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Labbé F, Lapointe M, Dubé E, Fletcher C. Perceptions of COVID-19 vaccination and factors influencing COVID-19 vaccine acceptance among indigenous peoples in Quebec, Canada: Insights from a facebook posts and comments analysis. Hum Vaccin Immunother 2024; 20:2397868. [PMID: 39279294 PMCID: PMC11407413 DOI: 10.1080/21645515.2024.2397868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/18/2024] Open
Abstract
Vaccination rates in Canada tend to be lower among Indigenous peoples than the rest of the population. The COVID-19 pandemic provided an unprecedented opportunity to better understand Indigenous perceptions about vaccination. The aim of this study was to explore perceptions of COVID-19 vaccine and other factors influencing COVID-19 vaccine acceptance as evidenced by public posts and comments on Facebook by Indigenous peoples in Quebec, Canada. We collected data on 95 Facebook pages or groups used by Indigenous peoples in Quebec between November 1, 2020, to June 15, 2021. To identify posts relating to COVID-19 vaccination, a keyword search ("vaccination," "vaccine," "shot," "does," "Moderna," "Pfizer") was carried out in English and French in the search bar of each Facebook page/group. Results show that First Nations peoples and Inuit in Quebec had important concerns about the usefulness, safety and effectiveness of COVID-19 vaccine. They also expressed fear of being used as test subjects for the rest of the population. Motivations mentioned by First Nations peoples and Inuit to get vaccinated against COVID-19 included to travel again and return to normal life with their loved ones, and the desire to protect the most vulnerable in their communities, especially Elders. Results show that Indigenous health care professionals were considered as reliable and trustful source of information regarding COVID-19, and that seeing role models being vaccinated build confidence and foster acceptance of the vaccine. Culturally adapted messages and vaccination campaigns by and for Indigenous peoples appear to be key to building trust toward COVID-19 vaccination.
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Affiliation(s)
- Fabienne Labbé
- Centre de recherche du CHU de Québec - Université Laval, Axe Santé des populations et pratiques optimales en santé, Hôpital du Saint-Sacrement, Québec, QC, Canada
| | - Mathilde Lapointe
- Centre de recherche du CHU de Québec - Université Laval, Axe Santé des populations et pratiques optimales en santé, Hôpital du Saint-Sacrement, Québec, QC, Canada
| | - Eve Dubé
- Centre de recherche du CHU de Québec - Université Laval, Axe Maladies infectieuses et immunitaires, avenue d'Estimauville, 3e étage, Québec, QC, Canada
- Département d'anthropologie, Pavillon Charles-De Koninck, local, Université Laval, avenue des Sciences-Humaines, Québec, QC, Canada
- Institut national de santé publique du Québec, Québec, QC, Canada
| | - Christopher Fletcher
- Centre de recherche du CHU de Québec - Université Laval, Axe Santé des populations et pratiques optimales en santé, Hôpital du Saint-Sacrement, Québec, QC, Canada
- Département de médecine sociale et préventive, Faculté de médecine, Pavillon Ferdinand-Vandry, local Université Laval, avenue de la Médecine, Québec, QC, Canada
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Sabado-Liwag MD, Kwan PP, Okihiro M, Sy A, Tsoh JY, Juarez R, Choi J, Martorell C, McElfish PA. Asian American and Native Hawaiian and Pacific Islander Visibility and Data Equity: Insights From NIH RADx-UP. Am J Public Health 2024; 114:S354-S359. [PMID: 38547462 PMCID: PMC11111332 DOI: 10.2105/ajph.2024.307590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2024] [Indexed: 05/24/2024]
Affiliation(s)
- Melanie D Sabado-Liwag
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Patchareeya P Kwan
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - May Okihiro
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Angela Sy
