Facilitators of COVID-19 vaccination among pregnant and lactating refugee women: A qualitative study using a community-based approach

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-08 DOI:10.1016/j.pec.2025.108778

Ehiremen Adesua Azugbene , Alexis M. Koskan , Elisabeth Williams , Tatiana Patton , Li Liu , Jeanne Nizigiyimana , Crista E. Johnson-Agbakwu

{"title":"Facilitators of COVID-19 vaccination among pregnant and lactating refugee women: A qualitative study using a community-based approach","authors":"Ehiremen Adesua Azugbene , Alexis M. Koskan , Elisabeth Williams , Tatiana Patton , Li Liu , Jeanne Nizigiyimana , Crista E. Johnson-Agbakwu","doi":"10.1016/j.pec.2025.108778","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>The coronavirus disease of 2019 (COVID-19) vaccination has reduced the severity of illness and hospitalization rates associated with the virus. However, pregnant and lactating refugee women often have lower vaccination rates, which are influenced by limited access to healthcare, cultural barriers, and misinformation. This study, guided by the Positive Deviance Framework, examines the factors that promoted COVID-19 vaccination among pregnant and lactating refugee women.</div></div><div><h3>Methods</h3><div>Cultural Health Navigators conducted in-depth interviews with pregnant and lactating refugee women recruited from a large federally qualified health center who received COVID-19 vaccines.</div></div><div><h3>Results</h3><div>This qualitative study included 30 participants, stratified by language groups and representing diverse educational backgrounds and lengths of residence in the United States. Thematic analysis of the interviews revealed factors such as fear of COVID-19, emotional relief following vaccination, trust in healthcare providers and scientific evidence, and support from family and Cultural Health Navigators.</div></div><div><h3>Discussion</h3><div>The findings highlight the importance of culturally sensitive communication and trust-building in promoting vaccination rates among pregnant and lactating refugee women. Trust in healthcare providers, scientific evidence, and support from family and Cultural Health Navigators played a key role in overcoming vaccination barriers. Tailored strategies and supportive interventions can enhance COVID-19 vaccination uptake in this population. Further research in larger, diverse populations is needed to identify additional strategies for improving vaccination rates among refugee women.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"136 ","pages":"Article 108778"},"PeriodicalIF":2.9000,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Education and Counseling","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0738399125001454","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

The coronavirus disease of 2019 (COVID-19) vaccination has reduced the severity of illness and hospitalization rates associated with the virus. However, pregnant and lactating refugee women often have lower vaccination rates, which are influenced by limited access to healthcare, cultural barriers, and misinformation. This study, guided by the Positive Deviance Framework, examines the factors that promoted COVID-19 vaccination among pregnant and lactating refugee women.

Methods

Cultural Health Navigators conducted in-depth interviews with pregnant and lactating refugee women recruited from a large federally qualified health center who received COVID-19 vaccines.

Results

This qualitative study included 30 participants, stratified by language groups and representing diverse educational backgrounds and lengths of residence in the United States. Thematic analysis of the interviews revealed factors such as fear of COVID-19, emotional relief following vaccination, trust in healthcare providers and scientific evidence, and support from family and Cultural Health Navigators.

Discussion

The findings highlight the importance of culturally sensitive communication and trust-building in promoting vaccination rates among pregnant and lactating refugee women. Trust in healthcare providers, scientific evidence, and support from family and Cultural Health Navigators played a key role in overcoming vaccination barriers. Tailored strategies and supportive interventions can enhance COVID-19 vaccination uptake in this population. Further research in larger, diverse populations is needed to identify additional strategies for improving vaccination rates among refugee women.

查看原文本刊更多论文

孕妇和哺乳期难民妇女接种 COVID-19 疫苗的促进因素：以社区为基础的定性研究

2019年冠状病毒病（COVID-19）疫苗接种降低了与该病毒相关的疾病严重程度和住院率。然而，孕妇和哺乳期难民妇女的疫苗接种率往往较低，这是由于获得医疗保健的机会有限、文化障碍和错误信息的影响。本研究在积极偏差框架的指导下，探讨了促进孕妇和哺乳期难民妇女接种COVID-19疫苗的因素。方法文化健康导航员对从一家大型联邦合格医疗中心招募的接种了COVID-19疫苗的孕妇和哺乳期难民妇女进行了深入访谈。这项定性研究包括30名参与者，按语言群体分层，代表不同的教育背景和在美国居住的时间。访谈的专题分析揭示了诸如对COVID-19的恐惧、接种疫苗后的情绪缓解、对医疗保健提供者和科学证据的信任以及家庭和文化健康导航员的支持等因素。研究结果强调了文化敏感的沟通和建立信任对于提高怀孕和哺乳难民妇女的疫苗接种率的重要性。对卫生保健提供者的信任、科学证据以及家庭和文化卫生导航员的支持在克服疫苗接种障碍方面发挥了关键作用。量身定制的战略和支持性干预措施可提高这一人群的COVID-19疫苗接种率。需要在更大、更多样化的人群中进行进一步研究，以确定提高难民妇女疫苗接种率的其他战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.