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Charania NA, Tonumaipe'a D, Barbarich-Unasa TW, Iusitini L, Davis G, Pacheco G, Wilson D. Exploring the impact of the COVID-19 pandemic on perceptions of national scheduled childhood vaccines among Māori and Pacific caregivers, whānau, and healthcare professionals in Aotearoa New Zealand. Hum Vaccin Immunother 2024; 20:2301626. [PMID: 38205779 DOI: 10.1080/21645515.2023.2301626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 12/30/2023] [Indexed: 01/12/2024] Open
Abstract
In Aotearoa New Zealand, there has been a marked decrease in the uptake of routine childhood vaccinations since the onset of the COVID-19 pandemic, particularly among Māori and Pacific children. This Māori and Pacific-centered research used an interpretive description methodology. We undertook culturally informed interviews and discussions with Māori and Pacific caregivers (n = 24) and healthcare professionals (n = 13) to understand their perceptions of routine childhood vaccines. Data were analyzed using reflexive thematic analysis and privileged respective Māori and Pacific worldviews. Four themes were constructed. "We go with the norm" reflected how social norms, health personnel and institutions promoted (and sometimes coerced) participants' acceptance of routine vaccines before the pandemic. "Everything became difficult" explains how the pandemic added challenges to the daily struggles of whānau (extended family networks) and healthcare professionals. Participants noted how information sources influenced disease and vaccine perceptions and health behaviors. "It needed to have an ethnic-specific approach" highlighted the inappropriateness of Western-centric strategies that dominated during the initial pandemic response that did not meet the needs of Māori and Pacific communities. Participants advocated for whānau-centric vaccination efforts. "People are now finding their voice" expressed renewed agency among whānau about vaccination following the immense pressure to receive COVID-19 vaccines. The pandemic created an opportune time to support informed parental vaccine decision-making in a manner that enhances the mana (authority, control) of whānau. Māori and Pacific-led vaccination strategies should be embedded in immunization service delivery to improve uptake and immunization experiences for whānau.
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Affiliation(s)
- Nadia A Charania
- Department of Public Health, Auckland University of Technology, Auckland, New Zealand
| | - Daysha Tonumaipe'a
- New Zealand Work Research Institute, Auckland University of Technology, Auckland, New Zealand
| | - Te Wai Barbarich-Unasa
- Taupua Waiora Centre for Māori Health Research, Auckland University of Technology, Auckland, New Zealand
| | - Leon Iusitini
- New Zealand Work Research Institute, Auckland University of Technology, Auckland, New Zealand
| | - Georgina Davis
- Taupua Waiora Centre for Māori Health Research, Auckland University of Technology, Auckland, New Zealand
| | - Gail Pacheco
- New Zealand Work Research Institute, Auckland University of Technology, Auckland, New Zealand
| | - Denise Wilson
- Taupua Waiora Centre for Māori Health Research, Auckland University of Technology, Auckland, New Zealand
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Charania NA. "She vaccinated my baby and that's all…" Immunisation decision-making and experiences among refugee mothers resettled in Aotearoa New Zealand. BMC Public Health 2023; 23:1349. [PMID: 37442991 PMCID: PMC10347757 DOI: 10.1186/s12889-023-16266-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 07/08/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND To prevent disease outbreaks, refugee children must be age-appropriately immunised. This qualitative study gained an in-depth understanding of refugee mothers' vaccine decision-making and experiences accessing immunisation services for their children post-resettlement in Aotearoa New Zealand. METHODS An interpretive description methodology involving focus groups with refugee mothers (N = 45) was conducted in Auckland, one of the resettlement locations. Mothers were asked about their perceptions of vaccine-preventable diseases and vaccines, their experiences of attending immunisation events, and their suggestions for improvements to immunisation services. Data were analysed following the phases of reflexive thematic analysis. RESULTS Four themes were constructed. Do I have a choice? Mothers displayed pro-vaccination sentiments and parental obligation to vaccinate their children to protect their health, which underpinned their compliance with the national vaccine schedule. Transnational vaccine perceptions and behaviours It was evident that comparing their health experiences in their origin countries reinforced their positive perceptions of and trust in vaccines, health providers and their recommendations, the health system and government in New Zealand. Information sharing with their transnational networks had the potential to influence vaccine perceptions and behaviours in home and host countries. Unanswered questions and concerns Mothers discussed how many of their questions and concerns about immunisations and post-vaccine management went unanswered. Relationships and experiences matter Mothers stressed the importance of who vaccinated their child and how it was administered, highlighting that health providers' demeanour and competence influence their immunisation experiences. CONCLUSIONS Health providers are encouraged to focus on creating a positive immunisation experience for refugee background families. Qualified interpreters and provision of culturally and linguistically appropriate information are required. Transnationalism at the individual level appears to influence vaccine perceptions and behaviours among refugee-background mothers. Future research focusing on caregivers with child(ren) who are not fully vaccinated would be beneficial.
