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Barriers to immunization among newcomers : A systematic review

Wilson, Lindsay; Rubens-Augustson, Taylor; Murphy, Malia; Jardine, Cindy; Crowcroft, Natasha; Hui, Charles and Wilson, Kumanan (2018) In Vaccine 36(8). p.1055-1062
Abstract

Introduction: Currently, there is a lack of comprehensive evidence exploring vaccine decision-making among newcomers. We conducted a systematic review of qualitative studies aimed at identifying factors that influence newcomers' decision-making with regards to vaccination. Methods: We conducted a search of MEDLINE, EMBASE, CINAHL and Cochrane Central. To be included, studies needed to employ a qualitative methodology and address newcomer attitudes, beliefs, and/or perceptions regarding vaccination. Two independent reviewers screened the articles for relevant information and applied a content analysis methodology to code the identified barriers. Results: Twenty-one studies were included in this review, and four types of barriers were... (More)

Introduction: Currently, there is a lack of comprehensive evidence exploring vaccine decision-making among newcomers. We conducted a systematic review of qualitative studies aimed at identifying factors that influence newcomers' decision-making with regards to vaccination. Methods: We conducted a search of MEDLINE, EMBASE, CINAHL and Cochrane Central. To be included, studies needed to employ a qualitative methodology and address newcomer attitudes, beliefs, and/or perceptions regarding vaccination. Two independent reviewers screened the articles for relevant information and applied a content analysis methodology to code the identified barriers. Results: Twenty-one studies were included in this review, and four types of barriers were identified: cultural factors, knowledge barriers, insufficient access to healthcare, and vaccine hesitancy. Insufficient knowledge about vaccination and the virus being prevented and concerns about safety were the most commonly reported barriers. A sub-analysis of barriers specific to HPV indicated that cultural beliefs about sexuality and incomplete knowledge about the role of HPV in the development of cervical cancer are major barriers to vaccine uptake. Conclusion: Strategies to improve vaccination uptake in newcomers should consider focusing on the barriers identified in this review while taking into account the unique opportunities for promoting uptake within newcomer populations.

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author
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Immigrants, Immunization, Newcomers, Qualitative, Refugees, Systematic review, Vaccination
in
Vaccine
volume
36
issue
8
pages
12 pages
publisher
Elsevier
external identifiers
  • scopus:85040714467
ISSN
0264-410X
DOI
language
English
LU publication?
no
id
badd1fc9-bad9-4de5-91fb-8a3216e81e9f
date added to LUP
2018-02-05 14:46:30
date last changed
2018-05-29 11:32:07
@article{badd1fc9-bad9-4de5-91fb-8a3216e81e9f,
  abstract     = {<p>Introduction: Currently, there is a lack of comprehensive evidence exploring vaccine decision-making among newcomers. We conducted a systematic review of qualitative studies aimed at identifying factors that influence newcomers' decision-making with regards to vaccination. Methods: We conducted a search of MEDLINE, EMBASE, CINAHL and Cochrane Central. To be included, studies needed to employ a qualitative methodology and address newcomer attitudes, beliefs, and/or perceptions regarding vaccination. Two independent reviewers screened the articles for relevant information and applied a content analysis methodology to code the identified barriers. Results: Twenty-one studies were included in this review, and four types of barriers were identified: cultural factors, knowledge barriers, insufficient access to healthcare, and vaccine hesitancy. Insufficient knowledge about vaccination and the virus being prevented and concerns about safety were the most commonly reported barriers. A sub-analysis of barriers specific to HPV indicated that cultural beliefs about sexuality and incomplete knowledge about the role of HPV in the development of cervical cancer are major barriers to vaccine uptake. Conclusion: Strategies to improve vaccination uptake in newcomers should consider focusing on the barriers identified in this review while taking into account the unique opportunities for promoting uptake within newcomer populations.</p>},
  author       = {Wilson, Lindsay and Rubens-Augustson, Taylor and Murphy, Malia and Jardine, Cindy and Crowcroft, Natasha and Hui, Charles and Wilson, Kumanan},
  issn         = {0264-410X},
  keyword      = {Immigrants,Immunization,Newcomers,Qualitative,Refugees,Systematic review,Vaccination},
  language     = {eng},
  number       = {8},
  pages        = {1055--1062},
  publisher    = {Elsevier},
  series       = {Vaccine},
  title        = {Barriers to immunization among newcomers : A systematic review},
  url          = {http://dx.doi.org/},
  volume       = {36},
  year         = {2018},
}