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探索加拿大非洲社区的疫苗接种态度:一项混合方法研究方案。

Exploring vaccination attitudes in African communities in Canada: A mixed-methods study protocol.

作者信息

Ezezika Obidimma, Pellitier Zantae, Muhimpundu Sonia, Daboud Christian, Mengistu Meron, Olorunbiyi Omolola, Hines Christian, Wondrad Mekoya, Kearon Joanne, Okwei Reforce, Anukam Kingsley, Alaazi Dominic, Arku Godwin

机构信息

Global Health & Innovation Lab, Faculty of Health Sciences, Western University, London, Ontario, Canada.

School of Health Studies, Western University, London, Ontario, Canada.

出版信息

PLoS One. 2025 Apr 28;20(4):e0319584. doi: 10.1371/journal.pone.0319584. eCollection 2025.

Abstract

INTRODUCTION

Vaccine hesitancy is a complex issue influenced by many interacting factors. While literature on its contributing causes continues to expand, there is limited research on the contextual and cultural dynamics that shape vaccine hesitancy among African-born individuals in Canada. Identifying and understanding these factors is critical in developing targeted health interventions that address specific barriers to vaccination within this community. The study aims to explore the unique socio-cultural and context-specific elements of vaccine hesitancy among African community members living in Canada.

METHODS AND ANALYSIS

The study will use a mixed-methods approach to investigate vaccine hesitancy among African community members living in Southwestern Ontario. In the qualitative study, we will conduct semi-structured interviews and participatory focus groups within each of the selected study areas: London, Windsor and Chatham-Kent. The qualitative data will be collected, transcribed and then analyzed thematically using NVivo 12. For the quantitative study, we will provide participants with surveys to accurately assess the predictors of vaccine hesitancy. The quantitative data will be analyzed using logistic regression to explore how socio-cultural influences, trust, and accessible information impact vaccine hesitancy.

DISCUSSION

This study addresses a significant gap in existing literature by providing cultural and contextual insights on the drivers of vaccine hesitancy among African-born individuals. Using a mix-method design, the study offers a rich understanding of the influences shaping vaccine decision-making. The findings will support the development of health policies and interventions aimed at improving overall health outcomes for African communities within Canada.

摘要

引言

疫苗犹豫是一个受多种相互作用因素影响的复杂问题。虽然关于其成因的文献不断增多,但对于影响加拿大非洲裔出生人群疫苗犹豫的背景和文化动态的研究却很有限。识别和理解这些因素对于制定有针对性的健康干预措施至关重要,这些措施可以解决该社区内疫苗接种的特定障碍。该研究旨在探索居住在加拿大的非洲社区成员中疫苗犹豫的独特社会文化和特定背景因素。

方法与分析

该研究将采用混合方法来调查居住在安大略省西南部的非洲社区成员中的疫苗犹豫情况。在定性研究中,我们将在每个选定的研究区域(伦敦、温莎和查塔姆-肯特)内进行半结构化访谈和参与式焦点小组讨论。定性数据将被收集、转录,然后使用NVivo 12进行主题分析。对于定量研究,我们将为参与者提供调查问卷,以准确评估疫苗犹豫的预测因素。定量数据将使用逻辑回归进行分析,以探讨社会文化影响、信任和可获取信息如何影响疫苗犹豫。

讨论

本研究通过提供关于非洲出生人群疫苗犹豫驱动因素的文化和背景见解,填补了现有文献中的一个重大空白。通过混合方法设计,该研究对影响疫苗决策的因素提供了丰富的理解。研究结果将支持制定旨在改善加拿大境内非洲社区整体健康状况的卫生政策和干预措施。

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