Exploring Parent-Driven Determinants of COVID-19 Vaccination in Indigenous Children: Insights from a National Survey

Vaccines, Journal Year: 2025, Volume and Issue: 13(2), P. 132 - 132

Published: Jan. 28, 2025

Background: Globally and in Canada, Indigenous populations have faced heightened vulnerability during pandemics, with historical inequities exacerbated by multigenerational colonial policies. This study aimed to identify parental factors influencing COVID-19 vaccination among children Canada. Methods: Data from a nationally representative, cross-sectional survey of parents/guardians under 18 years age were analyzed. The focused on children, examining vaccine uptake, hesitancy, related sociodemographic factors. Multivariable logistic regression models employed key predictors vaccination. Results: coverage was 61.8%, higher uptake Inuit (74.4%) compared Métis (61.2%) First Nations (59.6%) children. Nearly half parents (53.4%) expressed primarily due perceived concerns about insufficient research the Higher associated education, adherence routine vaccinations, urban residence. Conversely, particularly medical concerns, significantly decreased likelihood uptake. Conclusions: highlights complexity hesitancy parents. Targeted interventions, including culturally adapted educational initiatives, community engagement, healthcare provider advocacy, are essential improve

Language: Английский

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All the voices we cannot hear: a taxonomy of why some populations’ experiences are missing from health and care quality evidence and the Toolkit for Assessing Under Representation in User Surveys (TAURUS)

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e087627 - e087627

Published: Feb. 1, 2025

Background Patient and public voices are vital for understanding the quality of health care. However, many healthcare providers, commissioners, decision-makers researchers cannot hear all people within diverse populations, with different groups excluded from patient experience data collections analyses a variety causes—some which overlooked or misunderstood. Exclusion under-representation can be particularly problematic disadvantaged marginalised communities, risk exacerbating existing inequalities. Key messages We posit taxonomy causes exclusion in research involving voice: (1) Non-access: because they do not access service first place. (2) Non-invitation: feedback programmes may include invitations some groups, despite being eligible, use language that is inappropriate. (3) Non-response: communities less likely to respond requests feedback. (4) Non-identification: sometimes structure content allow identification distinct collections. (5) Non-review: available yet analysed. provide Toolkit Assessing Under Representation User Surveys prompt conversations. Conclusions These result creates knowledge gaps equity. Overcoming this requires strategic approaches commitment equity inclusion, supported by resources collecting using an appropriate range methodologies. Providers should undertake equalities impact assessments around new collections, identify minimise potential sources ensure heard acted on.

Language: Английский

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Barriers to COVID-19 Vaccination and Perceptions Around Vaccination Uptake Strategies Among African Americans Living in the US South: Opportunities for Public Health Program Intervention

Journal of Racial and Ethnic Health Disparities, Journal Year: 2025, Volume and Issue: unknown

Published: April 28, 2025

Language: Английский

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Networks in Crisis: Measuring Ethnic Stratification and Organizational Reach Post-Disaster

International Journal of Disaster Risk Reduction, Journal Year: 2025, Volume and Issue: unknown, P. 105561 - 105561

Published: May 1, 2025

Language: Английский

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Bridging the gap: A mixed-methods analysis of Canadian and U.S. immunization programs for enhancing racial equity in childhood vaccinations

Vaccine, Journal Year: 2025, Volume and Issue: 57, P. 127249 - 127249

Published: May 1, 2025

Language: Английский

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“Going vaccine hunting” : Multilevel influences on COVID-19 vaccination among racialized sexual and gender minority adults—a qualitative study

Human Vaccines & Immunotherapeutics, Journal Year: 2024, Volume and Issue: 20(1)

Published: Feb. 12, 2024

High levels of COVID-19 vaccine hesitancy have been reported among Black and Latinx populations, with lower vaccination coverage racialized versus White sexual gender minorities. We examined multilevel contexts that influence uptake, barriers to vaccination, predominantly minority individuals. Semi-structured online interviews explored perspectives experiences around vaccination. Interviews were recorded, transcribed, uploaded into ATLAS.ti, reviewed using thematic analysis. Among 40 participants (mean age, 29.0 years [SD, 9.6]), all identified as and/or minority, 82.5% whom racialized. dominated by structural barriers: systemic racism, transphobia homophobia in healthcare government/public health institutions; limited availability vaccination/appointments vulnerable neighborhoods; absence culturally-tailored multi-language information; lack digital/internet access; prohibitive indirect costs Vaccine reflected uncertainties about a novel amid conflicting information institutional mistrust was integrally linked factors. Findings suggest the uncritical application "vaccine hesitancy" unilaterally explain undervaccination marginalized populations risks conflating individual-level psychological factors, effect placing onus on those most disenfranchised overcome societal processes marginalization. Rather, disaggregating determinants availability, access, stigma from individual attitudes decision-making reflect hesitancy, may support 1) evidence-informed interventions mitigate access 2) culturally-informed approaches address decisional ambivalence context homophobia, transphobia, racism.

