为边缘化社区的儿童接种疫苗:COVID-19 疫苗接种活动的公平性和多样性挑战。

Cécile Rousseau, Caroline Quach, Ève Dubé, Anabelle Vanier-Clément, Tara Santavicca, Laurence Monnais-Rousselots
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摘要

2019 年冠状病毒病(COVID-19)大流行加剧了民族、种族和社会经济方面的社会不平等,对儿童造成了严重的有害后果。基于从社区活动中汲取的经验教训,本评论围绕紧急情况下儿童疫苗接种活动所面临的公平、多样性和包容性挑战提出了反思。我们认为,围绕边缘化社区的儿童疫苗接种建立公平、包容的做法是一个多方面的挑战。除了想要保护儿童的良好意愿之外,还需要仔细考虑在每次干预中突出多样性的相关风险和益处,尤其是当涉及到有争议/极化的程序时,如接种新型疫苗。一刀切 "的方法往往会否定并延续结构性不平等。在其他情况下,强调多样性和不平等可能会无意中增加耻辱感和歧视,并进一步伤害目标社区或使其幼稚化。通过提供多种视角,跨学科方法可以为危机背景下的决策提供支持。
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Vaccination of children in marginalized neighbourhoods: Equity and diversity challenges with COVID-19 vaccination campaigns.

The coronavirus disease 2019 (COVID-19) pandemic has exacerbated social inequities along ethnic, racial and socio-economic lines, with significant harmful consequences for children. Building on the lessons learned from community-based initiatives, this commentary proposes a reflection around equity, diversity, and inclusion challenges embedded in child vaccination campaigns during an emergency context. We argue that building equitable and inclusive practices around marginalized communities' child vaccination is a multifaceted challenge. Beyond good intentions-wanting to protect children-the risks and benefits associated with highlighting diversity in each intervention need to be carefully considered, especially when it comes to a contested/polarizing procedure such as vaccination with a novel type of vaccine. Often, a one-size-fits-all approach negates and perpetuates structural inequities. In other cases, highlighting diversity and inequities may inadvertently increase stigma and discrimination, and further harm or infantilize targeted communities. By providing multiple perspectives, a transdisciplinary approach can support decision-making in a crisis context.

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