Using Aboriginal participatory action research within a mixed methods study exploring COVID-19 vaccination uptake in...

Area of Science:

• Public Health
• Indigenous Health Research
• Vaccinology

Background:

• COVID-19 vaccination is crucial for reducing illness severity and infection risk.
• Lower COVID-19 immunization rates observed in Australian Aboriginal pregnant women compared to non-Indigenous counterparts.
• Gap in Aboriginal Participatory Action Research (APAR) co-designed, Aboriginal-led studies on COVID-19 vaccine uptake factors.

Purpose of the Study:

• To explore factors influencing COVID-19 vaccine knowledge, confidence, and uptake among Aboriginal women of childbearing age.
• To understand decision-making processes related to vaccination in this demographic.
• To inform culturally appropriate health strategies and promote health equity.

Main Methods:

• Explanatory sequential mixed methods design with embedded co-design principles.
• Involved Aboriginal women of childbearing age and non-Aboriginal mothers of Aboriginal children in Western Australia.
• Utilized Western quantitative methods (110 surveys) and Indigenous qualitative methodologies (5 Yarning Circles) in consultation with Aboriginal Elders and health partners.

Main Results:

• Safety and trust emerged as primary determinants in vaccination decision-making.
• Vaccine mandates temporarily increased uptake, but a decline was noted post-mandate.
• Persistent challenges include lack of engagement and limited access to health information and services post-pandemic.

Conclusions:

• Cultural legitimacy is paramount in research involving Indigenous communities.
• Sustained partnerships between Indigenous communities and health researchers are essential for building trust.
• Addressing ongoing challenges in health information access and engagement is critical for promoting health equity and improving vaccine uptake.