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Janice Y Tsoh
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Ruben Juarez
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - JiWon Choi
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Chanchanit Martorell
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
| | - Pearl A McElfish
- Melanie D. Sabado-Liwag is with the Department of Public Health, California State University, Los Angeles. Patchareeya P. Kwan is with the Department of Health Sciences, California State University, Northridge. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu. Angela Sy is with Department of Tropical Medicine, Medical Microbiology, and Pharmacology, John A. Burns School of Medicine, University of Hawai'i. Janice Y. Tsoh is the with the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, San Francisco. Ruben Juarez is with the Department of Economics and University of Hawai'i Economic Research Organization, University of Hawai'i. JiWon Choi is with the Department of Social and Behavioral Sciences/Institute for Health and Aging, School of Nursing, University of California, San Francisco. Chanchanit Martorell is with the Thai Community Development Center, Los Angeles. Pearl A. McElfish is with the College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale
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Newman PA, Dinh DA, Nyoni T, Allan K, Fantus S, Williams CC, Tepjan S, Reid L, Guta A. Covid-19 Vaccine Hesitancy and Under-Vaccination among Marginalized Populations in the United States and Canada: A Scoping Review. J Racial Ethn Health Disparities 2023:10.1007/s40615-023-01882-1. [PMID: 38117443 DOI: 10.1007/s40615-023-01882-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/20/2023] [Accepted: 11/27/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Amid persistent disparities in Covid-19 vaccination and burgeoning research on vaccine hesitancy (VH), we conducted a scoping review to identify multilevel determinants of Covid-19 VH and under-vaccination among marginalized populations in the U.S. and Canada. METHODS Using the scoping review methodology developed by the Joanna Briggs Institute, we designed a search string and explored 7 databases to identify peer-reviewed articles published from January 1, 2020-October 25, 2022. We combine frequency analysis and narrative synthesis to describe factors influencing Covid-19 VH and under-vaccination among marginalized populations. RESULTS The search captured 11,374 non-duplicated records, scoped to 103 peer-reviewed articles. Among 14 marginalized populations identified, African American/Black, Latinx, LGBTQ+, American Indian/Indigenous, people with disabilities, and justice-involved people were the predominant focus. Thirty-two factors emerged as influencing Covid-19 VH, with structural racism/stigma and institutional mistrust (structural)(n = 71) most prevalent, followed by vaccine safety (vaccine-specific)(n = 62), side effects (vaccine-specific)(n = 50), trust in individual healthcare provider (social/community)(n = 38), and perceived risk of infection (individual)(n = 33). Structural factors predominated across populations, including structural racism/stigma and institutional mistrust, barriers to Covid-19 vaccine access due to limited supply/availability, distance/lack of transportation, no/low paid sick days, low internet/digital technology access, and lack of culturally- and linguistically-appropriate information. DISCUSSION We identified multilevel and complex drivers of Covid-19 under-vaccination among marginalized populations. Distinguishing vaccine-specific, individual, and social/community factors that may fuel decisional ambivalence, more appropriately defined as VH, from structural racism/structural stigma and systemic/institutional barriers to vaccination access may better support evidence-informed interventions to promote equity in access to vaccines and informed decision-making among marginalized populations.
