‘Is It Safe? Is it not?’ A Youth-Led Photovoice Study of Youth Perspectives of COVID-19 Vaccine Confidence

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-10-05 DOI:10.1111/hex.70051

Shelby Mckee, Natasha Y. Sheikhan, Sean Patenaude, Jo Henderson, Rodney Knight, Sean A. Kidd, Skye Barbic, Aileen O'Reilly, Lisa D. Hawke

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引用次数: 0

Abstract

Background

Youth have been uniquely affected by the COVID-19 pandemic. Despite high rates of COVID-19 infection, youth had one of the lowest vaccine uptake rates. Certain characteristics can affect vaccine uptake, such as mental health and substance use, but it is important to understand uptake for an effective response to pandemics.

Objective

This study examined the perspectives of youth with mental health or substance use concerns on COVID-19 vaccine confidence, hesitancy and overall COVID-19 vaccine perspectives.

Methods

Using photovoice, a community-based participatory research method, a sample of 27 youth aged 14−24 years participated in a series of photography workshops and focus groups. Participants submitted final photographs for discussion. Focus groups were recorded, transcribed and thematically analysed.

Results

Four themes were generated: (1) Youth deciphered the vaccine discourse in a changing information landscape; (2) mixed perspectives of families, friends and loved ones influenced the vaccine journey; (3) complex societal influences affected views and decisions around the COVID-19 vaccine; and (4) youth navigated their vaccine journeys through first- and second-hand experiences. The four themes and subthemes highlight the evolution of youth's journeys with the COVID-19 vaccine over the course of the pandemic and into the late-pandemic period.

Conclusions

Youth with mental health or substance use challenges navigated a complex environment during the COVID-19 pandemic. The wide variety of factors influencing vaccine perspectives should be taken into account in public health messaging and future research on youth vaccine uptake. Youth-led and youth-engaged research can help solicit rich and meaningful perspectives of young people on important public health issues.

Patient or Public Contribution

This was a youth-led study. A youth research analyst conducted the study activities together with the support of a youth advisory group, an adult photographer with lived experience, and a scientific team.

Abstract Image

查看原文本刊更多论文

安全吗？不安全吗？由青年主导的关于 COVID-19 疫苗可信度的青年视角摄影选择研究》。

背景：COVID-19 大流行对青少年的影响尤为严重。尽管 COVID-19 的感染率很高，但青少年却是疫苗接种率最低的群体之一。某些特征会影响疫苗接种率，如精神健康和药物使用，但了解接种率对于有效应对大流行非常重要：本研究调查了有精神健康或药物使用问题的青少年对 COVID-19 疫苗的信心、犹豫不决以及对 COVID-19 疫苗的总体看法：27名年龄在14-24岁之间的青少年参加了一系列摄影研讨会和焦点小组。参与者提交最终照片供讨论。对焦点小组进行了记录、转录和主题分析：结果：产生了四个主题：(1) 青少年在不断变化的信息环境中解读疫苗话语；(2) 家人、朋友和亲人的混合观点影响了疫苗之旅；(3) 复杂的社会影响因素影响了围绕 COVID-19 疫苗的观点和决定；以及 (4) 青少年通过第一手和第二手经验来驾驭他们的疫苗之旅。这四个主题和次主题突显了大流行期间和大流行后期青少年接种 COVID-19 疫苗历程的演变：结论：在 COVID-19 大流行期间，有心理健康或药物使用问题的青少年在复杂的环境中游刃有余。在公共卫生信息传播和未来有关青少年疫苗接种的研究中，应考虑到影响疫苗观点的各种因素。青年主导和青年参与的研究有助于征求青年人对重要公共卫生问题的丰富而有意义的观点：这是一项由青年主导的研究。一名青年研究分析师在一个青年咨询小组、一名有生活经验的成年摄影师和一个科学团队的支持下开展了研究活动。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.