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Affiliation(s)
- Nadia A Charania
- Department of Public Health, Auckland University of Technology, Auckland, New Zealand.
- Migrant and Refugee Health Research Centre, Auckland University of Technology, Auckland, New Zealand.
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Chen L, Sun X, Luo J, Zhang Y, Ha Y, Xu X, Tao L, Mu X, Gao S, Han Y, Wang C, Wang F, Wang J, Yang B, Guo X, Yu Y, Ma X, Liu L, Ma W, Xie P, Wang C, Li G, Lu Q, Cui F. A Case-Control Study on Factors of HPV Vaccination for Mother and Daughter in China. Vaccines (Basel) 2023; 11:vaccines11050976. [PMID: 37243080 DOI: 10.3390/vaccines11050976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 04/20/2023] [Accepted: 05/10/2023] [Indexed: 05/28/2023] Open
Abstract
(1) Background: To explore the influencing factors of human papillomavirus (HPV) vaccination among mothers and daughters so as to provide evidence and strategies for improving the HPV vaccination rate of 9-18-years-old girls. (2) A questionnaire survey was conducted among the mothers of 9-18-year-old girls from June to August 2022. The participants were divided into the mother and daughter vaccinated group (M1D1), the mother-only vaccinated group (M1D0), and the unvaccinated group (M0D0). Univariate tests, the logistic regression model, and the Health Belief Model (HBM) were employed to explore the influencing factors. (3) Results: A total of 3004 valid questionnaires were collected. According to the regions, Totally 102, 204, and 408 mothers and daughters were selected from the M1D1, M1D0, and M0D0 groups, respectively. The mother having given her daughter sex education (OR = 3.64; 95%CI 1.70, 7.80), the mother's high perception of disease severity (OR = 1.79; 95%CI 1.02, 3.17), and the mother's high level of trust in formal information (OR = 2.18; 95%CI 1.26, 3.78) were all protective factors for both the mother and her daughter's vaccination. The mother's rural residence (OR = 0.51; 95%CI 0.28, 0.92) was a risk factor for vaccination of both mother and daughter. The mother's education of high school or above (OR = 2.12; 95%CI 1.06, 4.22), the mother's high level of HPV and HPV vaccine knowledge (OR = 1.72; 95%CI 1.14, 2.58), and the mother's high level of trust in formal information (OR = 1.72; 95%CI 1.15, 2.57) were protective factors of mother-only vaccination. The older the mother (OR = 0.95; 95%CI 0.91, 0.99) was classed as a risk factor for mother-only vaccination. "Waiting until the daughters are older to receive the 9-valent vaccine" is the main reason why the daughters of M1D0 and M0D0 are not vaccinated". (4) Chinese mothers had a high willingness to vaccinate their daughters with the HPV vaccine. The higher education level of the mother, giving sex education to the daughter, the older ages of mothers and daughters, the mother's high level of HPV and HPV vaccine knowledge, a high level of perception of the disease severity, and a high level of trust in formal information were promoting factors of HPV vaccination for mother and daughter, and rural residence was a risk factor to vaccination. To promote HPV vaccination in girls from 9-18 years old, communities could provide health education to rural mothers with low education levels; the government could advocate for HPV vaccination through issuing policy documents; and doctors and the CDC could popularize the optimal age for HPV vaccination to encourage mothers to vaccinate their daughters at the age of 9-14 years old.