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Affiliation(s)
- Peter A Newman
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
| | - Duy A Dinh
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
- Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
| | - Thabani Nyoni
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Kate Allan
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Sophia Fantus
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
| | - Charmaine C Williams
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | | | - Luke Reid
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Adrian Guta
- School of Social Work, University of Windsor, Windsor, ON, Canada
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Fok CL, Fifita M, Tanjasiri SP. Decision-Making Regarding Elective Child and Adolescent Vaccinations Among Native Hawaiian and Pacific Islander Parents in Orange County. Health Promot Pract 2023:15248399231193707. [PMID: 37772336 DOI: 10.1177/15248399231193707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023]
Abstract
Native Hawaiians and Pacific Islanders (NHPIs) in aggregate experience greater health burdens than non-Hispanic Whites, such as a higher incidence of cervical cancer and COVID-19. Given the importance of vaccinations in preventing and reducing the severity of diseases, such as the flu, cervical cancer, and COVID-19, the receipt of vaccines during childhood and adolescence is crucial. Therefore, this qualitative study aimed to explore the factors associated with NHPI parents' decisions regarding vaccinating their children with these elective vaccinations-that is, vaccinations not required for child care, preschool, or K-12 admissions in California but highly recommended. A total of 15 NHPI parents were recruited through a community-based organization. Semi-structured interviews explored parents' reasons for accepting or denying each vaccine for their child(ren). Results demonstrated variable acceptance of each vaccine, though consistent themes included protection and concerns over side effects. This study also found two general types of parents-those who treat vaccines the same and those with varying opinions about each vaccine. Results from this study demonstrate the family- and community-oriented nature of NHPI communities, suggesting that future interventions target not only parents but also their families and communities to cultivate vaccine acceptance through social networks. Furthermore, addressing all three vaccines during well-child visits may benefit parents who view each vaccine as separate entities with individual pros and cons. Such interventions could contribute toward reducing the burdens of particularly chronic health disparities.
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Affiliation(s)
| | - Melenaite Fifita
- University of California, Irvine, CA, USA
- Pacific Islander Health Partnership, Santa Ana, CA, USA
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Garza N, Leibensperger M, Bonnevie E. The Association Between Receiving the Flu and COVID-19 Vaccines and Related Factors, Data from the StopFlu Campaign in Eight States and the District of Columbia, 2022. J Community Health 2023; 48:731-739. [PMID: 37002473 PMCID: PMC10066005 DOI: 10.1007/s10900-023-01213-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2023] [Indexed: 04/03/2023]
Abstract
Given the evolving nature of the COVID-19 pandemic and the importance of vaccines, it is imperative to understand the relationships between receiving the COVID-19 vaccine and other vaccines, such as the flu vaccine. Data were obtained from a survey as part of an evaluation of the StopFlu Kaiser Permanente media campaign, promoting the flu and COVID-19 vaccines in communities of color across eight states and the District of Columbia. The outcome considered was receiving the COVID-19 vaccine. The exposure considered was receiving the flu vaccine. Covariates included demographic factors, and sources of trusted health information. Overall, 4,185 participants had complete data and were included the analysis. Logistic regression was used to assess the relationship between receiving the flu vaccine and COVID-19 vaccine. Among participants, 77.8% reported receiving the COVID-19 vaccine and 55.4% received the flu vaccine. After adjusting for demographics and sources of trusted health information, participants reporting receiving the flu vaccine had 5.18 times the odds of also receiving the COVID-19 vaccine [Adjusted Odds Ratio (AOR): 5.18 95% Confidence Interval (CI): 4.24-6.32]. Trusting advice from a doctor and healthcare organization also had increased odds of receiving the COVID-19 vaccine. (AOR: 1.84 95%CI: 1.45-2.33, AOR: 2.08 95%CI: 1.64-2.63). This study demonstrates that promotion of one vaccine may influence uptake of other vaccines, which is important given the highly politicized nature of the COVID-19 vaccine. Further research could provide more insight into how promotion of a vaccine could impact behavior with regards to another.
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Affiliation(s)
- Nick Garza
- The Public Good Projects, 2308 Mount Vernon Ave, Ste 758, Alexandria, VA, 22301, USA.
