Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada
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View abstract on PubMed
Summary
This summary is machine-generated.Intersecting social inequities create barriers to COVID-19 vaccine information and access for diverse parents in Canada. Addressing historical racism and building community trust are crucial for equitable healthcare.
Area Of Science
- Public Health
- Sociology
- Health Equity
Background
- Limited understanding of how intersecting social privilege and disadvantage influence COVID-19 information and vaccine access inequities.
- This study investigated the interplay of social inequities in shaping access to and use of COVID-19 information and vaccines among Canadian parents.
Purpose Of The Study
- To explore how intersecting social inequities impact COVID-19 information and vaccine access among parents in Canada.
- To understand the role of social privilege and disadvantage in health information seeking and healthcare system engagement.
Main Methods
- Conducted semi-structured interviews with ethnically diverse parents of children aged 11-18 years (April-August 2022).
- Employed discourse analysis informed by intersectionality to code interview transcripts.
- Focused on vaccine information use, intersecting privileges, oppressions, and identification with equity-denied groups.
Main Results
- Participants included ethnically diverse non-Indigenous (n=40) and Indigenous (n=8) Peoples from seven Canadian provinces.
- Racialized minority and Indigenous participants reported historical and ongoing racism from institutions as barriers to trust and access.
- Participants with privileged social locations expressed more comfort in resisting public health measures; information gaps and transportation issues delayed vaccination for some with chronic conditions.
Conclusions
- Colonialism and racism are significant barriers to trusting public health information.
- Partnerships with trusted community leaders and healthcare workers are vital for rebuilding trust.
- Healthcare systems must implement ongoing strategies to restore trust with Indigenous and racialized populations.
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