School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
National Centre for Immunisation Research and Surveillance (NCIRS), Kids Research, Sydney Children's Hospital Network, Sydney, Australia.
Glob Health Action. 2024 Dec 31;17(1):2384497. doi: 10.1080/16549716.2024.2384497. Epub 2024 Sep 4.
First Nations peoples face disproportionate vaccine-preventable risks due to social, economic, and healthcare disparities. Additionally, during the COVID-19 pandemic, there was also mistrust and hesitancy about the COVID-19 vaccines among First Nations peoples. These are rooted in factors such as colonial histories, discriminatory medical practices, and unreliable information.
To examine strategies to address COVID-19 vaccine hesitancy among First Nations peoples globally.
A systematic review was conducted. Searches were undertaken in OVID MEDLINE, OVID EMBASE, OVID PsycINFO, CINAHL, and Informit. Searches were date limited from 2020. Items included in this review provided primary data that discussed strategies used to address COVID-19 vaccine hesitancy in First Nations peoples.
We identified several key strategies across four countries - Australia, the USA, Canada, and Guatemala in seventeen papers. These included understanding communities' needs, collaborating with communities, tailored messaging, addressing underlying systemic traumas and social health gaps, and early logistics planning.
The inclusion of First Nations-centred strategies to reduce COVID-19 vaccine hesitancy is essential to delivering an equitable pandemic response. Implementation of these strategies in the continued effort to vaccinate against COVID-19 and in future pandemics is integral to ensure that First Nations peoples are not disproportionately affected by disease.
由于社会、经济和医疗保健方面的差距，第一民族面临不成比例的可预防疫苗的风险。此外，在 COVID-19 大流行期间，第一民族对 COVID-19 疫苗也存在不信任和犹豫。这些问题源于殖民历史、歧视性医疗实践和不可靠的信息等因素。
研究全球范围内解决第一民族对 COVID-19 疫苗犹豫不决的策略。
进行了系统评价。在 OVID MEDLINE、OVID EMBASE、OVID PsycINFO、CINAHL 和 Informit 中进行了搜索。搜索的时间限制为 2020 年。本综述中收录的项目提供了主要数据，讨论了用于解决第一民族对 COVID-19 疫苗犹豫不决的策略。
我们在四个国家（澳大利亚、美国、加拿大和危地马拉）的十七篇论文中确定了几个关键策略。这些策略包括了解社区的需求、与社区合作、量身定制的信息传递、解决潜在的系统性创伤和社会健康差距，以及早期的后勤规划。
纳入以第一民族为中心的策略来减少 COVID-19 疫苗犹豫不决对于提供公平的大流行应对至关重要。在继续接种 COVID-19 疫苗和未来的大流行中实施这些策略，对于确保第一民族不受疾病的不成比例影响是必不可少的。
