Vaccine, Год журнала: 2023, Номер 41(35), С. 5150 - 5158
Опубликована: Июль 7, 2023
Язык: Английский
HIV Medicine, Год журнала: 2022, Номер 24(5), С. 544 - 557
Опубликована: Ноя. 16, 2022
Abstract Objectives Our objective was to examine the public response health and media messaging during human monkeypox virus (MPXV) outbreak in UK, focusing on at‐risk communities. Methods A co‐produced, cross‐sectional survey administered June July 2022 using community social channels Grindr dating app. Basic descriptive statistics, logistic regression, odds ratio p values are presented. Results Of 1932 respondents, 1750 identified as men, 88 women, 64 gender non‐conforming. Sexual identity described gay/lesbian/queer (80%), bisexual (12%), heterosexual (4%), pansexual (2%); 39% were aged <40 years; 71% self‐identified White, 3% Black, 8% Asian, 2%as LatinX, 11% ‘Mixed or Other’ heritage groups. In total, 85% employed 79% had completed higher education. total of 7% respondents themselves living with HIV. Overall, 34% reported limited understanding information, 52% considered at risk, 61% agreed that people MPXV should isolate for 21 days, 49% they would first attend a sexual clinic if symptomatic, 86% accept vaccine, 59% believed originated from animals. The most trusted sources information healthcare professionals (37%), official agencies (29%), mainstream (12%). Conclusions Vaccine acceptability very high, yet acceptance varied. Social determinants inequalities already shaping UK landscape risk compounded this new emergency. Engagement structurally disadvantaged members affected communities better dissemination by essential response.
Язык: Английский
Процитировано
46
Infectious Medicine, Год журнала: 2023, Номер 2(2), С. 89 - 95
Опубликована: Март 25, 2023
Despite the United States (US) having an abundant supply of COVID-19 vaccines, vaccination rates lag behind other high-income countries, suggesting that vaccine hesitancy and attitudes play a greater role in public health measures than pure access. With acknowledgment status may or not be correlated, this study examined among vaccinated US adults by asking: 1) What is prevalence vaccinated? 2) Does vary across sociodemographic characteristics? 3) healthcare access influenza over past 5 years?Data were collected through online survey 2022 with final analytic sample 1383 respondents.Overall, 48.8% reported some level hesitancy, while slight majority they "not at all hesitant". Younger respondents, women, Black American Indian Alaska Native participants had adjusted odds being more hesitant towards receiving vaccine. Respondents who primary care physician those did have vaccine.This first population-based national examining individuals from subgroups distinctive backgrounds order to inform targeted strategies for reducing hesitancy. Findings can assist efforts increase also decrease level.
Язык: Английский
Процитировано
27
Preventive Medicine Reports, Год журнала: 2022, Номер 31, С. 102074 - 102074
Опубликована: Ноя. 28, 2022
Vaccination is a critical preventive measure to reduce COVID-19 health risks. We utilize full information maximum likelihood (FIML) logistic regression analyze vaccine hesitancy in national sample of United States (US) adults (N = 2,022). Online survey data was collected between September 7th and October 3rd, 2021. Before weighting, the racial composition as follows: Asian American (15.0 %), Black/African (20.0 Hispanic/Latino Indian or Alaska Native (12.6 Hawaiian Pacific Islander (12.5 White %). Informed by Increasing Model (IVM), we assessed relationship experiences discrimination (Krieger's 9-item measure). Odds were greater for most younger age groups, women (OR 1.96; 95 % CI[1.54, 2.49]), respondents 1.68; CI[1.18, 2.39]), those with high school education less 1.46; CI[1.08, 1.98]), Independent 1.77; CI[1.34, 2.35]) Republican political affiliation 2.69; CI[1.92, 3.79]), prior infection 1.78; CI[1.29, 2.45]). 1.04 every-one unit increase lifetime (95 CI[1.02, 1.05]). lower 0.682; CI[0.480, 0.969]), who had primary care doctor reduced odds 0.735; CI[0.542, 0.998). Our finding provides support link towards among US adults. discuss implications public officials future research.
