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COVID-19 Vaccinations, Trust, and Vaccination Decisions within the Refugee Community of Calgary, Canada.
Aghajafari, Fariba; Wall, Laurent; Weightman, Amanda; Ness, Alyssa; Lake, Deidre; Anupindi, Krishna; Moorthi, Gayatri; Kuk, Bryan; Santana, Maria; Coakley, Annalee.
Afiliación
  • Aghajafari F; Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Wall L; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Weightman A; Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Ness A; Habitus Consulting Collective, Calgary, AB T2T 1P3, Canada.
  • Lake D; Habitus Consulting Collective, Calgary, AB T2T 1P3, Canada.
  • Anupindi K; Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Moorthi G; Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Kuk B; Alberta International Medical Graduates Association, Calgary, AB T2E 3K8, Canada.
  • Santana M; Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
  • Coakley A; Habitus Consulting Collective, Calgary, AB T2T 1P3, Canada.
Vaccines (Basel) ; 12(2)2024 Feb 09.
Article en En | MEDLINE | ID: mdl-38400160
ABSTRACT
Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and COVID-19 specific factors, which contribute to lower vaccine uptake. To address this, the WHO calls for localized solutions to increase COVID-19 vaccine uptake for refugees and evidence to inform future vaccination efforts. However, limited evidence engages directly with refugees about their experiences with COVID-19 vaccinations. To address this gap, researchers conducted qualitative interviews (N = 61) with refugees (n = 45), sponsors of refugees (n = 3), and key informants (n = 13) connected to local COVID-19 vaccination efforts for refugees in Calgary. Thematic analysis was conducted to synthesize themes related to vaccine perspectives, vaccination experiences, and patient intersections with policies and systems. Findings reveal that refugees benefit from ample services that are delivered at various stages, that are not solely related to vaccinations, and which create multiple positive touch points with health and immigration systems. This builds trust and vaccine confidence and promotes COVID-19 vaccine uptake. Despite multiple factors affecting vaccination decisions, a key reason for vaccination was timely and credible information delivered through trusted intermediaries and in an environment that addressed refugee needs and concerns. As refugees placed trust and relationships at the core of decision-making and vaccination, it is recommended that healthcare systems work through trust and relationships to reach refugees. This can be targeted through culturally responsive healthcare delivery that meets patients where they are, including barrier reduction measures such as translation and on-site vaccinations, and educational and outreach partnerships with private groups, community organizations and leaders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccines (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccines (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza