Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study
Identifieur interne : 000210 ( Pmc/Curation ); précédent : 000209; suivant : 000211Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study
Auteurs : S Michelle Driedger [Canada] ; Ryan Maier [Canada] ; Chris Furgal [Canada] ; Cindy Jardine [Canada]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Abstract
During the first wave of the H1N1 influenza pandemic in 2009, Aboriginal populations in Canada experienced disproportionate rates of infection, particularly in the province of Manitoba. To protect those thought to be most at-risk, health authorities in Manitoba listed all Aboriginal people, including Metis, among those able to receive priority access to the novel vaccine when it first became available. Currently, no studies exist that have investigated the attitudes, influences, and vaccine behaviors among Aboriginal communities in Canada. This paper is the first to systematically connect vaccine behavior with the attitudes and beliefs that influenced Metis study participants’ H1N1 vaccine decision-making.
Researchers held focus groups (n = 17) with Metis participants in urban, rural, and remote locations of Manitoba following the conclusion of the H1N1 pandemic. Participants were asked about their vaccination decisions and about the factors that influenced their decisions. Following data collection, responses were coded into the broad categories of a social-ecological model, nuanced by categories stemming from earlier research. Responses were then quantified to show the most influential factors in positively or negatively affecting the vaccine decision.
Media reporting, the influence of peer groups, and prioritization all had positive and negative influential effects on decision making. Whether vaccinated or not, the most negatively influential factors cited by participants were a lack of knowledge about the vaccine and the pandemic as well as concerns about vaccine safety. Risk of contracting H1N1 influenza was the biggest factor in positively influencing a vaccine decision, which in many cases trumped any co-existing negative influencers.
Metis experiences of colonialism in Canada deeply affected their perceptions of the vaccine and pandemic, a context that health systems need to take into account when planning response activities in the future. Participants felt under-informed about most aspects of the vaccine and the pandemic, and many vaccine related misconceptions and fears existed. Recommendations include leveraging doctor-patient interactions as a site for sharing vaccine-related knowledge, as well as targeted, culturally-appropriate, and empowering public information strategies to supply reliable vaccine and pandemic information to potentially at-risk Aboriginal populations.
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DOI: 10.1186/s12889-015-1482-2
PubMed: 25884562
PubMed Central: 4334920
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study</title><author><name sortKey="Driedger, S Michelle" sort="Driedger, S Michelle" uniqKey="Driedger S" first="S Michelle" last="Driedger">S Michelle Driedger</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg</wicri:regionArea></affiliation></author><author><name sortKey="Maier, Ryan" sort="Maier, Ryan" uniqKey="Maier R" first="Ryan" last="Maier">Ryan Maier</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg</wicri:regionArea></affiliation></author><author><name sortKey="Furgal, Chris" sort="Furgal, Chris" uniqKey="Furgal C" first="Chris" last="Furgal">Chris Furgal</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough</wicri:regionArea></affiliation></author><author><name sortKey="Jardine, Cindy" sort="Jardine, Cindy" uniqKey="Jardine C" first="Cindy" last="Jardine">Cindy Jardine</name><affiliation wicri:level="1"><nlm:aff id="Aff3">School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25884562</idno><idno type="pmc">4334920</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334920</idno><idno type="RBID">PMC:4334920</idno><idno type="doi">10.1186/s12889-015-1482-2</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000210</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000210</idno><idno type="wicri:Area/Pmc/Curation">000210</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000210</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study</title><author><name sortKey="Driedger, S Michelle" sort="Driedger, S Michelle" uniqKey="Driedger S" first="S Michelle" last="Driedger">S Michelle Driedger</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg</wicri:regionArea></affiliation></author><author><name sortKey="Maier, Ryan" sort="Maier, Ryan" uniqKey="Maier R" first="Ryan" last="Maier">Ryan Maier</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg</wicri:regionArea></affiliation></author><author><name sortKey="Furgal, Chris" sort="Furgal, Chris" uniqKey="Furgal C" first="Chris" last="Furgal">Chris Furgal</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough</wicri:regionArea></affiliation></author><author><name sortKey="Jardine, Cindy" sort="Jardine, Cindy" uniqKey="Jardine C" first="Cindy" last="Jardine">Cindy Jardine</name><affiliation wicri:level="1"><nlm:aff id="Aff3">School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>During the first wave of the H1N1 influenza pandemic in 2009, Aboriginal populations in Canada experienced disproportionate rates of infection, particularly in the province of Manitoba. To protect those thought to be most at-risk, health authorities in Manitoba listed all Aboriginal people, including Metis, among those able to receive priority access to the novel vaccine when it first became available. Currently, no studies exist that have investigated the attitudes, influences, and vaccine behaviors among Aboriginal communities in Canada. This paper is the first to systematically connect vaccine behavior with the attitudes and beliefs that influenced Metis study participants’ H1N1 vaccine decision-making.</p></sec><sec><title>Methods</title><p>Researchers held focus groups (n = 17) with Metis participants in urban, rural, and remote locations of Manitoba following the conclusion of the H1N1 pandemic. Participants were asked about their vaccination decisions and about the factors that influenced their decisions. Following data collection, responses were coded into the broad categories of a social-ecological model, nuanced by categories stemming from earlier research. Responses were then quantified to show the most influential factors in positively or negatively affecting the vaccine decision.