Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study
BACKGROUND: Vaccine hesitancy exists on a continuum ranging between complete adherence and complete refusal due to doubts or concerns within a heterogeneous group of individuals. Despite widespread acknowledgement of the contextual factors influencing attitudes and beliefs shaping COVID-19 vaccine h...
Published in: | International Journal for Equity in Health |
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BioMed Central
2023
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559625/ http://www.ncbi.nlm.nih.gov/pubmed/37805472 https://doi.org/10.1186/s12939-023-02025-y |
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Research Nascimento, Lena G. Dubé, Ève Burns, Kathleen E. Brown, Patrick Calnan, Michael Ward, Paul R. Filice, Eric Herati, Hoda Ike, Nnenna A. U. Rotolo, Bobbi Meyer, Samantha B. Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
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Research |
description |
BACKGROUND: Vaccine hesitancy exists on a continuum ranging between complete adherence and complete refusal due to doubts or concerns within a heterogeneous group of individuals. Despite widespread acknowledgement of the contextual factors influencing attitudes and beliefs shaping COVID-19 vaccine hesitancy, qualitative research with equity-deserving groups, accounting for unique lived experiences, remains a gap in the literature. We aim to identify and begin to understand and document the unique contextual factors shaping hesitancy by equity-deserving groups as it relates to relationships with government and health authorities. METHODS: Participants were recruited and interviewed between Aug-Dec 2021. Semi-structured interviews using a convergent interviewing technique were conducted with individuals from the general population, as well as individuals who identify as First Nations, Métis, or Inuit, members of the LGBT2SQ + community, low-income Canadians, Black Canadians, and newcomers. Interviews were audio recorded and transcribed by a team of researchers. Memos were written following interviews and used to complement the thematic analysis of the interview data. Themes are presented in the results section. RESULTS: The rationale for hesitancy among equity-deserving groups is consistent with literature documenting hesitancy in the general population. Contextual factors surrounding equity-deserving groups’ attitudes and beliefs, however, are unique and relate to a history of oppression, discrimination, and genocide. We identified factors unique to subgroups; for example, religious or fatalistic beliefs among participant who identify as FNMI, fear associated with lack of testing and speed of vaccines’ production among participants who identify as FNMI, Black, and LGBT2SQ + , distrust of the healthcare system for LGBT2SQ + and Black Canadians, and distrust of the government and opposition to vaccine mandates for participating who identify as LGBT2SQ + , low-income, FNMI, or Black Canadian. Newcomers stood out as ... |
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Text |
author |
Nascimento, Lena G. Dubé, Ève Burns, Kathleen E. Brown, Patrick Calnan, Michael Ward, Paul R. Filice, Eric Herati, Hoda Ike, Nnenna A. U. Rotolo, Bobbi Meyer, Samantha B. |
author_facet |
Nascimento, Lena G. Dubé, Ève Burns, Kathleen E. Brown, Patrick Calnan, Michael Ward, Paul R. Filice, Eric Herati, Hoda Ike, Nnenna A. U. Rotolo, Bobbi Meyer, Samantha B. |
author_sort |
Nascimento, Lena G. |
title |
Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
title_short |
Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
title_full |
Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
title_fullStr |
Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
title_full_unstemmed |
Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study |
title_sort |
informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in canada: an exploratory qualitative study |
publisher |
BioMed Central |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559625/ http://www.ncbi.nlm.nih.gov/pubmed/37805472 https://doi.org/10.1186/s12939-023-02025-y |
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Canada |
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Canada |
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First Nations inuit |
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First Nations inuit |
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Int J Equity Health |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559625/ http://www.ncbi.nlm.nih.gov/pubmed/37805472 http://dx.doi.org/10.1186/s12939-023-02025-y |
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© BioMed Central Ltd., part of Springer Nature 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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https://doi.org/10.1186/s12939-023-02025-y |
container_title |
International Journal for Equity in Health |
container_volume |
22 |
container_issue |
1 |
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1782334171459354624 |
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ftpubmed:oai:pubmedcentral.nih.gov:10559625 2023-11-12T04:17:13+01:00 Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada: an exploratory qualitative study Nascimento, Lena G. Dubé, Ève Burns, Kathleen E. Brown, Patrick Calnan, Michael Ward, Paul R. Filice, Eric Herati, Hoda Ike, Nnenna A. U. Rotolo, Bobbi Meyer, Samantha B. 2023-10-07 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559625/ http://www.ncbi.nlm.nih.gov/pubmed/37805472 https://doi.org/10.1186/s12939-023-02025-y en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559625/ http://www.ncbi.nlm.nih.gov/pubmed/37805472 http://dx.doi.org/10.1186/s12939-023-02025-y © BioMed Central Ltd., part of Springer Nature 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Int J Equity Health Research Text 2023 ftpubmed https://doi.org/10.1186/s12939-023-02025-y 2023-10-15T00:50:19Z BACKGROUND: Vaccine hesitancy exists on a continuum ranging between complete adherence and complete refusal due to doubts or concerns within a heterogeneous group of individuals. Despite widespread acknowledgement of the contextual factors influencing attitudes and beliefs shaping COVID-19 vaccine hesitancy, qualitative research with equity-deserving groups, accounting for unique lived experiences, remains a gap in the literature. We aim to identify and begin to understand and document the unique contextual factors shaping hesitancy by equity-deserving groups as it relates to relationships with government and health authorities. METHODS: Participants were recruited and interviewed between Aug-Dec 2021. Semi-structured interviews using a convergent interviewing technique were conducted with individuals from the general population, as well as individuals who identify as First Nations, Métis, or Inuit, members of the LGBT2SQ + community, low-income Canadians, Black Canadians, and newcomers. Interviews were audio recorded and transcribed by a team of researchers. Memos were written following interviews and used to complement the thematic analysis of the interview data. Themes are presented in the results section. RESULTS: The rationale for hesitancy among equity-deserving groups is consistent with literature documenting hesitancy in the general population. Contextual factors surrounding equity-deserving groups’ attitudes and beliefs, however, are unique and relate to a history of oppression, discrimination, and genocide. We identified factors unique to subgroups; for example, religious or fatalistic beliefs among participant who identify as FNMI, fear associated with lack of testing and speed of vaccines’ production among participants who identify as FNMI, Black, and LGBT2SQ + , distrust of the healthcare system for LGBT2SQ + and Black Canadians, and distrust of the government and opposition to vaccine mandates for participating who identify as LGBT2SQ + , low-income, FNMI, or Black Canadian. Newcomers stood out as ... Text First Nations inuit PubMed Central (PMC) Canada International Journal for Equity in Health 22 1 |