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Affiliation(s)
- Linyi Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
| | - Xihong Sun
- Jining Center for Disease Control and Prevention, Jining 272209, China
| | - Jing Luo
- Suzhou City Center for Disease Control and Prevention, Suzhou 234000, China
| | - Yuanshan Zhang
- Lingcheng Center for Disease Control and Prevention, Dezhou 253500, China
| | - Yu Ha
- Disease Control and Prevention Center of Jiuzhaigou County, Aba 623400, China
| | - Xiaoxia Xu
- Longxi Center for Disease Control and Prevention, Dingxi 748000, China
| | - Liandi Tao
- Chengguan Center for Disease Control and Prevention, Lanzhou 730020, China
| | - Xuefeng Mu
- Yilan Center for Disease Control and Prevention, Harbin 154800, China
| | - Shengnan Gao
- Nangang Center for Disease Control and Prevention, Harbin 150006, China
| | - Yongchao Han
- Qingfeng County Center for Disease Control and Prevention, Puyang 457000, China
| | - Chi Wang
- Nangang Center for Disease Control and Prevention, Harbin 150006, China
| | - Fuliang Wang
- Xiaoshan Center for Disease Control and Prevention, Hangzhou 311201, China
| | - Juan Wang
- Disease Control and Prevention Center of Jiuzhaigou County, Aba 623400, China
| | - Bingying Yang
- Si County Center for Disease Control and Prevention, Suzhou 234300, China
| | - Xiaoyan Guo
- Qingfeng County Center for Disease Control and Prevention, Puyang 457000, China
| | - Yajie Yu
- Yilan Center for Disease Control and Prevention, Harbin 154800, China
| | - Xian Ma
- Chengguan Center for Disease Control and Prevention, Lanzhou 730020, China
| | - Lijian Liu
- Jinxiang Center for Disease Control and Prevention, Jining 272200, China
| | - Wenmin Ma
- Jinxiang Center for Disease Control and Prevention, Jining 272200, China
| | - Pengmin Xie
- Longxi Center for Disease Control and Prevention, Dingxi 748000, China
| | - Chao Wang
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Guoxing Li
- Puyang Center for Disease Control and Prevention, Puyang 457000, China
| | - Qingbin Lu
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Fuqiang Cui
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
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Iannello P, Colautti L, Magenes S, Antonietti A, Cancer A. Black-and-white thinking and conspiracy beliefs prevent parents from vaccinating their children against COVID-19. APPLIED COGNITIVE PSYCHOLOGY 2022; 36:ACP3999. [PMID: 36250193 PMCID: PMC9537936 DOI: 10.1002/acp.3999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 07/28/2022] [Accepted: 09/07/2022] [Indexed: 11/30/2022]
Abstract
Understanding predictors of parents' willingness to vaccinate their children appears fundamental to promote vaccine acceptability, especially in a pandemic scenario. The present study aimed to investigate the role of conspiracy beliefs and absolutist thinking in parental attitude toward COVID-19 vaccine, and the predictive role of parents' individual differences on decisions against children's vaccination. An online survey was administered to 415 parents of children aged 5-11, at the very beginning of the vaccination targeting this population in Italy. Results showed that absolutism predicted the tendency to believe in conspiracies, associated with a negative attitude toward the COVID-19 vaccine administration to children. Moreover, mothers were less willing to vaccinate children and parents of children aged 5-7 were more hesitant, or even against vaccination, than parents of older children. Finally, the worry about consequences of COVID-19 infection on children's health facilitated vaccine adherence. These findings contribute to deepening mechanisms regarding the vaccine acceptability.
