Beliefs and experiences about immunization among refugees resettled in the United States from the Thailand-Myanmar (Burma) border

Truman, Tessa; Higham, Rebecca; Chernenko, Alla; Ahmmad, Zobayer; Pye, Mu; Sin, Kai; Griffiths, Adrienne; Kamimura, Akiko

doi:10.1080/14635240.2020.1747518

Cited by 2 publications

(5 citation statements)

References 16 publications

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“… 36 , 42 , 50 , 76 However, distrust of vaccination can also originate or worsen after arrival in the host country; for example, a study in the USA showed that among Karen refugees, a longer time spent in USA was associated with lower levels of perception that vaccinations were safe. 75 Another study from Norway found that children born to mothers residing in Norway for >6 years had lower measles coverage compared to those residing <2 years prior to their birth, with coverage overall declining between 2000 and 2016. 77 This could be due to social exclusion or alienation after arrival 33 , 78 or precarity in resettlement, 79 which have both been shown to negatively affect vaccine confidence in included papers.…”

Section: Resultsmentioning

confidence: 99%

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Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations

Deal

Crawshaw

Carter

et al. 2023

Journal of Travel Medicine

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Rationale for Review Some refugee and migrant populations globally showed lower uptake of COVID-19 vaccines and are also considered to be an under-immunised group for routine vaccinations. These communities may experience a range of barriers to vaccination systems, yet there is a need to better explore drivers of under-immunisation and vaccine hesitancy in these mobile groups. Methods We did a global rapid review to explore drivers of under-immunisation and vaccine hesitancy to define strategies to strengthen both COVID-19 and routine vaccination uptake, searching MEDLINE, Embase, Global Health PsycINFO and grey literature. Qualitative data were analysed thematically to identify drivers of under-immunisation and vaccine hesitancy, then categorised using the ‘Increasing Vaccination Model’. Key Findings 63 papers were included, reporting data on diverse population groups, including refugees, asylum seekers, labour and undocumented migrants in 22 countries. Drivers of under-immunisation and vaccine hesitancy pertaining to a wide range of vaccines were covered, including COVID-19 (n = 27), HPV (13), measles or MMR (3), influenza (3), tetanus (1), and vaccination in general. We found a range of factors driving under-immunisation and hesitancy in refugee and migrant groups, including unique awareness and access factors that need to be better considered in policy and service delivery. Acceptability of vaccination was often deeply rooted in social and historical context and influenced by personal risk perception. Conclusions These findings hold direct relevance to current efforts to ensure high levels of global coverage for a range of vaccines, and ensuring marginalised refugee and migrant populations are included in national vaccination plans of low- middle- and high-income countries. We found a stark lack of research from low- and middle-income and humanitarian contexts on vaccination in mobile groups. This needs to be urgently rectified if we are to design and deliver effective programmes that ensure high coverage for COVID-19 and routine vaccinations.

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Section: Resultsmentioning

confidence: 99%

“… 13 , 53 , 66 , 67 , 73 , 74 Six included papers suggest that education programmes should be created for refugee and migrant communities in collaboration with trusted, relevant actors to ensure cultural acceptability and reach. 60 , 67 , 72 , 74 , 75 …”

Section: Resultsmentioning

confidence: 99%

Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations

Deal

Crawshaw

Carter

et al. 2023

Journal of Travel Medicine

View full text Add to dashboard Cite

show abstract

“…interpreters present either virtually or in person to answer questions (11, 50, 63, 64, 70, 71). Six included papers suggest that education programmes should be created for refugee and migrant communities in collaboration with trusted, relevant actors to ensure cultural acceptability and reach (57, 64, 69, 71, 72).…”

Section: Resultsmentioning

confidence: 99%

“…For example, a lack of trust in vaccines in a refugee and migrant’s country of origin, or the influence of factors from the home country or diaspora media can be an important factor in vaccine confidence in some groups (34, 39, 47, 73). However, distrust of vaccination can also originate or worsen after arrival in the host country; for example, a study in the USA showed that amongst Karen refugees, a longer time spent in USA was associated with lower levels of perception that vaccinations were safe (72). Another study from Norway found that children born to mothers residing in Norway for more than 6 years had lower measles coverage compared to those residing less than two years prior to their birth, with coverage overall declining between 2000 and 2016 (74).…”

Section: Resultsmentioning

confidence: 99%

“…For example, a lack of trust in vaccines in a refugee and migrant's country of origin, or the influence of factors from the home country or diaspora media can be an important factor in vaccine confidence in some groups (34,39,47,73). However, distrust of vaccination can also originate or worsen after arrival in the host country; for example, a study in the USA showed that amongst Karen refugees, a longer time spent in USA was associated with lower levels of perception that vaccinations were safe (72).…”

Section: Social Processes: Drivers or Inhibitors Of Individual Motiva...mentioning

confidence: 99%

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Defining drivers of under-immunisation and vaccine hesitancy in refugee and migrant populations globally to support strategies to strengthen vaccine uptake for COVID-19: a rapid review

Deal

Crawshaw

Carter

et al. 2023

Preprint

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Background Some refugee and migrant populations have been disproportionately impacted by the COVID-19 pandemic, yet evidence suggests lower uptake of COVID-19 vaccines. They are also an under-immunised group for many routine vaccines. We did a rapid review to explore drivers of under-immunisation and vaccine hesitancy among refugee and migrant populations globally to define strategies to strengthen both COVID-19 and routine vaccination uptake. Methods We collected global literature (01/01/2010 - 05/05/2022) pertaining to drivers of under-immunisation and vaccine hesitancy in refugees and migrants, incorporating all vaccines. We searched MEDLINE, Embase, Global Health PsycINFO and the WHO Global Research on COVID-19 database and grey literature. Qualitative data were analysed thematically to identify drivers of under-immunisation and vaccine hesitancy, then categorised using the Increasing Vaccination Model. Results 63 papers were included in this review, reporting data on diverse population groups, including refugees, asylum seekers, labour and undocumented migrants from 22 countries, with six papers reporting on a regional or global scale. Drivers of under-immunisation and vaccine hesitancy pertaining to a wide range of vaccines were covered, including COVID-19 (n=27), HPV (13), measles or MMR (3), influenza (3), tetanus (1), and vaccination in general. We found a range of factors driving under-immunisation and hesitancy in refugee and migrant groups, including unique awareness and access factors that need to be better considered in policy and service delivery. Acceptability of vaccination was often deeply rooted in social and historical context and influenced by personal risk perception. Conclusions These findings hold direct relevance to current efforts to ensure high levels of global immunisation coverage, key to which is to ensure marginalised refugees and migrant populations are included in national vaccination plans of low- middle- and high-income countries. We found a stark lack of research from low- and middle-income and humanitarian contexts on vaccination in mobile groups, a situation that needs to be urgently rectified to ensure high coverage for COVID-19 and routine vaccinations.

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Beliefs and experiences about immunization among refugees resettled in the United States from the Thailand-Myanmar (Burma) border

Cited by 2 publications

References 16 publications

Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations

Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations

Defining drivers of under-immunisation and vaccine hesitancy in refugee and migrant populations globally to support strategies to strengthen vaccine uptake for COVID-19: a rapid review

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