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The lasting impact of the Tuskegee Syphilis Study: COVID-19 vaccination hesitation among African Americans

Author

Listed:
  • Xiaolong Hou

    (University of Georgia)

  • Yang Jiao

    (Texas A &M University-Texarkana)

  • Leilei Shen

    (Airbnb)

  • Zhuo Chen

    (University of Georgia
    University of Nottingham Ningbo China)

Abstract

It is widely recognized that African Americans have a higher level of mistrust towards the medical and health sector, which results in insufficient utilization of public health services, low participation in clinical research, and vaccination hesitancy. While the Tuskegee Syphilis Study has been identified as a key factor in this mistrust, its specific influence on COVID-19 vaccination uptake among African Americans remains unexplored. Our paper fills this research gap. Our results suggest that the difference in COVID-19 vaccination rates between communities with low and high proportions of Black residents decreases during the study period, but the gap persists. Notably, counties closer to Tuskegee exhibit a slower rate of progress in reducing the racial disparity in COVID-19 vaccination, indicating that the lingering mistrust stemming from the Tuskegee Study has contributed to unequal vaccination rates between African Americans and the rest of America.

Suggested Citation

  • Xiaolong Hou & Yang Jiao & Leilei Shen & Zhuo Chen, 2024. "The lasting impact of the Tuskegee Syphilis Study: COVID-19 vaccination hesitation among African Americans," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(2), pages 1-33, June.
    • Handle: RePEc:spr:jopoec:v:37:y:2024:i:2:d:10.1007_s00148-024-01013-y
    DOI: 10.1007/s00148-024-01013-y
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    1. Do, D. Phuong & Finch, Brian Karl & Basurto-Davila, Ricardo & Bird, Chloe & Escarce, Jose & Lurie, Nicole, 2008. "Does place explain racial health disparities? Quantifying the contribution of residential context to the Black/white health gap in the United States," Social Science & Medicine, Elsevier, vol. 67(8), pages 1258-1268, October.
    2. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc.
    3. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    4. Giorgio Brunello & Margherita Fort & Nicole Schneeweis & Rudolf Winter‐Ebmer, 2016. "The Causal Effect of Education on Health: What is the Role of Health Behaviors?," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 314-336, March.
    5. Stephen Knack & Philip Keefer, 1997. "Does Social Capital Have an Economic Payoff? A Cross-Country Investigation," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(4), pages 1251-1288.
    6. Guido Tabellini, 2010. "Culture and Institutions: Economic Development in the Regions of Europe," Journal of the European Economic Association, European Economic Association, vol. 8(4), pages 677-716, June.
    7. Bo Bian & Jingjing Li & Ting Xu & Natasha Z. Foutz, 2022. "Individualism during Crises," The Review of Economics and Statistics, MIT Press, vol. 104(2), pages 368-385, May.
    8. Sara Lowes & Eduardo Montero, 2021. "The Legacy of Colonial Medicine in Central Africa," American Economic Review, American Economic Association, vol. 111(4), pages 1284-1314, April.
    9. Yann Algan & Pierre Cahuc, 2010. "Inherited Trust and Growth," American Economic Review, American Economic Association, vol. 100(5), pages 2060-2092, December.
    10. Alex Albright & Jeremy A. Cook & James J. Feigenbaum & Laura Kincaide & Jason Long & Nathan Nunn, 2021. "After the Burning: The Economic Effects of the 1921 Tulsa Race Massacre," NBER Working Papers 28985, National Bureau of Economic Research, Inc.
    11. Bruhin, Adrian & Goette, Lorenz & Haenni, Simon & Jiang, Lingqing, 2020. "Spillovers of prosocial motivation: Evidence from an intervention study on blood donors," Journal of Health Economics, Elsevier, vol. 70(C).
    12. Mark Hayward & Melonie Heron, 1999. "Racial inequality in active life among adult americans," Demography, Springer;Population Association of America (PAA), vol. 36(1), pages 77-91, February.
    13. Cubbin, C. & Pickle, L.W. & Fingerhut, L., 2000. "Social context and geographic patterns of homicide among US black and white males," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 579-587.
    14. Nathan Nunn & Leonard Wantchekon, 2011. "The Slave Trade and the Origins of Mistrust in Africa," American Economic Review, American Economic Association, vol. 101(7), pages 3221-3252, December.
    15. Liyousew Borga & Andrew Clark & Conchita D’ambrosio & Anthony Lepinteur, 2022. "Characteristics associated with COVID-19 vaccine hesitancy," PSE-Ecole d'économie de Paris (Postprint) halshs-04156060, HAL.
    16. Matthew Gentzkow & Jesse M. Shapiro, 2006. "Media Bias and Reputation," Journal of Political Economy, University of Chicago Press, vol. 114(2), pages 280-316, April.
    17. Samuel Bazzi & Martin Fiszbein & Mesay Gebresilasse, 2020. "Frontier Culture: The Roots and Persistence of “Rugged Individualism” in the United States," Econometrica, Econometric Society, vol. 88(6), pages 2329-2368, November.
    18. Kass, N.E., 2001. "An ethics framework for public health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1776-1782.
    19. Marcella Alsan & Owen Garrick & Grant Graziani, 2019. "Does Diversity Matter for Health? Experimental Evidence from Oakland," American Economic Review, American Economic Association, vol. 109(12), pages 4071-4111, December.
    20. repec:hal:spmain:info:hdl:2441/432sbils8u9t7qa99cii5psht1 is not listed on IDEAS
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    More about this item

    Keywords

    Vaccination; COVID-19; Racial disparity; Tuskegee;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • N9 - Economic History - - Regional and Urban History

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