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Affiliation(s)
| | | | - Sara Magenes
- Catholic University of the Sacred HeartMilanItaly
- Fraternità e Amicizia Società Cooperativa Sociale ONLUSMilanItaly
| | | | - Alice Cancer
- Catholic University of the Sacred HeartMilanItaly
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Hammond MD, Sibley CG. Romantic Partners Are Similar in Their Well-Being and Sociopolitical Attitudes but Change Independently Over Time. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2022. [DOI: 10.1177/19485506211019843] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Similarity within romantic couples forms one component of the formation and maintenance of relationships, meaning that, romantic partners’ views about themselves and the world are theorized to converge over time. We advance prior research on romantic couple similarities using cross-sectional or time-lagged designs, testing convergence with dyadic trajectories of change—how changes in one person relate to changes in their partner. Dyadic growth curve models assessed initial similarities, and longitudinal convergence, for 35 measures of well-being and individual differences in 171 mixed-gender couples from a national longitudinal study (the New Zealand Attitudes and Values Survey). Results indicated consistent average-level similarities between romantic partners, a few instances of short-term convergence in sociopolitical views, and the consistent pattern that changes in people occurred independently to their partners. Findings advance theory on romantic interdependence by emphasizing the perspective that romantic partners’ convergence occurs as subjective experience rather than externally measured unification.
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Le Maréchal M, Batel A, Bouvier S, Mahdhaoui H, Margotton M, Vittoz JP, Brudieu E, Chevallier C, Bedouch P, Touati S, Epaulard O. "When did you decide to receive the Covid-19 vaccine?" Survey in a high-volume vaccination center. Hum Vaccin Immunother 2021; 17:5099-5104. [PMID: 35041799 PMCID: PMC8903941 DOI: 10.1080/21645515.2021.2013081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Highly efficient and safe Covid-19 vaccines are available in Europe in amounts that theoretically allow for a high immune coverage. However, a notable proportion of the population is reluctant toward immunization. We aimed to determine, among people who chose to be vaccinated, when they made the decision and whether they would have preferred an earlier vaccination. A survey was conducted in a high-volume Covid-19 vaccination center in France from 28 May to 9 July 2021 through an anonymous questionnaire. The 2519 participants (54.1% males; median age 39 years) attributed lower efficacy and safety to Covid-19 vaccines than to vaccines in general. When asked when they decided to receive the vaccine, 15.5% and 16.0% answered "less than one month ago" and "less than one week ago," respectively; age <40 and female sex were independently associated with these responses. When asked whether they would have preferred to have been vaccinated earlier, 57.6% answered "definitely no," "rather no," or "neither yes nor no"; female sex (independently from age) was associated with these answers. When asked whether they would have preferred to receive the vaccine as early as January 2021, 65.2% answered "definitely no," "rather no," or "neither yes nor no"; age <40 and female sex were independently associated with these responses. In conclusion, one-third people had made the decision to be vaccinated only recently, while more than half would not have preferred an earlier vaccination, in particular women and those aged <40 years. Vaccine campaigns should take such short-term decision-making processes into account.
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Affiliation(s)
- Marion Le Maréchal
- Service des maladies infectieuses, Centre hospitalier universitaire Grenoble-Alpes, Grenoble, France,Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Amina Batel
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Stéphanie Bouvier
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Hajer Mahdhaoui
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Morgane Margotton
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Jean-Philippe Vittoz
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Etienne Brudieu
- Département de Pharmacie, Centre hospitalier universitaire Grenoble-Alpes, Grenoble, France
| | - Christine Chevallier
- Département de Pharmacie, Centre hospitalier universitaire Grenoble-Alpes, Grenoble, France
| | - Pierrick Bedouch
- Département de Pharmacie, Centre hospitalier universitaire Grenoble-Alpes, Grenoble, France,TIMC UMR 5525, Université Grenoble-Alpes/CNRS, Grenoble, France
| | - Saber Touati
- Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France
| | - Olivier Epaulard
- Service des maladies infectieuses, Centre hospitalier universitaire Grenoble-Alpes, Grenoble, France,Groupe de recherche en infectiologie clinique, CIC-1406, Inserm – CHUGA – Université Grenoble-Alpes, Grenoble, France,Institut de biologie structurale, UMR 5075 – CEA-CNRS-UGA, Grenoble, France,CONTACT Olivier Epaulard Infectiologie, CHU Grenoble Alpes, CS 10217, Grenoble38043, France