| | - Megan Leibensperger
- The Public Good Projects, 2308 Mount Vernon Ave, Ste 758, Alexandria, VA, 22301, USA
| | - Erika Bonnevie
- The Public Good Projects, 2308 Mount Vernon Ave, Ste 758, Alexandria, VA, 22301, USA
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Bonham C, Juarez R, Siegal N. Long COVID and Unemployment in Hawaii. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6231. [PMID: 37444079 PMCID: PMC10341770 DOI: 10.3390/ijerph20136231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 06/20/2023] [Accepted: 06/24/2023] [Indexed: 07/15/2023]
Abstract
The state of Hawaii has seen 390,000 COVID-19 cases and nearly 1900 deaths since the start of the pandemic. Although the negative impact of the pandemic on employment has been widely documented, this paper demonstrates that those who were infected and suffer from lingering symptoms (i.e., long COVID) had different employment outcomes than those who did not experience such symptoms. Using data from our longitudinal cohort in the state of Hawaii, we found that those who reported long COVID in May 2022 were 6.43% more likely to be unemployed at the time of the May survey and 7.07% more likely in November 2022. In addition, we showed that vaccination is associated with higher rates of employment; each additional vaccine an individual received by May decreased the likelihood of unemployment by 6.9% in May and 3.9% in November. Further, individuals who reported more severe symptoms of long COVID were 6.36% less likely to be employed in May and 5.75% less likely to be employed in November. Our results suggest that vaccination policies and policies aimed at preventing contraction and accommodating individuals with long COVID may be effective measures for mitigating the adverse effects of the pandemic on employment.
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Hedges JR, Chow DC, Fogelgren B, Braun KL, Tsark JU, Ordinado S, Berry MJ, Yanagihara R, Mokuau N. Health Disparities Investigator Development through a Team-Science Pilot Projects Program. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5336. [PMID: 37047951 PMCID: PMC10094603 DOI: 10.3390/ijerph20075336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 03/12/2023] [Accepted: 03/29/2023] [Indexed: 06/19/2023]
Abstract
Profound health disparities are widespread among Native Hawaiians, other Pacific Islanders, and Filipinos in Hawai'i. Efforts to reduce and eliminate health disparities are limited by a shortage of investigators trained in addressing the genetic, socio economic, and environmental factors that contribute to disparities. In this conference proceedings report from the 2022 RCMI Consortium National Conference, we describe our mentoring program, with an emphasis on community-engaged research. Elements include our encouragement of a team-science, customized Pilot Projects Program (PPP), a Mentoring Bootcamp, and a mentoring support network. During 2017-2022, we received 102 PPP preproposals. Of these, 45 (48%) were invited to submit full proposals, and 22 (19%) were awarded (8 basic biomedical, 7 clinical, 7 behavioral). Eighty-three percent of awards were made to early-career faculty (31% ethnic minority, 72% women). These 22 awards generated 77 related publications; 84 new grants were submitted, of which 31 were awarded with a resultant return on investment of 5.9. From 5 to 11 investigators were supported by PPP awards each year. A robust usage of core services was observed. Our descriptive report (as part of a scientific conference session on RCMI specialized centers) focuses on a mentoring vehicle and shows how it can support early-stage investigators in pursuing careers in health disparities research.
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Affiliation(s)
- Jerris R. Hedges
- Departments of Medicine and Surgery, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
| | - Dominic C. Chow
- Department of Medicine, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
| | - Benjamin Fogelgren
- Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
| | - Kathryn L. Braun
- Office of Public Health Studies, Thompson School of Social Work & Public Health, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - JoAnn U. Tsark
- Research Corporation University of Hawai‘i, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Susan Ordinado
- Pacific Biosciences Research Center, School of Ocean & Earth Science & Technology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Marla J. Berry
- Pacific Biosciences Research Center, School of Ocean & Earth Science & Technology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Richard Yanagihara
- Departments of Pediatrics and Tropical Medicine, Medical Microbiology & Pharmacology, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
| | - Noreen Mokuau
- Department of Social Work, Thompson School of Social Work & Public Health, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
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Apprehensions and Optimism among Dental Professionals during the COVID-19 Pandemic-A Nationwide Cross-Sectional Evaluation. Vaccines (Basel) 2022; 10:vaccines10122081. [PMID: 36560491 PMCID: PMC9784201 DOI: 10.3390/vaccines10122081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 11/30/2022] [Accepted: 12/02/2022] [Indexed: 12/12/2022] Open
Abstract
Globally, the pandemic of the coronavirus disease, which started in Wuhan, China, has become a major issue for public health. The COVID-19 epidemic notably causes health professionals to experience significantly more emotional stress than the general populace. The present study proposes to investigate the fear aspect in dentists in the initiation of clinical practice during these times. An online cross-sectional study was conducted among dental practitioners based on a pre-validated questionnaire. The data were expressed as frequency and percentage analyzed using the chi-square test using SPSS version 25. The data was obtained from 271 participants, where clinical practice after the first wave was mostly by freelancers (p-value = 0.01); most of whom were married (p-value = 0.065); 19.1% attached to institutes did not have changes in earnings; 28.1% of private practitioners had less than 10% reduction in cases. A total of 62% of private practitioners are concerned about the vaccine's preventative effects (p-value = 0.026), and 57% of private practitioners worry about being sued for the delay in treatment (p-value = 0.036). Only 33.1% of employees in institutions worry that becoming sick could endanger their family. As dentists continue to work their way through this pandemic, these pressures only occasionally have an impact on them. According to the researchers, this is the first study that has captured the anxiety and apprehensions that dental practitioners experienced during the height of the COVID-19 outbreak in India in April 2021. The study's findings demonstrate that the study population was generally upbeat and confident that they could quickly overcome their fear.