Язык: Английский
Процитировано
32
Journal of Medical Virology, Год журнала: 2023, Номер 95(4)
Опубликована: Апрель 1, 2023
Abstract The COVID‐19 pandemic disproportionately affected Black communities in Canada terms of infection and mortality rates compared to the general population. Despite these facts, are among those with highest level vaccine mistrust (COVID‐19 VM). We collected novel data analyze sociodemographic characteristics factors associated VM Canada. A survey was conducted a representative sample 2002 individuals (51.66% women) aged 14−94 years ( M = 29.34; SD 10.13) across Vaccine assessed as dependent variable conspiracy theories, health literacy, major racial discrimination healthcare settings, participants were independent variables. Those history had higher score 11.92, 3.88) no 11.25, 3.83), t (1999) −3.85, p < 0.001. Participants who reported having experienced settings more likely report 4.03) than not 11.36, 3.77), −3.05, 0.002. Results also showed significant differences for age, education level, income, marital status, provinces, language, employment religion. final hierarchical linear regression that beliefs B 0.69, 0.001) positively VM, while literacy −0.05, 0.002) negatively it. mediated moderation model theories completely association between 1.71, 0.001). This moderated by interaction 0.42, 0.008), indicating despite high services developed mistrust. first study on exclusively provides can significantly impact development tools, trainings, strategies, programs make systems free racism increase their confidence vaccination other infectious diseases.
Язык: Английский
Процитировано
20
Journal of Racial and Ethnic Health Disparities, Год журнала: 2023, Номер unknown
Опубликована: Дек. 20, 2023
Abstract Background Amid persistent disparities in Covid-19 vaccination and burgeoning research on vaccine hesitancy (VH), we conducted a scoping review to identify multilevel determinants of VH under-vaccination among marginalized populations the U.S. Canada. Methods Using methodology developed by Joanna Briggs Institute, designed search string explored 7 databases peer-reviewed articles published from January 1, 2020–October 25, 2022. We combine frequency analysis narrative synthesis describe factors influencing populations. Results The captured 11,374 non-duplicated records, scoped 103 articles. Among 14 identified, African American/Black, Latinx, LGBTQ+, American Indian/Indigenous, people with disabilities, justice-involved were predominant focus. Thirty-two emerged as VH, structural racism/stigma institutional mistrust (structural)(n = 71) most prevalent, followed safety (vaccine-specific)(n 62), side effects 50), trust individual healthcare provider (social/community)(n 38), perceived risk infection (individual)(n 33). Structural predominated across populations, including mistrust, barriers access due limited supply/availability, distance/lack transportation, no/low paid sick days, low internet/digital technology access, lack culturally- linguistically-appropriate information. Discussion identified complex drivers Distinguishing vaccine-specific, individual, social/community that may fuel decisional ambivalence, more appropriately defined racism/structural stigma systemic/institutional better support evidence-informed interventions promote equity vaccines informed decision-making
Язык: Английский
Процитировано
19
Vaccines, Год журнала: 2024, Номер 12(3), С. 277 - 277
Опубликована: Март 7, 2024
Despite the crucial role COVID-19 vaccine played in curbing pandemic, a significant portion of Black and African American individuals expressed hesitancy toward being vaccinated. This review aimed to identify determinants among U.S. The literature search was conducted December 2022 according PRISMA criteria focusing on empirical studies. Data extraction methods, critical appraisal, secondary thematic analysis were both quantitative qualitative Sixteen studies identified key factors associated with hesitancy, such as confidence effectiveness, safety, trust healthcare system. Fourteen revealed major themes mistrust, fear, information needs, including historical concerns about development process, contemporary institutional mistrust. synthesis findings derived from this provides nuanced understanding communities U.S., offering foundation for evidence-based interventions. Mistrust system, informational gaps safety effectiveness barriers vaccination, demanding targeted
Язык: Английский
Процитировано
7
Journal of Medical Virology, Год журнала: 2024, Номер 96(7)
Опубликована: Июль 1, 2024
Despite increased risk of severe acute respiratory syndrome coronavirus 2 infections and higher rates COVID-19-related complications, racialized Indigenous communities in Canada have lower immunization uptake compared to White individuals. However, there is woeful lack data on predictors COVID-19 vaccine mistrust (VM) that accounts for diverse social cultural contexts within specific communities. Therefore, we sought characterize VM among Arab, Asian, Black, Canada. An online survey was administered a nationally representative, ethnically panel participants October 2023. Arabic, Indigenous, Black respondents were enriched the sampling panel. Data collected demographics, VM, experience racial discrimination, health literacy, conspiracy beliefs. We used descriptive regression analyses determine extent All had score participants. Among 4220 respondents, observed highest individuals (12.18; ±4.24), followed by Arabic (12.12; ±4.60), (11.84; ±5.18), Asian (10.61; ±4.28), (9.58; ±5.00) In hierarchical linear analyses, participants, women, everyday major discrimination positively associated with VM. Effects mediated addition beliefs model. Racialized varying levels carry mediators development This underscores intricate interaction between race, gender, need be considered future vaccination campaigns.
