Lindsay Wilson1, Taylor Rubens-Augustson2, Malia Murphy3, Cindy Jardine4, Natasha Crowcroft5, Charles Hui6, Kumanan Wilson7. 1. Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada. Electronic address: liwilson@ohri.ca. 2. Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada; Faculty of Medicine, Lund University, Box 117, 221 00 Lund, Sweden. Electronic address: ta5865ru-s@student.lu.se. 3. Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada. Electronic address: malmurphy@ohri.ca. 4. School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB T6G 1C9, Canada. Electronic address: cjardine@ualberta.ca. 5. Public Health Ontario, 480 University Avenue, Toronto, ON M5G 1V2, Canada; Laboratory Medicine and Pathobiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON M5T 3M7, Canada. Electronic address: natasha.crowcroft@oahpp.ca. 6. Department of Pediatrics, Faculty of Medicine, University of Ottawa, 451 Smyth Rd, Ottawa, ON K1H 8M5, Canada. Electronic address: chui@cheo.on.ca. 7. Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada. Electronic address: kwilson@ohri.ca.
Abstract
INTRODUCTION: Currently, there is a lack of comprehensive evidence exploring vaccine decision-making among newcomers. We conducted a systematic review of qualitative studies aimed at identifying factors that influence newcomers' decision-making with regards to vaccination. METHODS: We conducted a search of MEDLINE, EMBASE, CINAHL and Cochrane Central. To be included, studies needed to employ a qualitative methodology and address newcomer attitudes, beliefs, and/or perceptions regarding vaccination. Two independent reviewers screened the articles for relevant information and applied a content analysis methodology to code the identified barriers. RESULTS: Twenty-one studies were included in this review, and four types of barriers were identified: cultural factors, knowledge barriers, insufficient access to healthcare, and vaccine hesitancy. Insufficient knowledge about vaccination and the virus being prevented and concerns about safety were the most commonly reported barriers. A sub-analysis of barriers specific to HPV indicated that cultural beliefs about sexuality and incomplete knowledge about the role of HPV in the development of cervical cancer are major barriers to vaccine uptake. CONCLUSION: Strategies to improve vaccination uptake in newcomers should consider focusing on the barriers identified in this review while taking into account the unique opportunities for promoting uptake within newcomer populations.
INTRODUCTION: Currently, there is a lack of comprehensive evidence exploring vaccine decision-making among newcomers. We conducted a systematic review of qualitative studies aimed at identifying factors that influence newcomers' decision-making with regards to vaccination. METHODS: We conducted a search of MEDLINE, EMBASE, CINAHL and Cochrane Central. To be included, studies needed to employ a qualitative methodology and address newcomer attitudes, beliefs, and/or perceptions regarding vaccination. Two independent reviewers screened the articles for relevant information and applied a content analysis methodology to code the identified barriers. RESULTS: Twenty-one studies were included in this review, and four types of barriers were identified: cultural factors, knowledge barriers, insufficient access to healthcare, and vaccine hesitancy. Insufficient knowledge about vaccination and the virus being prevented and concerns about safety were the most commonly reported barriers. A sub-analysis of barriers specific to HPV indicated that cultural beliefs about sexuality and incomplete knowledge about the role of HPV in the development of cervical cancer are major barriers to vaccine uptake. CONCLUSION: Strategies to improve vaccination uptake in newcomers should consider focusing on the barriers identified in this review while taking into account the unique opportunities for promoting uptake within newcomer populations.
Authors: R Grewal; S L Deeks; T A Hart; J Cox; A De Pokomandy; T Grennan; G Lambert; D Moore; F Coutlée; M Gaspar; C George; D Grace; J Jollimore; N J Lachowsky; R Nisenbaum; G Ogilvie; C Sauvageau; D H S Tan; A Yeung; A N Burchell Journal: Hum Vaccin Immunother Date: 2021-12-02 Impact factor: 3.452
Authors: Taylor Rubens-Augustson; Lindsay A Wilson; Malia Sq Murphy; Cindy Jardine; Kevin Pottie; Charles Hui; Martin Stafström; Kumanan Wilson Journal: Hum Vaccin Immunother Date: 2018-11-05 Impact factor: 3.452
Authors: Sameer Vali Gopalani; Ami E Sedani; Amanda E Janitz; Shari C Clifton; Julie Stoner; Jennifer Peck; Ashley Comiford; Alicia L Salvatore; Janis Campbell Journal: BMJ Open Date: 2020-09-06 Impact factor: 2.692