Medical experimentation and the roots of COVID-19 vaccine hesitancy among Indigenous Peoples in Canada

Mosby, Ian; Swidrovich, Jaris

doi:10.1503/cmaj.210112

Cited by 92 publications

(91 citation statements)

References 4 publications

(3 reference statements)

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“…The findings align with previous explorations of Indigenous understandings and uptake of vaccinations. Intergenerational impacts of colonisation, historic maltreatment and continuing marginalisation and oppression have significantly impacted Indigenous trust in health-related services, communications, and professionals [37][38][39][40]. Synthesised findings from the included studies highlight a commonality of mistrust in healthcare systems and vaccines [30][31][32][33], with participants describing feeling like a 'guinea pig' when considering vaccination [33].…”

Section: Discussionmentioning

confidence: 99%

“…These feelings directly relate to historic injustices experienced by Indigenous peoples, such as medical experimentation experienced by Cree communities in Canadian residential schools [41]. Health professionals have a responsibility to educate themselves prior to providing care in communities; many non-Indigenous health workers are unaware of the oppressive history of healthcare systems and therefore do not properly understand potential vaccine hesitancy and mistrust they may encounter [38]. Interpersonal communication with practitioners is the foundation of quality care, however it is often one of the largest barriers for Indigenous peoples [40,42].…”

Section: Discussionmentioning

confidence: 99%

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HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

et al. 2021

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Background Indigenous populations have a high prevalence of Human Papillomavirus (HPV) infection and a high incidence of HPV associated cancers, such as cervical and oropharyngeal cancer. There is an effective HPV vaccination program in almost all developed countries to prevent the incidence of cervical cancer, but reports suggest that the uptake of these vaccinations by Indigenous populations is low. The objective of this qualitative systematic review was to explore the knowledge and beliefs of global Indigenous populations regarding HPV vaccines. This review was performed to identify the barriers faced by Indigenous peoples and to provide evidence for more effective and acceptable execution of vaccination policies for Indigenous peoples. Methods Two investigators independently searched MEDLINE, PubMed, SCOPUS, and Web of Science databases using a pre-specified search strategy to identify qualitative studies on narratives of Indigenous peoples regarding HPV vaccine awareness, knowledge and experiences across all geographic and income-level settings. Results After performing the literature search and quality appraisals 5 papers were included in the final review. Three core synthesised findings were identified: reasons for acceptance or hesitancy, and areas for improvement. Lack of correct knowledge and mistrust in the healthcare system were important categories observed in all papers included in the review. Other categories within the conceptual model included prioritising disease prevention, health professional guidance, family support and supportive community environment. Conclusion Qualitative systematic reviews are an excellent means of exploring the gaps in current healthcare practices. Indigenous healthcare research should be grounded in community experiences and feedback. This review provides insights into HPV vaccination understanding and acceptance amongst Indigenous populations, from which recommendations for increasing resonance of vaccination strategies with Indigenous communities can be formed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

et al. 2021

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“…At present, research on COVID-19 vaccine hesitancy has mainly focused on health care workers, ethnic minority groups, religious believers, and black Americans. [29][30][31][32][33][34][35][36][37] To our knowledge, there have been no studies of COVID-19 vaccine hesitancy among medical students in China. Therefore, our study aimed to fill this gap by exploring the level of COVID-19 vaccine hesitancy among Chinese medical students and identifying the factors and barriers associated with decision to vaccinate.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy Among Medical Students: The Next COVID-19 Challenge in Wuhan, China

Gao

et al. 2021

Disaster med. public health prep.

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Objective: The purpose of this study was to explore the level of coronavirus disease 2019 (COVID-19) vaccine hesitancy among medical students in Wuhan, China, and to identify the factors and barriers associated with their vaccination decision. Methods: A cross-sectional survey was launched with 612 medical students recruited by convenience sampling from six universities. Data collection measures mainly included a demographic questionnaire, COVID-19 vaccine knowledge questionnaire, and the vaccine hesitancy scale. Results: A total of 58.2% of medical students reported vaccine hesitancy. The most common reasons for this were worrying about the side effects of vaccines (44.4%), uncertainty about vaccine safety (40.4%), and underestimating the risk of exposure to COVID-19 (27.9%). The main factors associated with COVID-19 vaccine hesitancy among participants were their knowledge about COVID-19 vaccine, training related to COVID-19 vaccines, family address, and education level (P<0.05). Conclusions: The government, health department and universities in China need to work together and actively communicate with vaccine-hesitant students, establish a standardized COVID-19 vaccine course, and provide on-campus vaccination services.

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“…Vaccine acceptance is a complex, "multi-layered" process [7], influenced by contextual factors [8,9] that include past vaccine experience, shared perceptions of disease severity [10], experiences with the health system [11], and trust in authorities [12]. The newly-developed, approved COVID-19 vaccines have made the decision process even more complex, despite health authorities' efforts to reassure European publics about vaccine efficacy and safety [2].…”

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confidence: 99%

Conditionality of COVID-19 vaccine acceptance in European countries

Heyerdahl

Vray

Lana

et al. 2021

Preprint

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The COVID-19 vaccine rollout in recent months offers a powerful preventive measure that may help control SARS-CoV-2 transmission. Nevertheless, long-standing public hesitation around vaccines has heightened public health concerns that vaccine coverage may not achieve desired public health impacts.This cross-sectional survey was conducted online in December 2020 among 7000 respondents (aged 18 to 65) in Belgium, France, Germany, Italy, Spain, Sweden, and Ukraine. The survey included open text boxes for fuller explanation of responses. Projected COVID-19 vaccine coverage varied and may not be sufficiently high among certain populations to achieve herd immunity. Overall, 56.9% would accept a COVID-19 vaccine, 19.0% would not, and 24.1% did not know or preferred not to say. By country, between 44% (France) and 66% (Italy) of respondents would accept a COVID-19 vaccine. Respondents expressed conditionality in open responses, voicing concerns about vaccine safety and mistrust of authorities. Public health campaigns must tackle these safety concerns.

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Medical experimentation and the roots of COVID-19 vaccine hesitancy among Indigenous Peoples in Canada

Cited by 92 publications

References 4 publications

HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

COVID-19 Vaccine Hesitancy Among Medical Students: The Next COVID-19 Challenge in Wuhan, China

Conditionality of COVID-19 vaccine acceptance in European countries

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