Язык: Английский
Процитировано
6
Vaccines, Год журнала: 2024, Номер 12(3), С. 269 - 269
Опубликована: Март 4, 2024
Although the COVID-19 pandemic has caused need for largest mass vaccination campaign ever undertaken to date, African, Caribbean, and Black (ACB) populations have shown both a disproportionately high degree of negative impacts from lowest willingness become vaccinated. This scoping review aims investigate low vaccine uptake in ACB relative public health high-income countries. A search was conducted MEDLINE(R) ALL (OvidSP), Embase CINAHL (EBSCOHost), APA PsycInfo Cochrane Central Register Controlled Trials Database Systematic Reviews Allied Complimentary Medicine (Ovid SP), Web Science following Joanna Briggs Institute (JBI) framework reviews, supplemented by PRISMA-ScR. Theoretical underpinnings intersectionality approach were also used help interpret complexities inequities population. The eligibility criteria based on population, concept, context (PCC) framework, publications 2020–19 July 2022 which discussed amongst people countries included. Analysis carried out through thematic mapping produced four main themes: (1) racism inequities, (2) sentiments behaviors, (3) knowledge communication, (4) engagement influence. study contributed identification definition issue illustrated complexity problems, as access is hampered knowledge, psychological, socioeconomic, organizational barriers at individual, organizational, systemic levels, leading structural that manifested uptake.
Язык: Английский
Процитировано
5
Vaccine, Год журнала: 2023, Номер 42(4), С. 960 - 968
Опубликована: Окт. 25, 2023
Black communities in Canada have been among the most affected by COVID-19 pandemic, terms of number infections and deaths. They are also those hesitant about vaccination against COVID-19. However, while a few studies documented factors associated with vaccine hesitancy, related to confidence remain unknown. To respond this gap, study aims investigate individuals Canada. A total 2002 participants (1034 women) aged 14 89 years old (Mean age = 29.34, SD 10.13) completed questionnaires assessing sociodemographic information, need, health literacy, conspiracy beliefs, major racial discrimination, traumatic stressors Results showed an average score need 33.27 (SD 7.24), no significant difference between men (33.48; 7.24) women (33.08; 7.91), t (1999) 1.19, p 0.234. there were differences according employment status, migration age, inhabited province, spoken language, education, marital religion, income. The linear regression model explained 25.8 % variance that literacy (B 0.12, < 0.001) 0.21, .001) predicted positively, beliefs −1.14, discrimination −0.20, 0.044) it negatively. This building vaccines requires elimination Canadian society focus on certain groups (e.g., young people, living Quebec Ontario). results argue favor involving community leaders organizations development implementation vaccination-related tools, strategies programs city, provincial federal public agencies.
Язык: Английский
Процитировано
11
Опубликована: Янв. 18, 2024
Despite the crucial role COVID-19 vaccine played in curbing pandemic, a significant portion of Black and African American individuals expressed hesitancy being vaccinated. This review aimed to identify determinants among USA. The literature search was conducted December 2022 according PRISMA criteria focusing on empirical studies. Data extraction methods, critical appraisal, secondary thematic analysis were both quantitative qualitative Sixteen studies identified key factors associated with such as confidence effectiveness, safety, trust healthcare system. 14 revealed major themes mistrust, fear, information needs, including historical concerns about development process, contemporary institutional mistrust. synthesis findings derived from this provides nuanced understanding communities USA, offering foundation for evidence-based interventions. Mistrust system, informational gaps safety effectiveness have been barriers vaccination, demanding targeted
Язык: Английский
Процитировано
4