Ethnic/racial minorities’ and migrants’ access to COVID-19 vaccines: A systematic review of barriers and facilitators

Journal of Migration and Health, Год журнала: 2022, Номер 5, С. 100086 - 100086

Опубликована: Янв. 1, 2022

There are widespread concerns that ethnic minorities and migrants may have inadequate access to COVID-19 vaccines. . Improving vaccine uptake among these vulnerable groups is important towards controlling the spread of reducing unnecessary mortality. Here we perform a systematic review minorities' migrants' acceptance vaccines.We searched PubMed Web Science databases for papers published between 1 January 2020 7 October 2021. Studies were included if they peer-reviewed articles; written in English, data or estimates vaccines; employed either qualitative quantitative methods. Of total 248 studies screened, 33 met criteria final sample. Risk bias was assessed using Newcastle Ottawa Scale Critical Appraisal Skills Program tools. We conducted Synthesis Without Meta-analysis Framework synthesis studies.31 high-income countries, including US (n = 17 studies), UK 10), Qatar 2), Israel 1) France 1). One study an upper middle-income country -China another covered multiple countries 26 reported outcomes while 9 on migrants. Most -cross sectional 24) ecological 4). The remaining 4) mixed methods consistent evidence elevated levels hesitancy Black/Afro-Caribbean UK, Hispanic/Latino populations Asian provided pictures, with higher, lower, same as their White counterparts. Asians had highest compared other groups. higher migrant China than general population. However, experienced barriers access, mainly attributed language communication issues. Lack confidence, due mistrust government health systems coupled poor main Black migrants.Our found low confidence vaccines driven by safety led high this group. Such rates constitute major barrier minority. For migrants, convenience factors such barriers, fear deportation reduced physical Building trust, improving transparency about development through healthcare workers, religious community leaders can improve facilitate minority communities.

Язык: Английский

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Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Globalization and Health, Год журнала: 2024, Номер 20(1)

Опубликована: Фев. 6, 2024

Abstract Introduction Indonesia has made progress in increasing vaccine coverage, but equitable access remains challenging, especially remote areas. Despite including vaccines the National Immunization Program (NIP), coverage not met WHO and UNICEF targets, with childhood immunization decreasing during COVID-19 pandemic. vaccination also experienced hesitancy, slowing efforts to end Scope This article addresses issue of hesitancy its impact on initiatives amidst utilizes framework analyze previous outbreaks vaccine-preventable diseases their underlying causes, ultimately providing recommendations for addressing current situation. The analysis considers differences between pre-pandemic circumstances present implementation basic advanced strategies. Key findings conclusion Vaccine is a significant challenge pandemic, public health campaigns community engagement are needed promote acceptance uptake. Efforts address trust healthcare systems increase likelihood individuals seeking preventive services. requires comprehensive, culturally sensitive approach that local contexts realities. Strategies should be tailored specific cultural societal monitored evaluated.

Язык: Английский

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COVID-19 vaccination hesitancy in pregnant and breastfeeding women and strategies to increase vaccination compliance: a systematic review and meta-analysis

Expert Review of Vaccines, Год журнала: 2022, Номер 21(10), С. 1443 - 1454

Опубликована: Июль 12, 2022

Introduction Pregnant and breastfeeding women are at an increased risk of severe illness from COVID-19. Despite this, low vaccination coverages reported in this population sub-group.Areas covered The purpose study is to estimate the proportion pregnant expressing hesitation COVID-19 vaccine worldwide. Forty-six studies were included, selected scientific articles available three databases between 1 January 2020 6 February 2022. rate among was 48.4% (95%CI=43.4–53.4%). In a sub analysis by period, it 40.0% (95%CI=31.6–46.6%) considering surveys administered 2020, 58.0% (95%CI=48.9–66.9%) first semester 2021, 38.1% (95%CI=25.9–51.2%) second 2021. main reasons for lack information about vaccination, opinion that unsafe, fear adverse events.Expert Available evidence literature has shown fighting resistance harsh too slow as process, rapidity unpredictability pandemic. Health education should be provided order improve willingness community, especially those with lower levels education.

Язык: Английский

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Vaccine hesitancy in the refugee, immigrant, and migrant population in the United States: A systematic review and meta-analysis

Human Vaccines & Immunotherapeutics, Год журнала: 2022, Номер 18(6)

Опубликована: Ноя. 4, 2022

Refugees, immigrants, and migrants (RIM) in the United States (US) have been identified as an underimmunized population prior to COVID-19 pandemic. Vaccine acceptance is critical combat public health threat incited by other vaccine-preventable disease. To better understand escalating vaccine hesitancy among US RIM, a comprehensive evaluation of problem solutions necessary. In this systematic review, we included 57 studies describe vaccination rates, barriers, interventions addressing over past decade. Meta-analysis was performed 22 studies, concluding that RIM represent compared general population. Narrative synthesis qualitative methods were used identify including gaps knowledge, poor access medical care, heightened distrust system. Our results demonstrate need for effective, evidence-based increase rates diverse populations.

Язык: Английский

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

Journal of Travel Medicine, Год журнала: 2023, Номер 30(5)

Опубликована: Июнь 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.

