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review. American Journal of Public Health, 105(12), 60–76.

Hoq, R. (2021). Black Americans' distrust of the COVID-19 vaccine. Psychiatric Times.

Jahomi, A. H., & Hamidianjahromi, A. (2020). Why African Americans are a potential target for COVID-19 infection in the United States. Journal of Medical Internet Research, 22(6), 43–49.

Kelly, E. (2016). [Referenced in discussion of J. Marion Sims's surgical experiments on enslaved individuals].

Khubchandani, J., Sharma, S., Price, J. H., Wiblishauser, M. J., Sharma, M., & Webb, F. J. (2021). COVID-19 vaccination hesitancy in the United States: A rapid national assessment. Journal of Community Health, 46, 270–277.

Priest, J. B., McNeil Smith, S., Woods, S. B., & Roberson, P. N. E. (2020). Discrimination, family emotional climate, and African American health: An application of the BBFM. Journal of Family Psychology, 34(5), 598–609.

Reverby, S. M. (2021). Racism, disease, and vaccine refusal: People of color are dying for access to COVID-19 vaccines. PLOS Biology, 19(3), 104–109.

Ross, R. J. (2012). Racism and colonialism: Essays on ideology and social structure. Springer Science & Business Media.

Soucheray, S. (2020). US Blacks 3 times more likely than Whites to get COVID-19. CIDRAP.

Tuckson, R. V. (2020). The disease of distrust. Science, 370(6518), 745.

Valscho, T. W. (2010). Sterilization racism and pan-ethnic disparities of the past decade: The continued encroachment on reproductive rights. Wicazo Sa Review, 25(1), 17–31.

Young, S. (2021). Black vaccine hesitancy rooted in mistrust, doubts. WebMD.

Key Concepts in This Paper
Vaccine Hesitancy Medical Mistrust Tuskegee Study Health Disparities Systemic Racism Implicit Bias Vaccine Access Historical Injustice Black Community Health COVID-19 Pandemic
Cite This Paper
PaperDue. (2026). COVID-19 Vaccine Hesitancy in the Black Community. PaperDue. https://www.paperdue.com/study-guide/covid-19-vaccine-hesitancy-black-community-2181177

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