ICES Ontario, G1 06, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada.
University of Alberta, 116 St & 85 Ave, Edmonton, AB T6G 2R3, Canada.
Vaccine. 2023 Aug 31;41(38):5640-5647. doi: 10.1016/j.vaccine.2023.07.060. Epub 2023 Aug 6.
The burden of the current COVID-19 pandemic is not shared equally in Canadian society, with Indigenous Peoples being disproportionately affected. Moreover, there is a lack of research pertaining to vaccination behaviour in Métis communities. This Métis-specific and Métis-led qualitative study endeavours to understand COVID-19 vaccine behaviour among citizens of the Métis Nation of Ontario (MNO).
Data was collected via one-on-one interviews. Participants were recruited via the MNO's existing social media channels. Participants filled out a screening survey indicating their intention to vaccinate against COVID-19 as yes, no, or unsure. Sixteen participants (9 yes, 3 unsure, 4 no) were interviewed. Interviews averaged 30 min, and the questions and probes were developed in collaboration with the MNO. The interviewer received Métis-specific cultural safety training. Interviews were transcribed verbatim and uploaded to NVivo 12.
A deductive analysis using the Social Ecological Model framework (SEM) for vaccine behaviour and two blinded coders was used to understand the data. An additional factor, COVID-19 public health measures, was added to the framework to better capture the experiences of participants during the COVID-19 pandemic. Overall, the factors with the greatest number of coded references included Vaccine roll-out and availability, Organization of the public into priority groups, Public discourse, Interpersonal influences, Interface with health professionals, Knowledge state, Trust, and Vaccine risk perception. Bandwagoning (following others' behaviour) and Freeloading (perceiving enough people have been vaccinated), both factors of the SEM, were not discussed. Yes, no, and unsure participant groups were compared to understand the influences of each factor based on COVID-19 vaccination intention.
MNO citizens COVID-19 vaccine behaviour was negatively and positively influenced by a number of factors. This information will allow the MNO and public health units to better tailor their messaging for COVID-19 vaccine uptake campaigns and future pandemic emergencies.
当前的 COVID-19 大流行在加拿大社会中并未平均分担，土著人民受到的影响不成比例。此外，针对梅蒂斯社区疫苗接种行为的研究也很缺乏。这项专门针对梅蒂斯人和由梅蒂斯人领导的定性研究旨在了解安大略省梅蒂斯民族（MNO）公民的 COVID-19 疫苗接种行为。
通过一对一访谈收集数据。参与者通过 MNO 现有的社交媒体渠道招募。参与者填写了一份筛选调查，表明他们接种 COVID-19 疫苗的意愿是肯定、否定还是不确定。采访了 16 名参与者（9 名肯定，3 名不确定，4 名否定）。采访平均持续 30 分钟，问题和探针是与 MNO 合作开发的。采访者接受了特定于梅蒂斯人的文化安全培训。采访内容逐字记录并上传到 NVivo 12。
使用疫苗行为的社会生态模型框架（SEM）和两名盲码员进行了演绎分析，以理解数据。在框架中添加了一个额外的因素，即 COVID-19 公共卫生措施，以更好地捕捉参与者在 COVID-19 大流行期间的经历。总体而言，编码引用最多的因素包括疫苗推出和可用性、将公众组织成优先群体、公众话语、人际影响、与卫生专业人员的互动、知识状况、信任和疫苗风险感知。跟风（跟随他人的行为）和搭便车（认为已经有足够多的人接种了疫苗），SEM 的两个因素，没有被讨论。比较了肯定、否定和不确定参与者群体，以根据 COVID-19 疫苗接种意愿了解每个因素的影响。
MNO 公民的 COVID-19 疫苗接种行为受到许多因素的负面影响和积极影响。这些信息将使 MNO 和公共卫生部门能够更好地针对 COVID-19 疫苗接种宣传活动和未来的大流行紧急情况调整他们的信息。
