Prevalence and factors related to COVID‐19 vaccine hesitancy and unwillingness in Canada: A systematic review and meta‐analysis

Journal of Medical Virology, Journal Year: 2022, Volume and Issue: 95(1)

Published: Sept. 17, 2022

This systematic review and meta-analysis examined the prevalence factors associated with vaccine hesitancy unwillingness in Canada. Eleven databases were searched March 2022. The pooled of coronavirus disease 2019 (COVID-19) was estimated. Subgroup analyses meta-regressions performed. Out 667 studies screened, 86 full-text articles reviewed, 30 included review. Twenty-four meta-analysis; 12 for (42.3% [95% CI, 33.7%-51.0%]) (20.1% 15.2%-24.9%]). Vaccine higher females (18.3% 12.4%-24.2%]) than males (13.9% 9.0%-18.8%]), rural (16.3% 12.9%-19.7%]) versus urban areas (14.1% [95%CI, 9.9%-18.3%]). (19.9% 11.0%-24.8%]) compared (13.6% 8.0%-19.2%]), non-White individuals (21.7% 16.2%-27.3%]) White (14.8% 11.0%-18.5%]), secondary or less (24.2% 18.8%-29.6%]) postsecondary education (15.9% 11.6%-20.2%]). Factors related to racial disparities, gender, level, age are discussed.

Language: Английский

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Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations

Journal of Travel Medicine, Journal Year: 2023, Volume and Issue: 30(5)

Published: June 19, 2023

Some refugee and migrant populations globally showed lower uptake of COVID-19 vaccines are also considered to be an under-immunized group for routine vaccinations. These communities may experience a range barriers vaccination systems, yet there is need better explore drivers under-immunization vaccine hesitancy in these mobile groups.

Language: Английский

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The “loneliness epidemic”, intersecting risk factors and relations to mental health help-seeking: A population-based study during COVID-19 lockdown in Canada

Journal of Affective Disorders, Journal Year: 2022, Volume and Issue: 320, P. 7 - 17

Published: Sept. 2, 2022

Language: Английский

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Driving delivery and uptake of catch-up vaccination among adolescent and adult migrants in UK general practice: a mixed methods pilot study

BMC Medicine, Journal Year: 2024, Volume and Issue: 22(1)

Published: May 3, 2024

Abstract Background Migrants in the UK and Europe face vulnerability to vaccine-preventable diseases (VPDs) due missed childhood vaccines doses marginalisation from health systems. Ensuring migrants receive catch-up vaccinations, including MMR, Td/IPV, MenACWY, HPV, is essential align them with European vaccination schedules ultimately reduce morbidity mortality. However, recent evidence highlights poor awareness implementation of guidelines by primary care staff, requiring novel approaches strengthen pathway. Methods The ‘Vacc on Track’ study (May 2021–September 2022) aimed measure under-vaccination rates among establish new referral pathways for vaccination. Participants included aged 16 or older, born outside Western Europe, North America, Australia, New Zealand, two London boroughs. Quantitative data history, referral, uptake, sociodemographic factors were collected, practice nurses prompted deliver vaccinations following guidelines. Focus group discussions in-depth interviews staff explored views delivering vaccination, barriers, facilitators, opportunities. Data analysed using STATA12 NVivo 12. Results 57 presenting sites 18 countries (mean age 41 [SD 7.2] years; 62% female; mean 11.3 9.1] years UK) over a minimum 6 months follow-up revealed significant needs, particularly MMR (49 [86%] required vaccination) Td/IPV (50 [88%]). Fifty-three (93%) participants referred any but completion courses was low (6 [12%] 33 [64%] MMR), suggesting individual systemic barriers. Qualitative ( n = 39) adult highlighted lack systems currently place offer arrival need health-care provider skills knowledge be improved. 32) identified limited appointment/follow-up time, gaps, inadequate engagement routes, incentivisation as challenges that will addressed. they underscored potential champions, trust-building mechanisms, community-based uptake migrants. Conclusions Given needs our sample, current barriers driving identified, findings suggest it important explore this public issue further, potentially through larger trial. Strengthening existing pathways, capacity care, alongside implementing strategies centred cultural competence building trust migrant communities focus areas.

Language: Английский

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An equitable vaccine delivery system: Lessons from the COVID-19 vaccine rollout in Canada

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(12), P. e0279929 - e0279929

Published: Dec. 30, 2022

Background The COVID-19 pandemic exacerbated existing health disparities and disproportionately affected vulnerable individuals communities (e.g., low-income, precariously housed or in institutional settings, racialized, migrant, refugee, 2SLBGTQ+). Despite their higher risk of infection sub-optimal access to healthcare, Canada’s vaccination strategy focused primarily on age, as well medical occupational factors. Methods We conducted a mixed-methods constant comparative qualitative analysis epidemiological data from national database cases vaccine coverage four Canadian jurisdictions. Jurisdictional policies, policy updates, associated press releases were collected government websites, through 34 semi-structured interviews key informants nine Interviews coded analyzed for themes patterns. Results vaccines rolled out Canada three phases, each accompanied by specific challenges. Vaccine delivery systems typically featured large-venue mass immunization sites that presented variety barriers those communities. engagement targeted outreach the later phases driven predominantly efforts community organizations primary care providers, with limited support provincial governments. Conclusions While rollout is largely considered success, such an interpretation shaped metrics chosen. across need substantial improvements ensure optimal uptake equitable all. Our findings suggest more model featuring early establishment local barrier-free clinics, culturally safe representative environment, multi-lingual assistance, among other vulnerability-sensitive elements.

