Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework
BackgroundSince the mass vaccination against SARS-CoV-2 was launched in Israel, the Arab ethnicity minority had lower vaccine uptake. The syndemics theory suggests a closely interrelated complex of health and social crises among vulnerable societies results in an increased disease burden or in more...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1016372/full |
| _version_ | 1811208220855762944 |
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| author | Anat Amit Aharon |
| author_facet | Anat Amit Aharon |
| author_sort | Anat Amit Aharon |
| collection | DOAJ |
| description | BackgroundSince the mass vaccination against SARS-CoV-2 was launched in Israel, the Arab ethnicity minority had lower vaccine uptake. The syndemics theory suggests a closely interrelated complex of health and social crises among vulnerable societies results in an increased disease burden or in more adverse health conditions. Syndemics may explain the health disparities between different people or communities. Likewise, acculturation was found to be associated with different health outcomes among minority populations. The purpose of the study is to explore the association between syndemic construct, acculturation style, and adherence to recommended COVID-19 vaccination among the Arab ethnicity in Israel.MethodsA cross-sectional study among 305 participants who completed a self-report questionnaire. Syndemic construct (syndemics score and syndemics severity) was calculated from the participants' health behavior index, self-rated health status, and adherence to flu vaccination. Four acculturation strategies were defined according to Barry's acculturation model: assimilation, integration, separation, and marginalization style. Linear regression (stepwise method) was conducted to determine the explanatory factors for COVID-19 vaccine adherence.ResultsAssimilation and separation acculturation styles and syndemics severity were significantly associated with higher adherence to the recommended COVID-19 vaccination (B = 1.12, 95%CI = 0.34–1.98; B = 0.45, 95%CI = 0.10–0.80; B = 0.18, 95%CI = 0.09–0.28; respectively). The explained variance of the model (R2) was 19.9%.ConclusionSyndemics severity, assimilation and separation acculturation styles were associated with higher adherence to recommended COVID-19 vaccination in the Israeli Arab minority population. Syndemics score was not associated with recommended COVID-19 vaccination. To encourage COVID-19 vaccination among minority communities, campaigns should be tailored to the social determinants in a sensitive and individualized manner. |
| first_indexed | 2024-04-12T04:17:28Z |
| format | Article |
| id | doaj.art-297c1a68d5f74914a8df7d0ba1bb9823 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T04:17:28Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-297c1a68d5f74914a8df7d0ba1bb98232022-12-22T03:48:20ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.10163721016372Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics frameworkAnat Amit AharonBackgroundSince the mass vaccination against SARS-CoV-2 was launched in Israel, the Arab ethnicity minority had lower vaccine uptake. The syndemics theory suggests a closely interrelated complex of health and social crises among vulnerable societies results in an increased disease burden or in more adverse health conditions. Syndemics may explain the health disparities between different people or communities. Likewise, acculturation was found to be associated with different health outcomes among minority populations. The purpose of the study is to explore the association between syndemic construct, acculturation style, and adherence to recommended COVID-19 vaccination among the Arab ethnicity in Israel.MethodsA cross-sectional study among 305 participants who completed a self-report questionnaire. Syndemic construct (syndemics score and syndemics severity) was calculated from the participants' health behavior index, self-rated health status, and adherence to flu vaccination. Four acculturation strategies were defined according to Barry's acculturation model: assimilation, integration, separation, and marginalization style. Linear regression (stepwise method) was conducted to determine the explanatory factors for COVID-19 vaccine adherence.ResultsAssimilation and separation acculturation styles and syndemics severity were significantly associated with higher adherence to the recommended COVID-19 vaccination (B = 1.12, 95%CI = 0.34–1.98; B = 0.45, 95%CI = 0.10–0.80; B = 0.18, 95%CI = 0.09–0.28; respectively). The explained variance of the model (R2) was 19.9%.ConclusionSyndemics severity, assimilation and separation acculturation styles were associated with higher adherence to recommended COVID-19 vaccination in the Israeli Arab minority population. Syndemics score was not associated with recommended COVID-19 vaccination. To encourage COVID-19 vaccination among minority communities, campaigns should be tailored to the social determinants in a sensitive and individualized manner.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1016372/fullCOVID-19 vaccinationsyndemics theoryacculturation stylehealth behaviorself-rated health status |
| spellingShingle | Anat Amit Aharon Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework Frontiers in Public Health COVID-19 vaccination syndemics theory acculturation style health behavior self-rated health status |
| title | Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework |
| title_full | Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework |
| title_fullStr | Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework |
| title_full_unstemmed | Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework |
| title_short | Social determinants and adherence to recommended COVID-19 vaccination among the Arab ethnic minority: A syndemics framework |
| title_sort | social determinants and adherence to recommended covid 19 vaccination among the arab ethnic minority a syndemics framework |
| topic | COVID-19 vaccination syndemics theory acculturation style health behavior self-rated health status |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1016372/full |
| work_keys_str_mv | AT anatamitaharon socialdeterminantsandadherencetorecommendedcovid19vaccinationamongthearabethnicminorityasyndemicsframework |