Exploring Latino Promotores/a de Salud (Community Health Workers) knowledge, attitudes, and perceptions of COVID-19 vaccines.

Exploring Latino Promotores/a de Salud (Community Health Workers) knowledge, attitudes, and perceptions of COVID-19 vaccines.
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DOI:
10.1016/j.ssmqr.2021.100033
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发表时间:
2022-12
期刊:
SSM. Qualitative research in health
影响因子:
--
通讯作者:
Salvy SJ
Salvy SJ
中科院分区:
其他
文献类型:
--
作者:
Cáceres NA;Shirazipour CH;Herrera E;Figueiredo JC;Salvy SJ

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推广员/推广员(即社区卫生工作者)处于独特的地位,可以在拉美裔社区,特别是在疫苗接种率存在差异的地区,提供亟需的新冠肺炎教育和外联服务。这项研究使用定性的方法来探索推动者对新冠肺炎疫苗的看法,重点是了解拉美裔社区的疫苗知识和观点如何制定建议,以提高疫苗接种的接受度。招募推广员(N=22)参加虚拟进行的半结构化焦点小组。反身性主题分析确定了三个主要主题:(1)错误信息的流行(与缺乏可信信息、对政府的不信任、移民地位问题和阴谋论有关);(2)犹豫不决(与健康问题和资格混淆有关);以及(3)改善疫苗接种的建议。疫苗接种的延误并不完全是因为怀疑或恐惧,也与获取障碍有关。通过这些主题,我们可以深入了解拉美裔社区对新冠肺炎疫苗的看法,以及一些疫苗仍未接种的原因。推广者的观点对于制定战略和方法以解决服务不足社区中新冠肺炎疫苗的迟疑、接受和实施是不可或缺的。
Promotoras/promotores (i.e., community health workers) are uniquely positioned to provide much needed COVID-19 education and outreach in Latino communities, particularly in areas with disparities in vaccination rates. This study used qualitative methods to explore promotoras perspectives on COVID-19 vaccines, with a focus on understanding how vaccine knowledge and viewpoints among Latino communities can formulate recommendations to improve uptake of vaccination. Promotoras (N=22) were recruited to participate in semi-structured focus groups conducted virtually. Reflexive thematic analysis identified three overarching themes: (1) prevalence of misinformation (related to lack of trustworthy information, mistrust in the government, immigration status concerns, and conspiracy theories); (2) hesitancy (related to health concerns and eligibility confusion); and (3) recommendations for improving vaccine uptake. Delays in vaccination were not strictly due to doubts or fears but were also related to access barriers. The themes provide insight into the Latino communities’ perceptions of COVID-19 vaccines and reasons why some remain unvaccinated. Promotoras’ perspectives are integral to the development of strategies and approaches to address COVID-19 vaccine hesitancy, uptake, and implementation among underserved communities.