Vargas-Cruz Sandra, Baquero-Acuña Miguel, Bautista Camila, Castro-Caro Juan, Espejo Nicol, Mateus Pedro Ruiz, Parra-García Irene
Faculty of Medicine, Universidad El Bosque, Bogotá, Colombia.
Humanities Department, Universidad El Bosque, Bogotá, Colombia.
PLOS Glob Public Health. 2025 Jul 11;5(7):e0004870. doi: 10.1371/journal.pgph.0004870. eCollection 2025.
The coronavirus disease 2019 (COVID-19) pandemic was recognized as a public health crisis closely linked to socioeconomic and cultural factors. Vaccination is a long-term solution for COVID-19; however, access to vaccines has been hindered by geographic, cultural, and socioeconomic barriers as well as distrust in the health system-particularly among populations that have experienced historical inequities, such as indigenous peoples. This study aimed to analyze the COVID-19 vaccination experiences of the Misak Misak, Wounaan, and Los Pastos indigenous peoples in Bogotá, Colombia. This was a sequential explanatory mixed-methods study, with the quantitative phase followed by the qualitative phase. We conducted emistructured interviews, 9 sharing circles, and 85 household surveys using a triangulation approach. Results showed that the Los Pastos people had the highest vaccination rate (97.3%), followed by the Misak Misak people (85.2%); the Wounaan people had the lowest vaccination rate (38.5%). The main reason for vaccination among the Misak Misak and Wounaan was that it was mandated by their workplaces or educational institutions. For the Los Pastos, the main reason for vaccination was to protect themselves and their environment. The main reasons for not getting vaccinated included distrust of vaccines, although there were no geographic access barriers. This study revealed varying vaccination rates among indigenous populations living in urban areas, possibly associated with factors such as infodemic, previous distrust of Western health services, and preference for ancestral medicine as an alternative for COVID-19 prevention.
2019年冠状病毒病（COVID-19）大流行被视为一场与社会经济和文化因素密切相关的公共卫生危机。疫苗接种是应对COVID-19的长期解决方案；然而，疫苗接种受到地理、文化和社会经济障碍以及对卫生系统的不信任的阻碍，尤其是在经历过历史不平等的人群中，如原住民。本研究旨在分析哥伦比亚波哥大的米萨克、乌纳安和洛斯帕斯托斯原住民的COVID-19疫苗接种经历。这是一项顺序解释性混合方法研究，定量阶段之后是定性阶段。我们采用三角测量法进行了半结构化访谈、9次分享圈讨论和85次家庭调查。结果显示，洛斯帕斯托斯人群的疫苗接种率最高（97.3%），其次是米萨克人群（85.2%）；乌纳安人群的疫苗接种率最低（38.5%）。米萨克和乌纳安人群接种疫苗的主要原因是其工作场所或教育机构要求接种。对于洛斯帕斯托斯人群来说，接种疫苗的主要原因是保护自己和环境。未接种疫苗的主要原因包括对疫苗的不信任，尽管不存在地理上的获取障碍。本研究揭示了居住在城市地区的原住民群体中不同的疫苗接种率，这可能与信息疫情、以往对西方医疗服务的不信任以及倾向于用传统药物作为预防COVID-19的替代方法等因素有关。
