A qualitative study of COVID-19 vaccine decision making among urban Native Americans

Epperson, Anna E.; Carson, Savanna L.; García, Aladino Fernández; Casillas, Alejandra; Castellon-Lopez, Yelba; Brown, Arleen F.; Garrison, Nanibaa’ A.

doi:10.1016/j.jvacx.2022.100212

Cited by 11 publications

(4 citation statements)

References 26 publications

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“…Research examining inequalities of vaccine uptake based on ethnic groups has identified behavioural drivers, such as distrust of information sources, but has also revealed structural barriers [ 18 , 19 ]. In Wales, people of Black, Asian, or Minority ethnic background are more likely to live in an overcrowded households and this has been linked to worse outcomes for COVID-19 in these groups [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK

et al. 2023

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The uptake of COVID-19 vaccination in Wales is high at a population level but many inequalities exist. Household composition may be an important factor in COVID-19 vaccination uptake due to the practical, social, and psychological implications associated with different living arrangements. In this study, the role of household composition in the uptake of COVID-19 vaccination in Wales was examined with the aim of identifying areas for intervention to address inequalities. Records within the Wales Immunisation System (WIS) COVID-19 vaccination register were linked to the Welsh Demographic Service Dataset (WDSD; a population register for Wales) held within the Secure Anonymised Information Linkage (SAIL) databank. Eight household types were defined based on household size, the presence or absence of children, and the presence of single or multiple generations. Uptake of the second dose of any COVID-19 vaccine was analysed using logistic regression. Gender, age group, health board, rural/urban residential classification, ethnic group, and deprivation quintile were included as covariates for multivariable regression. Compared to two-adult households, all other household types were associated with lower uptake. The most significantly reduced uptake was observed for large, multigenerational, adult group households (aOR 0.45, 95%CI 0.43–0.46). Comparing multivariable regression with and without incorporation of household composition as a variable produced significant differences in odds of vaccination for health board, age group, and ethnic group categories. These results indicate that household composition is an important factor for the uptake of COVID-19 vaccination and consideration of differences in household composition is necessary to mitigate vaccination inequalities.

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Section: Discussionmentioning

confidence: 99%

Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK

et al. 2023

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“…Qualitative research has explored the unique challenges NAs faced during the COVID-19 pandemic, including vaccine decision making among NAs living in urban [ 5 ] and reservation [ 6 ] settings, barriers to educational delivery [ 7 ], perceptions of COVID risk [ 8 ], testing [ 9 ], and impact on economic resources [ 10 ]. However, very limited research has focused on COVID-19 pandemic experiences among East Coast tribes [ 11 ], whose contexts and challenges may be different than tribes located within other US regions.…”

Section: Introductionmentioning

confidence: 99%

“We rely on each other”: A qualitative exploration of rural Eastern Region Native American experiences during the COVID-19 pandemic

Dawson,

Boehme,

Criswell

et al. 2024

Heliyon

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“…These findings collectively support the crucial role of COVID-19 vaccination in controlling the virus’s spread and mitigating its impact on public health and vulnerable communities. However, despite the benefits of COVID-19 vaccination, several studies have demonstrated low confidence in COVID-19 vaccines, especially among racially and ethnically minoritized groups [ 4 , 5 , 6 , 7 , 8 , 9 ]. A scoping review of vaccine hesitancy in high-income countries by Aw et al found that in 46 studies (nearly half of the studies included in their review), the rate of vaccine hesitancy was 30% or greater [ 3 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Using Digital Technology to Build COVID-19 Vaccine Confidence: A Qualitative Study among Latinx Parents of Children Aged 5–11 in Under-Resourced Communities across Los Angeles County

Panameno,

Blanco,

Hernandez

et al. 2023

Vaccines

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Background: Latinx school-aged children are more than twice as likely to be infected with and die from COVID-19 as non-Latinx White children in Los Angeles. Although COVID-19 vaccination has the potential to mitigate health disparities exacerbated by the pandemic, vaccination uptake among Latinx children remains limited. MiVacunaLA (MVLA) is a mobile-phone-delivered digital intervention that improved vaccination rates in 12- to 17-year-old Latinx children and parental intention to vaccinate 2- to 11-year-old children. Since piloting MVLA, the COVID-19 vaccine became available to children aged 5–11. We sought to understand parental experiences with the MVLA intervention and their attitudes and beliefs about vaccinating their young children to improve vaccination confidence in the Latinx community. Methods: We conducted six virtual focus groups with 47 parents/caregivers of children aged 5–11 who participated in the MVLA intervention. We used standard qualitative content analysis methods and rigid and accelerated data reduction to identify and analyze major themes discussed in the sessions. Results: Each salient theme from our focus groups was mapped to one of the 5Cs constructs. The themes included the parents’ need for more contemplation about vaccinating their children than about vaccinating themselves; the parents’ need for trusted sources of vaccine information; the parents’ motivations to vaccinate their children against COVID-19; parental concern about short- and long-term effects of the vaccine in children; digital technology and videos as useful engagement tools; and age and health stratification as an approach to parental vaccination decision-making. Conclusions: The results of this study clarify the key factors that influence the decision of Latinx parents and caregivers to vaccinate their children against COVID-19. Our findings can inform efforts to increase COVID-19 vaccination rates among children in underserved Latinx communities, especially regarding the use of digital technologies for promoting vaccine confidence.

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A qualitative study of COVID-19 vaccine decision making among urban Native Americans

Cited by 11 publications

References 26 publications

Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK

Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK

“We rely on each other”: A qualitative exploration of rural Eastern Region Native American experiences during the COVID-19 pandemic

Using Digital Technology to Build COVID-19 Vaccine Confidence: A Qualitative Study among Latinx Parents of Children Aged 5–11 in Under-Resourced Communities across Los Angeles County

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