“The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails
Abstract Background: Compared to the general population, individuals incarcerated in jails and prisons are more vulnerable to infection and mortality from communicable diseases, such as COVID-19 and influenza. However, vaccination rates among incarcerated individuals as well as staff who work in j...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866122005192/type/journal_article |
| _version_ | 1811156493798473728 |
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| author | Nicole Cassarino Laura Lodolo Emma Smyth Megha Ramaswamy Alysse Wurcel |
| author_facet | Nicole Cassarino Laura Lodolo Emma Smyth Megha Ramaswamy Alysse Wurcel |
| author_sort | Nicole Cassarino |
| collection | DOAJ |
| description |
Abstract
Background:
Compared to the general population, individuals incarcerated in jails and prisons are more vulnerable to infection and mortality from communicable diseases, such as COVID-19 and influenza. However, vaccination rates among incarcerated individuals as well as staff who work in jails and prisons remain disproportionately low. Healthcare administrators working in jails have first-hand experience about barriers to vaccine provision, but their perspectives are infrequently collected and analyzed.
Methods:
We reached out to Health Services Administrators (HSAs) from all 14 Massachusetts (MA) county jails for qualitative in-depth interviews to understand how their personal and professional feelings about vaccination relate to the barriers and facilitators that surround administration of vaccines in jail.
Results:
Eight people participated in the study (8/14 = 57% response rate). Key themes emerged, including 1) HSAs expressed divergent opinions on incarceration as the correct opportunity to vaccinate individuals, 2) HSAs’ personal views on vaccines influenced their operationalization of vaccination in jail, and 3) opinions varied on whether their institutions’ vaccine protocols needed modification.
Conclusions:
Our findings highlight the critical need to leverage the feedback and influence of stakeholders such as HSAs in efforts to improve preventative healthcare delivery in carceral health systems.
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| first_indexed | 2024-04-10T04:52:41Z |
| format | Article |
| id | doaj.art-709cffe9bc2647338f8abd4e28635347 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:52:41Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-709cffe9bc2647338f8abd4e286353472023-03-09T12:31:13ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-01-01710.1017/cts.2022.519“The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jailsNicole Cassarino0https://orcid.org/0000-0002-5852-7775Laura Lodolo1Emma Smyth2Megha Ramaswamy3Alysse Wurcel4https://orcid.org/0000-0002-8255-8387Tufts University School of Medicine, Boston, MA, USATufts University School of Medicine, Boston, MA, USADepartment of Medicine, Division of Geographic Medicine, and Infectious Diseases, Tufts Medical Center, Boston, MA , USADepartment of Population Health, University of Kansas School of Medicine, Kansas City, KS, USATufts University School of Medicine, Boston, MA, USA Department of Medicine, Division of Geographic Medicine, and Infectious Diseases, Tufts Medical Center, Boston, MA , USA Abstract Background: Compared to the general population, individuals incarcerated in jails and prisons are more vulnerable to infection and mortality from communicable diseases, such as COVID-19 and influenza. However, vaccination rates among incarcerated individuals as well as staff who work in jails and prisons remain disproportionately low. Healthcare administrators working in jails have first-hand experience about barriers to vaccine provision, but their perspectives are infrequently collected and analyzed. Methods: We reached out to Health Services Administrators (HSAs) from all 14 Massachusetts (MA) county jails for qualitative in-depth interviews to understand how their personal and professional feelings about vaccination relate to the barriers and facilitators that surround administration of vaccines in jail. Results: Eight people participated in the study (8/14 = 57% response rate). Key themes emerged, including 1) HSAs expressed divergent opinions on incarceration as the correct opportunity to vaccinate individuals, 2) HSAs’ personal views on vaccines influenced their operationalization of vaccination in jail, and 3) opinions varied on whether their institutions’ vaccine protocols needed modification. Conclusions: Our findings highlight the critical need to leverage the feedback and influence of stakeholders such as HSAs in efforts to improve preventative healthcare delivery in carceral health systems. https://www.cambridge.org/core/product/identifier/S2059866122005192/type/journal_articleVaccine hesitancyCOVID-19jailincarcerationHealth Services Administrators |
| spellingShingle | Nicole Cassarino Laura Lodolo Emma Smyth Megha Ramaswamy Alysse Wurcel “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails Journal of Clinical and Translational Science Vaccine hesitancy COVID-19 jail incarceration Health Services Administrators |
| title | “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails |
| title_full | “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails |
| title_fullStr | “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails |
| title_full_unstemmed | “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails |
| title_short | “The bottom line is that it is all about trust”: Interviews with Health Services Administrators about perceived barriers and facilitators to vaccine administration in jails |
| title_sort | the bottom line is that it is all about trust interviews with health services administrators about perceived barriers and facilitators to vaccine administration in jails |
| topic | Vaccine hesitancy COVID-19 jail incarceration Health Services Administrators |
| url | https://www.cambridge.org/core/product/identifier/S2059866122005192/type/journal_article |
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