COVID-19 and the impact on rural and black church Congregants: Results of the C-M-C project.
Lovoria B Williams, Anita F Fernander, Tofial Azam and 5 others
PMID 34227136WHAT IT FOUND
33.2% of church congregants said they were unlikely to get a COVID-19 vaccine, despite high worry. 45.7% reported delayed care; 50.4% of those with depression and 58.0% of those with anxiety said symptoms worsened.
Key findings
0133.2% of respondents said they were unlikely to obtain a COVID-19 vaccine, while 98.5% intended to practice prevention behaviors.
0245.7% reported some delay in obtaining medical care, and the association with geographic location was statistically significant (p = 0.003).
03Among respondents with depression, 50.4% said symptoms worsened; among those with anxiety, 58.0% said symptoms worsened, though neither geographic pattern reached significance (p = 0.18 and p = 0.89).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey included 942 church congregants in Kentucky from May to September 2020, so it may not apply to the general public or to later pandemic periods. The cross-sectional design had no follow-up, so it cannot show how beliefs, behaviors, or health status changed over time. Electronic survey administration may have excluded people without computers or internet access, even though paper surveys were offered on request. Anonymous delivery could have allowed repeated responses from the same person. Recruitment through pastors and churches may have selected for people already connected to church life. The study reports associations, not causes, and it did not test whether education or counseling changes vaccine intent.
Declared interests
No conflict-of-interest statement is provided in the supplied text. The article is listed as supported by NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read the high worry and 98.5% intent to practice prevention behaviors as evidence that these congregants were ready to vaccinate. 33.2% said they were unlikely to get a vaccine, and this survey did not test whether education or counseling would change that.