</p></sec><sec><title>Results</title><p>Media reporting, the influence of peer groups, and prioritization all had positive and negative influential effects on decision making. Whether vaccinated or not, the most negatively influential factors cited by participants were a lack of knowledge about the vaccine and the pandemic as well as concerns about vaccine safety. Risk of contracting H1N1 influenza was the biggest factor in positively influencing a vaccine decision, which in many cases trumped any co-existing negative influencers.</p></sec><sec><title>Conclusions</title><p>Metis experiences of colonialism in Canada deeply affected their perceptions of the vaccine and pandemic, a context that health systems need to take into account when planning response activities in the future. Participants felt under-informed about most aspects of the vaccine and the pandemic, and many vaccine related misconceptions and fears existed. Recommendations include leveraging doctor-patient interactions as a site for sharing vaccine-related knowledge, as well as targeted, culturally-appropriate, and empowering public information strategies to supply reliable vaccine and pandemic information to potentially at-risk Aboriginal populations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moghadas, Sm" uniqKey="Moghadas S">SM Moghadas</name></author><author><name sortKey="Pizzi, Nj" uniqKey="Pizzi N">NJ Pizzi</name></author><author><name sortKey="Wu, J" uniqKey="Wu J">J Wu</name></author><author><name sortKey="Tamblyn, Se" uniqKey="Tamblyn S">SE Tamblyn</name></author><author><name sortKey="Fisman, Dn" uniqKey="Fisman D">DN Fisman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bish, A" uniqKey="Bish A">A Bish</name></author><author><name sortKey="Yardley, L" uniqKey="Yardley L">L 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25884562</article-id><article-id pub-id-type="pmc">4334920</article-id><article-id pub-id-type="publisher-id">1482</article-id><article-id pub-id-type="doi">10.1186/s12889-015-1482-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" equal-contrib="yes"><name><surname>Driedger</surname><given-names>S Michelle</given-names></name><address><email>michelle.driedger@umanitoba.ca</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Maier</surname><given-names>Ryan</given-names></name><address><email>ryan.maier@umanitoba.ca</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Furgal</surname><given-names>Chris</given-names></name><address><email>chrisfurgal@trentu.ca</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Jardine</surname><given-names>Cindy</given-names></name><address><email>cindy.jardine@ualberta.ca</email></address><xref ref-type="aff" rid="Aff3"></xref></contrib><aff id="Aff1"><label></label>Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada</aff><aff id="Aff2"><label></label>Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough, Canada</aff><aff id="Aff3"><label></label>School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton, Canada</aff></contrib-group><pub-date pub-type="epub"><day>12</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>12</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>15</volume><elocation-id>128</elocation-id><history><date date-type="received"><day>6</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>27</day><month>1</month><year>2015</year></date></history><permissions><copyright-statement>© Driedger et al.; licensee BioMed Central. 2015</copyright-statement><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>During the first wave of the H1N1 influenza pandemic in 2009, Aboriginal populations in Canada experienced disproportionate rates of infection, particularly in the province of Manitoba. To protect those thought to be most at-risk, health authorities in Manitoba listed all Aboriginal people, including Metis, among those able to receive priority access to the novel vaccine when it first became available. Currently, no studies exist that have investigated the attitudes, influences, and vaccine behaviors among Aboriginal communities in Canada. This paper is the first to systematically connect vaccine behavior with the attitudes and beliefs that influenced Metis study participants’ H1N1 vaccine decision-making.</p></sec><sec><title>Methods</title><p>Researchers held focus groups (n = 17) with Metis participants in urban, rural, and remote locations of Manitoba following the conclusion of the H1N1 pandemic. Participants were asked about their vaccination decisions and about the factors that influenced their decisions. Following data collection, responses were coded into the broad categories of a social-ecological model, nuanced by categories stemming from earlier research. Responses were then quantified to show the most influential factors in positively or negatively affecting the vaccine decision.</p></sec><sec><title>Results</title><p>Media reporting, the influence of peer groups, and prioritization all had positive and negative influential effects on decision making. Whether vaccinated or not, the most negatively influential factors cited by participants were a lack of knowledge about the vaccine and the pandemic as well as concerns about vaccine safety. Risk of contracting H1N1 influenza was the biggest factor in positively influencing a vaccine decision, which in many cases trumped any co-existing negative influencers.</p></sec><sec><title>Conclusions</title><p>Metis experiences of colonialism in Canada deeply affected their perceptions of the vaccine and pandemic, a context that health systems need to take into account when planning response activities in the future. Participants felt under-informed about most aspects of the vaccine and the pandemic, and many vaccine related misconceptions and fears existed. Recommendations include leveraging doctor-patient interactions as a site for sharing vaccine-related knowledge, as well as targeted, culturally-appropriate, and empowering public information strategies to supply reliable vaccine and pandemic information to potentially at-risk Aboriginal populations.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Infectious disease</kwd><kwd>Influenza</kwd><kwd>Immunization</kwd><kwd>Vaccination</kwd><kwd>Uptake</kwd><kwd>Perceptions</kwd><kwd>Aboriginal</kwd><kwd>Canada</kwd><kwd>Colonialism</kwd><kwd>Focus groups</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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