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Juarez R, Kang Z, Okihiro M, Garcia BK, Phankitnirundorn K, Maunakea AK. Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake. Vaccines (Basel) 2022; 10:1435. [PMID: 36146513 PMCID: PMC9506487 DOI: 10.3390/vaccines10091435] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/26/2022] [Accepted: 08/26/2022] [Indexed: 11/16/2022] Open
Abstract
Vaccine hesitancy remains a significant barrier to achieving herd immunity and preventing the further spread of COVID-19. Understanding contributors to vaccine hesitancy and how they change over time may improve COVID-19 mitigation strategies and public health policies. To date, no mechanism explains how trust in and consumption of different sources of information affect vaccine uptake. A total of 1594 adults enrolled in our COVID-19 testing program completed standardized surveys on demographics, vaccination status, use, reliance, and trust in sources of COVID-19 information, from September to October 2021, during the COVID-19 Delta wave. Of those, 802 individuals (50.3%) completed a follow-up survey, from January to February 2022, during the Omicron-wave. Regression analyses were performed to understand contributors to vaccine and booster uptake over time. Individuals vaccinated within two months of eligibility (early vaccinees) tended to have more years of schooling, with greater trust in and consumption of official sources of COVID-19 information, compared to those who waited 3-6 months (late vaccinees), or those who remained unvaccinated at 6 months post-eligibility (non-vaccinees). Most (70.1%) early vaccinees took the booster shot, compared to only 30.5% of late vaccinees, with the latter group gaining trust and consumption of official information after four months. These data provide the foundation for a mechanism based on the level of trust in and consumption of official information sources, where those who increased their level of trust in and consumption of official information sources were more likely to receive a booster. This study shows that social factors, including education and individual-level degree of trust in (and consumption of) sources of COVID-19 information, interact and change over time to be associated with vaccine and booster uptakes. These results are critical for the development of effective public health policies and offer insights into hesitancy over the course of the COVID-19 vaccine and booster rollout.
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Affiliation(s)
- Ruben Juarez
- Department of Economics and UHERO, University of Hawaii, Honolulu, HI 96822, USA
| | - Zheng Kang
- Department of Economics and UHERO, University of Hawaii, Honolulu, HI 96822, USA
| | - May Okihiro
- Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA
| | - Blane K. Garcia
- Waianae Coast Comprehensive Health Center, Waianae, HI 96792, USA
| | - Krit Phankitnirundorn
- Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA
| | - Alika K. Maunakea
- Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA
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SARS-CoV-2 Vaccination: What Can We Expect Now? Vaccines (Basel) 2022; 10:vaccines10071093. [PMID: 35891257 PMCID: PMC9319792 DOI: 10.3390/vaccines10071093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 06/21/2022] [Accepted: 06/27/2022] [Indexed: 11/17/2022] Open
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