"针已经准备好了":社区和医疗保健专业人员对加拿大努纳维克的常规疫苗接种的看法
Eve Dubé1,2, Marie-Pierre Renaud3, Marie-Claude Lyonnais4
1Direction des risques biologiques, Institut national de santé publique du Québec, Québec, Canada.
殖民主义影响了努纳维克的因纽特人对健康的看法和接种疫苗的做法. 解决社区,组织和个人因素对于改善常规疫苗接种覆盖率至关重要.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 努纳维克的因纽特人面临着来自殖民主义的持续健康不平等.
- 这些不平等影响了人们对健康的看法和做法,尤其是疫苗接种率.
研究的目的:
- 探索努纳维克的因纽特人对常规疫苗接种的看法和决定因素.
- 从社区和卫生专业人士的角度确定影响疫苗接种决策的因素.
主要方法:
- 与18名因纽特社区成员和11名非因纽特卫生专业人员进行了半结构化采访.
- 社会生态模型被用来分析影响疫苗接种决策的因素.
主要成果:
- 影响疫苗接种决策的因素在多个层面上起作用:社区/公共政策 (错误信息,语言障碍),组织 (流程复杂性,员工流动,缺少口译员) 和人际/人际 (过去的经验,态度,社会规范).
结论:
- 改善努纳维克的疫苗接种覆盖率需要文化适应的医疗保健和服务.
- 需要采取全面的方法来解决疫苗接种决策的多方面的决定因素.
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