Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study

BMC Public Health

Cindy Jardine¹  Chris Furgal³  Ryan Maier²  S Michelle Driedger² 

[1] School of Public Health, University of Alberta, 11405 – 87 Ave, Edmonton, Canada;Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Avenue, Winnipeg, Canada;Indigenous Environment Studies Program, Trent University, 1600 West Bank Drive, Peterborough, Canada

关键词: Focus groups;    Colonialism;    Canada;    Aboriginal;    Perceptions;    Uptake;    Vaccination;    Immunization;    Influenza;    Infectious disease;   

Others  :  1127899
DOI  :  10.1186/s12889-015-1482-2

 received in 2014-11-06, accepted in 2015-01-27,  发布年份 2015

【 摘 要 】

Background

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.

Methods

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.

Results

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.

Conclusions

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.

【 授权许可】

   
2015 Driedger et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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