Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-02-26 DOI:10.1007/s40615-024-01940-2
Emmanuel A Marfo, Terra Manca, Eunah Cha, Laura Aylsworth, S Michelle Driedger, Samantha B Meyer, Catherine Pelletier, Ève Dubé, Shannon E MacDonald
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Abstract

Background: Little is known about how intersecting social privilege and disadvantage contribute to inequities in COVID-19 information use and vaccine access. This study explored how social inequities intersect to shape access to and use of COVID-19 information and vaccines among parents in Canada.

Methods: We conducted semi-structured interviews on COVID-19 vaccination information use with ethnically diverse parents of children ages 11 to 18 years from April to August 2022. We purposefully invited parents from respondents to a national online survey to ensure representation across diverse intersecting social identities. Five researchers coded transcripts in NVivo using a discourse analysis approach informed by intersectionality. Our analysis focused on use of vaccine information and intersecting privileges and oppressions, including identifying with equity-denied group(s).

Results: Interview participants (N = 48) identified as ethnically diverse non-Indigenous (n = 40) and Indigenous (n = 8) Peoples from seven Canadian provinces. Racialized minority or Indigenous participants reflected on historical and contemporary events of racism from government and medical institutions as barriers to trust and access to COVID-19 information, vaccines, and the Canadian healthcare system. Participants with privileged social locations showed greater comfort in resisting public health measures. Despite the urgency to receive COVID-19 vaccines, information gaps and transportation barriers delayed vaccination among some participants living with chronic medical conditions.

Conclusion: Historicization of colonialism and ongoing events of racism are a major barrier to trusting public health information. Fostering partnerships with trusted leaders and/or healthcare workers from racialized communities may help rebuild trust. Healthcare systems need to continuously implement strategies to restore trust with Indigenous and racialized populations.

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COVID-19 疫苗接种中的交叉不公平现象:对加拿大不同种族家长的信息使用和决策的话语分析》(A Discourse Analysis of Information Use and Decision-Making Among Ethnic Diverse Parents in Canada)。
背景:人们对社会特权和劣势的交织如何导致 COVID-19 信息使用和疫苗接种方面的不平等知之甚少。本研究探讨了社会不平等如何交织在一起,影响加拿大家长对 COVID-19 信息和疫苗的获取和使用:2022 年 4 月至 8 月,我们就 COVID-19 疫苗接种信息的使用情况对不同种族的 11 至 18 岁儿童家长进行了半结构化访谈。我们特意从全国在线调查的受访者中邀请家长,以确保不同交叉社会身份的代表性。五位研究人员在 NVivo 中使用以交叉性为基础的话语分析方法对记录誊本进行了编码。我们的分析侧重于疫苗信息的使用以及交叉特权和压迫,包括认同被剥夺公平的群体:访谈参与者(48 人)被认定为来自加拿大七个省份的不同种族的非土著(40 人)和土著(8 人)。少数种族或原住民参与者认为,政府和医疗机构在历史和当代的种族主义事件阻碍了他们对 COVID-19 信息、疫苗和加拿大医疗系统的信任和使用。社会地位优越的参与者在抵制公共卫生措施方面表现得更为从容。尽管接种 COVID-19 疫苗迫在眉睫,但信息差距和交通障碍延误了一些患有慢性疾病的参与者接种疫苗:结论:殖民主义的历史化和正在发生的种族主义事件是人们信任公共卫生信息的主要障碍。与可信赖的领导者和/或来自种族化社区的医疗工作者建立合作关系有助于重建信任。医疗保健系统需要不断实施战略,以恢复与土著和种族化人群的信任。
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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
期刊最新文献
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