Language: Английский

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Multi-level determinants of vaccination of the American Indian and Alaska Native population: a comprehensive overview

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Feb. 18, 2025

American Indians and Alaska Natives (AIANs) are historically disadvantaged, losing 20 million (95%) of their population largely through epidemics since 1,520 continuing lower overall vaccination coverage than other races. Determinants this underexamined. Among peer-reviewed relevant articles 1968, 39 studied AIANs solely; 47 drew general samples, including AIANs. We employed rigorous economic definitions framework Individual Decision-Making Under Uncertainty. The Social-Ecological model identified determinants mechanisms at five levels. Individual-level include: (1) vaccine-preventable disease (VPD) vaccine knowledge; (2) safety, efficacy, moral hazard beliefs; (3) preferences; (4) income post-subsidy costs. Interpersonal-level include others' knowledge preferences. Organizational-level characteristics Indian Health Service, Tribal, Urban (IHS/T/U) facilities supply products, providers, services; provider cultural competency, recommendations, standing orders; patient reminder/recall. Community-level socioeconomics geographics; information infrastructure; values, practices, languages; historical epidemic (5) harms thus distrust in government, health system, science. Societal-level federal recognition entitlements; tribal self-determination; state Medicaid enrollment; structural racism. Tribal interventions may increase AIANs' about VPDs, vaccines, design risk/cost-benefit calculations using scientific objective probabilities safety efficacy; tailor messages to histories, narratives, values; outreach by trusted messengers. I/T/U organizational reduce transportation costs while increasing supplies, orders. Federal policies IHS funding, infrastructure, AIAN data representativeness eliminating racism generational trauma. This article contributes literature practice. It is the first multidisciplinary, comprehensive overview multi-level vaccination. Its findings highlight gaps limitations laws impacting recommends future research, culturally-appropriate interventions, close gap enhance healing.

Language: Английский

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Reaching the “Last Mile”: Describing community clinics implemented to increase COVID-19 vaccine uptake in Peel region, Canada

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 16, 2025

Background COVID-19 hit Canada hard and exacerbated health inequities, notably among ethnoracially minoritized populations. By August 2021, some areas in Peel region (Ontario, Canada) continued to have high infection rates low vaccine coverage. To increase first dose uptake, Public Health implemented smaller community-based vaccination clinics addition pre-existing mass (fixed) clinics. This study describes these community those who received their at a clinic determine whether local public efforts implement reached different population groups contributed an uptake of the vaccines. Methods We conducted descriptive, cross-sectional using data from Ontario registry (COVaxON). included eligible residents 12 years older within fixed between September 2021 2022. Clinics were classified based on type (community/fixed), location. for geographic designated by postal codes was calculated beginning end period. Clinic attendee characteristics analyzed descriptive statistics. Results There 177 11 sites that operated during Community administered 98,965 doses (27%) 264,021 (73%). A slightly higher proportion (8.1%) compared (7.9%) saw recipients low-coverage (23% versus 19% clinics). faith-based organizations, schools shopping most locations. The absolute 11% over Conclusions Almost 100,000 clinics, which increased overall coverage region. areas.

Language: Английский

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Reaching the “Last Mile”: describing community clinics implemented to increase COVID-19 vaccine uptake in Peel region, Canada

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 27, 2025

COVID-19 hit Canada hard and exacerbated health inequities, notably among ethnoracially minoritized populations. By August 2021, some areas in Peel region (Ontario, Canada) continued to have high infection rates low vaccine coverage. To increase first dose uptake, Public Health implemented smaller community-based vaccination clinics addition pre-existing mass (fixed) clinics. This study describes these community those who received their at a clinic determine whether local public efforts implement reached different population groups contributed an uptake of the vaccines. We conducted descriptive, cross-sectional using data from Ontario registry (COVaxON). included eligible residents 12 years older within fixed between September 2021 2022. Clinics were classified based on type (community/fixed), location. for geographic designated by postal codes was calculated beginning end period. Clinic attendee characteristics analyzed descriptive statistics. There 177 11 sites that operated during Community administered 98,965 doses (27%) 264,021 (73%). A slightly higher proportion (8.1%) compared (7.9%) saw recipients low-coverage (23% versus 19% clinics). faith-based organizations, schools shopping most locations. The absolute 11% over Almost 100,000 clinics, which increased overall coverage region. areas.

Language: Английский

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Influences on COVID-19 vaccine Decision-Making: A Qualitative Study With Urban Indigenous and Rural Adults

Community Health Equity Research & Policy, Journal Year: 2024, Volume and Issue: 45(2), P. 195 - 206

Published: Aug. 16, 2024

Despite the safety and effectiveness of COVID-19 vaccine, public hesitancy about receiving vaccination remains strong among disproportionately affected populations in United States. To design more locally culturally appropriate strategies, research is needed to explore qualitative characteristics vaccine these populations. Thus, we conducted in-depth interviews with 19 Indigenous 20 rural participants utilized a grounded theory approach identify factors associated their decision making. Wariness regarding vaccines, resignation over quality available health care, historical mistrust government-led interventions influenced rejection for indigenous participants. Rural remained divided on perceived threat consequences efficacy vaccines. The influence friends family members impacted hesitancy, as did discussions healthcare providers when were be respectful, sensitive, non-judgmental.

Language: Английский

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