COVID-19疫苗决策:印度跨性别者和残疾人社区之间的信任
Sharin D'souza1, Bhakti Ghatole1, Harikeerthan Raghuram1
1Initiative for Health Equity Advocacy and Research, Bhopal Hub, Sangath, Bhopal, India.
Journal of communication in healthcare
|April 10, 2024
概括
信任对印度跨性别者和残疾人社区的COVID-19疫苗决定产生重大影响. 解决历史边缘化和系统不信任是改善疫苗接种和接受的关键.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 历史上的边缘化和信任缺陷影响边缘化社区对疫苗的看法.
- 这项研究重点关注印度的跨性别者和残疾人社区.
- 了解信任是解决这些群体疫苗犹问题的关键.
研究的目的:
- 调查信任在COVID-19疫苗决策中的作用.
- 探索影响印度跨性别者和残疾人社区接种疫苗的因素.
- 确定为公平的疫苗传播策略.
主要方法:
- 与社区代表和关键信息人进行参与式方法.
- 使用社会生态模型进行感应性主题分析.
- 采访了24名社区代表和21名关键信息人员.
主要成果:
- 对副作用的恐惧和对疫苗接种系统的不信任创造了不同的决策途径.
- 不信任源于过去的健康系统负面经验,影响信息解释.
- 决策模式是动态的,取决于上下文,交叉的,受到各种来源的影响.
结论:
- 调查结果为边缘化社区提供了公平的疫苗传播策略.
- 在疫苗试验中包含和量身定制的信息是至关重要的.
- 长期投资和社区参与对于克服边缘化和不信任,提高疫苗接受度至关重要.
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