Language: Английский

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COVID-19 Vaccine Acceptance and Hesitancy among Migrants, Refugees, and Foreign Workers: A Systematic Review and Meta-Analysis

Vaccines, Journal Year: 2023, Volume and Issue: 11(6), P. 1070 - 1070

Published: June 6, 2023

Despite the effectiveness of current vaccines in reducing spread and severity SARS-CoV-2 infections, many people, including migrants, refugees, foreign workers, are hesitant to be vaccinated. This systematic review meta-analysis (SRMA) was conducted determine pooled prevalence estimate acceptance hesitancy rates COVID-19 vaccine among these populations. A comprehensive search peer-reviewed literature indexed PubMed, Scopus, Science Direct, Web databases conducted. Initially, 797 potential records were identified, which 19 articles met inclusion criteria. proportions using data from 14 studies revealed that overall rate COVID vaccination 29,152 subjects 56.7% (95% CI: 44.9–68.5%), while 26,154 migrants reported 12 estimated 31.7% 44.9–68.5%). The for first declined 77.3% 2020 52.9% 2021 then slightly increased 56.1% 2022. most frequent factors influencing worries about efficacy safety. Intensive campaigns should implemented raise awareness will increase result herd immunity.

Language: Английский

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An exploration of COVID-19 vaccination models for newcomer refugees and immigrants in Calgary, Canada

Archives of Public Health, Journal Year: 2024, Volume and Issue: 82(1)

Published: March 12, 2024

Abstract Background The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet needs diverse populations and ultimately reach high rates vaccination. However, little evidence exists on how operated in novel context pandemic, vulnerable populations, such as refugees, experience systems high-income countries, what lessons may be learned from efforts with populations. To address this gap, study explored vaccine delivery available newcomer refugees immigrants, refugee experiences across different Calgary, Canada, surrounding area 2021 2022, understand barriers, strengths, strategies support access immigrants. Methods Researchers conducted structured interviews Government Assisted Refugees ( n = 39), semi-structured Privately Sponsored 6), private sponsors 3), stakeholders involved 13) 2022. Thematic analysis was draw out themes related intersections patient experiences. Results Newcomer immigrant focused were explored. They demonstrated partnerships between organizations, multi-pronged approaches, culturally responsive services crucial navigate ongoing emergent factors, hesitancy, mandates, other determinants under-vaccination. Many presented through not specific included temporary residents, ethnocultural community members, their design. Conclusions Increasing uptake is complex requires trust, information provision, local emerging factors. Three key policy implications drawn. First, findings flexible funding offer outreach, translation, cultural interpretation, basic patients prior engaging vaccinations. Second, research showed that embedding within ensures are met. Finally, collaborating partners reflect communities success any health serving newcomers.

Language: Английский

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Vaccine Hesitancy among Immigrants: A Narrative Review of Challenges, Opportunities, and Lessons Learned

Vaccines, Journal Year: 2024, Volume and Issue: 12(5), P. 445 - 445

Published: April 23, 2024

(1) Background: Vaccination reluctance is a major worldwide public health concern as it poses threats of disease outbreaks and strains on healthcare systems. While some studies have examined vaccine uptake within specific countries, few provide an overview the barriers trends among migrant groups. To fill this knowledge gap, narrative review analyzes immunization patterns hesitancy immigrant populations. (2) Methods: Four researchers independently evaluated quality bias risk 18 identified articles using validated critical appraisal tools. (3) Results: Most focused migrants in United States Canada, with higher COVID-19 than native-born residents. Contributing factors to include demographics, cultural views, obstacles access, financial hardship, distrust policies. Additionally, immigrants North America Europe face unfair challenges due misinformation, safety concerns, personal perspectives, language barriers, immigration status, restricted access. (4) Conclusions: Tailored education programs outreach campaigns sensitive immigrants’ diversity should be developed address issue. It also important investigate community-specific assess long-term sustainability current efforts promote vaccination marginalized Further research into global disparities populations crucial.

Language: Английский

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Prevalence of COVID-19 vaccine acceptance among migrant and refugee groups: A systematic review and meta-analysis

Vaccine X, Journal Year: 2023, Volume and Issue: 14, P. 100308 - 100308

Published: May 6, 2023

Understanding COVID-19 vaccine hesitancy among migrant and refugee groups is critical for achieving equity. Therefore, we aimed to estimate the prevalence of acceptance populations.

Language: Английский

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COVID-19 Vaccinations, Trust, and Vaccination Decisions within the Refugee Community of Calgary, Canada

Vaccines, Journal Year: 2024, Volume and Issue: 12(2), P. 177 - 177

Published: Feb. 9, 2024

Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and specific factors, contribute lower vaccine uptake. To address this, the WHO calls localized solutions increase uptake refugees evidence inform future vaccination efforts. However, limited engages directly with about their experiences vaccinations. this gap, researchers conducted qualitative interviews (N = 61) (n 45), sponsors 3), key informants 13) connected local efforts in Calgary. Thematic analysis was synthesize themes related perspectives, experiences, patient intersections policies systems. Findings reveal that benefit from ample services delivered at various stages, not solely vaccinations, create multiple positive touch points health immigration This builds trust confidence promotes Despite affecting decisions, reason timely credible information through trusted intermediaries an environment addressed refugee needs concerns. As placed relationships core decision-making vaccination, it is recommended healthcare systems work reach refugees. can be targeted culturally responsive delivery meets patients where they are, including barrier reduction measures such as translation on-site educational outreach partnerships private groups, community organizations leaders.

Language: Английский

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