Danny Azucar, Lindsay Lee Slay, Damaris Garcia Valerio, and Michele D. Kipke are with the Division of Research on Children, Youth & Families, Department of Pediatrics, Children's Hospital, Los Angeles, CA. Michele D. Kipke is also with the Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles.
Am J Public Health. 2022 Mar;112(3):405-407. doi: 10.2105/AJPH.2021.306599.
To report findings from qualitative research that describe sources of hesitancy and barriers to vaccine uptake among lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) populations. In March 2021, we conducted focus groups with members of the Los Angeles, California LGBTQIA community to identify barriers to becoming vaccinated. Semistructured interviews were conducted with 32 individuals in 5 focus groups. Thematic analysis was conducted to identify themes. Historical and ongoing medical trauma, including misgendering, and perceived emotional violence emerged as significant barriers to LGBTQIA individuals becoming vaccinated. Fear of violence was found to be a major barrier among transgender individuals, whereas fear of an unwelcoming vaccination site was a barrier for seniors. Finally, surviving was a higher priority than becoming vaccinated. Participants reported vaccine hesitancy and barriers that are unique to the life experiences of LGBTQIA individuals; these include medical trauma, violence, stigma, and discrimination. Our findings highlight the need to include LGBTQIA leaders and trusted individuals in the development of vaccination education and the delivery of vaccination services. (. 2022;112(3):405-407. https://doi.org/10.2105/AJPH.2021.306599).
报告定性研究的结果，这些研究描述了女同性恋、男同性恋、双性恋、跨性别、酷儿、间性人和无性恋（LGBTQIA）人群中对接种疫苗的犹豫和障碍的来源。 2021 年 3 月，我们与加利福尼亚州洛杉矶的 LGBTQIA 社区成员进行了焦点小组讨论，以确定接种疫苗的障碍。我们对 5 个焦点小组中的 32 人进行了半结构化访谈。采用主题分析法识别主题。 历史和持续的医疗创伤，包括性别错误和感知的情感暴力，成为 LGBTQIA 个人接种疫苗的重大障碍。跨性别者发现对暴力的恐惧是一个主要障碍，而老年人则对不欢迎疫苗接种的场所感到恐惧。最后，生存是比接种疫苗更重要的优先事项。 参与者报告了对疫苗的犹豫和与 LGBTQIA 个人生活经历相关的障碍；这些障碍包括医疗创伤、暴力、耻辱和歧视。我们的研究结果强调了需要让 LGBTQIA 领导者和值得信赖的人参与疫苗接种教育的制定和疫苗接种服务的提供。（。2022；112(3):405-407。https://doi.org/10.2105/AJPH.2021.306599)。
