Covid-19 vaccination of at-risk and marginalised groups

Recentering the State in Vaccine Uptake

Datos Bibliográficos

ID4602255
AutoresKatie Attwell (0000-0002-0366-2160, The University of Western Australia, autor de correspondencia), Jake Turvey (The University of Notre Dame Australia), Lisa Wood (0000-0002-9196-8847, The University of Notre Dame Australia)
Año2024
Volumen348
Páginas116812
Fecha de publicación2024-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSocial Science & Medicine (JOURNAL)
Identificadores de la revistaISSN: 0277-9536 • E-ISSN: 1873-5347
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.116812
PMID38636209
OpenAlexW4393198573
IdiomaEN
Citas recibidas7
Referencias citadas45

Recent studies have used the World Health Organization's new Behavioural and Social Drivers (BeSD) framework to analyse vaccine uptake. However, this study of COVID-19 vaccination among marginalised population groups highlights the framework's limitations regarding the centrality of the state in shaping people's vaccination intentions in high income countries. We conducted interviews and focus groups with service providers and community members to explore COVID-19 vaccination amongst Western Australians experiencing homelessness and/or from other marginalised populations (such as people with substance use dependence). Analysing this data iteratively to emphasise the state's role and functions, we elaborate how trauma and mistrust of government drive thoughts, feelings, and social interactions regarding vaccination programs, which are mutually reinforcing and which inhibit individuals' willingness to engage. Government systems that leave some populations behind increase those populations' susceptibility to misinformation. Policies may generate new unintended problems: social service providers worried about vaccine advocacy damaging clients' trust, especially in the context of vaccine mandates. Reframing the state's responsibility for designing culturally and socially appropriate services, we outline how end-users and trusted providers can lead this process. We share a new framework, "Recentering the State in Vaccine Uptake," arising from our analyses

Business · Cognitive reframing · Context (archaeology · Environmental health · Focus group · Government (linguistics · Misinformation · Political science · Population · Public relations · Service (business · Service provider · Sociology · Vaccination · COVID-19 epidemiological studies · HIV, Drug Use, Sexual Risk · Medicine · Psychology · Social Psychology · Vaccine Coverage and Hesitancy · Marketing · Virology