Have vaccine hesitancy models oversimplified a complex problem to our detriment? The Adapted Royal Society of Canada vaccine uptake framework

Vaccine, Journal Year: 2022, Volume and Issue: 40(29), P. 3927 - 3930

Published: May 28, 2022

Language: Английский

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Understanding dynamic complexity in context—Enriching contextual analysis in implementation science from a constructivist perspective

Frontiers in Health Services, Journal Year: 2022, Volume and Issue: 2

Published: July 22, 2022

Context in implementation science includes not only characteristics of a setting which an intervention will be delivered, but also social systems (e.g., interrelationships). is dynamic and interacts with both, the its implementation. Therefore, contextual analysis recognized as indispensable part methodology: it provides foundation for successful sustainable projects. Yet, driven by prevailing post-positivist understanding context, typically focuses on individual context i.e., dynamics interactions go unnoticed. Conducting from constructivist perspective promotes multilayered approach, building more comprehensive thus facilitating In this article, we highlight limitations perspectives approaches to analysis. We then describe how can enriched working perspective. finish discussion methodological practical implications proposed changes would entail. Emerging literature attempts address both concept methods Various theories, models frameworks consider however, many these are reductionistic do acknowledge nature or within it. To complement recent conceptualizations suggest following five concepts: 1) space; 2) place; 3) agency; 4) sensation; 5) embodiment. demonstrate value concepts using COVID-19 vaccination uptake example integrate Implementation Complex Interventions (CICI) framework-an framework that pays ample attention context. study perspective, additional considerations view methodologies data collection analysis, e.g., rapid ethnographic methods. A contributes stronger conceptualization Considering helps overcome analysis' current shortcomings, while revealing complex usually Thus, developed inform subsequent phases project, thereby maximizing intervention's sustainability.

Language: Английский

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Partisanship and Covid-19 vaccination in the UK

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Nov. 18, 2022

Abstract This article examines the association between partisanship and vaccination in UK. The lower rates among Republicans US have been linked to ideology President Trump’s anti-vaccination rhetoric. By contrast, both ruling opposition parties UK promoted national program. Using two datasets at constituency individual levels, we analyse whether there are partisan differences uptake when garners cross-party support. Our findings contrast important ways from case. First, correlation is opposite that of US: Conservative constituencies individuals associated with higher than Labour across almost all age groups. Thus, right-leaning do not necessarily vaccinate less, least their political party power supportive vaccination. Second, alone accounts for a large share variation rates, but this appears largely driven by socio-economic demographic differences: older economically better off tend be more vaccinated. Once these controls included, shrinks substantially. Hence, ideological source gap smaller US.

Language: Английский

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Using the precaution adoption process model to understand decision-making about the COVID-19 booster vaccine in England

Vaccine, Journal Year: 2023, Volume and Issue: 41(15), P. 2466 - 2475

Published: Feb. 17, 2023

COVID-19 continues to pose a threat public health. Booster vaccine programmes are critical maintain population-level immunity. Stage theory models of health behaviour can help our understanding decision-making in the context perceived threats COVID-19.

Language: Английский

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‘It was just the given thing to do’: exploring enablers for high childhood vaccination uptake in East London’s Bangladeshi community—a qualitative study

BMJ Public Health, Journal Year: 2025, Volume and Issue: 3(1), P. e001004 - e001004

Published: Jan. 1, 2025

Despite being an underserved ethnic minority group, characteristics which have been associated with low vaccine uptake, the Bangladeshi community in UK exhibits high childhood vaccination uptake for several vaccines, including measles, mumps and rubella compared groups. This study explored key enablers early among East London, UK. A qualitative using semi-structured interviews was conducted 23 parents 11 primary healthcare professionals (HCPs) 5 service providers (CSPs) involved delivering services, predominantly London borough of Tower Hamlets. Parents were recruited purposively from while HCPs CSPs relevant organisations. The Social Ecological Model (SEM) used as a theoretical framework data collection analysis. Data analysed thematically. Multilevel identified by parents, across different levels SEM included: parental trust immunisation programme HCPs; rigorous call recall service; normalisation receiving vaccinations within availability culturally tailored accessible services. highlights how multi-level can propel positive underserved, population. Our findings suggest sensitive, person-centred delivery alongside leveraging dynamics trusted social networks, are imperative to meeting informational, linguistic cultural needs that facilitate Bangaldeshi community. We recommend existing networks disseminate information actively reminding about due promote amongst other communities high-income settings. Further research involving non-immunising is recommended gain more comprehensive insight into decision-making this

Language: Английский

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