Challenges to immunization: the experiences of homeless youth.
Identifieur interne : 000477 ( Main/Exploration ); précédent : 000476; suivant : 000478Challenges to immunization: the experiences of homeless youth.
Auteurs : Alexander Doroshenko [Canada] ; Jill Hatchette ; Scott A. Halperin ; Noni E. Macdonald ; Janice E. GrahamSource :
- BMC public health [ 1471-2458 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- statistiques et données numériques : Programmes de vaccination.
- Adolescent, Connaissances, attitudes et pratiques en santé, Femelle, Humains, Jeune adulte, Jeunes sans-abri, Mâle, Nouvelle-Écosse.
English descriptors
- KwdEn :
- MESH :
- statistics & numerical data : Immunization Programs.
- Adolescent, Female, Health Knowledge, Attitudes, Practice, Homeless Youth, Humans, Male, Nova Scotia, Young Adult.
Abstract
BACKGROUND
Homelessness is a critical social issue, both a product of, and contributing to, poor mental and physical health. Over 150,000 young Canadians live on the streets. Homeless youth experience a high incidence of infectious diseases, many of which are vaccine preventable. Early departure from school and limited access to public health services makes them a particularly vulnerable high-risk group. This study explores challenges to obtaining essential vaccines experienced by homeless youth.
METHODS
A qualitative research study to explore knowledge, attitudes, beliefs, and experiences surrounding immunization of hard-to-reach homeless youth was designed. Participants were recruited for focus groups from Phoenix House and Shelter, a non-profit, community-based organization assisting homeless youth in Halifax, Nova Scotia, Canada. An experienced facilitator guided the recorded discussions. Transcripts of audiotapes were analyzed using a constant comparative method until data revealed a set of exemplars and themes that best captured participants' knowledge, attitudes, beliefs and experiences surrounding immunization and infectious diseases.
RESULTS
Important themes emerged from our analysis. Considerable variability in knowledge about immunization and vaccine preventable diseases was found. The homeless youth in the study had limited awareness of meningitis in contrast to a greater knowledge about sexually transmitted infections and influenza, gained during the H1N1/09 public health campaign. They recognized their poverty as a risk for contracting infectious diseases, along with their inability to always employ known strategies to prevent infectious diseases, due to circumstances. They showed considerable insight into the detrimental effects of poor hygiene, sleeping locations and risk behaviour. Interviewed homeless youth regarded themselves as good compliers of health professional advice and offered valuable suggestions to improve immunization in their population.
CONCLUSIONS
To provide effective public health interventions, it is necessary to consider the knowledge, attitudes, beliefs, and experiences of hard to reach, high risk groups. Our study shows that homeless youth are interested and capable in discussing immunization. Active targeting of homeless youth for public health immunization programs is needed. Working collaboratively with non-profit organizations that assist homeless youth provides an opportunity to increase their knowledge of infectious risks and to improve immunization strategies in this vulnerable group.