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de Araújo Veras AAC, Arruda Vidal S, Costa de Macêdo V, de Carvalho Lima M, Cabral de Lira PI, da Fonseca Lima EJ, Batista Filho M. Prevalence, Trends and Conditions for the DTP3 Vaccine: A 25-Year Historical Perspective. Risk Manag Healthc Policy 2021; 14:4301-4310. [PMID: 34703341 PMCID: PMC8524252 DOI: 10.2147/rmhp.s312263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 09/16/2021] [Indexed: 11/27/2022] Open
Abstract
Background The aim was to verify the prevalence of vaccination coverage, tendency and factors of the third dose of the vaccine against diphtheria, tetanus and pertussis-DTP3 in surveys over the period of 25 years in a state of the Northeast of Brazil. Methods Cross-sectional and temporal series, utilizing ad hoc database, were extracted from the Health and Nutrition State Research 1991, 1997, 2006 and 2015/2016. Children from 12 to 23 months of age with proof in the vaccination card were included. The vaccination coverage (outcome) of each year was calculated, the tendency throughout the period was analyzed and the associations through Pearson chi-squared were tested. The results of the first and last survey were compared with a significance level of 5%. The reasons of the crude prevalence and confidence intervals of 95% were estimated. Results The vaccination coverage in 1991, 1997, 2006 and 2015/2016 was 77.6%, 82.7%, 89.7% and 72.9%, respectively, with an increasing tendency from 1991 to 2006 (p<0.001) and decreasing between 2006 and 2015/2016 (p<0.001). Factors in 1991: low socioeconomic conditions; lack of access to health service and pre-natal care, nutritional deficit and diarrhea in children (p<0.005). In 2015/2016, low socioeconomic conditions and diarrhea persisted and a larger family size, black, negative self-perception of happiness, both from the mother (p<0.05), were identified. Conclusion The factors of the recent decrease of vaccination coverage are complex, multifactorial, dependent of context and even on subjective aspects of the maternal perception. Its identification contributed to the understanding of inadequate vaccination at the state level.
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Affiliation(s)
- Ana Amélia Corrêa de Araújo Veras
- Programa de Pós-graduação em Medicina Integral, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil
| | - Suely Arruda Vidal
- Programa de Pós-graduação em Medicina Integral, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil
| | - Vilma Costa de Macêdo
- Departamento de Enfermagem, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - Marília de Carvalho Lima
- Programa de Pós-graduação em Saúde da Criança e Adolescente, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Pedro Israel Cabral de Lira
- Programa de Pós-graduação em Saúde da Criança e Adolescente, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Eduardo Jorge da Fonseca Lima
- Programa de Pós-graduação em Medicina Integral, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil
| | - Malaquias Batista Filho
- Programa de Pós-graduação em Medicina Integral, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil
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Lee CHJ, Sibley CG. Ethnic disparities in vaccine safety attitudes and perceptions of family doctors/general practitioners. Vaccine 2020; 38:7024-7032. [PMID: 32981781 DOI: 10.1016/j.vaccine.2020.09.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 09/07/2020] [Accepted: 09/10/2020] [Indexed: 12/30/2022]
Abstract
Ethnic groups have disparate perceptions of and experiences with family doctors/General Practitioners (GP), yet little is known about differences in GP influence on vaccine safety perceptions across ethnic groups in New Zealand. Using data from the 2017 New Zealand Attitudes and Values Study survey (N = 17,072), the current study investigates the correlation between vaccine safety agreement and GP satisfaction, perceived GP cultural similarity, GP cultural respect, healthcare access and diverse demographic factors among Māori, Pacific, Asian and European New Zealanders. Europeans expressed greater positive perceptions of GPs and high vaccine safety agreement (74.7%) relative to other ethnic groups (Asian: 72.3%; Pacific: 65.8%; Māori: 59.4%). Increased GP satisfaction, healthcare access and education were key correlates of higher vaccine safety agreement among Europeans. Increased GP satisfaction, healthcare access and being non-religious were key correlates among Māori. Higher vaccine safety agreement was significantly and strongly associated with being non-religious, born overseas and having a partner among Pacific peoples. Among Asian peoples, men, younger, more educated individuals, and those with greater perceived GP cultural respect showed higher agreement. Our findings highlight important ethnic differences in the shaping of vaccine attitudes and inform the development of tailored interventions for specific ethnic groups.
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Affiliation(s)
- Carol H J Lee
- School of Psychology, University of Auckland, New Zealand.
| | - Chris G Sibley
- School of Psychology, University of Auckland, New Zealand
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