Vaccine confidence among people who use drugs: A cross-sectional survey

Frew, Paula M.; Schamel, Jay; Randall, Laura; King, Adrian R.; Spaulding, Anne C.; Wu, Elizabeth; Holloway, Ian W.

doi:10.1080/21645515.2022.2123201

Cited by 2 publications

(1 citation statement)

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“…Consistent with previous studies regarding COVID-19 and other vaccinations, our results demonstrated that PWUD were concerned about the speed of vaccine development, safety of use, side effects, usefulness, and experienced distrust toward healthcare and government agencies involved in vaccine distribution [ 26 – 31 , 43 ]. We found that many unvaccinated and partially vaccinated participants reported a lack of knowledge about the COVID-19 vaccine, which discouraged vaccine uptake and amplified already existing medical and government mistrust within this community.…”

Section: Discussionsupporting

confidence: 89%

Identifying barriers and facilitators to COVID-19 vaccination uptake among People Who Use Drugs in Canada: a National Qualitative Study

et al. 2023

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Background People Who Use Drugs (PWUD) have lower vaccination uptake than the general population, and disproportionately experience the burden of harms from vaccine-preventable diseases. We conducted a national qualitative study to: (1) identify the barriers and facilitators to receiving COVID-19 vaccinations among PWUD; and (2) identify interventions to support PWUD in their decision-making. Methods Between March and October 2022, semi-structured interviews with PWUD across Canada were conducted. Fully vaccinated (2 or more doses) and partially or unvaccinated (1 dose or less) participants were recruited from a convenience sample to participate in telephone interviews to discuss facilitators, barriers, and concerns about receiving COVID-19 vaccines and subsequent boosters, and ways to address concerns. A total of 78 PWUD participated in the study, with 50 participants being fully vaccinated and 28 participants partially or unvaccinated. Using thematic analysis, interviews were coded based on the capability, opportunity, and motivation-behavior (COM-B) framework. Results Many partially or unvaccinated participants reported lacking knowledge about the COVID-19 vaccine, particularly in terms of its usefulness and benefits. Some participants reported lacking knowledge around potential long-term side effects of the vaccine, and the differences of the various vaccine brands. Distrust toward government and healthcare agencies, the unprecedented rapidity of vaccine development and skepticism of vaccine effectiveness were also noted as barriers. Facilitators for vaccination included a desire to protect oneself or others and compliance with government mandates which required individuals to get vaccinated in order to access services, attend work or travel. To improve vaccination uptake, the most trusted and appropriate avenues for vaccination information sharing were identified by participants to be people with lived and living experience with drug use (PWLLE), harm reduction workers, or healthcare providers working within settings commonly visited by PWUD. Conclusion PWLLE should be supported to design tailored information to reduce barriers and address mistrust. Resources addressing knowledge gaps should be disseminated in areas and through organizations where PWUD frequently access, such as harm reduction services and social media platforms.

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Section: Discussionsupporting

confidence: 89%