RT Journal Article SR Electronic T1 What contributes to COVID-19 online disinformation among Black Canadians: a qualitative study JF CMAJ Open JO CMAJ FD Canadian Medical Association SP E389 OP E396 DO 10.9778/cmajo.20220197 VO 11 IS 3 A1 Janet Kemei A1 Dominic A. Alaazi A1 Adedoyin Olanlesi-Aliu A1 Modupe Tunde-Byass A1 Ato Sekyi-Otu A1 Habiba Mohamud A1 Bukola Salami YR 2023 UL http://www.cmajopen.ca/content/11/3/E389.abstract AB Background: Black Canadians are disproportionately affected by the COVID-19 pandemic, and the literature suggests that online disinformation and misinformation contribute to higher rates of SARS-CoV-2 infection and vaccine hesitancy in Black communities in Canada. Through stakeholder interviews, we sought to describe the nature of COVID-19 online disinformation among Black Canadians and identify the factors contributing to this phenomenon.Methods: We conducted purposive sampling followed by snowball sampling and completed in-depth qualitative interviews with Black stakeholders with insights into the nature and impact of COVID-19 online disinformation and misinformation in Black communities. We analyzed data using content analysis, drawing on analytical resources from intersectionality theory.Results: The stakeholders (n = 30, 20 purposively sampled and 10 recruited by way of snowball sampling) reported sharing of COVID-19 online disinformation and misinformation in Black Canadian communities, involving social media interaction among family, friends and community members and information shared by prominent Black figures on social media platforms such as WhatsApp and Facebook. Our data analysis shows that poor communication, cultural and religious factors, distrust of health care systems and distrust of governments contributed to COVID-19 disinformation and misinformation in Black communities.Interpretation: Our findings suggest racism and underlying systemic discrimination against Black Canadians immensely catalyzed the spread of disinformation and misinformation in Black communities across Canada, which exacerbated the health inequities Black people experienced. As such, using collaborative interventions to understand challenges within the community to relay information about COVID-19 and vaccines could address vaccine hesitancy.