DOI: 10.1186/1471-2458-12-338
PubMed: 22568937
PubMed Central: PMC3390266
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Halperin</name></author><author><name sortKey="Macdonald, Noni E" sort="Macdonald, Noni E" uniqKey="Macdonald N" first="Noni E" last="Macdonald">Noni E. Macdonald</name></author><author><name sortKey="Graham, Janice E" sort="Graham, Janice E" uniqKey="Graham J" first="Janice E" last="Graham">Janice E. 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Halperin</name></author><author><name sortKey="Macdonald, Noni E" sort="Macdonald, Noni E" uniqKey="Macdonald N" first="Noni E" last="Macdonald">Noni E. Macdonald</name></author><author><name sortKey="Graham, Janice E" sort="Graham, Janice E" uniqKey="Graham J" first="Janice E" last="Graham">Janice E. Graham</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Female (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Homeless Youth (MeSH)</term><term>Humans (MeSH)</term><term>Immunization Programs (statistics & numerical data)</term><term>Male (MeSH)</term><term>Nova Scotia (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Jeunes sans-abri (MeSH)</term><term>Mâle (MeSH)</term><term>Nouvelle-Écosse (MeSH)</term><term>Programmes de vaccination (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Immunization Programs</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Programmes de vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Homeless Youth</term><term>Humans</term><term>Male</term><term>Nova Scotia</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Jeunes sans-abri</term><term>Mâle</term><term>Nouvelle-Écosse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Homelessness is a critical social issue, both a product of, and contributing to, poor mental and physical health. Over 150,000 young Canadians live on the streets. Homeless youth experience a high incidence of infectious diseases, many of which are vaccine preventable. Early departure from school and limited access to public health services makes them a particularly vulnerable high-risk group. This study explores challenges to obtaining essential vaccines experienced by homeless youth.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A qualitative research study to explore knowledge, attitudes, beliefs, and experiences surrounding immunization of hard-to-reach homeless youth was designed. Participants were recruited for focus groups from Phoenix House and Shelter, a non-profit, community-based organization assisting homeless youth in Halifax, Nova Scotia, Canada. An experienced facilitator guided the recorded discussions. Transcripts of audiotapes were analyzed using a constant comparative method until data revealed a set of exemplars and themes that best captured participants' knowledge, attitudes, beliefs and experiences surrounding immunization and infectious diseases.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Important themes emerged from our analysis. Considerable variability in knowledge about immunization and vaccine preventable diseases was found. The homeless youth in the study had limited awareness of meningitis in contrast to a greater knowledge about sexually transmitted infections and influenza, gained during the H1N1/09 public health campaign. They recognized their poverty as a risk for contracting infectious diseases, along with their inability to always employ known strategies to prevent infectious diseases, due to circumstances. They showed considerable insight into the detrimental effects of poor hygiene, sleeping locations and risk behaviour. Interviewed homeless youth regarded themselves as good compliers of health professional advice and offered valuable suggestions to improve immunization in their population.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>To provide effective public health interventions, it is necessary to consider the knowledge, attitudes, beliefs, and experiences of hard to reach, high risk groups. Our study shows that homeless youth are interested and capable in discussing immunization. Active targeting of homeless youth for public health immunization programs is needed. Working collaboratively with non-profit organizations that assist homeless youth provides an opportunity to increase their knowledge of infectious risks and to improve immunization strategies in this vulnerable group.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22568937</PMID><DateCompleted><Year>2012</Year><Month>10</Month><Day>11</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><PubDate><Year>2012</Year><Month>Jul</Month><Day>04</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Challenges to immunization: the experiences of homeless youth.</ArticleTitle><Pagination><MedlinePgn>338</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-12-338</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Homelessness is a critical social issue, both a product of, and contributing to, poor mental and physical health. Over 150,000 young Canadians live on the streets. Homeless youth experience a high incidence of infectious diseases, many of which are vaccine preventable. Early departure from school and limited access to public health services makes them a particularly vulnerable high-risk group. This study explores challenges to obtaining essential vaccines experienced by homeless youth.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A qualitative research study to explore knowledge, attitudes, beliefs, and experiences surrounding immunization of hard-to-reach homeless youth was designed. Participants were recruited for focus groups from Phoenix House and Shelter, a non-profit, community-based organization assisting homeless youth in Halifax, Nova Scotia, Canada. An experienced facilitator guided the recorded discussions. 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Graham</name><name sortKey="Halperin, Scott A" sort="Halperin, Scott A" uniqKey="Halperin S" first="Scott A" last="Halperin">Scott A. Halperin</name><name sortKey="Hatchette, Jill" sort="Hatchette, Jill" uniqKey="Hatchette J" first="Jill" last="Hatchette">Jill Hatchette</name><name sortKey="Macdonald, Noni E" sort="Macdonald, Noni E" uniqKey="Macdonald N" first="Noni E" last="Macdonald">Noni E. Macdonald</name></noCountry><country name="Canada"><noRegion><name sortKey="Doroshenko, Alexander" sort="Doroshenko, Alexander" uniqKey="Doroshenko A" first="Alexander" last="Doroshenko">Alexander Doroshenko</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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