Язык: Английский

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The political representation of minoritized groups in times of crisis: Covid-19 and beyond

Ethnic and Racial Studies, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Июнь 14, 2024

Minoritized groups have been severely affected by the Covid-19 pandemic, highlighting need to better understand how they and their interests were (not) represented in political process during this challenging period. We identify common unique features of past crises, discuss why pandemic may a moment for change before identifying gaps research. Finally, we present seven articles Special Issue that analyze representation minoritized politics, news media online. This brings together diverse group scholars using different theoretical approaches, methodologies data sources. Using interdisciplinary intersectional perspectives, shed new light on people's across globe, focusing ethnic racial experienced themselves.

Язык: Английский

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“At the End of the Day, the Decisions Were Ultimately Up to Them:” Collectivism and Community Care as Underliers of COVID-19 Vaccine Uptake Among Older Asian American Immigrants in the United States

Journal of Community Practice, Год журнала: 2025, Номер unknown, С. 1 - 20

Опубликована: Фев. 22, 2025

Язык: Английский

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The Challenge of Reaching Undocumented Migrants with COVID-19 Vaccination

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(16), С. 9973 - 9973

Опубликована: Авг. 12, 2022

Access to vaccination against a health threat such as that presented by the COVID-19 pandemic is an imperative driven, in principle, at least three compelling factors: (1) right of all people, irrespective their status; (2) humanitarian need undocumented migrants, well others including documented refugees and displaced people who are sometimes vulnerable living precarious situations; (3) ensure heath security globally nationally, which case global requires operating on basis that, for strategies succeed fighting pandemic, highest possible levels vaccine uptake required. Yet some population segments have had limited access mainstream systems, both prior during pandemic. People with irregular resident status among those face extremely high barriers accessing preventative curative care. This due range factors drive exclusion, supply side (e.g., systemic practical restrictions service delivery) demand uptake, fears personal data would be transmitted immigration authorities). Moreover, often been increased risk infection role "essential workers", experiencing higher exposure SARS-CoV-2 virus frontline occupations while lacking protective equipment. Often, they also largely left out social protection measures granted governments populations successive lockdowns. article reviews serve supply-side demand-side migrants considers what steps taken inclusive approaches operate practice.

Язык: Английский

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Evaluation of Preferred Language and Timing of COVID-19 Vaccine Uptake and Disease Outcomes

JAMA Network Open, Год журнала: 2023, Номер 6(4), С. e237877 - e237877

Опубликована: Апрель 12, 2023

Importance Beyond traditional race and ethnicity demographic characteristics, additional discrete data variables are needed for informed health interventions in the US. Objective To examine whether COVID-19 vaccine uptake patterns associated disease outcomes differ among language preference groups. Design, Setting, Participants A cohort study of 851 410 individuals aged 18 years or older a large multispecialty system Minnesota western Wisconsin was conducted between December 15, 2020, March 31, 2022. Exposure Self-identified limited English proficiency (LEP) as measured by interpreter need were used to create subgroups using US census categories attention capture languages known represent refugee Main Outcomes Measures The primary outcome vaccination rates time first vaccine. Secondary COVID-19–associated hospitalization death. Results Most participants (women, 493 910 [58.0%]; median age, 29 [IQR, 35-64] years) US-born speakers; 7.5% born other countries, 4.0% had than (LPOE), 3.0% indicated LEP need. Marked temporal clusters observed uptake, hospitalizations, deaths with series eligibility, booster availability, variants. Delayed first-dose LPOE (hazard ratio [HR], 0.83; 95% CI, 0.82-0.84) (HR, 0.81; 0.80-0.82) compared those proficiency. Patients approximately twice likely be hospitalized (rate [RR], 1.85; 1.63-2.08) die (RR, 2.13; 1.65-2.69). experienced even higher 1.98; 1.73-2.25) death 2.32; 1.79-2.95). varied individual Conclusions Relevance In this study, delayed increased specific findings suggest that collection provides actionable intervention information. Standardized system-level collection, including at national level, may improve efficient identification social groups disproportionate disparities provide key information on improving equity

Язык: Английский

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The PHERCC Matrix. An Ethical Framework for Planning, Governing, and Evaluating Risk and Crisis Communication in the Context of Public Health Emergencies

The American Journal of Bioethics, Год журнала: 2023, Номер 24(4), С. 67 - 82

Опубликована: Апрель 28, 2023

Risk and crisis communication (RCC) is a current ethical issue subject to controversy, mainly due the tension between individual liberty (a core component of fairness) effectiveness. In this paper we propose consistent definition RCC process in public health emergencies (PHERCC), which comprises six key elements: evidence, initiator, channel, publics, message, feedback. Based on these elements detailed analysis their role PHERCC, present an framework help design, govern evaluate PHERCC strategies. The aims facilitate RCC, incorporating effectiveness, autonomy, fairness. It five operational principles: openness, transparency, inclusivity, understandability, privacy. resulting matrix helps understanding interplay principles framework. includes suggestions recommendations for implementation matrix.

Язык: Английский

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