美国印第安社区的新冠病毒疫苗接种机会、可接受性与疫情恢复
COVID-19 vaccination access, acceptability, and pandemic recovery in American Indian communities.
作者信息
Epperson Anna E, Garrison Nanibaa' A, Kim Thomas, LeBeau Mark, Nez Luke C, Brown Arleen F, Carson Savanna L
机构信息
Department of Psychological Sciences, School of Social Sciences, Humanities and Arts, University of California, Merced.
Institute for Society and Genetics, College of Letters and Science, University of California, Los Angeles.
出版信息
Cultur Divers Ethnic Minor Psychol. 2025 May 5. doi: 10.1037/cdp0000749.
OBJECTIVE
The present study explored perspectives on COVID-19 vaccine acceptability, access, and strategies for pandemic recovery among rural and urban/suburban American Indian (AI) community leaders and members in California.
METHOD
The qualitative study was initiated by a community-academic partnership with a large AI health organization and two universities and included virtual focus groups focused on COVID-19 vaccine acceptability (concerns, risks, benefits), initial vaccine rollout accessibility (vaccination site preferences, accessibility, strategies for improving vaccination), and recommendations for pandemic recovery. Reflexive thematic analysis was used to generate themes.
RESULTS
In Fall 2021, three urban/suburban ( = 9) and three rural ( = 9) AI focus groups in California were held virtually. A majority of participants were Tribal or community leaders ( = 12). Participants in both urban/suburban and rural settings reported preferences for Tribal or Indian Health Service clinics for vaccination and recommended culturally tailored COVID-19 educational materials, health services, and community events to promote pandemic recovery. Participants in rural groups provided examples of tailored community-led pandemic care but illustrated how health care access limited vaccination, how basic needs affected vaccine prioritization, and how gaps in data on AI communities limited local informed decision-making.
CONCLUSION
Findings demonstrate differences in the COVID-19 experience among AI adults living in urban/suburban and rural regions, including vaccine access and basic needs concerns. Findings also highlight local preferences in the pandemic community response and recommendations for culturally tailored health information, health services, and gatherings. Public health campaigns may require additional resources for AI communities to improve equitable distribution and uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的
本研究探讨了加利福尼亚州农村和城市/郊区美国印第安（AI）社区领袖及成员对新冠疫苗可接受性、可及性以及大流行恢复策略的看法。
方法
这项定性研究由一个社区-学术合作项目发起，合作方包括一个大型AI健康组织和两所大学，研究包括虚拟焦点小组，聚焦于新冠疫苗可接受性（担忧、风险、益处）、疫苗首次推广的可及性（接种地点偏好、可及性、改善接种的策略）以及大流行恢复的建议。采用反思性主题分析来生成主题。
结果
2021年秋季，在加利福尼亚州以虚拟方式举行了三个城市/郊区（n = 9）和三个农村（n = 9）AI焦点小组。大多数参与者是部落或社区领袖（n = 12）。城市/郊区和农村地区的参与者都表示倾向于在部落或印第安健康服务诊所接种疫苗，并建议提供符合文化特点的新冠教育材料、健康服务和社区活动，以促进大流行的恢复。农村小组的参与者提供了由社区主导的量身定制的大流行护理的例子，但也说明了医疗服务的可及性如何限制了疫苗接种，基本需求如何影响疫苗优先级，以及AI社区数据缺口如何限制了当地的明智决策。
结论
研究结果表明，生活在城市/郊区和农村地区的AI成年人在新冠疫情经历方面存在差异，包括疫苗可及性和对基本需求的担忧。研究结果还突出了大流行社区应对中的当地偏好，以及对符合文化特点的健康信息、健康服务和集会的建议。公共卫生运动可能需要为AI社区提供额外资源，以改善公平分配和接种情况。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
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