A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada
Structural and systemic inequalities can contribute to susceptibility to COVID-19 disease and limited access to vaccines. Recognizing that Racialized and Indigenous Peoples may experience unique barriers to COVID-19 vaccination, this study explored early COVID-19 vaccine accessibility, including bar...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2022-11-01
|
| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2022.2129827 |
| _version_ | 1797673138298814464 |
|---|---|
| author | Laura Aylsworth Terra Manca Ève Dubé Fabienne Labbé S. Michelle Driedger Karen Benzies Noni MacDonald Janice Graham Shannon E. MacDonald |
| author_facet | Laura Aylsworth Terra Manca Ève Dubé Fabienne Labbé S. Michelle Driedger Karen Benzies Noni MacDonald Janice Graham Shannon E. MacDonald |
| author_sort | Laura Aylsworth |
| collection | DOAJ |
| description | Structural and systemic inequalities can contribute to susceptibility to COVID-19 disease and limited access to vaccines. Recognizing that Racialized and Indigenous Peoples may experience unique barriers to COVID-19 vaccination, this study explored early COVID-19 vaccine accessibility, including barriers and potential solutions to vaccine access, for these communities in Canada. We conducted semi-structured interviews about challenges to accessing COVID-19 vaccination with Racialized and Indigenous Peoples, including linguistic minorities and newcomers, in Spring 2021, just as COVID-19 vaccines were becoming more widely available in Canada. Participants were purposely selected from respondents to a Canadian national online survey. Three researchers analyzed the interviews for emergent themes using a descriptive content analysis approach in NVivo. At the time of the interview, interview participants (N = 27) intended to receive (n = 15) or had received (n = 11) at least one vaccine dose, or did not state their status (n = 1). Participants described multiple barriers to COVID-19 vaccination that they personally experienced and/or anticipated they or others could experience – including technology requirements, language barriers, lack of identification documentation, and travel challenges – as well as related solutions. These were organized into three broad categories: 1) COVID-19 disease and vaccination information, 2) vaccination booking procedures, and 3) vaccination sites. These structural and systemic barriers during the initial months of vaccine rollout substantially restricted participants’ COVID-19 vaccination access, even when they were eager to get vaccinated, and should be addressed early in vaccine rollouts to facilitate optimal uptake for everyone everywhere |
| first_indexed | 2024-03-11T21:41:05Z |
| format | Article |
| id | doaj.art-d35c327cfd00483bbe4a9f7e325f6cdd |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T21:41:05Z |
| publishDate | 2022-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-d35c327cfd00483bbe4a9f7e325f6cdd2023-09-26T13:19:09ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118610.1080/21645515.2022.21298272129827A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in CanadaLaura Aylsworth0Terra Manca1Ève Dubé2Fabienne Labbé3S. Michelle Driedger4Karen Benzies5Noni MacDonald6Janice Graham7Shannon E. MacDonald8University of AlbertaUniversity of AlbertaInstitut National de Santé Publique du QuébecInstitut National de Santé Publique du QuébecUniversity of ManitobaUniversity of CalgaryDalhousie UniversityDalhousie UniversityUniversity of AlbertaStructural and systemic inequalities can contribute to susceptibility to COVID-19 disease and limited access to vaccines. Recognizing that Racialized and Indigenous Peoples may experience unique barriers to COVID-19 vaccination, this study explored early COVID-19 vaccine accessibility, including barriers and potential solutions to vaccine access, for these communities in Canada. We conducted semi-structured interviews about challenges to accessing COVID-19 vaccination with Racialized and Indigenous Peoples, including linguistic minorities and newcomers, in Spring 2021, just as COVID-19 vaccines were becoming more widely available in Canada. Participants were purposely selected from respondents to a Canadian national online survey. Three researchers analyzed the interviews for emergent themes using a descriptive content analysis approach in NVivo. At the time of the interview, interview participants (N = 27) intended to receive (n = 15) or had received (n = 11) at least one vaccine dose, or did not state their status (n = 1). Participants described multiple barriers to COVID-19 vaccination that they personally experienced and/or anticipated they or others could experience – including technology requirements, language barriers, lack of identification documentation, and travel challenges – as well as related solutions. These were organized into three broad categories: 1) COVID-19 disease and vaccination information, 2) vaccination booking procedures, and 3) vaccination sites. These structural and systemic barriers during the initial months of vaccine rollout substantially restricted participants’ COVID-19 vaccination access, even when they were eager to get vaccinated, and should be addressed early in vaccine rollouts to facilitate optimal uptake for everyone everywherehttp://dx.doi.org/10.1080/21645515.2022.2129827covid-19vaccineaccessequityracialized peoplesindigenous peoples |
| spellingShingle | Laura Aylsworth Terra Manca Ève Dubé Fabienne Labbé S. Michelle Driedger Karen Benzies Noni MacDonald Janice Graham Shannon E. MacDonald A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada Human Vaccines & Immunotherapeutics covid-19 vaccine access equity racialized peoples indigenous peoples |
| title | A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada |
| title_full | A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada |
| title_fullStr | A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada |
| title_full_unstemmed | A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada |
| title_short | A qualitative investigation of facilitators and barriers to accessing COVID-19 vaccines among Racialized and Indigenous Peoples in Canada |
| title_sort | qualitative investigation of facilitators and barriers to accessing covid 19 vaccines among racialized and indigenous peoples in canada |
| topic | covid-19 vaccine access equity racialized peoples indigenous peoples |
| url | http://dx.doi.org/10.1080/21645515.2022.2129827 |
| work_keys_str_mv | AT lauraaylsworth aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT terramanca aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT evedube aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT fabiennelabbe aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT smichelledriedger aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT karenbenzies aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT nonimacdonald aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT janicegraham aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT shannonemacdonald aqualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT lauraaylsworth qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT terramanca qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT evedube qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT fabiennelabbe qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT smichelledriedger qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT karenbenzies qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT nonimacdonald qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT janicegraham qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada AT shannonemacdonald qualitativeinvestigationoffacilitatorsandbarrierstoaccessingcovid19vaccinesamongracializedandindigenouspeoplesincanada |